Working toward the 90-90-90 Goals
To advance global targets that call for 90 percent of people living with HIV to know their status, 90 percent of those diagnosed to be on treatment, and 90 percent of those on treatment to be virally suppressed (90-90-90) by 2020, MSH works with partners to identify people living with HIV and help enroll them in treatment. Once people are on antiretrovirals (ARVs), we support their adherence to ART.
- In Malawi, we used index case testing to successfully improve our efficiency in reaching those affected by HIV. By focusing on partners and family members of HIV-positive individuals, we’ve increased the number of those tested. In support of Malawi’s national strategy to identify people living with HIV and AIDS, 20,000 family members were tested in 90 facilities from October 2016 to November 2017. This approach was key to identifying new HIV cases, and the positive test rate (22 percent) was much higher than the national average of 4 percent.
- MSH-supported clubs for adolescents with HIV have improved adherence to treatment. In Malawi, 1,550 adolescents (aged 10–19) were enrolled in teen clubs at 18 supported facilities between January 2015 and July 2017. Retention of ART among teen club members was 96 percent, higher than in the general population (77 percent for adults and children after 12 months on ART). Teen club members (83 percent) were also more likely to suppress virally than non-members (69 percent not enrolled).
- In Angola, we have partnered with peer educators to create support groups for sex workers, empowering them as leaders in HIV care and helping them fight discrimination and violence. In one year, our HIV-prevention activities reached 15,390 female sex workers, men who have sex with men, and transgender people