In its report of November 2020, Prevailing against Pandemics by Putting People at the Centre, UNAIDS called on countries to make greater investments in the global epidemic responses to HIV and adopt a new set of bold, ambitious but achievable HIV targets. If these targets are met, the world will be back on track to ending HIV/AIDS as a public health threat by 2030.1 The intermediate 2025 targets prioritize sexual and reproductive health services for women living with HIV and women at elevated risk of HIV infection. The following 2025 targets for sexual and reproductive health have been set:
• 95 per cent of women of reproductive age in high HIV prevalence settings, within key populations and living with HIV, have their HIV prevention and sexual and reproductive health service needs met
• 95 per cent of pregnant women are tested for HIV, syphilis and hepatitis B surface antigen at least once and as early as possible. In high HIV burden settings, pregnant and breastfeeding women with unknown HIV status or who previously tested HIV-negative should be re-tested during late pregnancy (third trimester) and in the post-partum period
• 90 per cent of women living with HIV are on antiretroviral therapy before their current pregnancy
• All pregnant women living with HIV are diagnosed and on antiretroviral therapy, and 95 per cent achieve viral suppression before delivery
• All breastfeeding women living with HIV are diagnosed and on antiretroviral therapy, and 95 per cent achieve viral suppression (to be measured at 6–12 months)
• 95 per cent of HIV-exposed infants receive a virologic test and parents provided the results by age 2 months
• 95 per cent of HIV-exposed infants receive a virologic test and parents provided the results between ages 9 and 18 months
• 95–95–95 testing and treatment targets achieved among children living with HIV
