Excellent healthcare – locally delivered How far away are we from 20 million on ART by 2020? Meg Doherty, MD, MPH, PhD Coordinator Treatment and Care WHO HIV Department, HQ

Global Access to Treatment WHO, Global Treatment Report ,000 children on ART – widening gaps in coverage 13 million on ART, end m in last year; 20m X 20 within reach 12%

Close to 1 million pregnant women received ARVs, 500,000 still being missed

20% Threshold for ART initiation 37% 63% 30% % % CD4 <500 CD4 <350 % Regardless of CD4 80% 83% 17% 20% 80% Uptake of 2013 recommendations as of July % 60% Uptake based on 58 WHO focus countries, by regio n 10% 12% 50% Total 43% Total 54% Total 3%

20% Paediatric ART Age Initiation 12% 67% 38% % % Age < 5 yrs Age < 2 yrs % Other 40% 33% 17% 20% 80% Uptake of 2013 recommendations as of July % 38% Uptake based on 58 WHO focus countries, by regio n 25% 20% 40% Total 22% 21% 50% 40% 20% Total 21% Total 48%

Option B / B + % % Option B Option A % Option B+ 14% 57% Uptake of 2013 recommendations as of July % Uptake based on 58 WHO focus countries, by region 20% 63% 80% 13% 25% 75% 13% 100% 40% 20% Total 33% Total 58% Total 9%

WHO Innovations in HIV Testing Self testing Test for triage Birth testing and integrated HIV testing for kids WHO Innovations in HIV Testing Self testing Test for triage Birth testing and integrated HIV testing for kids

Innovations in Drugs FDC 2nd and 3rd line Pellets and 4 in 1 for children Integrase inhibitors in for both 1st and second line Innovations in Drugs FDC 2nd and 3rd line Pellets and 4 in 1 for children Integrase inhibitors in for both 1st and second line

Innovations in Diagnostics Increase options & platforms Maintain quality Innovations in Diagnostics Increase options & platforms Maintain quality

Innovations in Service delivery Community delivery ARV Integration (Double Dividend for children, UHC) Learn from implementation science research Innovations in Service delivery Community delivery ARV Integration (Double Dividend for children, UHC) Learn from implementation science research

Acknowledgements WHO HIV/AIDS Department Gottfried Hirnschall Jhoney Barcarolo Michel Beusenberg Nathan Ford Cadi Irvine Eyerusalem Negussie Lisa Nelson Martina Penazzato Fintan Thompson Marco Vitoria Mayada Yousseffox Gundo Weiler WHO Regions Emil Asamoah-Odei Martin Donoghoe Irina Eramova Massimo Ghidinelli Ying-Ru Lo Frank Lule Amaya Maw-Naing Gabriele Riedner Razia Pendse