1. Moving to the final chapter of the AIDS epidemic

2. 20152003 Treatment continues to expand

3. 20152003 Treatment continues to expand

4. UNAIDS PCB calls for new targets New scientific evidence New WHO guidelines Post 2015 Targets drive progress Accountability

5. The choices Status quo Continue the current pace WHO 2013 guidelines Rapid scale-up to universal access

6. The treatment target

7. The new treatment paradigm Single target → Cascade target Death → Death and transmission Number → Equity Incremental funding→ Frontload Investments

8. 90% of HIV+ people tested is possible

9. Source: Demographic and Health Surveys Men Women HIV+ population tested at least once

10. 90% of eligible people on treatment is possible

11. high coverage in several countries Brazil UNGASS Country Progress Report (2012) UNAIDS Situation Room

12. 90% virally suppressed is possible

13. Proportion (95% CI) of patients with undetectable VL in a nationally representative sample of HIV-infected adults on ART in Rwanda Source: Basinga P et al. (2013) PLoS Site S Site T Total 100.00% 80.00% 60.00% 40.00% 20.00% Site A Site B Site C Site D Site E Site F Site G Site H Site I Site J Site K Site L Site M Site N Site O Site P Site Q Site R 83%

14. Preparedness is key

15. Challenges Ahead Societal Delivery Systems Facility level costs Financing