Académique Documents
Professionnel Documents
Culture Documents
Right Thing Right Place
• Prioritize 90‐90‐90 (90‐81‐73) • 200 cities account for ~60% of PLHIV
• Aim for 95‐95‐95 (epidemic control) • In many countries, 1 city accounts
• Strive for Getting to Zero for ≥40% of PLHIV in country
• Embrace U=U • “Laboratories of innovation”
• Optimize HIV care continuum • Local accountability for sustainable
• Stigma/discrimination response
• Prevention (PEP/PrEP) • Local “hotspots”
• Testing & linkage to care • Targeted response based on
• Test‐and‐treat; same‐day ART geolocated/sub‐city data
• Long‐term viral suppression • Network analyses (NEW GROUND)
• Retention in care •Micro‐epidemics (NEW GROUND)
• HCV coinfection • Molecular clusters
• Quality of life
INTERVENTION POINTS
DATA FOR ACTION
Technical stakeholder
meetings to develop city 90‐
90‐90 strategies
City dashboards to monitor
progress, promote
stakeholder accountability
(www.fast‐trackcities.org)
“Learning collaboratives” on
data generation, analysis,
and reporting
www.fast-trackcities.org
Amsterdam New York City
Range of entry points for HIV HIV programming re‐
testing & sexual health conceptualization:
Harm reduction services o HIV status neutral prevention
integrated into HIV strategy & treatment cycle
Annual HIV diagnoses down o Repurposing of STI clinics for
sexual health
nearly half from 2010 (but still
too many diagnoses among o Continuous engagement in
people with advanced HIV) treatment & prevention
services, including PrEP & PEP
Attained 90‐90‐90 (2016):
90‐90‐90 progress (2016):
o First 90: 93% → 94%
o First 90: 94% → 95%
o Second 90: 88% → 90%
o Second 90: 88% → 86%
o Third 90: 94%
o First 90: 90% → 93%
Nairobi County Kyiv
Fast‐Track Roadmap & Strong political leadership &
Strategic AIDS Plan (aligned effective partner coordination
with National Strategic AIDS Full community engagement
Framework) Strategy for 2017‐2021 aiming
HIV testing campaigns & to have 86% of PLHIV on ART
community‐based services 132% increase in state budget
increased coverage to 71% for ARVs & streamlined
(2015)
procurement process
90‐90‐90 progress (2016):
90‐90‐90 progress (2016):
o First 90: 66% → 77%
o First 90: 48% → 55%
o Second 90: 79% → 96%
o Second 90: 58% → 66%
o Third 90: 12% → 55%
o Second 90: 82% → 83%
MAXIMIZING IMPACT
Infrastructure and
human resource
HIV
investments to
facilitate
integrated service
HBV & HCV
delivery
Global network of
cities for sharing of Political advocacy
lessons learned and accountability
and best practices
Investments
NCDs
Web‐based
Depression
Capacity‐building
around
platform to Diabetes
Tuberculosis surveillance and
program
measure and
monitor relevant Hypertension
indicators and
implementation
progress