Projected Impact, Cost of 90-90-90 in South Africa

The goals of the UNAIDS 90-90-90 initiative are to diagnose 90% of HIV-infected individuals, link 90% of those diagnosed to care and antiretroviral therapy, and achieve viral suppression for 90% of those started on antiretroviral therapy, by 2020. The result would be a 73% virologic suppression rate worldwide, dramatically reducing HIV transmission. Achieving these goals would not be easy. For example, in South Africa, only about 24% of HIV-infected people have achieved virologic suppression. In this study, investigators used the Cost-effectiveness of Preventing AIDS Complications–International (CEPAC-I) model to compare continuing the current approach — which would gradually increase virologic suppression to 36% in 5 years and 44% in 10 ye…