Gaps and opportunities: measuring the key population cascade through surveys and services to guide the HIV response.

摘要: Introduction The UNAIDS 90-90-90 targets to diagnose 90% of people living with HIV, put them on treatment, and for have suppressed viral load focused the international HIV response goal eliminating by 2030. They are also a constructive tool measuring progress toward reaching this but their utility is dependent upon data availability. Though more than 25% new infections among key populations (KP)- sex workers, men who men, transgender people, inject drugs, prisoners- partners, there dearth treatment cascade KP. We assess availability review opportunities offered biobehavioral programme inform response. Discussion emphasis collection general population in higher prevalence countries has not led similar increase limited available KP highlight large gaps service uptake across cascade, particularly first 90, awareness status. Biobehavioral surveys (BBS), linked size estimation, provide population-based should be conducted every two three years locations services With inclusion testing, these able monitor entire regardless whether access targeting or BBS reach accessing those do not, thereby providing unique opportunity learn about barriers including stigma discrimination. At same time high-quality can play complementary role identifying missed that addressed real-time. Conclusions Data important ever guiding face decreased funding specifically Timely triangulated comprehensive picture epidemic