Zero discrimination
The HIV test-and-treat cascade
Chapter 2: 2020 commitments


4 IN 5 people living with HIV know their HIV status. Two in three are on treatment, and 59% have suppressed viral loads

ONLY 53% OF CHILDREN living with HIV are on treatment

In 6 of 13 reporting countries, less than half of transgender women are able TO ACCESS AT LEAST TWO HIV PREVENTION SERVICES

4.2 MILLION MEN AND BOYS across 15 priority countries had been voluntarily and medically circumcised in 2019

Funding for HIV responses in low and middle-income countries DECREASED BY 7% between 2017 and 2019 

United Nations (UN) Member States agreed at the UN General Assembly in 2016 that achieving the three zeros and ending AIDS as a public health threat by 2030 required an accelerated expansion of HIV services alongside rights-affirming and enabling environments for those services. The resulting United Nations Political Declaration on Ending AIDS contains 10 core commitments—Fast-Track Targets to be achieved by 2020. Progress against those targets has been decidedly mixed.

Countries in a diverse range of geographic, economic and epidemic settings are on track or nearly on track to achieve many of these commitments, proving that bold targets can be met with sufficient political will, financial resources and community engagement. However, there are many more countries where high ambition has not been matched with Fast-Track actions; and in some countries, HIV epidemics have been allowed to continue expanding, causing entirely avoidable morbidity and mortality.


 1.-  Ensure that 30 million people living with HIV have access to treatment through meeting the 90-90-90 targets by 2020.

2.- Eliminate new HIV infections among children by 2020 while ensuring that 1.6 million children have access to HIV treatment by 2018.

3.- Ensure access to combination prevention options, including pre-exposure prophylaxis, voluntary medical male circumcision, harm reduction and condoms, to at least 90% of people by 2020, especially young women and adolescent girls in high-prevalence countries and key populations—gay men and other men who have sex with men, transgender people, sex workers and their clients, people who inject drugs and prisoners.

4.- Eliminate gender equalities and end all forms of violence and discrimination against women and girls, people living with HIV and key populations by 2020.

5.- Ensure that 90% of young people have the skills, knowledge and capacity to protect themselves from HIV and have access to sexual and reproductive health services by 2020, in order to reduce the number of new infections among adolescent girls and young women to below 100 000 per year.

6.- Ensure that 75% of people living with, at risk of and affected by HIV benefit from HIV-sensitive social protection by 2020.

7.- Ensure that at least 30% of all service delivery is community-led by 2020.

8.- Ensure that HIV investments increase to US$ 26 billion by 2020, including a quarter for HIV prevention and 6% for social enablers.

9.- Empower people living with, at risk of and affected by HIV to know their rights and to access justice and legal services to prevent and challenge violations of human rights.

10.- Committ to tacking AIDS out of isolation through people-centred systems to improve universal health coverage, including treatment for tuberculosis, cervical cancer and hepatitis B and C.