AIDS related mortality remains high – 770,000 deaths in 2018 – and has hardly declined in recent years. This global trend is reflected in countries where Médecins sans Frontières (MSF) works and continues to witness high ongoing mortality. To achieve the UNAIDS target of 500,000 deaths in 2020 requires a focus on and a drastic acceleration of measures to decrease mortality. For this it is necessary to plan, fund and implement a package of care to prevent, detect and treat Advanced HIV Disease (AHD) or AIDS, as outlined in the World Health Organisation’s 2017 Guidelines for managing Advanced HIV Disease and rapid initiation of antiretroviral therapy.
This report, compiled by MSF, presents data from the AHD dashboard initiated by the HIV Advanced Disease Consortium (HIV-ADC). Findings from ongoing monitoring of the current status of AHD in terms of guidelines, funding and implementation in 15 countries where MSF works are presented: the Central African Republic, the Democratic Republic of Congo, eSwatini, Guinea, India, Kenya, Lesotho, Malawi, Mozambique, Myanmar, Nigeria, South Africa, South Sudan, Uganda and Zimbabwe. While an increasing number of countries are addressing AHD in their national guidelines, progress has been slow, and funding as well as implementation of a package of care for AHD remains extremely limited.