UNAIDS

This document puts forward a framework with new strategic directions for 2016–2021 on voluntary medical male circumcision (VMMC) for HIV prevention as the follow-on to the Joint Strategic Action Framework 2012–2016. The new directions focus on adolescent boys and men, and take into account a range of physical and psychosocial health issues. They highlight the need for innovative approaches to overcome current barriers to services, increase acceptability, and address inequalities in access and coverage. This document will be used to inform, both regionally and globally, an action-oriented and operational framework on VMMC and men’s health, with overlapping benefits for women’s health.

Despite this significant progress, the number of children becoming newly infected with HIV remains unacceptably high. About 150,000 [110,000–190,000] children became infected with HIV in 2015, down from 490,000 [430,000–560,000] in 2000.

This document is written for national HIV surveillance programme staff responsible for monitoring trends in country HIV epidemics. Its purpose is to describe how routine prevention of mother-to-child transmission of HIV (PMTCT) programme data can be used to conduct HIV surveillance among pregnant women attending antenatal clinics (ANC). These guidelines assume that surveillance programmes have already assessed the readiness of routine programme data to be used for surveillance. WHO’s 2013 Guidelines for assessing the utility of prevention of mother-to-child transmission (PMTCT) programme data for HIV sentinel surveillance among pregnant women describes these assessment methods.

To reduce new HIV infections globally to fewer than 500 000 by 2020, a step towards ending the HIV epidemic as a public health threat by 2030, we need to fast-track the response, including renewed commitment to, sustained funding for and scaled-up implementation of HIV prevention programmes.

In this report, UNAIDS is announcing that 18.2 million people now have access to HIV treatment. The Fast-Track response is working. Increasing treatment coverage is reducing AIDS-related deaths among adults and children. But the life-cycle approach has to include more than just treatment. Tuberculosis (TB) remains among the commonest causes of illness and death among people living with HIV of all ages, causing about one third of AIDS-related deaths in 2015. These deaths could and should have been prevented.