Navigating Complexities in HIV Care: Challenges, Solutions, and Strategies

Abstract

HIV/AIDS remains a persistent global public health challenge, notwithstanding substantial advancements in prevention and treatment. The UNAIDS 95-95-95 targets, aiming for 95% of all individuals with HIV to be aware of their status, 95% of those diagnosed receiving antiretroviral therapy (ART), and 95% of those on ART achieving viral suppression, necessitate overcoming diverse challenges and barriers. This viewpoint examines the multifaceted obstacles impeding HIV care engagement and the care cascade, encompassing issues related to testing, linkage to care, retention in care, and viral suppression. Additionally, potential solutions and strategies are proposed to address these challenges and advance towards the Sustainable Development Goal of ending the HIV epidemic by 2030. In conclusion, this viewpoint underscores the intricate challenges inherent in achieving the UNAIDS 95-95-95 targets and progressing towards ending the HIV epidemic by 2030. The exploration of testing, linkage to care, retention in care, and viral suppression reveals a complex web of obstacles that require attention. The suggested solutions and strategies presented in the manuscript highlight a forward-looking approach, providing a roadmap to surmount these challenges. Despite the formidable nature of the task, a concerted effort is essential to realize the goals outlined in the Sustainable Development Agenda. By addressing these challenges head-on, the global community can move closer to ensuring that individuals living with HIV receive optimal care and contribute to the ultimate objective of ending the HIV epidemic.