Guyana to end mother-to-child transmission of HIV, further reduce new infections by 2025
On Tuesday, Guyana recommitted itself to the Global AIDS Strategy, which hopes to end AIDS by 2030, launching a new National HIV Strategic Plan 2021- 2025.
The new plan puts Guyana on track with global momentum but sets achievable benchmarks for the country and strengthens its national HIV and AIDS response.
By 2025, Guyana hopes to reduce new HIV infections among key populations and other vulnerable groups by 95 percent.
Also, by 2025 all babies are expected to be born free of HIV and other Sexually Transmitted Infections (STIs), ending mother-to-child transmission.
Guyana wants to also reduce AIDS-related deaths by 95 percent within the next five years.
In the past seven years, the national fight against HIV and AIDS was guided by the National HIV Vision document, which came to an end last year.
During the virtual launch of the innovative and progressive plan to achieve epidemic control on Tuesday, Guyana also boasted being the first Caribbean country to achieve the First 90 of the UNAIDS 90-90-90 goals.
This means that at the end of 2020, 90% of all People Living with HIV in Guyana knew their status.
Guyana falls short on the other two indicators where 72 percent of Guyanese with a diagnosed HIV infection are on antiretroviral therapy and 75 percent of those receiving antiretroviral therapy being virally suppressed.
Minister of Health Dr Frank Anthony acknowledged these shortcomings with the ambitious treatment target of 90 percent needed to be achieved.
Dr Anthony said while Guyana aspires to end AIDS by 2030, there are many other targets along the way.
He said Guyana had set its own target of 95 percent on several key indicators by 2025.
“There is a lot of underlying work that needs to be done to ensure the targets are met. While we fix exiting problems, we have to look to improve other targets,” he said.
The Minister said the political will exists to introduce a more comprehensive program with PrEP (Pre-exposure prophylaxis) – a medicine people at risk for HIV take to prevent getting HIV.
Guyana had only been making this medication available to couples where one partner has tested positive for HIV. Dr Anthony now says that the country intends to make it available for all citizens who are considered at risk.
The Minister said policies would be put in place to push self-testing among the population.
The new National HIV Strategic Plan was developed, revised and finalized through a process that included all stakeholders over the past year. It commenced in January 2020.
Acknowledging that there has been little change in the epidemic over the last five years with a small decline in 2018, Consultant Dereck Springer said there is now a strong political commitment and enabling environment to accelerate the national AIDS response.
He said that while there have been achievements, the response is still faced with numerous challenges that the new strategy addresses.
Springer said there continues to be dysfunctional coordination, high levels of stigma and discrimination and frequent stock-outs of medication.
These shortcomings, he says, will be addressed in the new plan.
WHAT IS PANCAP?
PANCAP is a Caribbean regional partnership of governments, regional civil society organisations, regional institutions and organisations, bilateral and multilateral agencies and contributing donor partners established on 14 February 2001. PANCAP provides a structured and unified approach to the Caribbean’s response to the HIV epidemic, and coordinates the response through the Caribbean Regional Strategic Framework on HIV and AIDS to maximise efficient use of resources and increase impact, mobilise resources and build the capacity of partners.
What are the Global AIDS Strategy 2021–2026 targets and commitments?
If targets and commitments in the strategy are achieved:
- The number of people who newly acquire HIV will decrease from 1.7 million in 2019 to less than 370 000 by 2025
- The number of people dying from AIDS-related illnesses will decrease from 690 000 in 2019 to less than 250 000 in 2025.
- The goal of eliminating new HIV infections among children will see the number of new HIV infections drop from 150,000 in 2019 to less than 22,000 in 2025.
What are the 95-95-95 Targets for ending AIDS?
- 95% of People Living with HIV know their HIV status;
- 95% of people who know their status on treatment; and
- 95% of people on treatment with suppressed viral loads.
HELPFUL LINKS:
Global AIDS Strategy 2021–2026, End Inequalities, End AIDS
https://pancap.org/pancap-documents/global-aids-strategy-2021-2026-end-inequalities-end-aids/
Caribbean Regional Strategic Framework on HIV and AIDS (CRSF) 2019-2025
https://pancap.org/pancap-documents/caribbean-regional-strategic-framework-2019-2025/