Table 1. Aspirational but feasible goals for control and elimination of HIV incidence and HIV-related mortality based on existing methods.
Control | ||
HIV Transmission | HIV Mortality | |
Modes of Transmission | Sexual Injection drug use |
N/A—recommend goal of elimination (rather than control) for HIV mortality |
Tools | PrEP Condom use VMMC HIV testing Couples counseling and testing ARV treatment and viral suppression Needle exchange programs Opioid substitution programs |
|
Barriers | Stigma Behavior change Silent infections Insufficient resources |
|
Elimination | ||
HIV Transmission | HIV Mortality | |
Modes of Transmission | Mother-to-child Blood transfusion associated |
N/A |
Tools | Prenatal HIV testing ARV therapy Safe baby formula Blood supply HIV testing |
HIV testing ARV therapy |
Barriers | Awareness Resources Lack of availability of safe alternatives to breastfeeding in some populations |
Stigma Resources Adherence Complementary services needed to support adherence and treat comorbid conditions such as substance abuse, tuberculosis, and hepatitis |
Comments | Uniquely feasible opportunities to completely eliminate HIV incidence attributable to these two modes of transmission | N/A |
Abbreviations: ARV, antiretroviral; N/A, nonapplicable; PrEP, pre-exposure prophylaxis; VMMC, voluntary medical male circumcision.