title: Significant Improvements Are Needed in HIV Care Continuum to Meet 90-90-90 Targets in Georgia.
abstract: The objective of this report was to assess Georgia's progress toward Joint United Nations Programme on HIV/AIDS 90-90-90 targets over the period between 2011 and 2015. The number of HIV-positive persons was estimated using Spectrum software. Number of persons diagnosed, on antiretroviral therapy (ART) and virally suppressed were quantified using data from the national AIDS health information system. By the end of 2015, out of the estimated 7100 persons living with HIV, 62% were diagnosed, 38% were on ART, and 32% were virally suppressed. There were improvements in each stage of cascade from 2011 to 2015: the proportion of diagnosed persons increased from 46% to 61%, ART coverage among diagnosed persons increased from 46% to 62%, and the proportion of virally suppressed patients among those on ART increased from 74% to 85%. Despite the progress, additional efforts are needed to reach the 90-90-90 targets. Reducing the number of people living with undiagnosed HIV will be critical for achieving goals.
authors.affiliation: Infectious Diseases, AIDS and Clinical Immunology Research Center, Tbilisi, Georgia nc@aidscenter.ge.
authors.forename: Nikoloz
authors.initials: N
authors.lastname: Chkhartishvili
authors.affiliation: Infectious Diseases, AIDS and Clinical Immunology Research Center, Tbilisi, Georgia.
authors.forename: Otar
authors.initials: O
authors.lastname: Chokoshvili
authors.affiliation: Infectious Diseases, AIDS and Clinical Immunology Research Center, Tbilisi, Georgia.
authors.forename: Natia
authors.initials: N
authors.lastname: Dvali
authors.affiliation: Infectious Diseases, AIDS and Clinical Immunology Research Center, Tbilisi, Georgia.
authors.forename: Akaki
authors.initials: A
authors.lastname: Abutidze
authors.affiliation: Infectious Diseases, AIDS and Clinical Immunology Research Center, Tbilisi, Georgia.|Faculty of Medicine, Ivane Javakhishvili Tbilisi State University, Tbilisi, Georgia.
authors.forename: Lali
authors.initials: L
authors.lastname: Sharvadze
authors.affiliation: Infectious Diseases, AIDS and Clinical Immunology Research Center, Tbilisi, Georgia.|Faculty of Medicine, Ivane Javakhishvili Tbilisi State University, Tbilisi, Georgia.
authors.forename: Tengiz
authors.initials: T
authors.lastname: Tsertsvadze
mesh_terms: D019380:Anti-HIV Agents / Q000627:therapeutic use; D003266:Continuity of Patient Care / Q000592:standards* / Q000706:statistics & numerical data*; D005846:Georgia (Republic) / Q000453:epidemiology; D014943:Global Health; D015658:HIV Infections / Q000453:epidemiology* / Q000628:therapy*; D006801:Humans; D014480:United Nations; D019562:Viral Load
chemical_list: D019380:Anti-HIV Agents
keywords: ART; Eastern Europe; Georgia; HIV; cascade; viral suppression