Tracking progress toward Universal Access inEastern and Southern Africa
Over the last five years, countries in Eastern and Southern Africa have establishedambitious targets required for scaling up Universal Access to prevention, treatment, careand support. In most countries, setting targets was integrated within the process of drafting National Strategic Plan on AIDS and was carried out through inclusiveconsensus building exercises.Below is a snapshot of the progress made by countries in terms of achieving universalaccess targets at the end of 2009.
TreatmentUniversal Access indicator:
Percentage of women, men and children with advancedHIV infection who are receiving antiretroviral combination therapy
The total number of people on treatment increased by 7.5 times over the last five years,with 5.2 million people accessing life-saving drugs in 2009, compared to 700,000 in2004. However, 10 million people living with HIV who are eligible for treatment under thenew WHO guidelines are still in need.The scaling up of treatment is profoundly affecting sub-Saharan Africa. At the end of 2009, 27% of adults and children eligible for antiretroviral therapy were receiving it in theregion overall, compared to just 2% seven years earlier. At the end of 2009, there were an estimated 3.18 million people on antiretroviraltreatment in eastern and southern Africa. In the region, approximately 41% of those inneed of treatment are receiving it.Under the prior treatment guidelines that prevailed in 2009, six countries in Eastern andSouthern Africa (Botswana, Mozambique, Namibia, Rwanda, Swaziland and Zambia)had already achieved national universal access targets for antiretroviral treatment a full12 months before the December 2010 deadline.Under the revised 2010 guidelines, with their increased denominator for treatmenteligibility, only one country in the region (Zambia) had achieved its 2010 target for antiretroviral treatment. However, a number of additional countries (Botswana,Mozambique, Namibia, Rwanda, and Swaziland) were by December 2009 very close toachieving their revised universal access targets.South Africa, while it has the biggest ARV programme in the world in terms of absolutenumbers, has the lowest coverage of Southern African countries.
Global Report on the AIDS Epidemic, 2008 and 2010