This first volume of the 90-90-90 Compendium is targeted at a wide range of readers in South Africa, including community members and/or politicians with no medical background. It is designed to assist all health sector role-players in understanding the context of the 90-90-90 strategy, as developed by the Joint United Nations Programme on HIV/AIDS (UNAIDS), and then the process for achieving the strategy’s targets.
With South Africa’s adoption of the 90-90-90 strategy in December 2014, the country turned a corner in its approach to managing the dual epidemics of HIV and AIDS on the one hand and tuberculosis (TB) on the other. Together, the two epidemics form the leading cause of deaths in the country. The National Department of Health (NDoH) adopted the UNAIDS 90-90-90 principles to align with South Africa’s current policies, and districts are now required to develop District Implementation Plans with corresponding plans at sub-district and facility level. This new approach has been developmentally challenging, as in some districts, this is the first time that such a planning process has been filtered down to facility level. This volume – together with Volume 3 of the Compendium: Developing a District Implementation Plan – will assist in meeting this challenge. Volume 2 of the Compendium, A Clinicians’ Guide to 90-90-90, focuses on the clinicians’ contribution to clinical patient management.