‘The AIDS response has operationalized many aspects of the Declaration of Alma-Ata and the current revival of PHC as part of the effort to reach UHC provides a welcome and timely opportunity to enhance the synergies with the AIDS response and to build on lessons learned. ‘ UNAIDS 2018
There have been impressive country advancements toward achieving UNAIDS 95-95-95 goals. Across countries, success has been enabled through platforms built for community-based HIV service and management of chronic disease that can be learned from and leveraged to advance UHC and address dual barriers to health, such as growing NCDs. Countries nearing epidemic control now need to plan for outstanding health system and service delivery model adaptations needed to ensure gains are sustained and that HIV services that will continue to be required are maintained. This will require consideration of further integration of HIV services, including within primary health care platforms, to further strengthen client-centered care and maintain HIV case identification, treatment adherence and viral suppression. This also requires strengthening roles of local partners and expanding market-based solutions to advance access and efficiencies of HIV services and required resource requirements. With this pivoted focus, there are immense opportunities to consider for how to support UHC through leveraging and sustaining gains in HIV. There is an urgent need to better coordinate the HIV and UHC agenda communities to inform points of strategic collaboration to advance both HIV and UHC goals across countries.