Current status + progress
Just over half (54 per cent) of children under 15 years of age living with HIV are on antiretroviral medications.
- Of the 1.7 million [1.3 million-2.2 million] children aged 0-14 living with HIV globally, only 54 [37-73] per cent were receiving life-saving antiretroviral therapy (ART) in 2018.
Globally, children under age 15 account for about 5 per cent of all people living with HIV, 9 per cent of new HIV infections and 13 per cent of all AIDS-related deaths. Children under 1 year of age are among those most vulnerable to HIV. Evidence shows that early initiation of antiretroviral drugs in infants with HIV can save lives; yet, coverage of critical intervention among children remains too low. While there has been slow progress reported in scaling up access to treatment for children living with HIV, the 90-90-90 treatment targets call for 90 per cent of those living with HIV to know their status, 90 per cent of those who know their status to be on treatment, and 90 per cent of those on treatment to be virally suppressed and sustained. Renewed focus has been called to strategically target more decentralized diagnostics and clinical management for children exposed and living with HIV, as well as integration with maternal, child and adolescent services at facilities and within communities.
Data sources + methodology
Global AIDS monitoring 2018
In order to monitor the HIV response and progress towards achieving global goals, countries submit national and subnational data on a host of indicators to the Global AIDS Monitoring (GAM) system. Annual submissions are reviewed and validated. Data consist of programmatic data for HIV prevention, testing and treatment. Other indicators require data from population-based surveys and surveys focused on key populations at risk of HIV infection.
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UNAIDS estimates and Spectrum’s AIDS Impact model
Each year countries update their AIDS Impact Model in Avenir Health’s Spectrum software to develop the latest estimates for the HIV epidemic. Supported by UNAIDS, WHO and UNICEF these estimates are used to inform programme and policy decisions for HIV epidemic response.
- Methods for HIV modelling are developed by the UNAIDS Reference Group on Estimates, Modelling and Projections.
- All available data on HIV estimates are available at aidsinfo.unaids.org.
Nationally representative surveys
Multiple Indicator Cluster Surveys (MICS), Demographic and Health Surveys (DHS), AIDS Indicator Surveys (AIS), reproductive health surveys, sexual behaviour surveys and other nationally representative surveys are currently used to collect data on HIV and AIDS.