'3 by 5' Progress report

June 2005

Progress on global access to HIV antiretroviral therapy

Reference number: ISBN 92 4 159339 3

The estimate of approximately 1 million people now on treatment falls short of the milestone of 1.6 million set in the WHO/UNAIDS '3 by 5' strategy for June 2005. Current data and trends indicate that providing ART to 3 million people by the end of 2005 will be unlikely. However, there is reason to be hopeful that growth rates will continue to increase in the remainder of 2005 and beyond. Although less than what is needed, an estimated US$27 billion are available or have been pledged for HIV/AIDS globally from all sources for the three-year period 2005-2007. At the same time, substantial political commitment to moving forward is evident in the many countries that have translated the global '3 by 5' target into ambitious but feasible national treatment targets.

This interim report on global efforts to increase access to ART focuses primarily on understanding the reasons for the successes and failures of scaling up HIV/AIDS interventions in different settings. The report also makes recommendations concerning the approaches needed to overcome major bottlenecks, as well as the need for sustainable fi nancing mechanisms and greater harmonization of effort by technical and financing partners at country level. A comprehensive report and country-specific analysis of access efforts and obstacles that remain will be released at the end of 2005.

December 2004

Reference number: ISBN 92 4 159275 3

Progress in the second half of 2004 has been dramatic, reaching the December milestone of 700 000 people receiving antiretroviral therapy. A remarkable international movement has now gathered behind the '3 by 5' target. Most importantly, many countries have shown leadership by increasing their own political and financial commitments, mobilizing human resources and effectively engaging partners to scale up treatment. It is clear that that the success of '3 by 5' will ultimately depend on continued strong commitment and follow-through by governments.

December 2003 through June 2004

Reference number: ISBN 92 4 159229 X

The purpose of this document is to report on global progress by countries, WHO and its partners towards achievement of the target of having 3 million people in developing and transitional countries receiving antiretroviral therapy for HIV/AIDS by the end of 2005.