Scientific developments and the scale up of effective programmes have meant that AIDS-related deaths and new HIV infection rates are falling. Despite this, 2.3 million people became newly infected with HIV in 2012 – substantially more than the increase in the number of people on treatment in the same year.

The epidemic will continue to outpace the response unless the world accelerates the scale up of lifesaving HIV treatment and prevention. *

HIV counselling and testing is the gateway to treatment – without an accurate diagnosis, treatment cannot start. It is also the gateway to other forms of support and to supporting preventive behaviours, whether the person is HIV positive or negative. The Alliance is making a significant contribution to the provision of HIV testing, pre- and post-test counselling, and linking communities with testing facilities. 

Social stigma can be a barrier to accessing services which is why community-based solutions are critical. We provide community-based solutions to treatment, care and support, and train public health staff in order to reduce stigma towards people living with HIV.

* Extract from the introduction to Driving the response:  A community guide to the WHO 2013 Consolidated Guidelines on the Use of Antiretroviral Drugs for Treating and Preventing HIV Infection.

Mildred Machoria, a community mobilisation worker at Ray Clinic, waiting to learn her current CD4 count. (c) Nell Freeman for the Alliance