This report clearly demonstrates the power of the 90–90–90 targets and what can be achieved in a short time. It shows that innovations are possible at every level—from communities to research laboratories, from villages to cities. It illustrates the power of political leadership to make the impossible possible.

All people, regardless of their age, gender, place of residence, sexual orientation or other status, have one body, one life. It does not matter if someone has HIV or breast cancer, a sexually transmitted infection or diabetes—people, no matter what their health needs, require comprehensive health solutions that are accessible, available, acceptable and of good quality. States have a duty to respect, protect and fulfil the right to health of everyone. And the world has committed to Sustainable Development Goal 3, to ensure good health and well-being for all.

The right to health is the right of everyone to the enjoyment of the highest attainable standard of physical and mental health, as enshrined in the 1966 International Covenant on Economic, Social and Cultural Rights. This includes the right of everyone, including people living with and affected by HIV, to the prevention and treatment of ill health, to make decisions about one’s own health and to be treated with respect and dignity and without discrimination.

The western and central Africa catch-up plan is a political instrument and a compact between countries and the international community that supports countries’ strategies and plans to quickly address bottlenecks, accelerate the national responses and reach a trajectory to achieve the 90–90–90 targets by 2020. Deriving from the western and central Africa catch-up plan, the country plans are supplementing national strategies and existing plans with the aim of increasing antiretroviral treatment uptake and saving lives.

Discrimination in health care settings is widespread across the world and takes many forms. It violates the most fundamental human rights protected in international treaties and in national laws and constitutions.

The primary purpose of antiretroviral therapy is to keep people living with HIV in good health. In the large majority of people living with HIV, antiretroviral medication can be chosen that reduce the amount of HIV in the blood to levels that are undetectable by standard laboratory tests.