90/90/90/50 Plan: Ending the HIV Epidemic in the District of Columbia by 2020
The Washington AIDS Partnership has a longstanding history of collaborating with local organizations and the D.C. government to fight HIV. Between 2005 and 2014, the Partnership worked with DC Appleseed Center for Law & Justice to release report cards that evaluated the local response to the HIV epidemic and pushed for further action. The report cards contributed towards significant improvements in HIV prevention and care, but further actions were needed to move towards ending the epidemic.
As a next step in the effort, the Partnership determined that D.C. needed a concrete and detailed plan to end HIV, a collaborative effort that would develop goals around eliminating HIV in the District of Columbia. Over the course of many months, the Partnership worked with DC Appleseed; the D.C. Department of Health (DOH); HIV, AIDS, Hepatitis, STD and TB Administration (HAHSTA); and the Mayor’s office to create a comprehensive plan to end HIV in the District.
Release of the Plan
On December 1, 2016, the plan was released in collaboration with Mayor Muriel Bowser. The 90/90/90/50 Plan: Ending the HIV Epidemic in the District of Columbia by 2020 focuses on achieving the following targets by 2020:
- 90% of HIV-positive D.C. residents know their status
- 90% of D.C. residents diagnosed with HIV are in treatment
- 90% of D.C. residents diagnosed with HIV who are in treatment reach viral suppression, which means that HIV is undetectable
- 50% reduction in new HIV infections
In order to reach these targets, the plan outlines specific prevention and care strategies for the D.C. government to invest in, with an intersectional approach to combating the epidemic: incorporating topics like stable housing, youth development, reducing stigma, improving treatment, and so much more. This plan is a guide for eliminating HIV in the District, and will serve as a model for other cities.
Implementation and Monitoring
The Washington AIDS Partnership, DOH, HAHSTA, and the Mayor’s office are working to implement the actions steps of the plan. DC Appleseed is charged with evaluating the plan’s implementation.
On World AIDS Day, December 1, 2017, DC Appleseed released the first annual progress report evaluating the District’s efforts to reach the goals of the 90/90/90/50 Plan. The report, as well as a Washington Post Op-Ed written by Washington AIDS Partnership Executive Director Channing Wickham and DC Appleseed Executive Director Walter Smith, detail that positive steps have been made between 2016 and 2017, but that there is much more to be done.
The chart below illustrates progress made thus far:
- The District is at 86/76/82/33 towards its goal of 90/90/90/50:
- 86% of HIV-positive D.C. residents know their status
- 76% of D.C. residents diagnosed with HIV are in treatment
- 82% of D.C. residents diagnosed with HIV who are in treatment reach viral suppression, which means that HIV is undetectable
- There has been a 33% reduction in new cases of HIV.
- Of the plan’s 42 tasks, four have been implemented, 32 are in progress, and six have seen no progress.
DC Appleseed will continue to release progress reports on an annual basis, with insight from the Washington AIDS Partnership, DOH, HAHSTA, and the Mayor’s office.