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Joint United Nations Programme on HIV/AIDS (UNAIDS) 90-90-901 targets aim to ensure that 90% of people are tested for HIV, and that 90% of those testing positive for HIV receive antiretroviral therapy (ART) and achieve viral suppression by 2020. Those targets are being raised to 95-95-95 by 2030.1 Family Planning 2020 (FP2020) aims to reduce unwanted fertility by providing contraception to 120 million additional women by 2020, significantly increasing modern contraceptive prevalence rates (mCPRs).2 These global goals are grounded in a similar concept: through increased service uptake, significant gains can be made in sexual (HIV) and reproductive health (unwanted fertility). Integrating HIV and family planning (FP) services has broad support from international stakeholders3 4 to reduce unmet need for contraception, unintended pregnancy, and as a cost-effective HIV prevention strategy.5 Results from the Evidence for Contraceptive Options and HIV Outcomes (ECHO) Trial, a randomised trial measuring HIV risk among African women seeking contraceptive options, found a high level of HIV incidence in this well-counselled study population of women desiring pregnancy prevention, further emphasising the need for service integration.6 Despite both UNAIDS and FP2020 goals focusing on sexual behaviour outcomes, there has been a curious lack of attention to synergy in the processes employed to reach these goals. Arriving at 2020, identifying success stories and critical gaps for country-level progress towards the …
Contributors KMW and RS conceived the idea for the article. ER gathered and analysed the data. KMW designed the figure. KMW wrote the manuscript, in consultation with ER and RS.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.
Patient consent for publication Not required.
Provenance and peer review Not commissioned; externally peer reviewed.
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