Community Medicine (PSM) · National Health Programmes (NTEP, NVBDCP, NACP, NIS, RMNCH+A)

Under the National AIDS Control Programme (NACP V), the 95-95-95 strategy by 2025 means:

  • A 95% of PLHIV linked to care, 95% retained in care, 95% with CD4 count >200
  • B 95% reduction in new infections, 95% reduction in AIDS-related deaths, 95% coverage of PMTCT
  • C 95% of HIV+ diagnosed, 95% of those diagnosed on ART, 95% of those on ART virally suppressed
  • D 95% of high-risk groups tested, 95% of positives started on TLD, 95% adherent at 1 year
Correct answer: C. 95% of HIV+ diagnosed, 95% of those diagnosed on ART, 95% of those on ART virally suppressed

Explanation

The UNAIDS 95-95-95 target (successor to 90-90-90) states: 95% of all people living with HIV know their status, 95% of those diagnosed are on sustained antiretroviral therapy (ART), and 95% of those on ART achieve viral suppression. This cascade approach drives epidemic control. Under NACP V, India aims to achieve these targets by 2025 using TLD (Tenofovir-Lamivudine-Dolutegravir) as the preferred first-line regimen for adults. The goals focus on the treatment cascade, not just infection reduction or CD4 thresholds.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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