The World Health Organization (WHO) now recommends that all people with HIV be given immediate access to antiretroviral therapy, regardless of disease stage. Yet, the thirteen countries where "treatment on demand" is currently available represent less than 5% of the burden of AIDS-related mortality in 2014, and all are either high-income or upper middle-income countries. 

The global target of ending AIDS by 2030 will not be achieved unless these disparities and inequities in treatment access are corrected. The report released on November 30th, 2015—drafted jointly and endorsed by a global coalition of people living with HIV, clinical providers, and activists—calls on governments and donors to bridge the gap between HIV treatment science and practice and adopt, fund, and implement access to treatment on demand for all people living with HIV. 

Together with allies around the world, we are demanding that donor and implementing countries act on the science, by taking urgent steps to implement the new guidelines and commit to increase the funding needed to do so, by the UN High Level Meeting on AIDS in June 2016. We are committed to holding them accountable at the 21st International AIDS Conference in Durban, South Africa in July 2016. 

This bold demand—based on evidence, human rights, and the moral imperative of health justice—is the start of a global challenge to ensure that HIV treatment policies and global funding levels reflect the science and practices that can end the AIDS pandemic as we know it. 

Endorsers of the report include the Asia Pacific Network of People Living with HIV (APN+), Caribbean Vulnerable Communities Coalition, Eurasian Harm Reduction Network, International Association of Providers of AIDS Care, International Community of Women living with HIV Eastern Africa (ICWEA), International Treatment Preparedness Coalition, Treatment Action Campaign, and others (see report for a complete list).