People-centred HIV and health services are integrated in the context of stronger systems for health

Better integration takes numerous forms––from TB-HIV, HIV-SRHR and HIV-Reproductive, maternal, new-born, child and adolescent health integration to integration of services for HIV and noncommunicable diseases (NCDs). It involves including HIV-related services in UHC packages and integrating HIV-related needs in pandemic preparedness and response, as well as considering the links with nonmedical interventions that can affect HIV outcomes. Ever-increasing evidence points to the importance of tackling other comorbidities such as STIs, cervical cancer and other NCDs, and integrated provision of HIV services with SRHR and mental health services.

Also relevant is integration of critical functions, including those related to data and strategic information, the health workforce, health governance, financing and policy frameworks, which can enhance efficiencies and synergies. Integration and access to social protection services are critical to a sustainable, successful response to end the AIDS epidemic. Progress has been made, including new integration targets in the 2025 AIDS targets, but this transition takes time and a lot of work remains. COVID-19 has highlighted the fragility of some gains. 

Social protection and incentives have become a prominent part of the recommended packages promoted by the Joint Programme on HIV prevention, treatment, care and support. Its initiatives focus on providing normative guidance, capacity development, mapping and assessment of social protection programmes in Fast-track countries, funding and the extension of HIV-sensitive social protection to refugees.

In 2021, approximately 55% of the world’s population had no social protection coverage, although social protection measures did increase in the response to the COVID-19 pandemic. By end 2021, 195 countries and territories had introduced and/or adapted a variety of social protection measures, with over 1,000 new and adjusted social protection measures recorded world-wide (by June 2020).

Find more details in the SRA report.

Outputs 2016-2021

8.1Decentralization and integration of HIV-related services strengthened
8.2HIV-sensitive social protection and social protection programmes for vulnerable populations, including orphans and vulnerable children, strengthened


OUTPUT INDICATOR Targets and Milestones 2021 Progress

Percentage of countries delivering HIV services in an integrated manner

2021: 80%

2019: 70%

2017: 65%

71% [62/87]

Percentage of countries with social protection strategies and systems in place that address HIV

2021: 70%

2019: 60%

2017: 50%

84% [66/78]

Data source: 2021 JPMS country reports.