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Fast Track Cities Initiative (FTCI)

The Fast-Track Cities initiative is a global partnership between cities and municipalities around the world and four core partners – the International Association of Providers of AIDS Care (IAPAC), the Joint United Nations Programme on HIV/AIDS (UNAIDS), the United Nations Human Settlements Programme (UN-Habitat), and the City of Paris.

Launched on World AIDS Day 2014, the network has grown to include more than 300 cities and municipalities that are committed to attain the UNAIDS 90-90-90 targets by 2020: 90% of all people living with HIV will know their HIV status; 90% of all people with diagnosed HIV infection will receive sustained antiretroviral therapy (ART); and 90% of all HIV-diagnosed people receiving sustained ART will achieve viral suppression. Achieving zero stigma is the initiative’s fourth, but no less important, target.

Mayors and other city/municipal officials designate their cities as Fast-Track Cities by signing the Paris Declaration on Fast-Track Cities, which outlines a set of commitments to achieve the initiative's objectives. Initially heavily focused on the 90-90-90 targets, the Paris Declaration was recently updated to establish attainment of the three 90 targets as the starting point on a trajectory towards getting to zero new HIV infections and zero AIDS-related deaths.

Grounded in the principle of data transparency, the initiative includes a Fast-Track Cities Global Web Portal that allows cities to report on their progress against the fast-track and other targets.

Goals of the FTCI

The general goals of FTCI are:

Accomplish at a local level the 2020 WHO 90-90-90 goal

  • 90% of PLWHIV diagnosed and aware of their status
  • 90% of diagnosed people on ART
  • 90% of people on ART with undetectable viral load

Accomplish at a local level the 2030 WHO 95-95-95 goal

Increment the use of combined strategies to prevent HIV infection

  • Access to test (community test)
  • PrEP: pre exposure prophylaxis programs for all people at high risk
  • PEP: post expore prophylaxis available for all potentially exposed people
  • TasP: universal access to ART as a tool for prevention
  • Sexual education and fight to sexually transmitted infections (STIs)

Zero reduction of stigma and discrimination

Through processes of sensibilization, education and informative campaigns.

Implement the U=U, undetectable = untrasmittable message.

Adhere to a common web-based platform to share data and initiatives