WHO guidelines on antiretroviral therapy (ART) have evolved during the past decade towards recommending earlier treatment, as evidence has shown clinical and public health benefit, treatment has become simpler, more tolerable and more affordable, and systems for ARV delivery have been streamlined for scale.
This past year, important new evidence about when to start ART has shifted the pendulum even further, the outcomes of which are being considered in the 2015 update of the WHO consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection. Many countries have already begun to implement earlier treatment approaches as part of a national policy or pilot programmes with the goal of scaling up to the entire population once key lessons are learned.
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