A SMART Approach to Retention in HIV Care

NEJM Evid. 2023 Apr;2(4):EVIDe2300040. doi: 10.1056/EVIDe2300040. Epub 2023 Mar 28.


The Joint United Nation Programme on HIV/AIDS (UNAIDS) has aims that, by 2025, 95% of people with HIV should know their HIV status, 95% of people who receive a diagnosis should be receiving antiretroviral therapy (ART), and 95% of people with HIV and receiving ART should be virally suppressed.1 The challenge and opportunity of the UNAIDS 95-95-95 goal are to reach people outside standard clinic-based services.2 However, after ART is initiated, retention in care is a challenge, with only 67% of persons continuing to receive ART after 5 years.3.

Publication types

  • Editorial

MeSH terms

  • Acquired Immunodeficiency Syndrome*
  • HIV Infections* / diagnosis
  • Humans