According to NHP-2017, 90:90:90 is related to which disease?

Hariyana-CHO-2021

Community Health Nursing

Easy

Appeared in: Hariyana-CHO-2021

Explanation

The 90:90:90 target is a global initiative by UNAIDS, adopted by India's National Health Policy (NHP) 2017, specifically for ending the AIDS epidemic.
The first '90' aims for 90% of people living with HIV (PLHIV) to know their diagnosis.
The second '90' aims for 90% of diagnosed individuals to be on sustained antiretroviral therapy (ART).
The third '90' aims for 90% of individuals on ART to achieve viral suppression, making the virus undetectable and non-transmissible.

Option B: The targets for Malaria are different. The Global Technical Strategy for Malaria 2016–2030 aims for a 90% reduction in malaria case incidence and mortality rates, and elimination in at least 35 countries by 2030.
Option C: IMR (Infant Mortality Rate) and MMR (Maternal Mortality Ratio) are key health indicators with specific numerical targets for reduction (e.g., IMR to 28 per 1000 live births), but they do not follow the 90:90:90 cascade framework.
Option D: The strategy for Tuberculosis is the 'End TB Strategy'. Its primary targets are a 90% reduction in TB deaths and an 80% reduction in TB incidence by 2030, not the 90:90:90 diagnosis-treatment-suppression cascade.

Clinical Relevance

Nursing practice connection: Knowing National Health Policy (NHP) 2017 disease-specific targets helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
Nurses are central to achieving all three '90s'. They perform provider-initiated HIV testing and counseling (first 90), link newly diagnosed patients to ART services (second 90), and provide adherence counseling and monitor viral load test results (third 90).
Understanding these national targets helps nurses contextualize their daily work within the larger public health goal of ending the AIDS epidemic in India.
What if? If a patient on ART has a detectable viral load, the nurse's role is critical. They must assess for non-adherence, provide counseling, check for drug interactions or side effects, and collaborate with the physician to consider resistance testing and potential regimen changes.

How to Approach the Question

First, identify the key terms in the question: 'NHP-2017' and '90:90:90'.
This is a factual recall question that requires knowledge of major national and global health programs.
Recall or deduce the specific disease associated with the 90:90:90 target. This terminology is most famously linked to the UNAIDS strategy for HIV/AIDS.
Evaluate the other options. Consider the known targets for TB ('End TB'), Malaria (elimination), and IMR/MMR (rate reduction) to confirm they do not fit the 90:90:90 model.
Select the option that directly corresponds to the well-established 90:90:90 framework.

Concept Tested & Keywords

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E6 Parks TextBook of Preventive & Social Medicine part 2 — Subpart B (pp 233-449 of 464) p. 18-20

E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart B (pp 202-403 of 604) p. 51-53