Africa REACH Strategic Framework (2026-2030)

Africa stands at a critical turning point in the HIV/AIDS response, specifically with regards to children and young people. Over the past decade, the continent has achieved significant progress in reducing new HIV infections and AIDS-related deaths. However, despite these gains, children, adolescents, and young people continue to experience persistent gaps in prevention, diagnosis, treatment, and long-term care.

The majority (86%) of children living with HIV globally remain in Africa, where a 23-percentage point paediatric treatment gap exists compared to adults, while adolescent girls and young women account for 80% of global new infections in their demographic. At the same time, declining external financing, strained health systems, and widening inequities threaten to reverse hard-won gains.

It is within this context that Africa REACH presents its Strategic Framework 2026–2030 — a focused, African-led roadmap to accelerate progress toward ending AIDS among children and young people by 2030. Building on the achievements and lessons of the previous strategic period, this framework reflects a transition toward a more adaptive, and evidence-driven approach that responds to the evolving continental health and financing landscape. Developed through broad consultations with governments, regional institutions, young people, women leaders, civil society, technical partners, and communities, the strategy represents a shared commitment to strengthening African leadership, accountability, and sustainable action towards ending AIDS among children and young people in Africa.