UNAIDS has proposed a new approach to ensure the sustainability of the HIV response. This holistic approach cuts across five sustainability domains, including political leadership and commitment, enabling laws and policies, sustainable and equitable financing, science-driven, effective and high-impact HIV services and solutions, and systems built to deliver.
UNAIDS believes that the moment is right for the global HIV community to actively begin planning for a sustained HIV response beyond 2030. The goal of the new sustainability approach is to use a transformative lens, articulating the shifts needed for the long-term sustainability and lasting impact of the HIV response. Understanding that sustainability will require different measures and approaches in diverse settings, it is important that countries tailor their response planning and implementation to their specific contexts. Therefore, the new approach calls for a country driven and owned processes that leverage country data and information, that will chart the pathways for country level strategies and actions to achieve and sustain impact and leave no one behind.
The process for developing the HIV Response Sustainability Roadmaps is align with the principles, goals and targets set out in the Global AIDS Strategy 2021–2026 and in the 2021 Political Declaration on Ending AIDS, therefore countries should prioritize the strategies and actions most urgently needed to achieve the 2025 targets and end AIDS by 2030. To support these actions, sustainability will be at the top of UNAIDS priority agenda in 2024. Together with its co-sponsors, partners such as PEPFAR and the Global Fund, and other stakeholders of the Global HIV community, UNAIDS is resolute in its commitment to supporting countries leverage the tools and analytics, the lessons learned, the science of what works where, to foster open and honest dialogue on the future of the HIV response, the transformations needed to ensure that responses across the globe are not in danger of putting millions of lives 
and livelihoods at risk and the financing commitments needed for scale and impact.