Global HIV incidence is declining due to the expansion of HIV programs and emerging HIV prevention strategies, although declines have slowed in more recent years[UNAIDS Global AIDS Update; CDC HIV Surveillance]
Regionally, and within certain populations, HIV incidence is increasing[CDC HIV Surveillance]
A combination of prevention strategies, including behavior change, condom provision, male circumcision, focused programs for at-risk individuals, and access to antiretroviral therapy and pre-exposure prophylaxis is needed to combat HIV transmission in these settings (Figure)