10 March 2017 - In February USAID SHIFT supported the convening of quarterly meetings in Nghe An and Dien Bien to review their progress toward achieving 90-90-90 goals, wherein 90% of people living with HIV (PLHIV) know their HIV status, 90% of those who know their status are on sustained antiretroviral therapy (ART), and 90% of those on ART have viral suppression. This quarter, the Department of Health (DOH) and Provincial AIDS Center (PAC) staff in both priority provinces took on significantly more responsibility to compile and analyze 90-90-90 results by district and prepare the core presentations that guide these meetings. The presentations revealed continued progress in Nghe An, which achieved 76% and 70% of the first two 90 targets respectively, up from 73% and 63% in the previous quarter. Dien Bien showed improved progress towards achieving the first 90 target, up from 46% to 50% of the target; but the province made little progress towards achieving the second 90, which remained flat at 47% of the target. This performance reflected a decline in the number of new PLHIV on ART and an increase in attrition for some Dien Bien sites, concurrent with social health insurance (SHI) scale-up for HIV. This also served as the first quarter for which substantial viral load monitoring data were available for both provinces, which showed that Nghe An and Dien Bien achieved 73% and 50% of the third 90 targets, respectively. Nghe An province also showcased major progress in SHI for PLHIV, including its implementation of Decision #26 to cover SHI card and ARV copay costs. USAID SHIFT and all other implementing partners joined in fruitful discussion with PACs and DOHs to agree on essential actions to close 90-90-90 performance gaps while continuing to expand SHI coverage and use.