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good morning good afternoon or good evening depending on where you are i would first like to thank the organizer of this meeting to give me an opportunity to present the experience of the african society for laboratory medicine in scaling up laboratory services to achieve the 95-95-95 i declare no conflict of interest so this presentation is going to focus especially on viral load i acknowledge that they are all the testing that are important for the 95 95 95 but viral load is really an interesting case study and is specifically a key to the third 95 and if we go back a little bit in history we will see that the who guideline for antiretroviral treatment in 2013 recommended to use the viral load as a preferred method instead of the cd4 count to monitor the treatment effectiveness then in 2016 the guidelines recommended that all hiv positive person should receive the treatment and the unh fast track targets number three uh recommends that 95 of the patient receiving treatment should be

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