Jul 15, 2018; The Lancet HIV. https://doi.org/10.1016/S2352-3018(18)30131-0

Abstract

The Rukarara River in western Rwanda is the most distant headwater of the Nile, the longest river in the world. Water originating here joins water from thousands of other tributaries to journey along one major path more than 7000 km long to the Nile delta, where it then branches into several other pathways that drain into the Mediterranean Sea. 1 Like the Nile River, HIV response efforts in sub-Saharan Africa originate from numerous inputs joining a common pathway of prevention and treatment scale-up across the region. But to reach the goal of ending AIDS by 2030, 2 we must also consider other pathways and subnational data is needed to guide us.