Optimising Quality of Life for all People Living with HIV: Recognising the 4th 90 – Findings from the Positive Perspectives 2 study
and policy recommendations for a new era of HIV care

The resource titled “Optimising Quality of Life for all People Living with HIV: Recognising the 4th 90” presents key findings from the Positive Perspectives 2 study, highlighting the evolving landscape of HIV care. While significant progress has been made in extending the life expectancy of people living with HIV, the focus shifts beyond viral suppression to address the broader challenges, including comorbidities, stigma, and discrimination. The concept of the “4th 90” is introduced as a qualitative measure to ensure a quality of life that goes beyond treatment paradigms. The study advocates for more holistic care models to address the psychological, physical, and social needs of individuals with HIV. Backed by an international Advisory Committee, the article outlines policy recommendations aimed at improving the quality of life for people living with HIV and emphasizes the importance of individualization and patient empowerment. The findings provide valuable insights for policymakers, clinicians, and advocates striving to enhance the well-being of individuals with HIV on a global scale.