HIVResNet
WHO has brought together organizations and experts working in the area of HIV drug resistance to form WHO HIVResNet – a global network advising WHO on the control and surveillance of HIV drug resistance.

WHO HIVResNet is a large network of international experts, including researchers, laboratorians, implementing partners and members of civil society, established in 2004 to support and provide technical advice to WHO on activities to prevent, monitor and respond to HIV drug resistance; optimize the use of HIV drug resistance testing; and support policies related to optimal first- and second-line antiretroviral therapy selection. 

The WHO HIVResNet Laboratory Network is a subgroup of HIVResNet. It includes more than 30 laboratories designated by WHO to perform quality-assured genotypic HIV drug resistance testing, in order to support HIV drug resistance surveillance in low- and middle-income countries. 

In 2017, WHO launched the Global Action Plan on HIV drug resistance. This plan aims to articulate synergistic actions required to prevent HIV drug resistance from undermining global targets on health and HIV, and to provide the most effective treatment for all people living with HIV. Implementation of the Global Action Plan is supported by WHO HIVResNet and its 5 thematic working groups.

WHO HIVResNet is governed by a Steering Group and organized into 5 thematic working groups. 

The WHO HIVResNet Steering Group is a core group of approximately 20 members of WHO HIVResNet. It is the principal advisory body to WHO on HIV drug resistance. The Steering Group:

  • advises WHO on strategies to tackle HIV drug resistance that are consistent with WHO’s mandate;
  • steers implementation of the strategic objectives of the "Global Action Plan on HIV drug resistance";
  • supports WHO in reporting progress on implementation of the Global Action Plan; and
  • supports WHO in content development for its annual HIVResNet meeting, which leverages the expertise and experience of people contributing to the prevention, control and surveillance of HIV drug resistance.

The WHO HIVResNet Steering Group members and co-chairs are selected and appointed for 3 years by WHO, on the basis of their technical expertise and public health experience, balanced by geographical representation. The Steering Group includes the chairs of the 5 working groups and represents a range of disciplines, including those relevant to public policy development, surveillance epidemiology, implementation science, HIV virology/basic laboratory science, research and development, and public health and programme implementation. The Steering Group has no executive or regulatory functions. WHO convenes HIVResNet annually to review and discuss priority areas across all working groups. 

WHO HIVResNet Working Groups: 

  1. Prevention and response – to support strategic objective 1 of the "Global Action Plan on HIV drug resistance", which aims to implement high-impact interventions to prevent and respond to HIV drug resistance. 
  2. Monitoring and surveillance –  to support strategic objective 2 of the Global Action Plan on HIV drug resistance, which aims to:
    • obtain quality data on HIV drug resistance from periodic surveys, expanding the coverage and quality of routine viral load and HIV drug resistance testing to inform continuous HIV drug resistance surveillance; and
    • monitor quality of service delivery, and collect and analyse data recorded as part of routine patient. care for the purpose of evaluating programme performance to prevent HIV drug resistance. 
  3. Research and innovation – to support strategic objective 3 of the "Global Action Plan on HIV drug resistance", which aims to
    • encourage relevant and innovative research, leading to interventions that will have the greatest public health impact on minimizing HIV drug resistance; and
    • fill existing knowledge gaps on the risk of HIV drug resistance for newer antiretroviral drugs and the impact of service delivery interventions, to increase viral load suppression and contain HIV drug resistance.
  4. Laboratory capacity – to support strategic objective 4 of the "Global Action Plan on HIV", which aims to strengthen laboratory capacity, in order to support and expand use of viral load monitoring and build capacity to monitor HIV drug resistance in low- and middle-income countries. 
  5. Governance and enabling mechanisms – to support strategic objective 5 of the Global Action Plan on HIV, which aims to ensure that governance and enabling mechanisms (e.g. advocacy, country ownership, coordinated action and sustainable funding) are in place to support action on HIV drug resistance.

Meeting reports

Priorities for antiretroviral drug optimization in adults and children report of a CADO, PADO and HIVResNet joint meeting

The CADO-4 and the PADO-5 meetings were held virtually between September and October 2021 to promote alignment and synergy across these two expert groups...

WHO HIV drug resistance network steering group meeting report, June 2021

WHO HIV drug resistance network (HIVResNet) is a group composed of international experts, researchers, laboratorians, organizations, partners, stakeholders,...

WHO HIVResNet meeting report 2019

This meeting took place on 19 October 2019 in Johannesburg, South Africa, immediately after the XXVIII International Workshop on HIV Drug Resistance...

WHO HIV ResNet 2018 meeting report

WHO convened the HIVResNet meeting in Johannesburg, South Africa, on 21 October 2018. The meeting was attended by 60 HIV drug resistance experts from all...

WHO HIV ResNet 2017 meeting report

The 2017 WHO HIVResNet meeting took place on 9 and 10 November in Johannesburg, South Africa. The meeting was held after the X XVI International Workshop...

Technical documents

WHO HIVResNet HIV drug resistance laboratory operational framework

The WHO HIV Drug Resistance Network (HIVResNet) HIV drug resistance laboratory operational framework describes how WHO HIVResNet laboratories function...