West and Central African countries are in need of a quick and drastic catch up plan. WCA has 6% of the world population, but 17.9% of the people living with HIV It accounts for 27% of all Aids-related deaths, 21% of all new infections, and 45% of all children born HIV+ This is explained by a low coverage of ARVs. Only one in four adults are provided with treatment. There are 5 million people in this region alone that need ARVs, which represents 1/3 of UNAIDS' target to getting 15 million extra people on ARV drugs by 2020. The main HIV actors are calling for a drastic acceleration in the fight against HIV/Aids The world has five years to get the epidemic under control by reaching 90-90-90 by 2020 (90% PLHIV know their status, 90% of them initiated on treatment, 90% of them virally suppressed). If not, the epidemic will rebound by 2030 and the considerable investments made in the past 15 years will be lost.