Palk L, Okano JT, Dullie L, et al. - Malawi and 21 other countries in sub-Saharan Africa have been prioritized by UNAIDS for fast-tracking the end of their HIV epidemics. Attainment of a treatment coverage of 90% by 2030 is required for UNAIDS' elimination strategy. Researchers here used data-based geospatial modelling to examine if necessity to travel long distances to access HIV treatment and lack of access to motorized transportation are barriers to achieving HIV elimination in Malawi. In addition, they determined the effect of enhancing bicycle availability on expanding treatment coverage. A data-based geospatial model was constructed and was employed to determine the minimum travel time required to access treatment, for every person living with HIV in Malawi. The maximum achievable coverage of treatment and the minimum travel time to the nearest health-care facility were identified to have a quantitative correlation. Findings suggest that in the path of reaching 90% coverage in Malawi, the long travel times needed to reach health-care facilities coupled with little motorised transportation in rural areas are substantial barriers. Enhanced bicycle availability could aid in eliminating HIV.