Western Cape Sees Lowest HIV Prevalence in South Africa

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Western Cape Sees Lowest HIV Prevalence in South Africa
HIV PrevalenceWestern CapeSouth Africa
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The Western Cape province of South Africa recorded the lowest HIV prevalence rate in the country at 7.4% in 2022, according to the Sixth South African HIV Prevalence, Incidence and Behaviour Survey (SABSSM VI). The survey also revealed a decline in the number of people living with HIV (PLHIV) from 560,000 in 2017 to 540,000 in 2022.

Out of the nine provinces in South Africa , the Western Cape had the lowest HIV prevalence in 2022 and second lowest in 2017 .

According to the overall principal investigator of the study, the HSRC’s Professor Khangelani Zuma, the survey showed that in 2022, HIV prevalence in the province was higher among those aged 25 to 49 for both females and males .“HIV prevalence peaked at 12.9% amongst those aged 35 to 39 in 2022, from 23.4% in 2017 within the same age group.

SAnews reported last week that Mpumalanga now has the highest HIV prevalence at 17.4% in 2022, which translates to an estimated 890 000 in the province, followed by KZN.Antiretroviral treatment coverage in the Western Cape increased to 76.8% in 2022, from 54.4% in 2017.In 2022, ART use among all PLHIV in the province was lower among those aged 15 to 49 compared to other age groups.In addition, ART use was 76.2% amongst respondents who reside in urban areas and 81.4% in the City of Cape Town.

Regarding the key drivers of the HIV epidemic, Zuma noted that in the Western Cape, there was an increase in the proportion of adolescents and youth aged 15 to 24, who reported sex before the age of 15 in 2017 , compared to 2022 .The survey revealed that in the Western Cape, 6.7% of people aged 15 and older reported having two or more sexual partners in 2022 compared to 7.6% in 2017.

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