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In Durban it was reported that only 4.6% of female sex workers could correctly identify HIV transmission risks and reject myths.14 In 2015, it was found that only 19% of female sex workers living with HIV in Johannesburg were accessing treatment, rising to 25.6% in Durban and 27.7% in Cape Town.15 These rates are well below the national average.This could be because sex workers in South Africa face high levels of stigma and discrimination and are restricted by the laws under which they work.In South Africa more than 2 million children have been orphaned by HIV and AIDS.44 Orphans are particularly vulnerable to HIV because of economic and social insecurities; they are often at risk of being forced into sex, have sex in exchange for support, and typically become sexually active earlier than other children.45 The National Strategic Plan 2017-2022 aims to renew the focus on children, putting emphasis on eliminating new infections and building resilience in families.46 HIV prevalence among young women in South Africa is nearly four times greater than that of men their age.47.

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Explore this page to find out more about groups most affected by HIV in South Africa, HIV testing and counselling programmes, HIV prevention programmes, antiretroviral treatment availability, civil society’s role, HIV and TB in South Africa, funding for HIV, and the way forward for South Africa.

South Africa has the biggest and most high profile HIV epidemic in the world, with an estimated 7.1 million people living with HIV in 2016.

The new strategy aims to provide the basis for more inclusive services so that LGBT communities have ‘the necessary tools to realise their health and human rights goals’.27 Among the recommendations made in this strategy is increasing the availability of lubricants for men who have sex with men and providing them with Pre-exposure Prophylaxis (Pr EP) to protect them from infection.28 Transgender women in Sub-Saharan Africa are twice as likely to have HIV as men who have sex with men.29 However, these populations have often been neglected by both policy and research in South Africa, where trans women have either been excluded from participating in studies or been categorised as men who have sex with men.

In January 2018, the first study to investigate HIV prevalence in transgender women in South Africa was launched.

With this study will come an insight into the drivers of HIV amongst transgender women, and so the means for better targeted interventions in this community.30 The South African National AIDS Council’s LGBTI HIV Framework recognises transgender women as a key affected population.

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