Epidemiology and Policy Summary South Africa
Epidemiology and Policy Summary South Africa COP 2018 Regional Planning Meeting March 1, 2018 Internal Use Only What Does it Take to “Eliminate HIV”? • Utilize Underlying Population Data • Triangulate Program Data • Ensure a Supportive Policy Environment • Shift the Program for Impact • Intensify Partner Management 2 South Africa: Decreasing Incidence, Increasing Treatment 8,000,000 7,000,000 6,000,000 5,000,000 4,000,000 3,000,000 2,000,000 1,000,000 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Total HIV infections Cumulative AIDS deaths Total number of ART patients Total new HIV infections Total new on Treatment 3 South Africa: Same Trend Where It Matters Most KwaZulu Natal Gauteng 2,000,000 2,000,000 1,800,000 1,800,000 1,600,000 1,600,000 1,400,000 1,400,000 1,200,000 1,200,000 1,000,000 1,000,000 800,000 800,000 600,000 600,000 400,000 400,000 200,000 200,000 0 0 Total HIV infections Total AIDS deaths Total HIV infections Total AIDS deaths Total new HIV infections Total number of ART patients Total new HIV infections Total number of ART patients Total new on Treatment Total new on Treatment 4 Clinical Cascade 1st 90* 2nd 90* 3rd 90** *Thembisa model v 3.2 [Johnson LF, Dorrington RE, Moolla H. (2017) Progress towards the 2020 targets for HIV diagnosis and antiretroviral treatment in South Africa. Southern African Journal of HIV Medicine.18(1): a694] **NHLS program data Oct 2017 5 South Africa: Burden of HIV by Sex 6 Provincial HIV Burden: Highest-Burden Provinces PLHIV Gauteng 2017 Male Female Male PLHIV KwaZulu-Natal 2017 Female Age Group Age Group *Thembisa model v 3.2 [Johnson LF, Dorrington RE, Moolla H.
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