Health and Social Care

HIV/AIDS in South Africa
What is the prevalence of HIV in South Africa?

Sub-Saharan Africa is the region worst-affected by HIV and AIDS.   HIV/AIDS in South Africa is a prominent health concern; South Africa has the highest prevalence of HIV/AIDS compared to any other country in the world with 5,6 million people living with HIV, and 270,000 HIV related deaths recorded in 2011.   (UNAIDS)

Why is the South African HIV/AIDS prevalence so high?

Many factors contribute to the spread of HIV. These include: poverty; inequality and social instability; high levels of sexually transmitted infections; the low status of women; sexual violence; high mobility (particularly migrant labour); limited and uneven access to quality medical care; and a history of poor leadership in the response to the epidemic.

Research shows high levels of knowledge about the means of transmission of HIV and understanding of methods of prevention. However, this does not translate into HIV-preventive behaviour. Behaviour change and social change are long-term processes, and the factors that predispose people to infection – such as poverty and inequality, patriarchy and illiteracy – cannot be addressed in the short term. Vulnerability to, and the impact of, the epidemic are proving to be most catastrophic at community and household level.

How has this affected the everyday lives of South Africans?

The hardship for those infected and their families begins long before people die. Stigma and denial related to suspected infection cause many people to delay or refuse testing; fear and despair often follow diagnosis, due to poor-quality counselling and lack of support; poverty prevents many infected people from maintaining adequate nutrition to help prevent the onset of illness; limited access to clinics, waiting lists for ARV treatment programmes and eligibility criteria for access to ARVs mean that many people become seriously ill before accessing treatment; loss of income and support...