Africa, unlikely to end AIDS by 2030 –WHO

The Regional Director for Africa World Health Organisation Dr. Matshidiso Moeti revealed that Africa is unlikely to end AIDS as a public health threat by 2030 after the continent fell short of the expected 75 per cent reduction in new HIV infections and 81 per cent reduction in AIDS-related deaths by 2020.

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This was disclosed in a statement yesterday, WHO said despite the very high percentages of people living with HIV who know their status, and treatment rates, new HIV infections and AIDS-related deaths are not decreasing concomitantly.

According to Moeti, the continent cannot afford to lose focus on the urgent need to end the inequities that drive AIDS and other epidemics around the world.

“It has been 40 years since the first HIV cases were reported. Yet, in Africa and globally, it remains a major public health concern.

“Last year, two out of every three new HIV infections occurred in the African Region, corresponding to almost 2,500 new HIV infections every day. Sadly, AIDS claimed the lives of 460,000 people, or a shocking 1,300 every day, in spite of free access to effective treatment.

“The challenges notwithstanding, Africa has made significant progress against HIV in the past decade, reducing new infections by 43 per cent and nearly halving AIDS-related deaths. In the Region, 86 percent of people living with HIV know their status, and 76 per cent are receiving antiretroviral therapy.

“We also salute Botswana, which is on the home stretch to eliminating mother-to-child HIV transmission in what is a truly remarkable public health success. Only 16 countries have been certified for eliminating mother-to-child HIV transmission, none of which had as large an epidemic,” she said.

Dr. Moeti noted that it is critical to reach those who are fuelling the epidemic, address the persistent inequities in the provision of quality care and interventions.

“For instance, in West and Central Africa last year, key populations and their sexual partners accounted for 72 per cent of new adult HIV infections. Yet punitive laws, policies, hostile social and cultural environments, and stigma and discrimination, including in the health sector, prevent them from accessing services
infections. Yet punitive laws, policies, hostile social and cultural environments, and stigma and discrimination, including in the health sector, prevent them from accessing services.

“In Sub-Saharan Africa, young women are twice as likely to be living with HIV than men. For adolescents aged 15 to19 years, three in every five new infections are among girls who don’t have access to comprehensive sexuality education, who face sexual and gender-based violence and live with harmful gender norms. They also have less access to school than their male peers,” she said.

The WHO Regional Director for Africa noted that with COVID-19, people living with HIV appear to be at elevated risk for virus-related illness and death and nearly 70 percent live in the WHO African Region, where only 4.5 percent of people are fully vaccinated against COVID-19.

“As efforts to tackle COVID-19 continue gathering force, and the world prepares itself against future pandemics, we risk repeating many of the same mistakes that have kept us from ending AIDS. Addressing inequality is critical to ending both AIDS and COVID-19 and preventing future pandemics – potentially saving millions of lives, and safeguarding our society.

We must ensure that everyone, everywhere, has equal access to HIV prevention, testing, treatment, and care, including COVID-19 vaccinations and services.

“This World AIDS Day, I urge governments to prioritize investment in health funding for community-led, human rights-based, gender transformative responses. We must boost our essential health workforce, and secure equitable access to life-saving medicines and health technologies.

“Global solidarity and shared responsibility are critical components of the kind of rights-based approach we need if we are to end HIV/AIDS and COVID-19,” she said.

Oluchi Okwuego/PHW