Country factsheets

SOUTH AFRICA | 2022

HIV and AIDS Estimates

Adults and children living with 7 600 000 [5 400 000 - 9 900 000]
HIV
Adults aged 15 and over living with 7 400 000 [5 200 000 - 9 400 000]
HIV

Women aged 15 and over living with 4 800 000 [3 400 000 - 6 100 000]
HIV

Men aged 15 and over living with 2 600 000 [1 800 000 - 3 300 000]
HIV

Children aged 0 to 14 living with HIV 230 000 [140 000 - 520 000]

Adult aged 15 to 49 HIV prevalence 17.8 [11.9 - 23.2]

rate
Women aged 15 to 49 HIV prevalence 23.5 [15.6 - 31.6]
rate

Men aged 15 to 49 HIV prevalence 12.1 [7.2 - 15.8]

rate

HIV prevalence among young women 8.7 [3.5 - 13.8]

HIV prevalence among young men 3.6 [1.8 - 5.3]

Adults and children newly infected 160 000 [120 000 - 230 000]
with HIV
Adults aged 15 and over newly 150 000 [110 000 - 210 000]
infected with HIV

Women aged 15 and over newly 100 000 [75 000 - 130 000]
infected with HIV

Men aged 15 and over newly infected 52 000 [35 000 - 73 000]
with HIV

Children aged 0 to 14 newly infected 8000 [4600 - 31 000]

with HIV

HIV incidence per 1000 population 5.21 [3.58 - 7.28]

(adults 15-49)
HIV incidence per 1000 population 3.15 [2.15 - 4.62]
(all ages)

Adult and child deaths due to 45 000 [31 000 - 90 000]

AIDS
Deaths due to AIDS among adults 42 000 [30 000 - 86 000]
aged 15 and over

Deaths due to AIDS among women 20 000 [14 000 - 37 000]

aged 15 and over

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SOUTH AFRICA | 2022

Deaths due to AIDS among men aged 23 000 [13 000 - 49 000]
15 and over

Deaths due to AIDS among children 2100 [<1000 - 7600]

aged 0 to 14

Orphans due to AIDS aged 0 to 720 000 [430 000 - 1 500 000]
17

Epidemic transition metrics

Percent change in new HIV infections -57
since 2010

Percent change in AIDS-related -70

deaths since 2010

Incidence : prevalence ratio 2.13

Incidence : mortality ratio 1.46

HIV testing and treatment cascade

People living with HIV 7 600 000 [5 400 000 - 9 900 000]
People living with HIV who know 7 200 000
their status
Percent of people living with HIV 94 [67 - >98]
who know their status

People living with HIV who are on 5 700 000

ART
Percent of people living with HIV 75 [53 - 98]
who are on ART

People living with HIV who have 5 200 000

suppressed viral loads
Percent of people living with HIV 69 [49 - 89]
who have suppressed viral loads

Antiretroviral therapy (ART)

Coverage of adults and children 75 [53 - 98]

receiving ART (%)
Adults aged 15 and over receiving 76 [54 - 96]
ART

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SOUTH AFRICA | 2022

Women aged 15 and over receiving 80 [57 - >98]

ART

Men aged 15 and over receiving ART 68 [48 - 87]

Children aged 0 to 14 receiving ART 54 [34 - >98]

Number of adults and children 5 698 272

receiving ART (#)
Adults aged 15 and over receiving 5 574 940
ART

Women aged 15 and over receiving 3 846 640

ART

Men aged 15 and over receiving ART 1 728 300

Children aged 0 to 14 receiving ART 123 332

Elimination of vertical transmission

Coverage of pregnant women who 98 [61 - >98]

receive ARV for PMTCT (%)
Pregnant women who received ARV 257 171
for PMTCT (#)

Pregnant women needing ARV for 260 000 [170 000 - 350 000]
PMTCT (#)

Early infant diagnosis (%) 93 [69 - >98]

Final vertical transmission rate 3.04 [2.23 - 8.36]
including during
breastfeeding
New HIV infections averted due to 47 000 [27 000 - 190 000]
PMTCT (%)
Number of HIV-exposed children 4 100 000 [2 700 000 - 5 200 000]
who are uninfected

Sex workers

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SOUTH AFRICA | 2022

Population size estimate (#) 146 000 Region: National;

Methods: % of
adult female
population;
Source: Johns
Hopkins
University, 2021

HIV prevalence (%) 62.3 Source: Thembisa

Model Estimates
Version 4.4

HIV testing and status awareness 81 Source: The 2018

(%) South African
Health
Monitoring
Survey: A
Biological and
behavioural
survey among
female sex
workers
(SAHMS 2018)

Antiretroviral therapy coverage 69.5 Source: Thembisa

(%) Model, Version
4.4

Men who have sex with men

Population size estimate (#) 309 700 Region: National;
Methods: % adult
population and
population
growth; Source:
South Africa
Men's Health
Monitoring Study
(SAMHMS,
2015-2017), South
Africa
Community
Survey (2016) and
World Bank's
annual population
growth rate.

HIV prevalence (%) 29.7 Source: Thembisa

Model 4.4

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SOUTH AFRICA | 2022

HIV testing and status awareness 66 Source: The

(%) South Africa
Men's Health
Monitoring Study
(SAMHMS 2019)

Antiretroviral therapy coverage 44.1 Source: Thembisa

(%) Model 4.4

Condom use (%) 71.8 Source: South

Africa Men's
Health
Monitoring Study
2019: A Bio-
behavioural
survey

People who inject drugs

Population size estimate (#) 82 500 Region: National;
Methods: Delphi;

HIV prevalence (%) 21.8 Source:

Population-based
cross-sectional
survey of
households in
South Africa

Condom use (%) 57.1 Source: Hepatitis

B, hepatitis C and
HIV prevalence
and related sexual
and substance use
risk practices
among key
populations who
access HIV
prevention,
treatment and
related services in
South Africa:
findings from a
seven-city
cross-sectional
survey

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SOUTH AFRICA | 2022

Needles and syringes distributed 36

per person who injects drugs (#)

Coverage of opioid substitution 0.7 Source: National

therapy programme data,
2020

Prisoners
Population size estimate (#) 155 000 Region: National;
Methods: Census;
Source: Prison
records, 2022

HIV prevalence (%) 7 Source:

Programme data,
2022

Antiretroviral therapy coverage 99.3 Source:

(%) Programme data,
2021

HIV prevention programmes in 2 527 318 Source: Routine

prisons: condoms distributed (#) programme data,
2022

Prevalence of TB infection 1.3 Source: Routine

among prisoners (%) programme data,
2022

Prevalence of hepatitis C Representative of

infection among prisoners (%) HCV and HIV
coinfection;
Source: Routine
programme data,
2022

Transgender people

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SOUTH AFRICA | 2022

Population size estimate (#) 179 300 Region: National;

Methods:
Consensus after
wisdom of the
crowd, service
multiplier and
Respondent
Driven Sampling
loaded into the
Anchored
Multiplier (AM);

HIV prevalence (%) 58 Source: HSRC

(2019) The
Botshelo Ba
Trans Study
Results

Condom use (%) 76.6 Source: HSRC

(2019) The
Botshelo Ba
Trans Study

Combination prevention
People receiving pre-exposure 406 170
prophylaxis (PrEP) (#)

Condom use at last high-risk sex

among adults aged 15 to 49 (%)

- Condom use at last high-risk 61.4 Source: 2016

sex among women aged 15 to 49 DHS
(%)

- Condom use at last high-risk 73.1 Source: 2016

sex among men aged 15 to 49 DHS
(%)

Stigma and discrimination

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Percentage of adults (15-49) who 12.6 Source: HSRC

responded No to the question: 2017 (GAM 2019)
Would you buy fresh vegetables
from a shopkeeper or vendor if
you knew that this person had
HIV?

Percentage of adults (15-49) who 7.5 Source: HSRC

responded No to the question: 2017 (GAM
Do you think that children living 2019)
with HIV should be able to
attend school with children who
are HIV negative?

Percentage of adults (15-49) who 16.9 Source: HSRC

responded No to both questions 2017 (GAM
2019)

Gender

Prevalence of recent intimate 30.3 Source: HSRC

partner violence among women 2017 (GAM
aged 15-49 (%) 2019)
Prevalence of recent intimate 30.1 Source: HSRC
partner violence among women 2017 (GAM
aged 15-19 (%) 2019)

Prevalence of recent intimate 30.7 Source: HSRC

partner violence among women 2017 (GAM
aged 20-24 (%) 2019)

Prevalence of recent intimate 30.2 Source: HSRC

partner violence among women 2017 (GAM
aged 25-49 (%) 2019)

Women aged 15-49 who have 79.7 Source: 2016

their demand for family planning DHS
satisfied by modern methods
(%)
Women aged 15-19 who have 75.6 Source: 2016
their demand for family planning DHS
satisfied by modern methods (%)

Women aged 20-24 who have 76.9 Source: 2016

their demand for family planning DHS
satisfied by modern methods (%)

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Women aged 25-49 who have

their demand for family planning
satisfied by modern methods (%)

Young people

Knowledge about HIV prevention 45.8 Source: Other

among young people aged General
15-24 Population Based
Survey
2016
Knowledge about HIV 46.1 Source: Other
prevention among young women General
aged 15-24 Population Based
Survey 2016

Knowledge about HIV 45.6 Source: Other

prevention among young men General
aged 15-24 Population Based
Survey 2016

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