The number of people living with HIV in South Africa has, for the first time, reached the eight million mark. These statistics show HIV cases soaring, with around 6.2 million receiving treatment, according to new estimates.
The number of individuals living with HIV in South Africa is projected to surpass eight million in 2024. This accounts for 12.8% of the population, according to Thembisa's latest estimates. This highlights a concerning trend, as HIV cases soar due to increasing new infections.
The rise in HIV cases is attributed to a higher rate of new infections - 178,000 in 2023/2024. Meanwhile, there are only 105,000 deaths. This highlights the effect of antiretroviral medicines in prolonging lives. Yet, with HIV cases soaring, the pressure on health services continues.
Treatment coverage
In 2024, approximately 6.2 million people (78%) are on antiretroviral treatment. However, a significant number, one in five, are not receiving care. While 95% of those living with HIV know their status and 81.5% are on treatment, sustaining treatment remains a challenge. This occurs amid the backdrop of soaring HIV cases.
Gender disparities persist, with 5.2 million women and 2.6 million men living with HIV. Nevertheless, more men (27,100) died from HIV-related causes than women (24,200) in 2023/2024.
Late treatment initiation
A concerning trend is that many begin treatment only when their immune systems are severely compromised. Notably, 54,000 adults start treatment with low CD4 counts.
Despite these challenges, life expectancy in South Africa is rising due to improved access to antiretroviral therapy. Nevertheless, a decline was observed during the COVID-19 pandemic.