Position Paper: Children and young women in eastern and southern Africa are key to meeting 2030 HIV targets: time to accelerate action

By Kaymarlin Govender, Patrick Nyamaruze, Richard G Cowden, Yogan Pillay, Linda-Gail Bekker

New HIV infections and AIDS-related deaths among children and adolescent girls and young women (aged 15–24 years) in eastern and southern Africa continue to occur at unacceptably high rates. The COVID-19 pandemic has also severely undermined ongoing initiatives for HIV prevention and treatment, threatening to set the region back further in its efforts to end AIDS by 2030. Major impediments exist to attaining the UNAIDS 2025 targets among children, adolescent girls, young women, young mothers living with HIV, and young female sex workers residing in eastern and southern Africa. Each population has specific but overlapping needs with regard to diagnosis and linkage to and retention in care. Urgent action is needed to intensify and improve programmes for HIV prevention and treatment, including sexual and reproductive health services for adolescent girls and young women, HIV-positive young mothers, and young female sex workers.

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