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  1. South African National HIV Prevalence, Incidence and BehaviourSurvey, 2012 Presenter: Prof LC SimbayiExecutive Director, HAST Programme, Human Sciences Research CouncilPresentation during Botswana NACA’s Satellite on “Are we there yet? Stepping up the Pace through 2012 National HIV Prevalence Surveys: Botswana, Kenya and South Africa” at the 20th International AIDS Conference (AIDS 2014) in Melbourne, Australia Venue: Room 101-102.Date: Wednesday 28 July 2014Time: 0700-0830

  2. Reference • Shisana, O., Rehle, T., Simbayi, L.C., Zuma, K., Jooste, S., Zungu, N., Labadarios, D., Onoya, D., et al. (2014) South African National HIV Prevalence, Incidence and Behaviour Survey,2012. Cape Town, HSRC Press.

  3. Background • This is the fourth national population-based survey, three similar surveys were conducted by the same team in 2002, 2005 and 2008. • The study has provided an important gauge of the HIV epidemic of South Africa. • The results are used to both inform and evaluate important health programmes such as the National Strategic Plan (NSP) on HIV/AIDS, STI and TB, and the National Health Insurance, among others. • Main HIV survey objectives were: • to estimate national HIV prevalence & HIV incidence • to measure behavioral,socio-demographic and health indicators

  4. National HIV Household SurveySouth Africa 2012 • Survey period: January 2012 – November 2012 • All age groups eligible • 38,431 interviewed • 28,997 tested for HIV

  5. HIV PREVALENCE

  6. National HIV Household SurveySouth Africa 2012 • HIV prevalence, total population: 12.2% (2008: 10.6%) • 6.4 million living with HIV/AIDS (based on Statistics South Africa’s mid-year population estimate for 2012: 52.3 million)

  7. HIV prevalence by age and sex, South Africa, 2012

  8. HIV prevalence by sex (15-49 years), South Africa, 2012

  9. HIV prevalence by province (15-49 years), South Africa, 2012

  10. Trends in HIV prevalence in children, South Africa 2002-2012

  11. Trends in HIV prevalence by age, South Africa 2002-2012

  12. Hiv Incidence

  13. Measuring HIV incidence South Africa 2012 • We used two methods: 1. Direct HIV incidence using blood specimens • Multi-assay testing algorithm (N.B. The findings will be presented during HSRC’s satellite in Room 105-106 at 18:30-20:30 this evening) 2. Indirect HIV incidence using a mathematical model • HIV incidence estimation from HIV prevalence data collected in repeated national population-based surveys (HSRC 2002, 2005, 2008 & 2012)

  14. Modelled HIV incidence rates by age, South Africa 2002-2005, 2005-2008 and 2008-2012

  15. MALE CIRCUMCISION

  16. Trends in self-reported circumcision by type, South Africa 2002-2012

  17. Behavioural Findings

  18. Condom use at last sex by age and sex, South Africa 2002-2012

  19. Multiple sexual partnerships(15-49 years),South Africa 2002-2012

  20. Correct HIV knowledge among key populations, South Africa 2008 and 2012 2012 National Average (26.8%)

  21. Sexual debut before age 15 years(15-24 years), South Africa 2002-2012

  22. Age-disparate sexual relationships (15-19 years)by sex, South Africa 2005-2012

  23. Awareness of HIV status among those who tested in the last 12 months, by sex (15 years and older), South Africa 2005-2012

  24. Recommendations • Balance prevention and treatment • Further strengthen and encourage HCT to address gender disparity • Encourage consistent condom use • Target key populations at high risk of HIV • Encourage monogamy and faithfulness • Promote HIV prevention in informal settlement

  25. Research Collaborators

  26. Funders This research has been supported mainly by the President’s Emergency Plan for AIDS Relief (PEPFAR) through CDC under the terms of Cooperative Agreement Numbers 5U2GPS000570-05 , 3U2GGH00357-02 andU2GPS001328. The findings and conclusions in the report are those of the author(s) and do not necessarily represent the official positions of the Centers for Disease Control and Prevention

  27. Thank you for your attention

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