HIV PREVENTION IN YOUNG GIRLS AND WOMEN IN SOUTH AFRICA Satellite Symposium proposal for the 21st International AIDS Conference Dr. Babalwa Dunga (DGMT)

WE HAVE A GOOD STORY TO TELL Our successes in biomedical interventions Improvement in quality of life of people living with HIV Increase life expectancy ANNUAL NUMBER OF NEW HIV INFECTIONS, GLOBAL 3.1 million in 2000 2.7 million in 2005 2.0 million in 2014 Source: UNAIDS 2014 estimates

CURRENT CHALLENGE Increased incidence of HIV in Adolescent girls and young women Young women 15–24 years old are up to eight times more likely to be living with HIV than their male peers SA (2014), highest incidence of HIV among 15–24 year old lived in KZN, GP and EC KwaZulu-Natal accounts for more than 15 000 of the 72 000 women 15–24 years old newly infected annually

Factors are not always black and white UNDERSTANDING RISK Meet Larissa, 19 Structural: No post-school opportunity Social: Gender norms Personal: Low self-esteem Factors are not always black and white They can be personal, structural and social. Example: Youth unemployment High rates of Gender-based violence Early sexual debut “Arguably, the most compelling reason to change is a sense of real and imminent possibility in life – and that means being as much concerned about their pathways to education and employment as we are about their sexual behaviour.”- Dr. David Harrison, DGMT CEO

INTRODUCING Bumb’ingomso We know that: Having a multifaceted approach is the best way for effective intervention to reduce new infections Pilot a project that : Brings together four interventions in one geographical area Intensifies prevention efforts to decrease incidence KZN and Gauteng have DREAMS and there’s no programme similar to that in the EC

INTRODUCING Bumb’ingomso Shaping attitudes & challenging norms Combating gender-based violence Facilitating economic participation for young women Supporting health services for young people

Implementation Timelines 2016 Jun Jul Aug Sep Oct 2016 6/1/2016 9/1/2016 10/10/2016 Secondary data analysis Household survey Intervention 4: Expand access to economic opportunities 10/3/2016 Intervention 1: Behavioural changes and communication 10/3/2016 Intervention 2: Health services intervention 10/3/2016 Intervention 3: Systemic strategies to address GBV

(Moulding their own future) Our Vision Young people can mold their own future Create and cease opportunities for themselves Bakhe elabo Ingomso (Moulding their own future)

ACKNOWLEDGEMENTS KfW - German Development Bank DG Murray Trust

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