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

2. 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

3. 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 of the women 15–24 years old newly infected annually

4. 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

5. 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

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

7. 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

8. (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)

9. ACKNOWLEDGEMENTS
KfW - German Development Bank
DG Murray Trust

10. THANK YOU