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Eastern and Southern Africa is home to more than 60 per cent of children and adolescents living with HIV. This is the region where most progress in the HIV response has been made. Coverage of maternal antiretroviral treatment for pregnant and breastfeeding women living with HIV reached 93 per cent in this region in 2017. Sustaining these gains and continuing to reach children, adolescents and women at risk and living with HIV is critical. In 2017, an estimated 120,000 adolescents aged 10–19 years and 94,000 children aged 0–9 years were newly infected with HIV.
Summary of key findings Despite specific conditions and characteristics particular to the southern route, this paper’s findings are generally consistent with the dynamics of migrant smuggling along all routes out of the Horn of Africa.
Using a combination of primary and secondary sources, as well as new data from the RMMS Mixed Migration Monitoring Mechanism Initiative (4Mi), the paper finds that migrant smuggling along the southern route continues to thrive and exposes migrants in mixed flows to high levels of abuse and risk.2