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THE HIV RESPONSE IN AFRICA IS SHOWING A RETURN ON INVESTMENTS
The global HIV response has transformed the lives of tens of millions of people living with, at risk of and affected by HIV on the African continent. Today, 82% of people living with HIV in Africa are on lifesaving treatment1 , compared with 45% just nine years ago; new HIV infections have been reduced by 70% since their peak in 1994; and AIDS-related deaths have plummeted by 79% since the peak in 2004. In Africa, these successes have led to a rebound in average life expectancy from 58.7 years in 2010 to 63.8 years in 2023. However, AIDS is not over. In Africa, 4.8 million people are still not accessing HIV treatment and there were 390 000 AIDS-related deaths in 2023 (over 60% of the global total).
The extraordinary results achieved to date have been due to global solidarity across countries and sectors—uniting communities, governments, civil society, private sector, and the faith and scientific communities—with countries leading the way and with the support and partnership of UNAIDS, the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), the Global Fund to Fight AIDS, TB and Malaria (the Global Fund), and global, regional and local partners. These resources have contributed to encouraging results, with AIDS-related mortality declining by 69% and HIV incidence by 68% in Africa between 2010 and 2023 (Figure 1)