South Africa’s Future at the Brink: Emergency in the World’s Largest HIV Epidemic


South Africa has the largest HIV epidemic in the world, accounting for 19 percent of all people living with HIV worldwide. With more than 3 million still in need of treatment and a high rate of new infections – close to a quarter of a million in 2018—primarily among adolescents and young adults, the HIV epidemic threatens the future social and economic stability of the country and demands a more focused, financed, and high-level response from the government of South Africa and its partners, including the U.S. government.

This report is made possible by generous support from the Bill & Melinda Gates Foundation. 

Sara M. Allinder
Senior Associate (Non-resident), Global Health Policy Center