Preventing HIV in women in Africa

Cowan, Frances ORCID: https://orcid.org/0000-0003-3087-4422, Shahmanesh, Maryam, Revill, Paul A, Busza, Joanna, Sibanda, Euphemia ORCID: https://orcid.org/0000-0003-1754-1076, Chabata, Sungai, Chimbindi, Natsayi, Choola, Tamara, Mugurungi, Owen, Hargreaves, James R and Phillips, Andrew N (2025) 'Preventing HIV in women in Africa'. Nature Medicine, Vol 31, pp. 762-771.

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Abstract

HIV incidence is declining globally, but around half of all new infections are in sub-Saharan Africa—where adolescent girls and young women bear a disproportionate burden of new infections. Those who sell sex are at particularly high risk. Despite declining incidence rates and availability of effective biomedical prevention tools, we are not on track, globally or in Africa, to achieve UNAIDS 2025 prevention targets. For those at risk, interventions that strengthen their motivation, capabilities and access to all available HIV prevention technologies are critical—for adolescent girls and women in particular, but also for epidemic control more broadly. Exciting possibilities for scaling up new and highly effective prevention technologies are close, but delivery, implementation and financing models need to be developed and urgently evaluated, in partnership with communities, or these opportunities may be lost. Here, we discuss the evolving landscape of biomedical prevention technologies for women in Africa, their implementation and financing, as well as priorities for HIV prevention research in this setting.

Item Type:	Article
Subjects:	WA Public Health > Health Problems of Special Population Groups > WA 309 Women's health WC Communicable Diseases > Virus Diseases > Acquired Immunodeficiency Syndrome. HIV Infections > WC 503 Acquired immunodeficiency syndrome. HIV infections
Faculty: Department:	Clinical Sciences & International Health > Clinical Sciences Department
Digital Object Identifer (DOI):	https://doi.org/10.1038/s41591-025-03535-8
Depositing User:	Rachel Dominguez
Date Deposited:	19 Feb 2025 10:40
Last Modified:	20 Mar 2025 13:39
URI:	https://archive.lstmed.ac.uk/id/eprint/26082

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