The HIVAIDS Epidemic in Zimbabwe- Fact Sheet

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					                                                                                                     The HIV/AIDS Epidemic in Zimbabwe                                                                                                  October 2005
Zimbabwe has almost two million people estimated to be living with HIV/AIDS (1.8 million as of the end of 2003), representing the third
largest HIV/AIDS burden in sub-Saharan Africa.1,2 The HIV/AIDS prevalence rate (the percent of people living with the disease) in
                                                                                                                             3
Zimbabwe is among the highest in the world, 1 although recent evidence suggests that prevalence may be starting to decline. The
epidemic continues to pose significant development challenges to this low-income country, which faces additional complications
including drought conditions, substantial internal migration and displacement, and other factors that exacerbate the epidemic’s
impact.2,4,5,6 The Government of Zimbabwe established a National AIDS Coordination Programme (NACP) in 1987. In 2000, the
Government formed the National AIDS Council (NAC), and is currently developing its National AIDS Strategic Framework for 2005-
      2,4
2009.
         Figure 1: Percent of Adults Estimated to be Living                                                                             Figure 2: Number of People Estimated to be Living
                        with HIV/AIDS, 2003                                                                                                           with HIV/AIDS, 2003

                          Swaziland                                                                               38.8%                                 South Africa                                                                          5,300,000
                          Botswana                                                                             37.3%                                             Nigeria                                                                3,600,000
                             Lesotho                                                             28.9%                                                      Zimbabwe                                        1,800,000
                         Zimbabwe                                                        24.6%                                                               Tanzania                                    1,600,000
                      South Africa                                                  21.5%                                                               Mozambique                                   1,300,000
                             Namibia                                               21.3%                                                                          Kenya                            1,200,000
                              Zambia                                       16.5%                                                      Dem. Republic of Congo                                     1,100,000
                               Malawi                                  14.2%                                                                                    Zambia                         920,000
                      Mozambique                                   12.2%                                                                                        Malawi                        900,000
                           Tanzania                          8.8%                                                                                             Uganda                    530,000
                                Kenya                    6.7%                                                                                              Botswana                   350,000
                              Nigeria                  5.4%                                                                                                     Ghana                 350,000
    Dem. Republic of Congo                            4.2%                                                                                                    Lesotho                320,000
                             Uganda                  4.1%                                                                                                        Angola             240,000
                               Angola               3.9%                                                                                                   Swaziland                220,000
                               Ghana               3.1%                                                                                                        Namibia              210,000
                      Madagascar                 1.7%                                                                                                   Madagascar                140,000
                       Seychelles*            0.2%                                                                                                          Mauritius*          700
                         Mauritius**          0.1%                                                                                                      Seychelles**            <200
  Sources: UNAIDS, 2004 Report on the Global AIDS Epidemic, and 2002 Report on the Global AIDS Epidemic. *As of 2002. **As of 2001.    Sources: UNAIDS, 2004 Report on the Global AIDS Epidemic, and 2002 Report on the Global AIDS Epidemic. *As of 2002. **As of 2001.


Overview
•  The first case of AIDS in Zimbabwe was reported in 1985.7,8
•  Zimbabwe had an estimated 1.8 million people living with HIV/AIDS as of the end of 2003,1 and there are approximately 200,000
                                                9
   new HIV infections annually in Zimbabwe.
                                    10
•  The HIV/AIDS prevalence rate in Zimbabwe is 24.6%, or one in four adults, significantly higher than the prevalence rate of the
                                                                 1,11
   sub-Saharan African region (7.5%) and the global rate (1.1%).
•  In 2003, an estimated 170,000 Zimbabweans died of HIV/AIDS, and life expectancy at birth in Zimbabwe has fallen to 34 years in
                               1,12
   large part due to HIV/AIDS.       Nine in ten deaths among Zimbabwean adults are due to HIV/AIDS. 11
•  HIV is spread primarily through heterosexual sex in Zimbabwe. 5
Populations and Regions Affected
•  Women account for more than half (58%) of adults estimated to be living with HIV/AIDS in Zimbabwe.1 New HIV infections among
   women outnumber those among men in Zimbabwe. 9
•  Young women are especially hard hit by HIV/AIDS in Zimbabwe.11 Among young people ages 15-24, the estimated number of
   young women living with HIV/AIDS in Zimbabwe was more than twice that of young men.13
•  In 2003, 120,000 children14 in Zimbabwe were estimated to be living with HIV/AIDS and there were an estimated 980,000 AIDS
   orphans.1,15
•  There is significant variation in the epidemic’s impact across the country, with higher HIV prevalence rates occurring in urban,
   compared to rural, areas. HIV prevalence is also higher in mining and commercial farming areas, and in administrative centers.9,16
Other Key Data
                                                                                                                   5
•   Knowledge of HIV/AIDS: Studies have found that general awareness of HIV/AIDS in Zimbabwe is relatively high. For example,
    among young people ages 15-24, almost three fourths (74%) of young women and 83% of young men knew that a healthy looking
    person could be infected with HIV.1
•   Access to Antiretroviral Therapy (ART): Access to ART is quite limited in Zimbabwe. With over 300,000 people in need of ART,
    Zimbabwe is among the 20 countries identified by the World Health Organization (WHO) as having the highest unmet need for
    ART. As of June 2005, an estimated 9,500–16,000 people were receiving ART in Zimbabwe (3-5% of those in need).17

  The Henry J. Kaiser Family Foundation: 2400 Sand Hill Road, Menlo Park, CA 94025 Phone: (650) 854-9400 Facsimile: (650) 854-4800 Website: www.kff.org
  Washington, DC Office: 1330 G Street, NW, Washington, DC 20005 Phone: (202) 347-5270 Facsimile: (202) 347-5274
International Support/Major Donors
•    A number of donor governments provide funding and other support to address Zimbabwe’s HIV/AIDS epidemic, including the United
     States, the United Kingdom, Belgium, Canada, France, Germany, Italy, Japan, the Netherlands, New Zealand, Norway, Spain,
     Sweden and the European Union.4,18 The U.S. Government provides bilateral assistance to Zimbabwe for its HIV/AIDS activities,
     although Zimbabwe is not one of the 15 focus countries of the United States’ President’s Emergency Plan for AIDS Relief
     (PEPFAR).19 The U.S. also provides support for HIV/AIDS efforts around the world through its contributions to the Global Fund to
     Fight AIDS, Tuberculosis and Malaria (The Global Fund).
•
                                                                      20
     The Global Fund has approved one HIV/AIDS grant in Zimbabwe.
•    UNAIDS and the UN Family support a variety of HIV/AIDS activities in Zimbabwe.2,4

     Table 1: HIV/AIDS in Zimbabwe1,13,17
        Indicator                                                                                       Zimbabwe                     Sub-Saharan Africa                    Global

        Estimated number of people living with HIV/AIDS, 2003                                           1.8 million                  25 million                            37.8 million

        Percent of adult population estimated to be living with
                                                                                                        24.6%                        7.5%                                  1.1%
        HIV/AIDS, 2003

        Estimated number of deaths due to HIV/AIDS, 2003                                                170,000                      2.2 million                           2.9 million

        Women as percent of adults estimated to be living with
                                                                                                        58%                          57%                                   48%
        HIV/AIDS, 2003

        Percent of young women, ages 15-24, estimated to be living
                                                                                                        26.4 – 39.6%                 8.9%                                  1.4%
        with HIV/AIDS, 2001

        Percent of young men, ages 15-24, estimated to be living with
                                                                                                        9.9 – 14.9%                  4.4%                                  0.8%
        HIV/AIDS, 2001

        Estimated number of AIDS orphans, 2003                                                          980,000                      12.1 million                          15 million

        Number of people estimated to be receiving antiretroviral
                                                                                                        9,500 – 16,000               500,000                               970,000
        therapy (ART), June 2005

        Number of people estimated to be in need of ART, June 2005                                      308,000                      4.7 million                           6.5 million


Key Sources/Websites
•   Government of Zimbabwe, Ministry of Health and Child Welfare: www.mohcw.gov.zw/
•   Zimbabwe National AIDS Council (NAC): www.nac.co.zw/21
•   Zimbabwe AIDS Network (ZAN): www.zan.co.zw/
•   Women and AIDS Support Network (WASN): www.wasn.org.zw/
•   Southern African Network of AIDS Service Organisations (SANASO): www.sanaso.org.zw/country-networks.htm#zimbabwe
•   UNAIDS Zimbabwe Country Page www.unaids.org/en/geographical+area/by+country/zimbabwe.asp
•   UNAIDS Zimbabwe: www.unaids.org.zw/
•   World Health Organization, Zimbabwe Country Page: www.who.int/countries/zwe/en/
References
1
  UNAIDS, 2004 Report on the Global AIDS Epidemic, July 2004.
2
  UNAIDS Zimbabwe Country Page: www.unaids.org/en/geographical+area/by+country/zimbabwe.asp.
3
  UNAIDS Zimbabwe, “Declining HIV Prevalence and Incidence Trends”: www.unaids.org.zw/.
4
  UNAIDS, UNAIDS at Country Level: Progress Report, 2004.
5
  Central Statistical Office [Zimbabwe] and Macro International, Inc. Zimbabwe Demographic and Health Survey 1999, 2000.
6
  World Bank, “Country Classification: Country Groups”: www.worldbank.org/data/countryclass/classgroups.htm#Low_income.
7
  Government of Zimbabwe, Ministry of Education, Sport and Culture, “Strategic Plan: 2002-2006”, 2002.
8
  Mapenzauswa, S., Reuters NewsMedia, “Zimbabwe Holds First National Meeting on AIDS Crisis”, June 15, 2004.
9
  WHO, “Zimbabwe: Summary Country Profile for HIV/AIDS Treatment Scale-Up”, June 2005.
10
   Among adults ages 15-49.
11
   USAID, “Health Profile: Zimbabwe – HIV/AIDS”, December 2004.
12
   UNAIDS, “Africa Fact Sheet”, March 2005.
13
   UNAIDS, Youth and HIV/AIDS: Opportunity in Crisis, 2002.
14
   Under age 15.
15
   Ages 0-17, living in 2003.
16
   UNAIDS/WHO, “Zimbabwe: Epidemiological Fact Sheet on HIV/AIDS and Sexually Transmitted Infections – 2004 Update”: www.unaids.org/html/pub/publications/fact-
sheets01/zimbabwe_en_pdf.pdf.
17
   WHO, Progress on Global Access to HIV Antiretroviral Therapy, June 2005.
18
   UNAIDS Zimbabwe, “Bilateral Donors”: www.unaids.org.zw/bilateral_donor.htm.
19
   U.S. Department of State, Office of the Global AIDS Coordinator: www.state.gov/s/gac.
20
   The Global Fund: www.theglobalfund.org.
21
   Website under development.

         Prepared by Jennifer Kates and Alyssa Wilson Leggoe of the Kaiser Family Foundation (KFF). Additional copies of this publication (#7370) are available on the Kaiser Family
         Foundation’s website at www.kff.org.
         The Kaiser Family Foundation is a non-profit, private operating foundation dedicated to providing information and analysis on health care issues to policymakers, the media, the
         health care community, and the general public. The Foundation is not associated with Kaiser Permanente or Kaiser Industries.