Eastern and Southern Africa

We’re on the frontline in eastern and southern Africa, helping some of the world’s most marginalised communities access HIV and sexual reproduction and health rights services.

HIV and AIDS have had a profound impact on this part of Africa, but there is progress being made.

Challenges remain, however. These vary from community to community, but typically involve a lack of access to good quality HIV and sexual and reproductive health and rights (SRHR) information and services, which is often exacerbated by gender and identity discrimination and even criminalisation of certain behaviours.

For example, in Uganda, the passing of an anti-homosexuality law in 2014 has made accessing vital services extremely difficult, and often dangerous, for the lesbian, gay, bisexual and transgender (LGBT) community.

We want to change this.

We work with partners in some of the most marginalised communities providing access to HIV prevention and treatment services and supporting marginalised groups fighting for their fundamental rights and freedoms.

For example, in Botswana, free HIV treatment is available to anyone who needs it but human rights violations continue to undermine that response. So we work with an organisation that champions the rights of people living with HIV to ensure that they are treated with the justice and dignity they deserve.


  • 10 of the 19 countries that have reported data since 2014 had an HIV prevalence above 40% among sex workers.  This figure includes an alarming 85% prevalence amongst sex workers in Uganda.
  • An estimated one quarter (25%) of new infections were among marginalised people and their sexual partners.
  • Young women aged 15 – 24 years accounted for 26% of new HIV infections in the region.
  • Physical and/or sexual violence by an intimate partner in the past 12 months was reported by about 30% of women in South Africa, Uganda and the United Republic of Tanzania; by more than 25% in Angola, Kenya and Zambia; and by 20% or more in Ethiopia, Malawi, Namibia, Rwanda and Zimbabwe.

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