While new HIV infections have declined, HIV -related deaths have risen by 50 percent among adolescents. Much remains in addressing the various structural factors that drive the epidemic. In 2011, there were an estimated 1.2 million adolescents 10-19 years old living with HIV in Eastern and Southern Africa, more than half of all HIV-positive adolescents globally.

Mortality among 15-19 year old HIV positive males is higher than among girls as this age group is not accessing HIV and health services. AIDS and adolescent pregnancy are the leading cause of maternal mortality among teenage girls and young women.   

• 80’000 adolescents and young people in target communities (target will be considerably increased based on current data analysis of previous phase)

• Girls and women

• Communities in Zambia, Zimbabwe, Botswana, Tanzania and Malawi. 

• Health Ministries of Zambia, Zimbabwe, Botswana, Tanzania and Malawi. 

• 80’000 adolescents and young people in target communities (target will be considerably increased based on current data analysis of previous phase)

• Girls and women

• Communities in Zambia, Zimbabwe, Botswana, Tanzania and Malawi. 

• Health Ministries of Zambia, Zimbabwe, Botswana, Tanzania and Malawi. 

• Other SADC governments such as Education will be targeted through advocacy and interventions  at the regional level

• Education sectors in 7 member states respond to the prevention, care and support needs of children and youth, especially vulnerable girls
• Local services and safety nets in Member States address HIV/AIDS, SRHR and other health needs of children and youth, especially vulnerable girls
• Member states promote and protect the rights of marginalised, vulnerable children and youth

Expected results:  

• 122 community structures, including service providers capacitated to map HIV and SRHR issues and resources

• Women and young people supported in programming and leadership in SRHR and HIV (outreach per community approx. 5’000 persons)

• Community structures capacitated to develop and implement advocacy strategies to address SRHR practices and norms harmful to women and young people.

• Increased dialogue between community, national and regional levels on equitable and inclusive SRHR. 

Results from previous phases:  

• 80 000 women and young girls reached with services and information on women’s and young girls’ SRHR. 

• SAT partners in Malawi successfully lobbied the government to address national level Anti-Retroviral Treatment shortages and lobbied for the provision of mobile clinics thus bringing Anti-Retroviral Treatment at 5km instead of 42km walking distance.

• 85 percent of the targeted communities in Zambia and Malawi now report cases of Gender Based Violence (GBV) to the police as a result of awareness raising and community mobilisation activities. In most communities, traditional leaders have enacted by-laws to prevent gender based violence.

• The Ministries of Health and Education in Zambia and Swaziland agreed to integrate Comprehensive Sexuality Education into their curriculum.

Southern African Aids Trust (SAT)  

Phase 4 01.11.2013 - 28.02.2019   (Completed)