The 2016 Political Declaration on Ending AIDS aimed to reduce the number of new cases of HIV globally among adolescent girls and young women (15 to 24 years old) each year to below 100,000 by 2020. In 2019, this figure stood at 280,0003 worldwide---nearly three times the target.
In sub-Saharan Africa, adolescent girls and young women (15-24 years old) represented a quarter (24%) of all new cases of HIV in 2019—equivalent to 4,500 of them acquiring HIV every week. They also represented 72% of all new cases of HIV among this population group in the world, and 14% of all people in the world who acquired HIV. In 2019 in sub-Saharan Africa, 23,000 adolescent girls and young women died from AIDS-related illnesses.
The gender disparities are stark: within the region, adolescent girls and young women are more than twice as likely to acquire HIV than their male peers. Five in six new cases of HIV among adolescents between the ages of 15 and 19 are among girls. The high risk of acquiring HIV is just one of the many threats adolescent girls and young women face to their health, safety, dignity and life aspirations. While women and girls are biologically more susceptible to HIV than men and boys, unequal gender power dynamics and harmful gender norms are the root cause, compounded by intersecting forms of discrimination.
Keeping girls in secondary school is crucial—a right in and of itself, and a means to protect girls against HIV. Alarmingly, nearly 34 million girls, equivalent to 38% of girls between the ages of 12-14 and 60.5% of girls 15 to 17 years old, were not in secondary school and gender gaps in education persist, according to a 2018 analysis. Sub-Saharan Africa has the highest rates of child marriage and teenage childbearing in the world, factors that contribute to keeping them out of school. Adolescent girls and young women face multiple forms of gender-based and sexual violence, including in schools and from intimate partners. And 24% of young women 15-24 years old are not in employment, education or training. For young women who work, the conditions, pay and income security their jobs offer are poor.
These are among the structural inequalities that have only been exacerbated during the COVID-19 pandemic, and that threaten to roll back gains on their rights and gender equality. Meanwhile, all these intertwined issues in young women’s lives, such as HIV, early and unwanted pregnancy, and violence—and the gender dimensions that fuel them—are avoidable.
The 25th anniversary of the Beijing Platform for Action provides an opportune moment to demand accelerated action in response to the HIV crisis among adolescent girls and young women in sub-Saharan Africa. The Generation Equality Forum and the Action Coalitions serve as key platforms to call upon governments for game-changing commitments in line with this initiative’s vision.