Abstract:
After four decades of the HIV epidemic, women from sub-Saharan Africa remain at a
differentially high risk of acquisition. The Joint United Nations Programme on HIV and
AIDS (UNAIDS) statistics show that the majority of HIV infections occur in this population
and region. Evidence from previous humanitarian crises demonstrated adverse maternal
consequences as a result of neglect for the provision of essential maternal, sexual and
reproductive health services. The ongoing COVID-19 pandemic has had a similar effect,
including an additional risk of HIV acquisition amongst women in sub-Saharan Africa. The
COVID-19 pandemic has aggravated the risk of sub-Saharan Africa women to HIV infection
because of a multitude of factors including child marriages, teenage pregnancies, dropping
out of school, increase in incidence of sexual and gender-based violence and reduced access
to preventive and treatment services for HIV and sexually transmitted infections. These
include provision of care for rape and sexual and gender-based violence victims and provision
of pre-exposure and postexposure prophylaxis for HIV and other STIs. Failure to urgently
restore and maintain robust HIV prevention and treatment during the ongoing COVID-19
pandemic poses a risk of reversing the gains made over the years in reducing the incidence
and morbidity from HIV amongst the population of sub-Saharan Africa women. There is
need for an urgent and robust discourse to formulate effective interventions for protecting
women and girls living in sub-Saharan Africa from an aggravated risk of HIV infection
during the ongoing COVID-19 pandemic and other future humanitarian crises.
