Ukuhlolwa kwe-HIV eNingizimu Afrika kwehle kakhulu kulandela ukuncipha kwakamuva kwezimali zase-U.S. Ukuhlolwa kwenani legciwane egazini phakathi kwabantu abehlukahlukene njengabesifazane abakhulelwe, izinsana, kanye nabantu abasha—kuye kwehle kwafika ku-21% ezinyangeni ezedlule. Lokhu kwehla kuhambisana nokuhoxiswa kokwesekwa ohlelweni lukaMengameli waseMelika olubizwa nge-Emergency Plan for AIDS Relief (PEPFAR), olwake lwaxhasa izinkulungwane zabasebenzi bezempilo nemitholampilo phambilini.
Ukwehliswa kokuhlolwa kubangela izingozi ezinkulu. Abesifazane abakhulelwe mancane amathuba okuba bahlolwe kusenesikhathi ukuze kuvinjwe ukusulelana ngegciwane lesandulela ngculaza lisuka kumama liye enganeni, kuyilapho ukubambezeleka ekuhlonzweni kwezinsana nentsha kungaba nomthelela emiphumeleni yokwelashwa futhi kwandise izifo ezintsha.
Uhulumeni waseNingizimu Afrika uwubonile umthelela wokusikeka futhi usebenzela ukunciphisa ukuphazamiseka. Nakuba engakwazi ukuvala ngokugcwele uxhaso olulahlekile, uhulumeni ukubeka eqhulwini ukufinyelela ekwelashweni ngezidambisigciwane nokusebenzisana nabalingani basekhaya nabasemhlabeni wonke ukuze bathole ezinye izixazululo zoxhaso.
Imizamo iyenziwa futhi yokunxenxa iziguli ohlelweni lwezempilo lomphakathi futhi kudambiswe ingcindezi ngemiyalelo yedijithali kanye nokukhipha imithi yesikhathi eside. Kodwa-ke, ochwepheshe baxwayisa ngokuthi ngaphandle kokusekelwa okusimeme, izwe lingase libhekane nokwanda kokufa kanye nokutheleleka okuhlobene ne-HIV, okusongela iminyaka yenqubekela phambili ekulweni nalolu bhubhane.