n Southern African Journal of HIV Medicine - The emerging need for adolescent-focused HIV care in South Africa : opinion

Volume 10, Issue 4
  • ISSN : 1608-9693
  • E-ISSN: 2078-6751



Before the widespread introduction of antiretroviral therapy (ART), most perinatally infected children did not survive beyond the first 2 years of life. With treatment, HIV-positive children are living longer. In the developed world, where HAART has been widely available since 1996, survival of perinatally infected children into adolescence is now the norm. Of a French cohort of perinatally infected children born before 1993, 58% were still alive and receiving HIV care 13 years later. In the UK the proportion of HIV-infected children in care aged 10 - 19 years increased from 11% to 44% between 1996 and 2005. As HAART becomes increasingly available in South Africa, we can expect similar trends.

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