Top 10 Cities with the Highest HIV Rate in South Africa

Top 10 Cities with the Highest HIV Rate in South Africa

Top 10 Cities with the Highest HIV Rate in South Africa

HIV/AIDS is more prevalent among females in South Africa, especially those under the age of 40. Below are HIV/AIDS prevalence (by province) among adults ages (15 to 49) in South Africa as of 2018:

  • KwaZulu-Natal: 27.0%
  • Mpumalanga: 22.8%
  • Free State: 25.5%
  • North West: 22.7%
  • Gauteng: 17.6%
  • Eastern Cape: 25.2%
  • Limpopo: 17.2%
  • Northern Cape: 13.9%
  • Western Cape: 12.6%

In some communities of KwaZulu-Natal Province, South Africa, 60 percent of women have HIV. Nearly 4,500 South Africans are newly infected every week; one-third are adolescent girls/young women (AGYW) ages 15-24. These are staggering figures, by any stretch of the imagination. Yet, the HIV epidemic is not being treated like a crisis.

Top 10 Cities with the Highest HIV Rate in South Africa

South Africa has the biggest HIV epidemic in the world, with 7.7 million people living with HIV.
HIV prevalence among the general population is high at 20.4%. Prevalence is even higher among men who have sex with men, transgender women, sex workers and people who inject drugs.
South Africa has made huge improvements in getting people to test for HIV in recent years. It has now met the first of the 90-90-90 targets, with 90% of people living with HIV aware of their status in 2018.
The country has the world’s largest ART programme, which has undergone further expansion with the implementation of ‘test and treat’ guidelines.
South Africa was the first country in sub-Saharan Africa to fully approve PrEP, which is now being made available to people at high risk of infection.

Graph showing the number of people living with HIV receiving treatment in South Africa, from 2016 to 2018

In 2008, more than half (55%) of all South Africans infected with HIV resided in the KwaZulu-Natal and Gauteng provinces.

Between 2005 and 2008, the total number of people infected with HIV/AIDS has increased in all of South Africa’s provinces except KwaZulu-Natal and Gauteng. Nevertheless, KwaZulu-Natal still has the highest infection rate at 15.5% In the province with the lowest infection rate, the Western Cape, the total number of people with HIV/AIDS doubled between 2005 and 2008.

Condom use has increased twofold in all provinces between 2002 and 2008. The two provinces where condoms were least used in 2002 were also the provinces where condoms are least used in 2008, namely the Northern Cape and the Western Cape.

Top 10 Cities with the Highest HIV Rate in South Africa

As of 2018, HIV/AIDS prevalence among South African adults ages 15 to 49 by province are:

1.KwaZulu-Natal: 27.0%

KwaZulu-Natal is a province of South Africa that was created in 1994 when the Zulu bantustan … KwaZulu-Natal, 27 April 1994. Capital, Pietermaritzburg.

One of the country’s most popular holiday destinations, KwaZulu-Natal is the second most populated of South Africa’s provinces. Principal languages spoken in KwaZulu-Natal include isiZulu (77,8%), English (13,1%), and Afrikaans (1,5%).


2.Mpumalanga: 22.8%

Nelspruit, city, capital of Mpumalanga province, South Africa.
Mpumalanga means “the place where the sun rises” and it’s no surprise that the province is known for its astounding natural beauty; a landscape where cascading waterfalls meet wetlands, deep forests, and savannahs filled with grazing wildlife. … The Mpumalanga Province occupies the north eastern region of South Africa.

3.Free State: 25.5%

Free State, province, east-central Republic of South Africa. Under the name Orange Free State, it was originally a Boer state and then (from 1910) one of the traditional provinces of South Africa; it was renamed Free State in 1995. Free State is bordered on the north by North West, Gauteng, and Mpumalanga provinces, on the east by KwaZulu-Natal province and the independent state of Lesotho, on the south by Eastern Cape province, and on the west by Northern Cape province. The provincial capital, Bloemfontein, is also the national judicial capital.


4.North West: 22.7%

North West (Tswana: Bokone Bophirima; Southern Sotho: Leboya Bophirima; Northern Sotho: Leboa-Bodikela) is a province of South Africa. Its capital is Mahikeng. The province is located to the west of the major population centre of Gauteng.


5.Gauteng: 17.6%

Gauteng is one of the nine provinces of South Africa. The name in Sotho-Tswana languages means “place of gold”. Situated on the Highveld, Gauteng is the smallest province in South Africa. Though Gauteng accounts for only 1.5% of the country’s land area, it is home to more than a quarter of its population.
Area: 18,176 km²
Population: 12.27 million (2011)
Colleges and Universities: University of South Africa, MORE
Clubs and Teams: Orlando Pirates F.C.,


6.Eastern Cape: 25.2%

The Eastern Cape is one of the provinces of South Africa. Its capital is Bisho, but its two largest cities are East London and Port Elizabeth.
Area: 168,966 km²
Premier: Oscar Mabuyane
Population: 6.562 million (2011)
Colleges and Universities: University of Fort Hare

7.Limpopo: 17.2%

Limpopo is a South African province bordering Botswana, Zimbabwe and Mozambique. It’s known for bushveld and wildlife reserves, including part of Kruger National Park. West of the Kruger are the craggy Blouberg mountains and Makgabeng Plateau with ancient rock art. Near the provincial capital Polokwane, the Arend Dieperink Museum and fossil-rich caves of Makapansgat explore history dating back to early hominids. ― Google
Area: 125,754 km²
Population: 5.405 million (2011)
Colleges and Universities: University of Limpopo,
Clubs and Teams: Dynamos F.C., Limpopo Pride


8.Northern Cape: 13.9%

The Northern Cape is South Africa’s largest province, with desert landscapes, wildlife and gemstones. With Botswana, it shares Kgalagadi Transfrontier Park, whose red sand dunes shelter lions and falcons. Wild daisies and other springtime flowers carpet the typically arid plains of Namaqualand, a region stretching into Namibia. In Kimberley, the provincial capital, The Big Hole mine recalls the 1870s diamond rush.
Area: 372,889 km²
Population: 1.146 million (2011)
Area rank: 1st in South Africa
University: Sol Plaatje University – North Campus: Luka Jantjie House
Team: Northern Cape cricket team


9.Western Cape: 12.6%

The Western Cape is a South African province with coasts bordering the Indian and Atlantic oceans. It’s known for the port city of Cape Town, set beneath Table Mountain, part of a national park of the same name. In Table Bay, Robben Island is the notorious prison that once held Nelson Mandela, and is now a living museum. Farther afield, winelands surround historical towns like Stellenbosch, Franschhoek and Paarl.
Population: 5.823 million (2011)
Premier: Alan Winde
Colleges and Universities: University of the Western Cape


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