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Although 37% of men and women between the ages of 15 and 49 have been tested for HIV, testing rates are much lower among key populations, such as female sex workers or women who use alcohol or other drugs (AOD).

This is problematic because HIV prevalence among female sex workers exceeds 50% in some areas [].

The HSRC survey also found that among adults aged 15 to 49, the number of new infections was 1.7 times as high among females as among males.

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South Africa has 6.4 million adults over the age of 15 living with HIV.

Gender inequality issues continue to drive the HIV epidemic in South Africa, where Black African women bear the greatest HIV burden.

Limited access to services; little capacity to negotiate sex and condom use; and other legal, social, and economic inequities make women highly vulnerable to HIV infection.

Follow-up interviews are completed at 6 and 12 months.

The biobehavioral intervention in this study merges an efficacious behavioral HIV prevention intervention for women with biomedical prevention through HIV treatment as prevention using a Seek, Test, Treat and Retain strategy.

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