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Heterosexual sex accounts for the vast majority (80%) of all HIV infections in Tanzania and women are particularly affected.4 Women are heavily burdened by HIV in Tanzania where 780,000 women aged 15 and over are living with HIV.5 According to the 2011-12 Tanzania HIV/AIDS and Malaria Indicator Survey (THMIS), the most recent available, HIV prevalence for women was 6.2%, compared to 3.8% for men.6 Women aged 23-24 were also twice as likely to be living with HIV than men of the same age.

HIV prevalence among women ranged from 1% among those aged 15-19 to 10% among women aged 45-49.7 In 2012, more than 26,000 women aged 15-24 became infected with HIV, compared to around 14,000 men of the same age.8 Women tend to become infected earlier, because they have older partners and get married earlier.9 They also experience great difficulty in negotiating safer sex because of gender inequality.

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Some regions report an HIV prevalence of around 1.5% (Manyara) while other regions have prevalence as high as 14.8% (Njombe).3 Overall, the epidemic has remained steady because of on-going new infections, population growth and increased access to treatment.

Tanzania’s HIV epidemic is generalised, with pockets of concentrated epidemics among key populations such as people who inject drugs, men who have sex with men, mobile populations and sex workers.

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