With the HIV prevalence rate climbing the Commission warns that stigma and reluctance to seek treatment are major barriers to controlling the spread of the virus.

By Emmanuel Mandella

The Western Equatoria State (WES) HIV/AIDS Commission has made an urgent appeal for stakeholders to intensify efforts to combat the HIV epidemic, highlighting the need for confidentiality and stronger support systems for vulnerable communities. With the HIV prevalence rate climbing from 9.6% in 2022 to 11.5% in 2024, according to recent data, the Commission warns that stigma and reluctance to seek treatment are major barriers to controlling the spread of the virus.

In a press briefing in Yambio on Tuesday, Monica Andrea, the acting chairperson of the Western Equatoria State HIV/AIDS Commission, emphasized the role of healthcare workers, journalists, civil society, faith-based organizations, and local groups in combating the epidemic while protecting the privacy of people living with HIV (PLHIV).

“We must collectively address stigma to encourage people to seek treatment and support,” she stressed.

She further revealed that Mundri West and Mundri East Counties have reported the highest prevalence rates in the state due to the lack of access to proper health care facilities, while stigma and hesitation to take antiretroviral (ARV) medications remain rampant in counties like Ibba, Maridi, and Mvolo.

She urged organizations from across South Sudan to support HIV programs in Western Equatoria State, but stressed the importance of alignment with local guidelines.

“We are ready to work with any organization willing to help, as long as their approach is appropriate and effective, but we are appealing to the national commission to consider the state than doing every approval all in Juba,” she said.

According to the Data, Western Equatoria State paints a concerning picture. Alexander Godfrey, Senior Program Officer for HIV/AIDS Prevention and State Supervisor for the Communities, Rights, and Gender (CRG) Assessment, revealed that the prevalence in Western Equatoria State has surged, particularly in Ezo County, where it stands at 14%.

“This rise is alarming, and the stigma continues to prevent people from seeking life-saving treatments,” said Mr. Godfrey. He called for urgent action to address these challenges and for more coordinated efforts among healthcare providers and community leaders.

Cross-border challenges also compound the problem, with people from neighboring Congo seeking HIV services in South Sudan, especially in Western Equatoria, further straining local resources.

Santino David Tambua, another member of the commission, reiterated the need for collaboration to bring the HIV rates down.

“Our aim is to reduce new HIV cases to zero by 2030, but achieving this requires stronger collaboration, sufficient funding, and a commitment from all stakeholders,” he said.

Despite increased awareness efforts, stigma remains one of the most significant barriers to fighting HIV in South Sudan. Ditta Zacharia Ganga, a trained professional in HIV programs in Yambio, warned that stigmatization leads to trauma and isolation, exacerbating health issues for PLHIV.

“My message to partners is to focus on awareness to stop finger-pointing, as it can cause trauma and isolation, leading to additional health problems,” she said.

Ganga also urged individuals living with HIV to remain committed to their treatment. “If you have HIV, take your medication and take care of your health. Don’t stop your treatment. And those infected should not spread the virus to others,” she advised.

In Comparing Progress from 2022 to 2024, the past two years have seen both progress and setbacks in the fight against HIV in South Sudan. The rise in prevalence from 9.6% in 2022 to 11.5% in 2024 points to an ongoing crisis, despite concerted efforts to raise awareness and provide treatment.

While the availability of antiretroviral drugs (ARVs) has improved, widespread stigma and the lack of adequate health infrastructure continue to hinder progress.

On the positive side, there has been a noticeable increase in the engagement of civil society and faith-based organizations in spreading awareness about HIV. This has led to a growing number of PLHIV seeking support, particularly in urban areas like Yambio, Juba, Rumbek and Wau.

However, rural regions remain excessively affected, with fear of judgment driving people away from health centers.

With the HIV rate still climbing and stigma deeply entrenched, Western Equatoria State faces an uphill battle. The Commission’s urgent call for confidentiality and sustained efforts underlines the need for collective responsibility.

As the region works toward achieving zero new HIV cases by 2030, it will require not only the commitment of government and healthcare institutions but also the involvement of local communities in breaking down barriers of shame and discrimination.

“The fight against HIV is not over,” said Monica. “But with collaboration, compassion, and confidentiality, we can turn the tide.”

“Our aim is to reduce new HIV cases to zero by 2030, but achieving this requires stronger collaboration, sufficient funding, and a commitment from all stakeholders,” Santino David Tambua, another member of the Commission.