Zimbabwe becomes first African country to approve use of injectable HIV prevention drug

Zimbabwe announced the approval of the use of an injectable HIV pre-exposure prophylaxis drug.
PHOTO: Luke Dray/Getty Images/Stringer

The Medicines Control Authority of Zimbabwe on Monday announced the approval of the use of long-acting injectable cabotegravir (CAB-LA) as a pre-exposure prophylaxis (PrEP) for HIV prevention, a first for Africa.

According to the World Health Organisation (WHO), “CAB-LA may be offered to people at substantial risk of HIV acquisition as part of comprehensive HIV prevention approaches”.

In most African countries, it includes sex workers and LGBTQIA+ communities, sidelined from access to healthcare because of laws and societal segregation.

In June this year, WHO advised countries to take up this initiative after observing a surge in new HIV infections globally.

“HIV prevention efforts have stalled, with 1.5 million new HIV infections in 2021 – the same as in 2020. There were 4 000 new infections every day in 2021, with key populations (sex workers, men who have sex with men, people who inject drugs, people in prisons, and transgender people) and their sexual partners accounting for 70% of HIV infections globally,” WHO said at the time.

Research carried out revealed that CAB-LA injections every two months were safe, well-tolerated, and highly effective in reducing the risk of HIV acquisition among men who have sex with men, as well as transgender and cisgender women.

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