Reframing HIV Prevention in Sub-Saharan Africa Using Couple-Centered Approaches

Nearly 3 million persons in sub-Saharan Africa are now taking antiretroviral therapy (ART)--an impressive accomplishment. The urgency of sustaining treatment for these patients, and reaching more than 15 million persons with unmet care and treatment needs, underscores the need to reduce HIV incidence. HIV testing and counseling among serodiscordant couples has been associated with reduced transmission, increased condom use, and reduction in sex acts with outside partners as well as increased ART uptake among pregnant women in antenatal clinics. Here, Grabbe and Bunnell discuss how couple-centered approaches are used to reframe HIV prevention in sub-Saharan Africa.