The Impact on Life Expectancy

In many countries of sub-Saharan Africa, AIDS is erasing decades of progress in extending life expectancy. A recent study found that the average life expectancy of individuals living in sub-Saharan Africa has fallen by five years since the early 1990s, mainly because of AIDS.35 In Swaziland it has been estimated that life expectancy at birth, which is currently just 33, would be 66 without AIDS.36 37

The impact that AIDS has had on average life expectancy is partly attributed to child mortality, as increasing numbers of babies are born with HIV infections acquired from their mothers. The biggest increase in deaths, however, has been among adults aged between 20 and 49 years. This group now accounts for 60% of all deaths in sub-Saharan Africa, compared to 20% between 1985 and 1990, when the epidemic was in its early stages.38 By affecting this age group so heavily, AIDS is hitting adults in their most economically productive years and removing the very people who could be responding to the crisis.