Under-reporting of HIV and AIDS as an underlying cause of death in South Africa

Under-reporting of HIV-related and AIDS-related deaths is a major problem in South Africa, with only 27.9% of documented HIV-related deaths in medical records reported as such in the official cause of death data. The legacy of AIDS denialism in South Africa, confidentiality concerns, and anticipated stigma appear to have created a culture of not recording HIV as an underlying cause on the official medical certificate of death. Inaccurate statistics could affect resource allocation for the epidemic.

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Publication Details

Journal
AIDS
Published
2025-08-28
DOI
https://doi.org/10.1097/qad.0000000000004281
Citations
1
Primary Topic
Global Cancer Incidence and Screening
Type
article
Field-Weighted Citation Impact
1.05
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Abstract

Under-reporting of HIV-related and AIDS-related deaths is a major problem in South Africa, with only 27.9% of documented HIV-related deaths in medical records reported as such in the official cause of death data. The legacy of AIDS denialism in South Africa, confidentiality concerns, and anticipated stigma appear to have created a culture of not recording HIV as an underlying cause on the official medical certificate of death. Inaccurate statistics could affect resource allocation for the epidemic.

AIDSVol. 39(12)
South African Medical Research Council (ZA)
Openalex Percentile: Top 18%
Global Cancer Incidence and Screening
1.05
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