Background: HIV remains a major public health challenge in Southern Africa, with countries like South Africa, Botswana, Lesotho, Eswatini, Namibia, and Zimbabwe experiencing high prevalence rates. Socioeconomic factors such as poverty, gender inequality, and stigma significantly impact transmission rates and treatment access. This study analyzes HIV prevalence, public health interventions, and
... [Show full abstract] strategies to mitigate the epidemic’s impact. Methods and Materials: Data was collected from national health surveys, WHO and UNAIDS reports, peer-reviewed journals, and government publications. A mixed-methods approach was used, incorporating quantitative prevalence statistics and qualitative assessments of public health measures and societal influences on HIV transmission. Key indicators included prevalence rates, antiretroviral therapy (ART) coverage, and socioeconomic determinants. Results: Findings indicate that Southern Africa has one of the highest HIV prevalence rates globally, with South Africa alone accounting for approximately 7.5 million people living with HIV. Young women (15-24 years old) are disproportionately affected, with prevalence rates exceeding 25% in some areas. Countries with strong healthcare infrastructure and ART programs, such as Botswana, have seen significant progress in reducing new infections. However, stigma, lack of education, and healthcare accessibility gaps remain major barriers. Conclusion: While advancements in ART and prevention strategies like PrEP have improved HIV outcomes, persistent challenges require targeted interventions. Efforts should focus on reducing stigma, increasing HIV testing accessibility, and strengthening healthcare systems. Policy recommendations emphasize community-driven approaches, economic empowerment programs, and sustained investment in HIV prevention and treatment initiatives. Future research should assess the long-term effectiveness of these strategies in mitigating the HIV epidemic in Southern Africa.