Table 2.
Age of consent to HTS policies in sub-Saharan Africa
National policies reviewed (n=49) (categories not mutually exclusive) | No. of countries (%) |
Policy existing for HTS, age of consent clearly defined (including no age limit) | 30 (61.2%) |
Policy existing for HTS but no age of consent specified* | 8 (16.3%) |
Total number of countries with policies discussing age of consent to HTS | 38 (77.6%) |
Policy existing for HTS but no mention of ‘adolescent’ or ‘minor’ | 1 (2.0%) |
No policy for HTS | 10 (20.4%) |
Total number of countries either without HTS policies or that have policies that do not mention adolescents or minors | 11 (22.4%) |
National age of consent to HTS (n=38)
The year following the country indicates the year of publication for national policy. |
No. of countries (%) |
Age of minor not defined Angola, 201534; Burundi, 201435; Cameroon, 201536; Cape Verde, 200537; Chad, 201138; the Comoros, 200739; DRC, 201740; Guinea, 201841; Nigeria, 201642; Sudan, 201643 |
10 (26.3%) |
No age limit—all or most adolescents eligible† Botswana, 201644 |
1 (2.6%) |
12 years Lesotho, 201645; Mozambique, 201546; Rwanda, 201647; South Africa, 201648; Eswatini, 201849; Uganda, 201650 |
6 (15.8%) |
13 years The Gambia, 201451; Malawi, 201652 |
2 (5.3%) |
14 years Liberia, 201553; Namibia, 201654 |
2 (5.3%) |
15 years Ethiopia, 201755; Kenya, 201556; Senegal, 201757; Somalia, 201758; United Republic of Tanzania, 201959 |
5 (13.2%) |
16 years Côte d'Ivoire, 201960; Ghana, 201761; Zambia, 201662; Zimbabwe, 201463 |
4 (10.5%) |
18 years Benin, 201764; Burkina Faso, 200865; Central African Republic, 201066; Eritrea, 201967; Madagascar, 201168; Mali, 201769; Sierra Leone, 201770; South Sudan, 201771 |
8 (21.1%) |
*These countries used the term ‘minor’ in their guidance, but do not specify an age.
†These countries stipulate considerations other than age to allow access to HTS (eg, shows maturity; of reproductive age; or married, pregnant or engaged in behaviour that would put them at risk).
DRC, Democratic Republic of the Congo; HTS, HIV testing services.