Overview A population-based cross-sectional survey conducted in 2018 in Eshowe/Mbongolwane, KwaZulu-Natal, reveals that while new HIV infections have declined in high-prevalence settings, a subset of HIV-positive individuals with high-risk sexual behavior and limited ART engagement continues to sustain transmission. Focusing on adults aged 15–59, the study analyzes HIV awareness, ART uptake, viral suppression, and sexual…