Otto, MargotMargotOttoOkango, ElphasElphasOkangoMee, PaulPaulMeeDobra, AdrianAdrianDobraTram, Khai HoanKhai HoanTramGareta, DickmanDickmanGaretaOtambo, WilfredWilfredOtamboMoyo, ReubenReubenMoyoSereo, TumeloTumeloSereoBlose, NtombifuthiNtombifuthiBloseLetoao, Nthoesele ShoeshoeNthoesele ShoeshoeLetoaoMupanguri, LetitsiaLetitsiaMupanguriMwambi, HenryHenryMwambiHerbst, KobusKobusHerbstTanser, FrankFrankTanser2025-07-222025-07-222025-07-01https://boris-portal.unibe.ch/handle/20.500.12422/211637This study examines trends in HIV viral suppression and the impact of age and sex on suppression rates in a rural KwaZulu-Natal (KZN) population-based cohort from 2011 to 2023. Population viral suppression improved over time, peaking at 71% for men and 79% for women in 2022, but declined in 2023 possibly due to COVID-19 disruptions. Viral suppression rates were substantially lower than reported regional estimates for KZN. Disparities among younger males highlight the need for interventions to achieve UNAIDS 95-95-95 targets.en600 - Technology::610 - Medicine & healtharticle10.48620/896964044023610.1097/QAD.0000000000004183