In 2011, South Africa developed a National Strategic Plan (NSP) on HIV, STIs and TB for the period 2011-2016 against a background of international, regional and national obligations and commitments that included, amongst others, the constitution, the Milennium Development Declaration and Goals, the United Nations General Assembly Special Session (UNGASS) Declaratiion and Goals, the Universal Access targets, African Union commitments and Southern African Development Community Commitments.
The NSP (2012-2016) is driven by a long-term vision for the country with respect to the HIV and TB epidemics. It has adapted me Three Zeros that have been advocated for by UNAIDS. The South African vision is: Zero new HIV, STIs, and TB and added a fourth one: Zero new infections due to vertical transmission.
The EC Provincial Strategic (PSP) is aligned with the NSP. The province has adopted, in slightly altered form, the four strategic objectives of the NSP. The province has also reviewed the indicators and activities proposed under each of these objectives.
In addition, the province has identified a number of significant social drivers which stakeholders believe are particulary, identifying high impact interventions to combat these drivers. These specific strategic focus areas are incorporated under the four strategic objectives.
The province has addressed the HIV and TB treatment situations well, and there is evidence that greater access to ART is being provided, even in remote areas, but the prevention of, and treatment management at TB/HIV is still not edequate, and the co-ordination and mobilisation of impact mitigation activities remains very inadequate.
Increasingly, despite South Africa’s extensive resources, it appears that we are not managing to make effective and informed decision to target high impacting interventions. Money is wasted duplicated messaging campaigns; communities are serviced by many care workers from different departments, all doing their job in parallel; political and management principals continuously fail to prioritise HIV and AIDS and TB improvement outcomes; nor do they engage with each other to overcome sile service delivery processes. The large amount of development partner resources funding a wide range of different initiatives in the province has also contributed to the relatively inefficient resource use. There has to date been little co-ordinated across donor agencies, and often these programmes are driven more by the sources’ priorities rather than those of the provinc. Knowledge of good practice and localised impact is lost when projects end, and with this, the opportunity to escalate impacting programmes to scale.
In 2011 the ECAC engaged in a concerted programme to consolidated and co-ordinate development partner funding to ensure a more even and equitable spread of funds across all needs. This will, however, not be a quick process.
- Continuous identification of HIV and TB drivers in the Province
- Design and coordinate the implementation of interventions to reduce the spread of HIV in the Province.
- Advocate for better access to treatment
- Identify barriers to treatment access
- Track the implementation of treatment policy
Research on HIV, TB and STI
- Develop evidence based response to HIV and TB in the province
- Continuous identification drivers of Stigma, discrimination and violation of Human rights in the Province
- Design and coordinate the implementation of interventions to reduce stigma, discrimination and violation of human Rights for people living with HIV in the province spread of HIV in the province
- Design and coordination of interventions that are aimed at mitigating the impact of HIV on those who are affected and infected
- To ensure the functionality of ECAC structures in coordinating the HIV response in the Eastern Cape Province
1. Youth and HIV/Aids
2. Provincial Prevention Strategy for Key Populations
3. World AIDS Day
4. Prevention through Treatment
5. Prevention of new HIV infections through offenders
6. Fixed Dose Combination roll out and prevention drugs stock out
7. Research of HIV incidence within the Correctional Services System