IMPLEMENTATION PLANIMPLEMENTATION PLANTO SCALE UPTO SCALE UP
HIV/AIDS PREVENTION AND HIV/AIDS PREVENTION AND TREATMENTTREATMENT
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National Strategic Plan on HIV and AIDS, 2007-2011 Goals
• To reduce the rate of HIV infection by 50% by 2011
• 80% of people that need treatment to be provided with antiretroviral treatment
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The Turning Point
(World AIDS Day – 01 December 2009)• Major Announcements made by the
President:• New treatment regiments- Pregnant women to start treatment at CD-4
count of 350 or less- All TB/HIV co-infected people to start
treatment at CD-4 count 350 or less
TOP SECRET 3
The Turning Point continued
• A new package of preventative measures- All pregnant women not on treatment to start
PMTCT at 14 weeks- All HIV positive infants (1 year or less) to start
treatment on diagnosis, regardless of their CD-4 count (70 000 born HIV positive annually in SA
TOP SECRET 4
Implementation of World AIDS Day Announcements
Prevention strategy for HIV/AIDS
• Information, education, mass mobilisation
• STI detection and management
• Know your status – HIV testing and counselling
• Widespread provision of condoms (male and female)
• Medical male circumcision
• Prevention of mother to child HIV transmission (PMTCT)
• Safe blood transfusion• Post-exposure
prophylaxis• Life skills education 5
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I AM RESPONSIBLE...I must take responsibility for my own
health and HIV status i.e. if I am HIV negative, to stay negative, if I am HIV positive, to seek support and services
to ensure I am healthy and don’t spread the virus to others, be they
partners or children
Campaign Theme – Continuation from World AIDS Day
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WE ARE RESPONSIBLEWe must take collective responsibility
for enabling those in our sphere of influence to make healthy choices (be they our children, our sexual partners,
our employees etc.)
Campaign Theme – Continuation from World AIDS Day
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SOUTH AFRICA IS TAKING RESPONSIBILITY
Government and social partners are taking collective responsibility to ensure that quality services are
available when people present to test and to treat
Campaign Theme – Continuation from World AIDS Day
HCT Targets – Initial launch districts- conducted on 30 April
TOTAL
POPULATIONTARGETED
POPULATIONTARGETED
PRETEST COUNSTARGETED
TESTSEC OR Tambo 1,828,557 1,009,611 544,177 494,709
FS Fezile Dabi 794,184 519,765 280,154 254,685
GP Ekurhuleni 2,622,298 1,805,692 973,268 884,789
KZN uMgungundlovu 1,001,811 657,349 229,354 322,101
LP Capricorn 1,206,089 696,763 375,555 341,414
MP Gert Sibande 920,205 568,001 306,152 278,320
NWDr. Kenneth Kaunda 708,193 466,495 251,441 228,583
WC Cape Town 3,242,009 2,167,516 1,168,291 1,062,083
NCJT Gaetswe (Kgalagadi) 197,627 116,970 63,047 57,315
Total 12,520,973 8,008,162 4,191,439 3,923,9999
HCT Targets- Provinces
TOTAL
POPULATIONTARGETED
POPULATION
TARGETED PRETEST COUNS
TARGETED TESTS
EC All districts 6,884,482 4,117,741 2,219,462 2,017,693
FS All districts 2,972,983 1,926,174 1,059,396 963,087
GP All districts 9,859,543 6,834,865 3,683,992 3,349,084
KZN All districts 10,077,620 6,243,334 3,365,157 3,059,234
LP All districts 5,357,949 3,144,090 1,694,664 1,540,604
MP All districts3,646,123 2,236,374
1,205,405 1,095,823
NW All districts 3,229,078 2,038,488 1,098,745 998,859
WC All districts 4,945,732 3,280,801 1,768,351 1,607,592
NC All districts 1,108,599 689,675 371,735 337,941
National 48,082,109 30,511,542 16,466,907 14,969,91710
Full range of services provided by HCT sites
• HIV counselling and testing (HIV)• Blood pressure (Hypertension)• Blood sugar (Diabetes mellitus)• HB (Anaemia)• TB screening (symptomatic screening, 5
questions)– Full clinical TB screening is yes to any of the
5 questions (sputum, culture, x-rays)11
Testing
Condoms
Medical Male Circumcision
INH Prophylaxis for TB Prevention
ART for Pregnant Women
TB-HIV Co-infected Patients
Infants accessing ART
Total ART Patients
ART Provision
4,300 PHC Facilities providing
Full package ART by
March 2011
Human Resources
Summary Estimates by end of June 2011:
Total tested: 15 millionTotal testing positive: 1.65 million
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Strategies and Interventions Progress
Output: Combating HIV and AIDS and decreasing the burden of disease from Tuberculosis
Implementing Health care provider-initiated Counselling and Testing(HCT )Campaign
Patients Counseled: 6,021,330
Tested in Public sector: 5,105,873Tested in Private sector: 369,432Total number Tested : 5,474,505 Acceptance rate: 85%
Tested positive : 936,168Positivity Rate : 18%
Target reached to date: 68,6%
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HIV Data Jan 2011
Province Pre-test Tested Positive Negative Positivity 8 months
targetTarget
Achieved
EC 847,410 678,237 85,251 592,986 13% 1076103 63%
FS 382,086 313,357 65,009 248,348 21% 513647 61%
GP 953,638
953,638 227,824 725,814 24% 1786178 53%
KZN 1,532,821 1,150,388 245,950 904,438 21% 1631591 71%
LP 819,485 691,803 88,066 603,737 13% 821656 84%
MP 383,739 349,659 95,058 254,601 27% 584439 60%
NC 100,276 96,618 10,961 85,657 11% 180235 54%
NW 530,637 414,086 72,279 341,807 17% 532725 78%
WC 471,238 457,287 45,770 411,517 10% 857383 53%
SA 6,021,330 5,105,073 936,168 4,168,905 18% 7,983,957 64%
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Strategies and Interventions Progress
Output: Combating HIV and AIDS and decreasing the burden of disease from Tuberculosis
Rapidly scaling up access to Antiretroviral Therapy (ART) for people living with HIV&AIDS, especially identified vulnerable groups;
Over 1,2 million patient are on ART and we plan to increase access to 1,5 million patients by end of this financial year.
Expanded the service providing ART from 490 to about 1,500 new facilities which are providing ART
Increased the number of nurse providing ART from 290 to more than 2000 trained nurses that are equipped to initiate ART and manage HIV patients at the PHC facilities 25
THANK YOU
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