IMPLEMENTATION PLANIMPLEMENTATION PLANTO SCALE UPTO SCALE UP

HIV/AIDS PREVENTION AND HIV/AIDS PREVENTION AND TREATMENTTREATMENT

1

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

2

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

6

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

7

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

8

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

22

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%

23

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%

24

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

26