29th June 2011
THE G&A CLUSTER’S IMPLEMENTATION OF THE HIV &AIDS AND TB MANAGEMENT POLICY FOR THE PUBLIC
SERVICE, DEVELOPMENT OF HIV&AIDS MAINSTREAMING GUIDELINES AND
PROVISION OF TRAINING ON HIV&AIDS MAINSTREAMINGPresentation to the Portfolio Committee on Public Service and
Administration
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1. Context
1. Definition of HIV and Aids mainstreaming
1. HIV and Aids and TB management policy for the public service
1. Process pillars for implementation of HIV and Aids and TB management policy
1. Achievements on the training on mainstreaming of HIV and AIDS
1. Capacity development on simultaneous mainstreaming of HIV and AIDS, gender and human rights
1. Gender mainstreaming training
1. Concluding Remarks
Presentation outline
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The G&A Cluster has the responsibility to ensure that the Public Service is:
"An efficient, effective and development orientated public service and empowered, fair and inclusive citizenship". Outcome 12
The G&A Cluster’s approach the HIV&AIDS response has been through the implementation of the HIV&AIDS and TB Management Policy for the Public Service.
This policy provides for management of HIV&AIDS as a developmental issue.
Context of G&A Cluster’s Implementation of the HIV&AIDS and TB management Policy for the Public
Service
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Mainstreaming HIV and AIDS is: a process that enables development actors
to address the causes and effects of AIDS
in an effective and sustained manner,
both through their usual work (external) and
within their workplace (internal) (UNAIDS).
UNAIDS Definition Mainstreaming of HIV&AIDS
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Policy Objectives:
To provide HIV&AIDS and TB Prevention
To provide Treatment, Care and Support for those infected and affected by TB and HIV infections
To manage compliance to Human and Legal Rights; and
ensure access to Justice
To ensure Monitoring, Research and Surveillance on HIV&AIDS and TB
Policy Objectives:
To provide HIV&AIDS and TB Prevention
To provide Treatment, Care and Support for those infected and affected by TB and HIV infections To manage compliance to Human and Legal Rights; and ensure access to Justice
To ensure Monitoring, Research and Surveillance on HIV&AIDS and TB
HIV&AIDS AND TB MANAGEMENT
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Project / Program LevelEfficiency
PopulationLevel
Effectiveness
Resourcese.g.
FinanceStaff
Drugs, Supplies
Equipment
Functions,Activities
e.g.TrainingLogistics
IEC
Servicese.g. Facilities offering
ServiceTrained staffUtilization:New clients
Return clients
Intermediate
e.g.HIV+ on GEMS
Disease Management
Inputs Processes/
Activities
Outputs
Outcomes
Impact
Long-terme.g.
Infection rateMortality
Disability and attrition
Results Based Management Approach Int RBM(2)
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HIV Prevention
Reduce Burden of Disease Enhance Productivity
inPublic Service
Provincial Coordination of Programme Implementation, M&E and Province specific
Impact assessments.Provincial Capacity Building
Involvement of key populations and vulnerable Communities
Reduction of stigma and Discrimination
Affirmation of human rights and Managing substantive inequality
Implementation of S+D framework
Treatment care and support
Human Rights and Access to
JusticeResearch,
monitoring and surveillance
Comprehensive identification of HIV and
Aids related psychosocial health risk, and use of
evidence based practices to ensure individual and organizational wellness
Reduce Number of Infections
Reduce impact on Individual Employees, families, communities
and Society
Macro level Governance
National Institutions
Meso level Governance
Provincial Institutions
Micro level Governance
Depts & Institutions
Policy, Implementation Guide, M&E and Impact Assessment Framework .Mainstreamed Public Sector Response to NSP 2007-2011. National Steering Committee& SANAC coordination
Frameworks for Estimation of Disease Burden, Policy Implementation M&E, National Steering Committee Coordination.
National guidelines on SOLVE
Coordination by Steering Committee
Comprehensive Research Agenda
Coordination by National Steering Committee
National Frameworks for delivery
Provincial Frameworks for delivery adapted for Prov. customs & trends
Departmental Framework& Processes
Provincial Coordination of Programme Implementation, M&E and Province specific Impact assessments.
Provincial Capacity Building
Provincial Coordination of Programme Implementation, M&E
and Province specific Impact assessments.
Provincial Capacity Building
Implementation of Costed, Mainstreamed, Comprehensive, HIV&AIDS dept. specific Programs. As part of EHW Committee and Plan
Provincial Coordination of Programme Implementation, M&E and Province specific
Impact assessments.Provincial Capacity Building
Departmental Surveys Registries of Exposure to Risks, Injuries and Diseases. Early Detection and reporting diseases within legal framework Health Education, Promotion Treatment Support
Wellness , SOLVE Program Planning and Implementations Based on Id of risk for individual and organizational wellness
PILLAR 1 PILLAR 2 PILLAR 3 PILLAR 4
STRUCTURE FOR FACILITATING IMPLEMENTATION OF THE HIV&AIDS and TB MANAGEMENT POLICY FOR PUBLIC SERVICE– PILLARS
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Capacity Development. These are initiatives aimed at developing individual capability of employees, managers and professionals to manage HIV&AIDS and TB management policy.
Individual Employees Managers Professionals Specialist Professionals
Organizational Systems Support Initiatives. These are initiatives to asses and develop departmental capacity to implement HIV&TB management Policy for the Public Service
M&E Tools, Costing Tools Systems Monitoring Tools Generic Implementation Guidelines, guidelines
Governance Initiatives. These are governance initiatives to promote consultation, coordination of implementation, monitoring and evaluation among departments and other stake holders (Inter Departmental/ Other Stakeholders)
Inter Departmental Committee on HIV&AIDS and TB Management (IDC, including GEMS and PALAMA) South African National AIDS Council (SANAC) National Economic and Labour Council (NEDLAC) National Institute of Occupational Health (NIOH) Partnerships with Professional Associations/ Councils/ Service Providers
Economic and Development Initiatives (International, AU, SADC, Bi-national)
Mainstreaming of HIV and AIDS (SADC) Africa Peer Review Mechanism (AU-MPSA as Focal Point) Country Reports (UNGASS, SADC, AU) New Developments (UN, ILO, WHO, SADC, ICHO
Capacity Development. These are initiatives aimed at developing individual capability of employees, managers and professionals to manage HIV&AIDS and TB management policy.
Individual Employees Managers Professionals Specialist Professionals
Organizational Systems Support Initiatives. These are initiatives to asses and develop departmental capacity to implement HIV&TB management Policy for the Public Service
M&E Tools, Costing Tools Systems Monitoring Tools Generic Implementation Guidelines, guidelines
Governance Initiatives. These are governance initiatives to promote consultation, coordination of implementation, monitoring and evaluation among departments and other stake holders (Inter Departmental/ Other Stakeholders)
Inter Departmental Committee on HIV&AIDS and TB Management (IDC, including GEMS and PALAMA) South African National AIDS Council (SANAC) National Economic and Labour Council (NEDLAC) National Institute of Occupational Health (NIOH) Partnerships with Professional Associations/ Councils/ Service Providers
Economic and Development Initiatives (International, AU, SADC, Bi-national)
Mainstreaming of HIV and AIDS (SADC) Africa Peer Review Mechanism (AU-MPSA as Focal Point) Country Reports (UNGASS, SADC, AU) New Developments (UN, ILO, WHO, SADC, ICHO
88
Training of Public Servants on Mainstreaming of HIV&AIDS using the UNDP curriculum following SADC agreements on Capacity Development for HIV&AIDS
Costing of HIV&AIDS programmes using the DPSA costing model.
Workshop on HIV&AIDS Operational Planning –World Bank facilitated workshop targeted at managers in Offices of the Premier, Department of Health, Department of Education
MOU with Japanese International Cooperation Agency (JICA) on M&E of HIV&AIDS signed by MPSA on behalf of SA Government following the signing of a Presidential Minute by former President Montlanthe
Training of M&E Specialists (technocrats) and Managers on M&E Four Other SADC Countries M&E Technocrats and Managers Trained (Namibia, Swaziland, Lesotho and
Botswana) Public Sector Technical Working Group on M&E established with some of the people trained through this University of Pretoria was the Training Institution
New Capacity Development Curriculum on HIV&AIDS M&E WITS, UNAIDS, World Bank, JICA Initiative to train South Africa and the African Region WITS has been declared Center of excellence on M&E of HIV&AIDS by World Bank Efforts are advanced to institutionalize this training into Public Service Training institutions and other
academic institutions
Capacity Development Initiatives
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These are tools for policy implementation Systems Monitoring Tool (Elements)
1. Commitment of departments for HIV&AIDS and TB management Policy2. Planning for HIV&AIDS and TB Management Programmes3. Implementation of HIV&AIDS and TB Management Programmes with
clear operations and controls4. Documentation, and Monitoring and Evaluation
Systems Monitoring Tool (Development and Use) Developed in consultation with National and Provincial Departments Piloted and adapted to suit the Public Service Data collected on the first ever national survey on the state of
organizational systems to enable implementation Data currently being finalized and report will be circulated to Portfolio
Committee, Auditor General (AG), Public Service Commission (PSC), Department of Labour (OHS Inspectorate) and Political and Administrative authorities.
Systems Support Initiatives
1010
Generic Implementation Plan To guide development of costed, mainstreamed operational plans
DPSA Costing Model for HIV&AIDS programmes Developed in partnership with PALAMA and Futures Group Departments trained on the use of this tool
Policy Communication Tool Kit Used to communicate policy to National and Provincial Departments Efforts are underway to simplify this and translate this using
Knowledge Management technology in partnership with Service Delivery Improvement unit within the DPSA
Organizational Systems Support Initiatives
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The coordination of implementation of HIV&AIDS and TB Management Policy for the Public Service is through the Inter Departmental Committee (IDC) on HIV&AIDS. This is convened and funded by the DPSA
Offices of the Premier convene and coordinate Provincial IDCs similar to the National IDC
Updates on implementation are sent to SANAC, SADC and MPSA
DPSA is one of the government departments (Labour, Social Development and Health) that participates on behalf of Government at NEDLAC on management of HIV&AIDS in the work place.
Policy Communication Workshops to engage with Private sector service providers to assist departments to comply with HIV&AIDS and TB management policy for the Public Service have been conducted
The Public Service Plan on Monitoring and Evaluation HIV&AIDS and TB management has been developed in consultation with the National and Provincial departments together with Civil Society
Governance Initiatives
1212
DPSA is focal department representing South Africa as a Member State of SADC on Mainstreaming of HIV&AIDS
Several HIV&AIDS mainstreaming projects are currently being implemented with relevant line departments
DPSA is the focal Department to AU where the MPSA is focal point on Africa Peer Review Mechanism (APRM) and HIV&AIDS is a cross-cutting issue to report on.
Quarterly reports are supposed to be sent to the office of the MPSA on HIV&AIDS and other governance issues
Economic and Developmental Initiatives
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Guidelines on How to mainstream HIV&AIDS, Gender, Human Rights in response to AIDS epidemic (NSP 2012-2016 Implementation
Mainstreaming of HIV&AIDS into Environmental Impact Assessments (EIAs) Mainstreaming HIV&AIDS Into Free Trade Agreement (FTA) Mainstreaming HIV into correctional facilities
Mainstreaming of HIV&AIDS into Care and Support for Learning and Teaching Mainstreaming HIV into Military Health services (New UN Security Council Resolution) Mainstreaming HIV&AIDS into Cross Border and Migration management
Mainstreaming HIV&AIDS into Transport (North South Corridor)
Mainstreaming HIV&AIDS into Tourism Sector, Science and Technology (SHARP Review for HIV Prevention), Social development (Social Security Framework), Economic Development (New Growth Path), National Development Plan
Mainstreaming HIV&AIDS into Treasury : Public Expenditure Tracking Survey (PETS) and QSDS (Quality Service Delivery Survey)
Guidelines on How to mainstream HIV&AIDS, Gender, Human Rights in response to AIDS epidemic (NSP 2012-2016 Implementation Mainstreaming of HIV&AIDS into Environmental Impact Assessments (EIAs) Mainstreaming HIV&AIDS Into Free Trade Agreement (FTA) Mainstreaming HIV into correctional facilities
Mainstreaming of HIV&AIDS into Care and Support for Learning and Teaching Mainstreaming HIV into Military Health services (New UN Security Council Resolution) Mainstreaming HIV&AIDS into Cross Border and Migration management
Mainstreaming HIV&AIDS into Transport (North South Corridor)
Mainstreaming HIV&AIDS into Tourism Sector, Science and Technology (SHARP Review for HIV Prevention), Social development (Social Security Framework), Economic Development (New Growth Path), National Development Plan Mainstreaming HIV&AIDS into Treasury : Public Expenditure Tracking Survey (PETS) and QSDS (Quality Service Delivery Survey)
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Second level Third level
Fourth level» Fifth level
Financial Year Number of government employees Trained
2007/08 159
2008/09 155
2009/10 214
TOTAL 528
The training on HIV and AIDS Mainstreaming was commissioned by government to UP
UP was itself trained by SADC on UNDP curriculum on mainstreaming
PALAMA officials were trained on mainstreaming PALAMA is expected to develop a training curriculum based on their
framework for curriculum development.
Achievements on the training on Mainstreaming of HIV and Aids
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This a SADC Initiative as per SADC Focal HIV&AIDS Point meeting 2010
South Africa has been tasked with development of these guidelines for herself and SADC
Draft Three has been developed. The concept of Simultaneous mainstreaming has been consulted on at
SADC National IDC SANAC Programme Implementation Committee
Internal mandating processes for external consultation is being sought
Consultation on these guidelines and the consultation on the new NSP 2012-216 will happen at the same time and will be aligned
Simultaneous Mainstreaming of HIV & AIDS, Gender, and Human Rights into Public Service and Administration in the context of
management of the AIDS epidemic
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The guidelines on simultaneous mainstreaming of HIV and AIDS, gender, human rights will also have workshop material to guide national provincial and national government departments on implementation
Curriculum on simultaneous mainstreaming of HIV and AIDS, gender, human rights will be developed at a later stage by PALAMA using their current curriculum framework which requires length and systematic process.
Capacity Development on simultaneous mainstreaming of HIV and AIDS, gender, human rights
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PALAMA developed a 4-day accredited Gender Mainstreaming (GM) training programme for managers in the public sector. Informed by the following gender developments in the country:• Cabinet decision in 2000 to adopt GM as a strategy to
promote Gender Equality• Strategic Framework for Gender Equality in the Public
Service launched by DPSA in 2006• The Public Service Commission recommendations on
Gender Mainstreaming shaped the development of the programme.
Gender Mainstreaming Training
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Gender Mainstreaming Training 2221 people trained in all three spheres of government. 25% participants
men. Customised training sessions conducted in S. Sudan, Rwanda, Burundi.
Home-grown, ‘how to’ manual with toolkits. Includes the DPSA 8 point plan as well as all the protocols and conventions that South Africa is signatory to.
Only accredited gender mainstreaming training programme in SA. Developed collaboratively with Ministry for Women Children and People
with Disabilities (then OSW) and widely consulted. Adopts a human rights based and inclusive approach to mainstreaming.
Includes mainstreaming of HIV&AIDS, disability, race etc. Contains a well integrated awareness component that includes the social
construction of gender. Very interactive and action oriented. Experienced trainers. Each
participant will complete an integrated Gender Mainstreaming Action Plan The establishment of a virtual discussion forum that facilitates dialogue
around issues of gender. 44 000 hits to date
Gender Mainstreaming Training
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Gender Mainstreaming Training Enhanced capacity to promote gender equality and monitoring of
the implementation of gender policies and legislative frameworks. Be able to raise gender equality concerns in public debate. Know what questions to ask, mainstream within and outside of the
departments, engender reports, sex-disaggregated data. Enhanced capacity to influence and promote policies, programs and
legislation that would focus on addressing the real needs of women. This would also bring a sharper focus on poverty reduction and rural development programs, as well as help make significant improvements in the lives and status of all South Africans.
Gender Mainstreaming Training
2020
Concluding Remarks A lot has been done on the capacity development of
national and provincial departments to mainstream HIV and AIDS and gender.
Mainstreaming is now being institutionalised through policy implementation, monitoring and evaluation.
Further work on capacity development for simultaneous mainstreaming of HIV and AIDS, gender and human rights
Need to strengthen the coordination of the Government HIV&AIDS Response to the G&A Cluster
This is more so now when the country is developing the new NSP 2012-2016
Improvement in quarterly updates to the office of the MPSA as part of the APRM and MDG process
Concluding Remarks
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THANK YOU!
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