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Continuity and change in HIV/AIDS Policy

17 April 2002

Continuity - Broad framework of policy on HIV/AIDS

  • The Partnership Against AIDS, launched in October 1998
  • The five-year "HIV/AIDS and STI (Sexually Transmitted Infections) Strategic Plan for South Africa 2000-2005".

Changes - What are they?

Comprehensive programme intensified and expanded
  • Total budget through Health; Social Development and Education up (R350m 2001/02; R1bn 2002/03; R1,3bn 2003/04; R1,8bn 2004/5)
Prevention
  • A new campaign phase from June, from awareness to lifestyle change
  • Big increase in budget for prevention (R340m last financial year; R460m this year, R515 in 2003/4 and over R630m in 2004/5)
  • Creation of special PMTCT Task Team will lessen delays in expansion to sites with capacity while ensuring rigour in assessing capacity
  • PMTCT Roll-out plan is being worked on to prepare for implementation post-December 2002
  • Government to endeavour to provide a comprehensive package of care for survivors of sexual assault, including counseling, testing for HIV, pregnancy and STIs. They will be counseled on using anti-retrovirals so that they can make an informed choice, and if they so choose, will be provided with the drugs in accordance with guidelines and protocols
Treatment, care and support
  • Assertion of right to be treated regardless of HIV status
  • Call on People Living With Aids to monitor availability of drugs to treat opportunistic infections (such as Diflucan for oral thrush and meningitis and medicine for TB or pneumonia)
  • Assertion of government commitment to work to lower cost of ARVs by working with producers of main drugs and investigating production of generics
  • Systematic campaign to promote compliance by patients with treatment regimes
Partnership and structures
  • Reinvigorating the partnership and review and strengthening of SANAC
  • Establishing a Presidential Task Team on AIDS consisting of Ministers under the leadership of the Deputy President

Aspects of policy

PREVENTION
Awareness, STI mgmnt. Vaccine Initiative
  • Continue with and intensify the programmes, and give them higher profile
PMTCT
  • Continue with research on Nevirapine, and implement Constitutional Court decision
  • Extend sites where demands of research dictate and where there is capacity, in accordance with national guidelines and protocols
  • Decide in December using research results whether to introduce universal access to Nevirapine
  • Working on Universal Roll-out Plan in line with conditions above, as a matter of urgency
Anti-retrovirals in instances of rape
  • Endeavour to provide a comprehensive package of support for survivors of sexual assault. They will be counselled, including on the risks, allowed to make an informed choice and provided with the drugs if it is their choice in accordance with guidelines and protocols (as with needle-stick injuries)
  • Continue to ensure that such drugs are administered in accordance with protocols
  • Promote further research into efficacy of this
TREATMENT, CARE AND SUPPORT
Opportunistic infections
  • Continue and intensify the programme, and give it higher profile
  • Publicise progress in availability of "specialised" drugs such as Diflucan, and drugs for TB and pneumonia, and encourage People Living with AIDS to partner government in monitoring availability in health institutions
Care and support interventions
  •  Continue and intensify the programme, and give it higher profile
Anti-retrovirals in comprehensive treatment
  • Recognition that ARVs can help if administered at particular stages in the progression of AIDS and in accordance with international guidelines and protocols
  • Continue efforts to reduce costs of these drugs including discussions with producers of main drugs, access to the Global Fund and investigating production of generics
  • Campaign to improve compliance with treatment regimes for all drugs
  • Ensure private sector administers drugs in accordance with national guidelines
  • Encourage investigation into alternative treatments based, particularly, on supplements and medication to boost immune system
HUMAN RIGHTS AND SOCIAL ISSUES
Discrimination 
  • Intensify campaign against discrimination
  • Continue with investigation on further legal avenues to protect the infected and affected
Broad social issues
  • Commitment to urgent action and caring
  • Appreciation of the need to deal with challenge of poverty as part of overall programme against HIV/AIDS
  • Openness in dealing with epidemic and development of policy issues
MONITORING, RESEARCH AND SURVEILLANCE
Statistical System
  • Continue improvement of methodologies and National Statistical System as a whole
International AIDS Panel
  • Work to continue, and government is not protagonist in scientific debate but seeks to facilitate and benefit from results of research
BUILDING PARTNERSHIPS
Broad Local partnerships
  • Renewal and strengthening of partnerships
  • Encourage all SANAC partners to act as primary voice of the campaign
Health Practitioners
  • Show sensitivity to their difficult situation, and work with them to improve working conditions
International Partnerships
  • Strengthen liaison with SADC, African and Developing countries to ensure common approaches on strategic issues
STRUCTURES
South African National AIDS Council
  • Improve structures and style of operation
Government
  • Constitute "core SANAC" Ministers, including DACST and Presidency ministers into Presidential Task Team in AIDS
  • Strengthen government structures dealing with HIV/AIDS, led by Deputy President

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Last modified: 23 September 2004 12:16:33.

Related links

>

Cabinet statement

> Summary of Government's position on HIV/AIDS
 

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