HIV/AIDS Conditional Grants2001/2

for* The National Integrated Plan for Children and Youth Infected and

Affected by HIV/AIDS.

* Prevention of Mother to Child Transmission.

Purpose

• Cabinet in November 1999 approved the setting aside of funds for an effective response to the HIV/AIDs epidemic.

• Support for the idea that an integrated response, focussing on children and youth and the position of women in society should be implemented.

Role of National Department of Health

• VCT Campaign• To provide voluntary

counselling and testing to 12.5% of population within 3 years

• Community/Home Based Care and Support

• To develop and implement effective home based care and support models

Budget 2001/2

Province VCT CHBCS Total

Eastern Cape 2 500 000 1 350 000 3 850 000

Free state 2 500 000 1 350 000 3 850 000

Gauteng 2 500 000 1 000 000 3 500 000

KZN 2 500 000 2 000 000 4 500 000

Mpumalanga 2 000 000 1 350 000 3 350 000

Northern Cape 2 500 000 1 350 000 3 850 000

Northern Province 2 500 000 1 350 000 3 850 000

North West 2 500 000 1 350 000 3 850 000

Western Cape 2 500 000 1 000 000 3 500 000

Total 22 000 000 12 100 000 34 100 000

Expenditure 2001/2• VCT• Eastern Cape 42%• Free State 96%• Gauteng 66%• KZN 78%• Mpumalanga 64%• North Cape 100%• North west 34%• Limpopo 73%• Western Cape 96%• Total 70%

Expenditure 2001/2

• CHBCS• Eastern Cape 67%• Free state 94%• Gauteng 101%• KZN 1%• Mpumalanga 0%• North Cape 100%• North West 100%• Western Cape 74%• Total 57%

PMTCT amount received and % spent 2001/2

• Eastern Cape 2 431 000 66%• Free State 865 000 75%• Gauteng 2 130 000 82%• KZN 9 424 000 100%• Mpumalanga 1 309 000 0%• North cape 815 000 100%• North West 791 000 1%• Limpopo 1 705 000 26%• Western cape 828 000 0%• Total 20 298 000 72%

Total HIV/AIDS Conditional Grant Expenditure 2001/2

• Eastern Cape 53%• Free State 92%• Gauteng 78%• KZN 82%• Mpumalanga 30%• North Cape 100%• North West 48%• Limpopo 53%• Western Cape 73%• Total 68%

Outputs of Grants

• VCT Training• 18 Master trainers (2 per province).

• 4 800 HIV/AIDS counsellors

• 300 Trainers for rapid test training

• 50 mentor trainers (Counsellor support programme)

• Capacity building (VCT trainers trained in project management.

Outputs of Grant

• VCT Counselling• Developed Guidelines(pre and post test counselling,

establishing VCT programmes, minimum standards for training counsellors/trainers/mentors).

• Material: Developed standards manual for master trainers, train the trainer & counsellor trainers, a standards manual for mentorship training & an HIV/AIDs education manual.

• VCT Material – posters, pamphlets, VCT signboards.• VCT sites: - 438 operational sites nationally with rapid

testing & counselling.

Outputs of Grant CHBCS

• CHBCS Training• 2000 Home carers trained nationally• 180 Master trainers trained (20 per province)• Provincial fast-tracking of establishing home based care and support

programmes took place in all provinces.

• Research• Situational Analysis of six sites of implementation of National

Integrated Plan• Training provincial officials from 9 provinces and 3 departments on

conducting situational analysis• UCT Children’s institute funded to undertake research on needs of

vulnerable children

CHBC Conditional grant Outputs continued

• Rapid assessment of existing home/based care and hospices has been completed.

• 650 Home based care projects currently operational.

Problems experienced and steps taken.

• Lack of Infra-structure.• Development of infra-structure has been ongoing over the

past year and ‘sufficient’ foundation has been laid for implementation.

• Human resource capacity• Structures have grown from 1 provincial coordinator to

include VCT, HBC & PMTCT coordinators and finance/admin staff. Roll-out to Regions currently underway.

…Problems & Steps taken.

• Skills training with provincial managers & staff is ongoing and affects the pace of implementation.

• Training includes:• Financial regulations governing conditional grant.• Establishing systems and codes for financial monitoring• National Integrated Plan overview and implementation requirements as

recommended by cabinet• Programme Management.• Facilitating integration between 3 departments concerned.• Guidelines for implementation of PMTCT.• Some provinces have systemic problems that affects all their programmes.• Some provinces have own HIV/AIDS programmes meaning conditional

grant spending had less priority.