MRC/info4africa KZN Community Forum | February 2012

The Multi-Sectoral Provincial Strategic Plan for HIV & AIDS, STIs & TB 2012-2016 of

KwaZulu-Natal

Presentation by:Dr Fikile Ndlovu

Office of the Premier

04/09/23 1

Presentation Outline1. Background2. Structure of the KZNPSP3. Purpose of the KZNPSP4. Priority Areas5. Results Framework6. Governance & Management7. Operationalisation

04/09/23 2

1. Background Information

Where are we from?KZNPSP came to an end (period 2007-2011)

What did we do? Carried out a review process to determine progress we had made

Result: KZNPSP 2007-2011 Review Report

04/09/23 3

1. Background Information (contd.)

What did the Report Come up with?

Achievements, Gaps & Challenges and Emerging Issues-how much progress did the Province make in responding to HIV & AIDS, STI and TB. Information used to develop the new KZNPSP 2012-2016

04/09/23 4

1. Background Information (contd.)The Premise? What did we do better?How do we maintain what we did better? What is it that we did not do better? How do we close the gaps & tackle challenges? How do we tackle emerging issues? What opportunities can we capitalize on?

THE KZNPSP 2012-2016

04/09/23 5

2. Structure of the KZNPSP 2012-2016

VISION (20 year vision in line with National HAST Vision, Mission-Values)EXECUTIVE SUMMARY-INTRODUCTION-contains background andcontextual informationACHIEVEMENT & GAPS - as per the ReviewReport ( available on the website)

04/09/23 6

2. Structure of the KZNPSP 2012-2016 (contd.)

CONTEXT & ENVIRONMENT OF HAST RESPONSE - plan not isolated from provincial, national or global aspirations

RESULTS FRAMEWORK - plan is result oriented showing the logical flow to results from the goal to interventions

04/09/23 7

2. Structure of the KZNPSP 2012-2016 (contd.)

GOVERNANCE & MANAGEMENT

Coordination & institutional arrangements

MONITORING, EVALUATION & RESEARCH

Monitoring & Evaluation System & Research

04/09/23 8

3. Purpose of KZNPSP 2012-2016

What will it provide?

•Strategic and broad guidance to the HAST Response over the next five years —therefore a framework for implementation by diverse stakeholders•Advocacy & Resources Mobilisation tool

04/09/23 9

Alignment with the NSP

• halving the number of new HIV infections• ensuring that at least 80% of people who are eligible for

treatment for HIV are receiving it (at least 70% should be alive and still on treatment after five years)

• halving the number of new TB infections and deaths from TB

• Ensuring that the rights of people living with HIV are protected

• halving the stigma related to HIV and TB.

04/09/23 10

4. Priority Areas

1.Addressing social and structural factors that drive these epidemics,

influence their impact, and affect the way we care for affected people.

2.Prevent new HIV, STIs and TB infections through a combination of

interventions.

3. Sustaining Health & Wellness primarily by reducing deaths and

disability from HIV, AIDS and TB.

4. Protect the human rights of people living with HIV and

improve their access to justice

5. Coordination, Monitoring & Evaluation

04/09/23 11

5. Results Framework

Priority Area 1 Addressing social and structural factors that

drive these epidemics, influence their impact, and affect the

way we care for affected people.

Goal: To reduce vulnerability to HIV, STIs & TB due to

poverty, socio-cultural norms and gender imbalance by 2016

infected and affected upheld by a supportive policy, human

rights and regulatory environment.

04/09/23 12

5. Results Framework (contd.)

Priority Area 1:How do we achieve that? (1) addressing poverty, unemployment and gender inequality (2) promoting positive socio-cultural norms and values

04/09/23 13


Priority Area 1: Expected Result? Reduced poverty levels, reduced unemployment and genderinequality levels; favourable socio-economic & cultural environment

04/09/23 14

5. Results Framework(contd.)

Priority Area 2: Prevent new HIV, STIs and TB infections

through a combination of interventions

3 Goals:

• To reduce new HIV infection to less than 1% by 2016

• To reduce new smear positive TB infection to less than

200 per 100000 population by 2016

• To reduce STI Incidence to less than 0.5% by 2016

04/09/23 15


Priority Area 2:

How do we achieve the goal? Through the following areas - (1) BCC, (2) PMTCT,

(3) MMC,(4) STI Treatment, (5) HIV & TB Screening, (6)Condoms, (7) Treatment of TB, (8) Zero HIV transmission thru’ blood; (9) Zero HIV transmission from occupational exposure, sexual violence and discordance

04/09/23 16


Priority Area 2:The Expected Result? (1)Reduced HIV Incidence in the general

population to less than 1% by 2016; (2) Zero HIV

Transmission to infants by 2016 < 1%; (3)Reduced HIV

prevalence for age group 15-24 years to 7.5% by 2016;(4)

Reduced TB infection to less than 200 new smear positive TB

per 100,000 population by 2016;(5) Reduced STI incidence to

less than 0.5% by 2016

04/09/23 17


Priority Area 3 : Sustaining Health & Wellness

primarily by reducing deaths and disability from

HIV, AIDS and TB

Goal: To reduce mortality, sustain wellness and

improve quality of life of at least 80% of those

infected and affected by 2016.

04/09/23 18


Priority Area 3: How do we achieve the goal?

Through the following (1) increased access to (HIV) treatment

& support, adherence and optimum health, (2) increased

access treatment (TB) and services that are responsive (3)

increased access to support for the affected (4) increased

quality care for OVC

04/09/23 19


Priority Area 3:

The Expected Result? –

(1) Reduction in TB associated mortality by 80% by

2016 and

(2) Improved quality of life of HIV & TB infected

individuals and their families by 2016

04/09/23 20

5. Results Framework

Priority Area 4: Protect the human rights of

people living with HIV and improve their access to

justice Goal: To reduce vulnerability to HIV, STIs

and TB by creating a supportive policy, human

rights and regulatory environment and; promoting

desirable social norms in the province by 2016

04/09/23 21


Priority Area 4: How do we achieve the goal?

Through the following-(1) strengthen leadership to speak out

against, stigma, discrimination etc (2) adherence to existing

legislation and policy on human rights & promotion of access

to justice (3) capacity building on policies & legislation

relating to HIV & AIDS (4) Greater involvement of PLHIV and

LGBT

04/09/23 22


Priority Area 4:

The Expected Result?: Rights of those

infected and affected upheld by a

supportive policy, human rights and

regulatory environment.

04/09/23 23


Priority Area 5: Coordination, Monitoring &

Evaluation

Goal: To have a well coordinated provincial

response to HIV & AIDS, STI & TB that is

informed by an effective M&E system by

2016

04/09/23 24



Evaluation

How do we achieve that?: (1) Strengthen

coordination and management (2) Strengthen M&E

system at all levels (3) Strengthen research

component

04/09/23 25

5. Results Framework(contd.)


Evaluation

Expected Result? (1) Effective coordination, M&E

leading to achievement of targets

04/09/23 26


Measurement? Plan has set targets that should be met-Province already has a Monitoring & Evaluation System -Strategy will be accompanied by a Monitoring & Evaluation Framework and will be designed fit into the already existing system

04/09/23 27


Measurement? The framework will provide guidance on -the data to be collected at input, output, outcome and impact level, core indicators frequency of data collection,responsibilities of data collection, reporting and feedback, information flow among others

04/09/23 28

6. Governance & Management

Coordinating bodies are critical for implementation - the PCA, DAC, LAC and the WACTo strengthen the coordination- all partners are requested to participate

04/09/23 29

7. Operationalisation

How will the strategy be implemented?

The sector operational plans with activities, targets and budgetsThrough Operation Sukuma Sakhe in the wards

04/09/23 30

31

Operation Sukuma Sakhe

04/09/23

32

VERTICAL & HORIZONTAL ALIGNMENTOSS- STRUCTURES

(OFFICIALS)OSS-STAKEHOLDERS

AND ACCOUNTABILITY STRUCTURES

STAKEHOLDERSSTAKEHOLDERS

STAKEHOLDERSEXCO -COUNCIL

EXCO- COUNCILSTAKEHOLDERS

COHOD- CABINET

04/09/23

COMMUNITYCARE GIVERS

YOUTH AMBASSADORS

CDP

CHF

CDW

WAR ROOMWAR ROOMWARD

COMMITTEEWARD

COMMITTEE

FBO’s/NGO’s/ DONORS

FBO’s/NGO’s/ DONORS

VARIOUS FORA IN WARD eg. CPF, SGB, WAC

VARIOUS FORA IN WARD eg. CPF, SGB, WAC

WAR ROOMTASK TEAM

ALL OFFICIALS OF SECTOR

DEPARTMENTS

EXTENSION OFFICERS

EXTENSION OFFICERS

SERVICES BY ALL GOVERNMENT OFFICESHOME AFFAIRS/SASSA/ETC

SERVICES BY ALL GOVERNMENT OFFICESHOME AFFAIRS/SASSA/ETC

AMAKHOSI/TRADITIONAL LEADERSHIP/ COUNCILLORS

LOCAL TASK TEAMLOCAL TASK TEAM

04/09/23 33

8. Recommendations for District and Local AIDS Councils and Civil Society

• District and Local AIDS Councils to finalize and submit their plans in keeping with the Provincial Strategic Plan ensuring that all sectors are implementing the plan at the ward level.

• The Civil Society and Business Sector to input their aggregated targets at the local level into District plans

• Civil Society and Business Sector to finalize and submit their operational plans to ensure that the strategy is implemented as of 01 April 2012

04/09/23 34

THANK YOU

04/09/23 35

Health & Medicine

MRC/info4africa KZN Community Forum | February 2012