WC Health Summit 08 th October 2011 Infectious Diseases J Ledwaba Chief Director – Health Programmes. WC PSP 2007 -2011 Review . 1. PMTCT down to 1.8% 2. Access to those who needs ART is over 85%;
1. PMTCT down to 1.8%
2. Access to those who needs ART is over 85%;
- The number of children under 15 who have been initiated on ART has shown an upward trend:
3. Child - headed households receiving services from HCBC organisations increased 4,222 against a target 800;
4. TB Cure rate improved to 82%
Funds spent on prevention activities in WC increased steadily by 17% to R134m
2. In 2007/08, the largest component of R31.7 million was spent on PMTCT followed by HCT (R26 million) and Community Mobilisation (R22 million). In 2008/09, the focus shifted towards HCT (26%), Community Mobilisation (19%) and PMTCT (18%).
3. Expenditure on male condoms increased in 2009/10 to R11.8 million or 8% of total prevention spending;
4. Workplace programmes occupied a small component of total prevention expenditure
1. There was a significant growth in expenditure on treatment, from R326 million in 2007/08 to R690 million in 2009/10.
2. ART made up the bulk of spending: R361.8 million (or 52.4%) in 2009/10.
3. For the public Health sector ART exp. is over 70%.
One of the key decisions of the consultations was to develop a single integrated strategy for HIV, STIs and TB for 2012-2016. This is primarily due to the high co-infection rate between HIV and TB.
The NSP is aligned with international and regional obligations, commitments and targets related to HIV, STIs and TB.
The NSP 2012-2016 is driven by a long-term vision for the country with respect to the two epidemics. It has adopted, as a twenty-year vision, the Three Zeros that have been advocated for by UNAIDS. These are:
In line with this twenty-year vision, the NSP 2012-2016 has the following broad goals. To:
2. Initiate at least 80% of eligible patients on antiretroviral treatment (ART), with 70% of those alive and on treatment five years after initiation;
Eight sub-objectives are:
1. Need high-level sectors’ commitment (gov. departments, Civil society & Business);
2. Increase investment in combined prevention strategies; include. Treatment as 2⁰ Prevention
3. Strengthen partnerships and social mobilisation
1 NSP is a 5-yrs Country Plan;
2. PSPs are Provincial Implementation Plans;
3. Year 1 PSP targets should be aligned to the 2012/13 APP targets. Targets for outer years to be projections
6. DoH is coordinating the running of the PAC on behalf of the Premier.
- HAST Manager
- TB Manager
- PMTCT Manager
- Community –based services
- Dehospitalised Care
- Adherence Support
- Women’s Health
- Maternal & Reproductive Health
- Child health
- Social Mobilization
MEC for Health
Head of Health
DDG – DHS &
Sector Depts., Business &
HCT Joint Operation
PAC Secretariat Coordination &
Chief Director –
Maternal, Child, Women’s Health & Nutrition (MCWH)
Community – based
Interim Unit : Advocacy,
& Social Mobilisation