South Africa's HIV/AIDS Response and Performance Overview
South Africa's HIV/AIDS response is critical due to its impact on society, economy, and health systems. The country has implemented strategic interventions to combat the epidemic, resulting in improved performance indicators over the years, including increased life expectancy, ART uptake, and decreased mortality rates.
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OVERVIEW OF SOUTH AFRICA S HIV/AIDS RESPONSE 1
WHY HIV/AIDS IS CRITICAL IN SOUTH AFRICAS HEALTH AGENDA? It is because HIV/AIDS: Perpetuates detrimental social practices such as stigma, discrimination and gross violation of human rights; Disrupts labour productivity and strains economy; Overwhelms health system e.g.: Medication, Technologies and human resources; Ruptures families and increases vulnerability; and Puts pressure on national budget (R36,5 billion for core departments for 2019/20 financial year). 2
TEENAGE PREGNANCY PER AGE CATEGORY 60% 50% 48% 40% 36% 34% 30% 24% 20% 14% 10% 0% 15 yrs 16 yrs 17 yrs 18 yrs 19 yrs 4
SOUTH AFRICAS ALIGNED STRATEGIC INTERVENTIONS FOR HIV/AIDS Some of South Africa s HIV/AIDS-related interventions are: National Strategic Plan for HIV, TB and STIs 2017 2022 (NSP) National Development Plan (NDP) Vision 2030; South African National Sex Worker HIV Plan 2016-2019; Draft Department of Basic Education National Policy on HIV, STIs and TB; National Policy for the Prevention and Management of Learner Pregnancy; and Comprehensive Sexuality Education (CSE) and 5 Zazi; she conquers Programme,
SOUTH AFRICAS PERFORMANCE OVER THE YEARS Over the years, South Africa s performance on key indicators have improved, for example, it has: Increased life expectancy from 61,4 for males and 68,3 for females in 2002 to 64,5 and 71,5 in 2018 respectively; Increased ART uptake and adherence from 1 million in 2011 to 4.2 million in 2018. Decreased maternal deaths from 188.9 per 100 000 in 2009 to 129.2 in 2017. Decreased infant mortality from 45.8 per 1000 in 2009 to 36.4 in 2018. Decreased under 5 mortality rate from 68.9 deaths per 1000 in 2009 to 45 in 2018. Reduced HIV related deaths from 214 365 in 2009 to 115 167 in 2018. 6
BUDGET ALLOCATION TO CORE DEPARTMENTS FOR TB, HIV/AIDS FOR 2019/20 FINANCIAL YEAR 50000 44,654 45000 39,673 40000 36,508 35000 32,264 29,003 30000 25000 20000 15000 10000 5000 0 2017/2018 2018/2019 2019/2020 2020/2021 2021/2022 7
5 YEAR COMPARISON BETWEEN GOVERNMENT AND DONOR FUNDING FOR HIV/AIDS (in Rand Billion) 50000 44,654 45000 39,673 36,508 40000 32,264 35000 29,003 30000 25000 20000 15000 7,863 7,826 7,790 7,757 7,726 10000 5000 0 2017/18 2018/19 2019/20 2020/21 2021/22 Government Funding Donor Funding 8
PROPOSED QUESTIONS TO CONSIDER RAISING WITH THE DEPARTMENT OF HEALTH Significant budget is allocated to HIV/AIDS but few targets from the NDOH, why? A clarification on zero mass media awareness campaigns and teenage pregnancy intervention. Why no performance report on provincial, district and local Councils on AIDS? A need for SANACto provide informationon its funding, programmes and expenditure. A need for business to clarify its role on reducing HIV/AIDS and determinants of health. An update on establishment of Ketlaphela, the state-owned pharmaceutical company to supply Anti-retroviral (ARVs). 9
