| SOUTH AFRICA - Country Profile |
Updated: Feb 2005 |
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National Strategic Framework
Status
Completed for period 2000-2005. Preparations for midterm review in progress.
UNAIDS has offered to assist. National policies
- Cabinet statement of commitment issued 17 April 2002.
- New guidelines: Nevirapine in PMTCT, Rape Survivor Protocol.
- Labour Relations Act and other labour legislation protect workplace and societal discrimination.
- National Treatment plan.
Ministry of Health
HIV/AIDS and STDs
Private Bag X399, Pretoria 0001
Tel: +27 12 312 0713 / +27 12 312 0121
Mobile: +27 82 787 0202 / +27 82 578 1515
Email:
Website: www.gov.za
Department of Health
HIV/AIDS and TB Unit
Dr Normonde Xundu - Chief Director
Tel: +27 12 312 0121/0122
Fax: +27 12 312 3122
Email:
South African National AIDS Council (SANAC)
Contact person: Lakela Kaunda, Chief Director of Communications
Tel: +27 82 782 2575
HIV/AIDS Organisations:
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AIDS Consortium
Contact person: Maxine Mccalla-kay
P.O. Box 31104
Braamfontein 2017
Johannesburg, South Africa
Tel: +27 11 403 0265
Email:
Website: www.aidsconsortium.org.za
· Networking; advocacy; lobbying; policy development; human rights; resource centre; information reference service; materials distribution.
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AIDS Foundation of South Africa
Contact person: Sindy Shozi
237 Musgrave Road
Durban, Kwa Zulu-Natal 4062
South Africa
Tel: +27 31 202 9520
Fax: +27 31 202 9522
Email:
Website: www.aids.org.za
· Donor intermediary agency that provides funding, technical support and capacity building programmes to CBOs and NGOs working in the field of HIV/AIDS.
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AIDS Law Project
Contact person: Mark Heywood
Centre for Applied Legal Studies
University of the Witwatersrand
Private Bag 3
Wits 2050, South Africa
Tel: +27 11 717 8634 / +27 11 403 6918 / +27 11 717 8600
Fax: +27 11 403 2341
Email: /
Website: www.alp.org.za
· Specialist legal service for PWAs; expert research on policies issues and information; formulation of policies for government, business etc; publications on HIV and the law, human rights, best practices, workplace policies.
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AIDS Training, Information & Counselling Centre (ATICC)
Contact person: Motseki Motlatla
P.O. Box 3704, Bloemfontein 9300
South Africa
Tel: +27 51 405 8816
Fax: +27 51 405 8818
Email: /
· Advocacy/rights; counselling; testing; training; safer sex information; resource centre.
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AIDSLINK South Africa
Contact person: Oscar Muronzi
P.O. Box 31759
Braamfontein 2017, South Africa
Tel: +27 11 720 5260
Fax: +27 11 725 6209
Email:
Website: www.aidslink.org.za
· Financial grants; food parcels; counselling; support groups; care and shelter; legal support; hospital/hospice placements; training; education and awareness; home-based care training; skills training and income generation projects.
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Centre for AIDS Development Research and Evaluation (CADRE)
Contact person: Warren Parker
11th Floor, Braamfontein Centre, Jorissen Street,
Braamfontein, Johannesburg
Tel: +27 11 339 2611
Fax: +27 11 339 2615
Email:
Website: www.cadre.org.za
· Social Research; project development; evaluation; communications.
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Children’s HIV/AIDS Network (CHAIN)
Contact person: Sonja Giese
Tel: +27 21 685 4103
Mobile: +27 82 870 7345
Email:
· Information; education; prevention; advocacy; lobbying; counselling.
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HIVAN-Centre for HIV/AIDS Networking
Contact person: Cheryl Marnitz
HIVAN, Public Affairs Annexe
232 King George V Avenue
University of KwaZulu-Natal
Tel: +27 31 260 3334
Fax: +27 31 260 2013
Email: /
Website: www.hivan.org.za
· Facilitates excellence, efficiency and effectiveness in HIV/AIDS-related research, training and intervention in the province of KwaZulu-Natal.
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LoveLife
Tel: +27 11 771 6800
Mobile: +27 82 800 3322
Email:
Website: www.lovelife.org.za
· Information; education; prevention; advocacy; lobbying; counselling.
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National Association of People Living with HIV/AIDS (NAPWA)
Contact person: Nkululeko Nxesi - Director
P.O. Box 66
Germiston 1400
South Africa
Tel: +27 11 872 1796
Mobile: +27 83 478 9462
Email:
Website: www.napwa.org.za
· Self-help; information; education; prevention; advocacy; lobbying; counselling.
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National HIV/AIDS Convention of South Africa (NACOSA)
Contact person: Dawn Betteridge
Tel: +27 21 423 3277
Email:
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Positive Women's Network
Contact person: Prudence Nobantu Mabele or Sechaba Mathinya
Suite 159, Postnet X21, Sunnyside, Pretoria 0132, South Africa
Tel: +27 12 343 0953
Fax: +27 12 341 9789
Mobile: +27 83 959 1123
Email:
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South African Business Coalition on HIV/AIDS (SABCOHA)
Contact person: Brad Mears
P.O. Box 950
Tel: +27 11 880 4821
Fax: +27 11 880 6084
Email:
Website: www.redribbon.co.za
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Treatment Action Campaign
Contact person: Zachie Achmat
P.O. Box 74
Nonkqubela, 7793
Cape Town
Tel: +27 21 788 3507
Fax: +27 21 788 3726
Email:
Website: www.tac.org.za
· Treatment information; campaigns for treatment access; networking; Advocacy/lobbying.
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Vukani AIDS and Youth Development Project
Contact person: Mododa Mabuto
Box 54 Lancia 7455
Cape Town 8000, South Africa
Tel: +27 21 694 3603
Fax: +27 21 694 2775
· Information; education; prevention; advocacy; lobbying; counselling.
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UN Theme Group on HIV/AIDS, Chair
Scholastica Kimaryo
UNDP Resident Representative/UN Resident Co-ordinator
P.O. Box 6541
Pretoria 0001, South Africa
Tel: +27 12 354 8026
Fax: +27 11 354 8058
Email:
Website: www.undp.org
· Supports an expanded response and policy advice on preventing transmission of HIV, providing care and support, reducing the vulnerability of individuals and communities to HIV/AIDS.
- UNAIDS Country Coordinator
Contact Person: Mbulawa Mugabe
UNAIDS Country Office – South Africa
5th Floor Metropark Building
Pretoria 0001, South Africa
Tel: +27 12 354 8490
Fax: +27 12 354 8491
Email:
Website: www.unaids.org
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| Country Indicators |
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| Demographic data |
Year |
Estimate |
Source |
| Total population (thousands) |
2004 |
45,214 |
UN population division database |
| Female population aged 15-24 (thousands) |
2004 |
4792 |
UN population division database |
| Population aged 15-49 (thousands) |
2004 |
24403 |
UN population division database |
| Annual population growth rate (%) |
1992-2002 |
1.5 |
UN population division database |
| % of urban population |
2003 |
56.7 |
UN population division database |
| Average annual growth rate of urban population |
2000-2005 |
1.43 |
UN population division database |
| Crude birth rate (births per 1,000 pop.) |
2004 |
22 |
UN population division database |
| Crude death rate (deaths per 1,000 pop.) |
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19 |
UN population division database |
| Maternal mortality rate (per 100,000 live births) |
2000 |
230 |
WHO (WHR2004)/UNICEF |
| Life expectancy at birth (years) |
2002 |
50.7 |
World Health Report 2004, WHO |
| Total fertility rate |
2002 |
2.6 |
World Health Report 2004, WHO |
| Infant mortality rate (per 1,000 live births) |
2000 |
49 |
World Health Report 2004, WHO |
| Under 5 mortality rate (per 1,000 live births) |
2000 |
71 |
World Health Report 2004, WHO |
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For consistency reasons the data used in the above table are taken from official UN publications
| Socio-economic data |
Year |
Estimate |
Source |
| Gross national income, ppp, per capita (Int.$) |
2002 |
9870 |
UN population division database |
| Gross domestic product, per capita % growth |
2001-2002 |
2.2 |
World Bank |
| Per capita total expenditure on health (Int.$) |
2001 |
652 |
World Health Report 2004, WHO |
| General government expenditure on health as % of total expenditure on health |
2001 |
41.4 |
World Health Report 2004, WHO |
| Total adult illiteracy rate |
2000 |
14.8 |
UNESCO |
| Adult male illiteracy rate |
2000 |
14 |
UNESCO |
| Adult female illiteracy rate |
2000 |
15.4 |
UNESCO |
| Gross primary school enrolment ratio, male |
2000/2001 |
115 |
UNESCO |
| Gross primary school enrolment ratio, female |
1995 |
108 |
UNESCO |
| Gross secondary school enrolment ratio, male |
1995 |
83 |
UNESCO |
| Gross secondary school enrolment ratio, female |
1995 |
91 |
UNESCO |
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For consistency reasons the data used in the above table are taken from official UN publications
Source: WHO/UNAIDS epidemiological fact sheets on HIV/AIDS and Sexually Transmitted Infections, 2004 Update.
Email:
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| Epidemiological Fact Sheet |
| Estimated number of adults and children living with HIV/AIDS, end of 2003 |
| These estimates include all people with HIV infection, whether or not they have developed symptoms of AIDS, alive at the end of 2003: |
| Adults and children |
5,300,000 |
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| Adults (15-49) |
5,100,000 |
Adult rate(%) 21.5 |
| Women (15-49) |
2,900,000 |
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| Children (0-15) |
230,000 |
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| Estimated number of deaths due to AIDS |
| Estimated number of adults and children who died of AIDS during 2003: |
| Deaths in 2003 |
370,000 |
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| Estimated number of orphans |
| Estimated number of children who have lost their mother or father or both parents to AIDS and who were alive and under age 17 at the end of 2003: |
| Current living orphans |
1,100,000 |
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Assessment of the epidemiological situation (2004)
National sentinel surveillance surveys of antenatal clinic (ANC) attendees were conducted in South Africa since 1990. Surveillance shows a consistent and dramatic increase among pregnant women tested up to 2002. HIV information is available by province. In KwaZulu-Natal, Western Cape, Eastern Cape and Gauteng provinces, where the major urban areas of Johannesburg, Pretoria, Durban, and Port Elizabeth are located, HIV prevalence among ANC attendees tested increased from less than 1 percent in 1990 to a median of 28 percent in 2002. In Free State, North Cape, Mpumalanga, Northern and North West provinces, HIV prevalence among ANC attendees tested increased from less than 1 percent in 1990 to 26 percent in 2002.
Age data is available for the years 1991 through 2002. HIV prevalence among ANC women less than 20 years of age increased from 2 percent in 1991 to 21 percent in 1998. Since 1998, HIV prevalence in this age group declined to 15 percent. Since 1998, HIV prevalence among ANC women 20-24 years of age has remained around 24 percent.
HIV prevalence among sex workers tested in KwaZulu-Natal increased from 50 percent in 1996-1997 to 61 percent in 1998. In 2000, 50 percent of sex workers tested were HIV positive. In the late 1990s, HIV prevalence among sex workers in the mining areas of Carletonville and Khutsong had reached 70 percent.
Information on HIV prevalence among STD clinic patients is available from Johannesburg since 1988. Among male STD clinic patients, HIV prevalence increased from 1.5 percent in 1988 to 19 percent in 1994; and among females, HIV prevalence increased from 1 percent in 1988 to 25 percent in 1994. In Durban, from 1995 to 1999, HIV prevalence for both male and female STD clinic patients tested increased from 40 percent to 54 percent. In 2000, 64 percent of male and 50 percent of female STD clinic patients tested HIV positive. There is very little information on HIV prevalence for STD clinic patients tested outside the major urban areas. In 1998, in Cape Town, 10 percent of male patients tested were HIV positive.
In 1999, in six sites outside the major urban areas, 56 percent of truck drivers tested were HIV positive.
There is limited information available on HIV prevalence for men who have sex with men (MSM). In 1986, in Durban and KwaZulu-Natal, median HIV prevalence was 8 percent. In Cape Town, HIV prevalence was 11 percent.
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