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 Wednesday 16 June 2010
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Country Profile: South Africa
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AIDS Programmes

National Strategic Framework: 2007-2011; see also 2000-2005

As of 16 March 2007, the strategic plan remained in draft form.

Epidemiological Assessment (UNAIDS):
South Africa had a National Strategic Plan for HIV, AIDS and STI 2000–2005. In 2004, this strategic framework was strengthened with the development of and implementation of an Operational Plan for Comprehensive HIV and AIDS Care, Management and Treatment. The Comprehensive Plan supports a package that addresses prevention, treatment, care and support services. The plan is fully funded. The government’s annual AIDS budget for 2005/6 was 2.6 billion South African rand (US$ 428 million). By the end of December 2005, 111 827 people were estimated to be accessing free antiretroviral treatment in the 200 public health sector facilities across 53 districts and an additional 60 000 through the private sector. In 2004 there were 2369 facilities providing voluntary counselling and testing.

Significant progress has been made in prevention through campaigns such as the government mass media campaign (khomanani); Soul City, loveLife and others. The Government has distributed 360 million free male condoms in 2004/5 (30 million per month) and aims to increase this to 425 million in 2005/6. The National AIDS Council is chaired by the Deputy President and is composed of thirty two members, half of them representing government and the other half representing civil society. There are several donors supporting HIV and AIDS efforts in South Africa and they meet every other month under the auspices of an information-sharing forum. This Donor Coordination Forum is chaired by the Department of Health with UNAIDS serving as its secretariat.

A combination of weak infrastructure and human capacity constraints are major challenges in expanding HIV and AIDS programmes. The AIDS pandemic was superimposed on an already overstretched health services and has further compounded the capacity problem. The government is aiming to address the capacity problems to scale up service delivery. Coordination of prevention efforts is also a challenge that has been identified.

There are several challenges and emerging issues that need to be addressed to strengthen the national response. These include:
 scaling up prevention programmes to reduce new HIV infections;
 supporting the rollout of the National Comprehensive Plan to ensure that those who need access to treatment, care and support receive it;
 addressing health-care system capacity through tackling the shortage of health-care workers and strengthening skills across the public health sector;
 strengthening the national health-care system through the implementation of the National Comprehensive plan;
 supporting the harmonization of the National Monitoring and Evaluation framework; and
 promoting the implementation the “Three Ones” principles to enhance national coordination and participation of civil society in the national response.

HIV/AIDS Organisations

  Ministry of Health
Contact person: Tel: +27 12 312 0713
+27 12 312 0121
Location: HIV/AIDS and STDs
Private Bag X399, Pretoria 0001
Fax: +27 82 787 0202
+27 82 578 1515
What we do:

  Department of Health - HIV/AIDS and TB Unit
Contact person: Dr Normonde Xundu - Chief Director Tel: +27 12 312 0121/0122
Location: Fax: +27 12 312 3122
What we do:

  South African National AIDS Council (SANAC)
Contact person: Ms Sesupo Nene, project manager Tel: +27 12 312 0131
Location: Fax: +27 12 312 0644
What we do:

 AIDS Consortium
Contact person: Denise Hunt Tel: +27 11 403 0265
Location: P.O. Box 31104
Braamfontein 2017
Johannesburg, South Africa
What we do: Networking; advocacy; lobbying; policy development; human rights; resource centre; information reference service; materials distribution.

 AIDS Foundation of South Africa
Contact person: Sindy Shozi Tel: +27 31 202 9520
Location: 237 Musgrave Road
Durban, KwaZulu-Natal 4062
South Africa
Fax: +27 31 202 9522
What we do: Donor intermediary agency that provides funding, technical support and capacity building programmes to CBOs and NGOs working in the field of HIV/AIDS.

 AIDS Law Project
Contact person: Mark Heywood Tel: +27 11 356 4101
Location: Centre for Applied Legal Studies Fax: +27 11 339 4311
What we do: 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.

 AIDS Training, Information & Counselling Centre (ATICC)
Contact person: Motseki Motlatla Tel: +27 51 405 8816
Location: P.O. Box 3704, Bloemfontein 9300
South Africa
Fax: +27 51 405 8818
What we do: Advocacy/rights; counseling; testing; training; safer sex information; resource centre.

 AIDSLINK South Africa
Contact person: Oscar Muronzi Tel:
Location: P.O. Box 31759
Braamfontein 2017, South Africa Tel: +27 11 720 5260 Fax: +27 11 725 6209
What we do: 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.

 Children’s HIV/AIDS Network (CHAIN)
Contact person:  Sonja Giese Tel: +27 21 685 4103
Location: Mobile: +27 82 870 7345
What we do: Information; education; prevention; advocacy; lobbying; counselling.

 HIVAN-Centre for HIV/AIDS Networking - HIVAN, Public Affairs Annex
Contact person: Tel: +27 31 260 3334
Location: 232 King George V Avenue
University of KwaZulu-Natal
Fax: +27 31 260 2013
What we do: Facilitates excellence, efficiency and effectiveness in HIV/AIDS-related research, training and intervention in the province of KwaZulu-Natal.

Contact person: Sonja Giese Tel: +27 11 771 6800
Location: Fax: +27 82 800 3322
What we do: Information; education; prevention; advocacy; lobbying; counselling.

 National Association of People Living with HIV/AIDS (NAPWA)
Contact person: Nkululeko Nxesi, director Tel: +27 11 872 1796
Location: P.O. Box 66, Germiston 1400
South Africa
Fax: +27 83 478 9462
What we do: Self-help; information; education; prevention; advocacy; lobbying; counselling.

  National HIV/AIDS Convention of South Africa (NACOSA)
Contact person: Dawn Betteridge Tel: +27 21 423 3277
Location: Fax:
What we do:

 Positive Women's Network
Contact person: Sechaba Mathinya Tel: +27 12 343 0953
Location: Suite 159, Postnet X21, Sunnyside, Pretoria 0132, South Africa Fax: +27 12 341 9789
What we do:

 South African Business Coalition on HIV/AIDS (SABCOHA)
Contact person: Brad Mears Tel: +27 11 880 4821
Location: Fax: +27 11 880 6084
What we do:

 Treatment Action Campaign
Contact person: Zachie Achmat/ Sipho Mthati Tel: +27 21 788 3507
Location: P.O. Box 74
Nonkqubela, 7793
Cape Town
Fax: +27 21 788 3726
What we do: Treatment information; campaigns for treatment access; networking; Advocacy/lobbying.

 Vukani AIDS and Youth Development Project
Contact person: Mododa Mabuto Tel: +27 21 694 3603
Location: Box 54 Lancia 7455
Cape Town 8000, South Africa
Fax: +27 21 694 2775
What we do: Information; education; prevention; advocacy; lobbying; counselling.

 UNAIDS Country Co-ordinator
Contact person: Mbulawa Mugabe Tel: +27 12 354 8490
Location: UNAIDS Country Office – South Africa
5th Floor Metropark Building
351 Schoeman Street
P.O. Box 6541
Pretoria 0001, South Africa
Fax: +27 12 354 8491
What we do:

 UN Theme Group on HIV/AIDS, Chair
Contact person: Mr E. Kenneth Andoh , ILO Director Tel: +27 12 531 8800
Location: 347 Hilda Street (Corner Hilda and Arcadia Street)
P.O. Box 11694
Hatfield 0028
Pretoria , South Africa
Fax: +27 12 431 8859
What we do: 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.

Sources: - The Presidents Emergency Plan for AIDS Relief (PEPFAR)
- The World Bank
- World Health Organization
- United Nations Educational, Scientific and Cultural Organization (UNESCO) Country Profiles
- United Nations Population Division, Department of Economic and Social Affairs. 2005. “World Population Prospects: The 2004 Revision.” New York.
- The Joint United Nations Programme on HIV/AIDS (UNAIDS)

Treatment Map

Adult HIV Prevalence Rate (%): 18.8%
No. Of People living with HIV/AIDS: 5.5 million
No. Of HIV Testing & Counseling Sites (Sept. 2006): 4,172
No. Of People in need of ART (Oct. 2006): Total: 983,000
Children: 21,550
Additionally, as of Oct. 2006, 24,700 people were on the waiting list for ARVs
No. Of People On ART (End Oct. 2006): 213,828
No. Of Sites Reportedly Distributing ART (Nov. 2006): 273
No. Of People on ART Public Sector (End Oct. 2006): 213,828
No. Of People on ART Private Sector (Nov. 2006): approx. 100,000
No. Of People on ART in Non-Governmental Programmes: n/a
No. Of People Expected to be on ART (2006 End): 246,828
Front Line Drug Regimen (Oct. 2006): Nevirapine, zidovudine, lamivudine, Efavirenz, stavudine, didanosine, Lopinovir, Rotanovir, Abacavir.
*PMTCT Regimen (Oct. 2006): Nevirapine and zidovudine

HIV/AIDS Fund Disbursements:
Total Funds Disbursed By The Global Fund as of Sept. 2006: US$59,492,173 (South Africa also receives additional funding from the Global Fund in the form of an allocation for a cross-border area comprising parts of Mozambique, South Africa and Swaziland.)
Total Funds Disbursed By The World Bank Multi-Country HIV/AIDS Programme (MAP) as of Sept. 2006: nil
Total Funds Disbursed By PEPFAR During 2005 Fiscal Year: US$148,187,427

Sources: South African Government


Demographics (United Nations Population Fund):
Population: 47,432,000
Population aged 15-59: 28,754,000
Urban population: 27,449,000

Under 5 mortality per 1000 births: 74
Male life expectancy: 47 years
Female life expectancy: 49 years
Combined average life expectancy: 48 years
Combined average life expectancy 1975-1980: 55.5 years

Education (UNESCO, 2004):
Males with secondary education as percentage of secondary school-age youths: 85 percent
Females with secondary education as percentage of secondary school-age youths: 92 percent

Literacy rates (UNESCO, 2004):
Percentage of literate males aged 15 or older: 86.7 percent
Percentage of literate females aged 15 or older: 85.3 percent
Combined literacy rate for aged 15 or older: 86 percent
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