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

KwaZulu-Natal

Presentation to PEPFAR all partners meeting

Monday 28 November 2011

Presentation Outline1. Background2. Structure of the KZNPSP3. Purpose of the KZNPSP4. Priority Areas5. Results Framework6. Operationalisation7. Governance & Management

1. Background Information

Where are we from?Current KZNPSP coming to an end this year (period 2007-2011)

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

Result: KZNPSP 2007-2011 Review Report

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 2011-2016

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

2. Structure of the KZNPSP 2012-2016

VISION (20 year vision in line with National HAST Vision, Mission-Values)

EXECUTIVE SUMMARY-(copy distributed)

INTRODUCTION-contains background andcontextual information

ACHIEVEMENT & GAPS - as per the ReviewReport

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

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

GOVERNANCE & MANAGEMENT

Coordination & institutional arrangements

MONITORING, EVALUATION & RESEARCH

Monitoring & Evaluation System & Research

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

4. Priority Areas

1.Prevention of HIV, STIs & TB (HAST)

2.Sustaining Health & Wellness

3.Promotion of Human Rights

4.Reducing Structural Vulnerability

5.Coordination, Monitoring & Evaluation

5. Results Framework

Priority Area 1: Prevention of HIV, STIs & TB

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

5. Results Framework (contd.)

Priority Area 1: Prevention of HIV, STIs & TBHow 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

5. Results Framework (contd.)

Priority Area 1: Prevention of HIV, STIs & TBThe Expected Result? (1)Reduced HIV Incidence in the general

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

Transmission to infants by 2016; (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

5. Results Framework (contd.)

Priority Area 2: Sustaining Health & Wellness

Goal: To reduce mortality, sustain wellness and

improve quality of life of at least 80% of those

infected and affected by 2016.

5. Results Framework (contd.)

Priority Area 2: Sustaining Health & WellnessHow 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

5. Results Framework (contd.)

Priority Area 2: Sustaining Health & Wellness

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

5. Results Framework

Priority Area 3: Promotion of Human Rights

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

5. Results Framework (contd.)

Priority Area 3: Promotion of Human RightsHow 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

5. Results Framework (contd.)

Priority Area 3: Promotion of Human Rights

The Expected Result?: Rights of those

infected and affected upheld by a

supportive policy, human rights and

regulatory environment.

5. Results Framework (contd.)

Priority Area 4: Reducing Structural

Vulnerability

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.

5. Results Framework (contd.)

Priority Area 4: Reducing StructuralVulnerability

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

5. Results Framework (contd.)

Priority Area 4: Reducing StructuralVulnerability

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

5. Results Framework (contd.)

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

5. Results Framework (contd.)

Priority Area 5: Coordination, Monitoring &

Evaluation

How do we achieve that?: (1) Strengthen

coordination and management (2) Strengthen M&E

system at all levels (3) Strengthen research

component

5. Results Framework(contd.)

Priority Area 5: Coordination, Monitoring &

Evaluation

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

leading to achievement of targets

5. Results Framework (contd.)

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

5. Results Framework (contd.)

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

6. Operationalisation

How will the strategy be implemented? Through Interventions/Activities by stakeholders at all levels-Sector Operational plans in draft form and Development of District Operational Plans is underway. Costing will also be done at this stage; to give an indication of how much financial resources will be required

7. Governance & Management

Coordinating Critical to Implementation the PCA, DAC, LAC and the WAC

Strengthen coordination- Development Partners, Civil Society, WACs

8. Recommendations for Government

• There are outstanding baselines (TBD) from certain Departments --- data that was not reported on – Operational plans will include.

• The finalization of the Departmental Operational Plans which ensures that all departments are implementing the strategy as of 01 April 2012.

Mainstreaming HIV and AIDS and TB is a process that enables all departments to address the causes and effects of AIDS and TB in an effective and sustained manner, both through their usual work and within their workplace.

• Therefore Mainstreaming means all government departments must have plans which have an internal focus to the employees and external focus of their usual work addressing HIV and AIDS and TB

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 into the provincial plan and 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

Progress

• The KwaZulu-Natal Multisectoral plan for HIV, AIDS, STI and TB 2012-2016 has been approved for finalisation and launch on 01 December 2011 as the guiding document for the Province ---by both Cabinet and

Provincial Council on AIDS

THANK YOU