Ms Managa Pillay
description
Transcript of Ms Managa Pillay
Higher Education HIV/AIDS Programme
Strategies in turning the tide against
the spread of HIV
13 May 2009
University of Zululand
Ms Managa Pillay
Context - the epidemic has changed the world as we know it….
Peter Piot (2008):
‘ AIDS is a supremely complex issue that demands an unparalleled response
from all sectors of society’
WHY
Reduced life expectancy > 20 years
Slowed economic growth
Deepened household poverty
Exposed our children to unprecedented conditions that children should
never have to endure
UNDP (2005) – single greatest reversal in human development
What are we dealing with???
Globally:
30.8m adults and 2m children living with HIV
2.7m newly infected
2m deaths
SSA:
Little more than 10% of the world’s population – accounts for more than
67% of all people living with HIV
Further 1.9m infected in 2007 = 22m by end of 2007
SA:
5.7m people living with HIV
1000 deaths
South African in context
Life expectancy on average - 54 years (64 without HIV)
High risk group = 15 – 35 age band (most economically productive)
Generally poor track record
Some 20 years into the epidemic, little signs of significant reversal
Politicised – Mbeki (‘does it exist or not’) and Manto (“nutrition indeed!!’)
Initial reluctance to provide ARV and the slow roll-out
Service delivery challenges – quality, efficiency and access to VCT
Prevention efforts – some have been notable – generally not having the
desired impact, minimal resources
Stigma and discrimination
Gender equity and sexual abuse
Context
Peter Piot:
‘AIDS is a supremely complex issue that demands an unparalleled
Response from all sectors of society’
Against this backdrop that the higher education sector positioned its response
HOW COULD WE NOT
HEIs - Microcosm of society
Threatening the very fabric that fuels our purpose = the
development of competent and efficient graduates
Einstein’s theory - ??
No…..re-inventing the wheel…..No!
knew that we needed to move this beyond the health debate
knew that education seen to be the ‘social vaccine’
knew that education could make a contribution to the mainstreaming of
HIV and AIDS
knew that education provided strong leadership that needed to be
harnessed
knew that there was a great divide between knowledge learning and
skills development
Knew that we needed to debate the issues of personal and professional
competencies
knew that there was a need to sustain long term and adequate funding
and resourcing
Cont…
knew that prevention was critical, as was accessible services
knew that we needed to mitigate its impact and potential impact on the
sector
knew that HIV was affecting our staff
knew that any response would needed be governed by policy
knew that collective ownership would be critical
Certainly knew that we needed a comprehensive response
Having assessed where we had come from since 2001 – which saw the
sector’s first attempt at addressing HIV, we knew that we needed to start
deliberately talking to each other and co-ordinate our efforts
HEAIDS Key Result Areas
KRA 4 - Best practices with respect to, inter alia, prevention, behavioural change, care &
support, gender (including masculinity), curriculum integration etc. is identified, investigated,
tested and replicated.
KRA 5- Knowledge generation, assimilation and dissemination with respect to the Higher
Education sub-sector, the Education sector and the population as a whole is supported.
KRA 6 - Human resource capacities and systems development with respect to the challenges
posed by HIV&AIDS are supported.”
Research & Knowledge generation
Community Engagement(Prevention, Treatment
Care & Support Services)
HEAIDS Strategy
ENABLERS Teaching & Learning(Curriculum Integration)
Policies
Funding
HR Capacity ↓ Stigma
↑Quality of Life
↓ Prevalence
OBJECTIVES
Purpose
‘To reduce the threat of the spread of HIV and AIDS in
the HE sector, to mitigate its impact through planning
and capacity development and to manage the impact of
the pandemic in a way that reflects the ethical, social,
knowledge transmission and production responsibilities
that are the mission of HEIs in society and in South
Africa’ – HEAIDS Strategic Framework 2006-2009
The Programme
Funding
Workplace
Services
Curriculum
Sero-prevKAPB
Research
Policy
HIV and AIDS Policy Framework
PF – Guiding Principles
Supportive and committed leadership
leadership at the highest level
harnessing core mandates – intellectual leadership
Students as the future leaders
Promotion of Human Rights
human rights of dignity, privacy, non-discrimination, equity and voluntary participation
diversity, social change and cohesion – de-stigmatisation
Inclusive of vulnerable and marginalised groups
encouraging open debate
Comprehensive response
recognition that HIV is a bio-psycho-social-developmental and economic pandemic
dictates a comprehensive approach
cognisant of global developments and Good practice
continuous cycle of improvement - M and E
Where are we at
Policy Framework with Implementation guide
M and Framework – under consultation – establish sector level indicators
Development of funding models and mechanisms – sustainability
Research:
Roles of Educators in mitigating the impact of HIV
Research – id gaps in HIV research
Graduate competency study
Good practice – Prevention
Sero-prevalence, KAPB and risk assessment
Curriculum - Pilot of HIV module at TE faculties
Work Place Programme – Framework with implementation assistance to
HEIs
Grants to HEIs (R60m)
Many Questions?
Policy Framework – HE Strategy – HE Policy
What does the adoption of the PF mean?
Institutionalise response- institutional autonomy- competitive edge
Competing priorities
Strategic agenda
Emerging findings – baseline data, ‘relunctant academics
Social environments – breeding ground (KAPB)
Behaviour and practices
Equity issues – merged HEIs
Many questions! Many questions! Many questions! Many questions!
Stellenbosch…Zululand…..Fort Hare
ASK YOU: Are we turning the tide!!!
References
2008 Report on the Global AIDS Epidemic
www.avert.org
HEAIDS Strategic Framework 2006-2009 and beyond
Policy Framework on HIV and AIDS for Higher Education in South Africa
World Bank – Global HIV/AIDS Programme (Accelerating the Education sector
response to HIV/AIDS in Africa, August 2005
UNESCO – Expanding the filed of enquiry: A cross country study of HEIs
responses to HIV and AIDS, 2006
MANAGA PILLAY (Ms)
012 4841141 / [email protected]