IMPLEMENTATION PLAN TO SCALE UP HIV/AIDS PREVENTION AND TREATMENT

1. IMPLEMENTATION PLANTO SCALE UPHIV/AIDS PREVENTION AND TREATMENT

2. National Strategic Plan on HIV and AIDS, 2007-2011 Goals • To reduce the rate of HIV infection by 50% by 2011 • 80% of people that need treatment to be provided with antiretroviral treatment

3. The Turning Point (World AIDS Day – 01 December 2009) • Major Announcements made by the President: • New treatment regiments • Pregnant women to start treatment at CD-4 count of 350 or less • All TB/HIV co-infected people to start treatment at CD-4 count 350 or less TOP SECRET

4. The Turning Point continued • A new package of preventative measures • All pregnant women not on treatment to start PMTCT at 14 weeks • All HIV positive infants (1 year or less) to start treatment on diagnosis, regardless of their CD-4 count (70 000 born HIV positive annually in SA TOP SECRET

5. Implementation of World AIDS Day Announcements Prevention strategy for HIV/AIDS Medical male circumcision Prevention of mother to child HIV transmission (PMTCT) Safe blood transfusion Post-exposure prophylaxis Life skills education • Information, education, mass mobilisation • STI detection and management • Know your status – HIV testing and counselling • Widespread provision of condoms (male and female)

6. Campaign Theme – Continuation from World AIDS Day I AM RESPONSIBLE... I must take responsibility for my own health and HIV status i.e. if I am HIV negative, to stay negative, if I am HIV positive, to seek support and services to ensure I am healthy and don’t spread the virus to others, be they partners or children

7. Campaign Theme – Continuation from World AIDS Day WE ARE RESPONSIBLE We must take collective responsibility for enabling those in our sphere of influence to make healthy choices (be they our children, our sexual partners, our employees etc.)

8. Campaign Theme – Continuation from World AIDS Day SOUTH AFRICA IS TAKING RESPONSIBILITY Government and social partners are taking collective responsibility to ensure that quality services are available when people present to test and to treat

9. HCT Targets – Initial launch districts- conducted on 30 April

10. HCT Targets- Provinces

11. Full range of services provided by HCT sites • HIV counselling and testing (HIV) • Blood pressure (Hypertension) • Blood sugar (Diabetes mellitus) • HB (Anaemia) • TB screening (symptomatic screening, 5 questions) • Full clinical TB screening is yes to any of the 5 questions (sputum, culture, x-rays)

12. Testing

13. Condoms

14. Medical Male Circumcision

15. INH Prophylaxis for TB Prevention

16. ART for Pregnant Women

17. TB-HIV Co-infected Patients

18. Infants accessing ART

19. Total ART Patients

20. ART Provision 4,300 PHC Facilities providing Full package ART by March 2011

21. Human Resources

22. Summary Estimates by end of June 2011:Total tested: 15 million Total testing positive: 1.65 million

23. Output: Combating HIV and AIDS and decreasing the burden of disease from Tuberculosis Progress Strategies and Interventions Patients Counseled: 6,021,330 Implementing Health care provider-initiated Counselling and Testing (HCT )Campaign Tested in Public sector: 5,105,873 Tested in Private sector: 369,432 Total number Tested : 5,474,505 Acceptance rate: 85% Tested positive : 936,168 Positivity Rate : 18% Target reached to date: 68,6%

24. HIV Data Jan 2011

25. Output: Combating HIV and AIDS and decreasing the burden of disease from Tuberculosis Progress Strategies and Interventions • Rapidly scaling up access to Antiretroviral Therapy (ART) for people living with HIV&AIDS, especially identified vulnerable groups; Over 1,2 million patient are on ART and we plan to increase access to 1,5 million patients by end of this financial year. Expanded the service providing ART from 490 to about 1,500 new facilities which are providing ART Increased the number of nurse providing ART from 290 to more than 2000 trained nurses that are equipped to initiate ART and manage HIV patients at the PHC facilities

26. THANK YOU