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HIV/AIDS Conditional Grants 2001/2 for

HIV/AIDS Conditional Grants 2001/2 for. * The National Integrated Plan for Children and Youth Infected and Affected by HIV/AIDS. * Prevention of Mother to Child Transmission. Purpose.

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HIV/AIDS Conditional Grants 2001/2 for

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  1. HIV/AIDS Conditional Grants2001/2 for * The National Integrated Plan for Children and Youth Infected and Affected by HIV/AIDS. * Prevention of Mother to Child Transmission.

  2. Purpose • Cabinet in November 1999 approved the setting aside of funds for an effective response to the HIV/AIDs epidemic. • Support for the idea that an integrated response, focussing on children and youth and the position of women in society should be implemented.

  3. VCT Campaign To provide voluntary counselling and testing to 12.5% of population within 3 years Community/Home Based Care and Support To develop and implement effective home based care and support models Role of National Department of Health

  4. Budget 2001/2

  5. Expenditure 2001/2 • VCT • Eastern Cape 42% • Free State 96% • Gauteng 66% • KZN 78% • Mpumalanga 64% • North Cape 100% • North west 34% • Limpopo 73% • Western Cape 96% • Total 70%

  6. Expenditure 2001/2 • CHBCS • Eastern Cape 67% • Free state 94% • Gauteng 101% • KZN 1% • Mpumalanga 0% • North Cape 100% • North West 100% • Western Cape 74% • Total 57%

  7. PMTCT amount received and % spent 2001/2 • Eastern Cape 2 431 000 66% • Free State 865 000 75% • Gauteng 2 130 000 82% • KZN 9 424 000 100% • Mpumalanga 1 309 000 0% • North cape 815 000 100% • North West 791 000 1% • Limpopo 1 705 000 26% • Western cape 828 000 0% • Total 20 298 000 72%

  8. Total HIV/AIDS Conditional Grant Expenditure 2001/2 • Eastern Cape 53% • Free State 92% • Gauteng 78% • KZN 82% • Mpumalanga 30% • North Cape 100% • North West 48% • Limpopo 53% • Western Cape 73% • Total 68%

  9. Outputs of Grants • VCT Training • 18 Master trainers (2 per province). • 4 800 HIV/AIDS counsellors • 300 Trainers for rapid test training • 50 mentor trainers (Counsellor support programme) • Capacity building (VCT trainers trained in project management.

  10. Outputs of Grant • VCT Counselling • Developed Guidelines(pre and post test counselling, establishing VCT programmes, minimum standards for training counsellors/trainers/mentors). • Material: Developed standards manual for master trainers, train the trainer & counsellor trainers, a standards manual for mentorship training & an HIV/AIDs education manual. • VCT Material – posters, pamphlets, VCT signboards. • VCT sites: - 438 operational sites nationally with rapid testing & counselling.

  11. Outputs of Grant CHBCS • CHBCS Training • 2000 Home carers trained nationally • 180 Master trainers trained (20 per province) • Provincial fast-tracking of establishing home based care and support programmes took place in all provinces. • Research • Situational Analysis of six sites of implementation of National Integrated Plan • Training provincial officials from 9 provinces and 3 departments on conducting situational analysis • UCT Children’s institute funded to undertake research on needs of vulnerable children

  12. CHBC Conditional grant Outputs continued • Rapid assessment ofexisting home/based care and hospices has been completed. • 650 Home based care projects currently operational.

  13. Problems experienced and steps taken. • Lack of Infra-structure. • Development of infra-structure has been ongoing over the past year and ‘sufficient’ foundation has been laid for implementation. • Human resource capacity • Structures have grown from 1 provincial coordinator to include VCT, HBC & PMTCT coordinators and finance/admin staff. Roll-out to Regions currently underway.

  14. …Problems & Steps taken. • Skills training with provincial managers & staff is ongoing and affects the pace of implementation. • Training includes: • Financial regulations governing conditional grant. • Establishing systems and codes for financial monitoring • National Integrated Plan overview and implementation requirements as recommended by cabinet • Programme Management. • Facilitating integration between 3 departments concerned. • Guidelines for implementation of PMTCT. • Some provinces have systemic problems that affects all their programmes. • Some provinces have own HIV/AIDS programmes meaning conditional grant spending had less priority.

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