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XIX International AIDS Conference, Washington DC 26 th July 2012 Abstract Reference No: THPDE0304

The National HIV Counselling and Testing Campaign and Treatment Expansion in South A frica: A return on investments in combination prevention. XIX International AIDS Conference, Washington DC 26 th July 2012 Abstract Reference No: THPDE0304 Presented by Dr Thobile Mbengashe

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XIX International AIDS Conference, Washington DC 26 th July 2012 Abstract Reference No: THPDE0304

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  1. The National HIV Counselling and Testing Campaign and Treatment Expansion in South Africa: A return on investments in combination prevention XIX International AIDS Conference, Washington DC 26th July 2012 Abstract Reference No: THPDE0304 Presented by Dr Thobile Mbengashe Chief Director, HIV/AIDS Cluster, National Department of Health, South Africa

  2. Background • Population of 50,590,000 • 5.6 million people living with HIV in South Africa • A quarter of the disease burden in sub-Saharan Africa • One fifth of the global disease burden • The national HCT campaign was launched in April 2010 and ended in June 2011 • Objectives: • To promote comprehensive combination HIV prevention and • increase access to early treatment • Target: 15 million to be tested in 15 months

  3. Methods Coordination & Supervision Monitoring

  4. Results: by April 2011 50% ARV price reduction MTCT reduced to <5% Budget: $3.5 billion 80% of 3,686 health facilities providing ARVs 10,542 nurses trained

  5. Conclusion • South Africa has succeeded in implementing a comprehensive HIV combination prevention model that optimizes treatment for prevention and improves quality of life to reduce new HIV infections. • The HCT Campaign created a shift from testing for treatment to testing for prevention and promoting combination prevention. • The Treatment Expansion programme contributed to preventing new HIV infections. • 50% ARV price reduction & economies of scale resulted in a highly cost effective intervention • The outcome was a reduction in the incidence of new HIV infections.

  6. Thank you

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