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One SADC, One Vision, One Way Working Together Towards MDG 6: SADC’s Common Vision

One SADC, One Vision, One Way Working Together Towards MDG 6: SADC’s Common Vision. Hon. Benedict Xaba, Minister of Health of Swaziland International AIDS Conference: Washington DC, USA, 22-27 July 2012. SADC Region. Background. All Member States Committed to MDG 6

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One SADC, One Vision, One Way Working Together Towards MDG 6: SADC’s Common Vision

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  1. One SADC, One Vision, One WayWorking Together Towards MDG 6: SADC’s Common Vision Hon. Benedict Xaba, Minister of Health of Swaziland International AIDS Conference: Washington DC, USA, 22-27 July 2012

  2. SADC Region

  3. Background All Member States Committed to MDG 6 • By 2015 have halted & reversed the spread of HIV&AIDS • By 2010, achieve universal access to HIV & AIDS treatment for all those who need it • As a community our vision is to enable cooperation & regional integration by promoting cross-border trade and services • HIV & AIDS, TB and Malaria are among the greatest obstacle to achieving this objective and only healthy nations can promote social and economic growth

  4. Current Status of HIV & AIDS, TB and Malaria • SADC countries remain the most affected by HIV & AIDS, Malaria, and TB because of gender imbalances, culture believes, illiteracy, & poverty • Deepening of regional integration will increase free movement of people, increase trade and reduce poverty • High mobility of people can increase the risks of HIV and other communicable diseases • All SADC countries have reported MDR/XDR-TB cases; HIV-TB co-infection rates from 1% to 80% • 75% of people residing in SADC countries are at risk of contracting malaria – most of them children under five & pregnant women

  5. Coordinating Mechanisms Coordination Mechanisms Countries Policy Alignment All National Strategies aligned to agreed targets regionally, continentally and internationally Heads of States endorsed all global & continental initiatives Maseru Declaration, SADC Protocol on Health, MDGs, Abuja, UNGASS, NEPAD, African Health Strategy, and HLM resolutions • Structures exists that allow Member States to plan and implement their decisions collectively • All countries operate based on the 3X1 principle: • 1 Strategic Framework • 1 Coordinating Entity • 1 M&E Framework • Challenges to coordinate many players & stakeholders

  6. Implementation of Adopted Policies Achieved/agreed Challenges in- & between countries Case management, detection, referrals, surveillance systems & patients follow-up Eligibility criteria for ART still at CD4 250/350 Drug resistance HIV &TB co-infection in most countries Paediatric treatment for AIDS still weak in all countries • Different levels of national response adopted frameworks and guidelines • Endorsed Resolutions from High Level Meeting in NY • Uptake of HIV testing is on increase due to “Know your status campaign” • Patients access to ARV’s and PMTCT increased due to GFATM, PEPFAR, and other ICPs

  7. Monitoring Progress in Agreed Commitments Achievements Challenges Monitor progress due to inconsistence and/or incomplete data submission (validation) The numbers of new infections, in particular among young people Integrating HIV & AIDS with SRH, child health, TB and other services • A set of core indicators to agreed upon and in use • Annual HIV and TB and malaria reports used for peer review mechanism & devise feasible solutions • Technical support mainly from country offices of UNAIDS, WHO, UNDP, Roll Back Malaria, etc.

  8. Resource Mobilisation Achievements Challenges 15% of national budgets to health still a challenge Negotiations to bring down the price of ARVs, 2nd line regimens Programs over-dependent on external support putting progress to date at risk • SADC HIV Fund in place USD7M as MS initial contribution + 5% of annual contribution per year • Great support directly to Countries from Global Fund, FPEPFAR, Bill & Melinda Gates, USAID, EU,ADB; • USD45M from R9 Global Fund for the SADC HIV Cross-Boarder Initiative for all countries • 30M from African Development Bank for AIDS, TB and Malaria for the ADF countries

  9. Working together towards MDG 6: 5-Lessons Learnt • Great work done, still more ahead for SADC Countries to achieve the MDG”s targets by 2015, in particular MDG 6. Through “One SADC, one vision, one way” will get there • There is need to increase domestic resources for health to sustain programs and achievements of last decade • There is need to make efficient and effective use of resources and being accountable for both domestic and ICP’s funds • In times of global financial crises affecting results governments should explore public and private partnership

  10. Thank you To access documents from SADC's HIV and AIDS Programme, visit: www.k4health.org/toolkits/sadc

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