Presentation on theme: "Www.aids2014.org Regional Approach to Making Wide-scale HIVST a Reality in Southern Africa Presentation by Margaret Zulu Southern African AIDS Trust (SAT)"— Presentation transcript:
Regional Approach to Making Wide-scale HIVST a Reality in Southern Africa Presentation by Margaret Zulu Southern African AIDS Trust (SAT) [Sat logo]
Countries Reviewed Botswana, Malawi, Tanzania, Zambia, Zimbabwe, South Africa, Mozambique. France, England and the USA.
HIVST Legal Review Findings HIVST is legal in Malawi, South Africa, Zambia, Zimbabwe, England and USA, Not legal in Botswana, Tanzania and France. HIVST test kits not presently regulated in South Africa and Zimbabwe Law in Malawi, Zambia, England and USA does not expressly give persons the right to be tested except in Botswana, Tanzania and France. A person can be forced to take a test in all jurisdictions except for Zambia, France and England. All jurisdictions can compel parents to have their children tested for HIV except for France.
HIVST Legal Review Findings Persons in all jurisdictions except for Mozambique, France and England can be compelled to make disclosures on positive diagnosis. Individuals who distribute products including medical devices generally have certain obligations towards the users of their products. Persons in all jurisdictions require consent to HIV testing except in USA – varies by state Test results are confidential in all jurisdictions Malawi is the only country which does not criminalise wilful transmission of HIV.
Proposed Regional Approach for Southern Africa Driving Demand for HIVST Support governments in exploring policy spaces Pilot HIVST use across varying contexts Knowledge sharing Integrate HIVST in CSS for HSS
Proposed Regional Approach for Southern Africa Stigma-free approach and self- testing as an entry point for HTC. In-country dialogues based on legal review. Awareness raising among communities. Parallel operational research needed to monitor HIVST roll- out & uptake. Community involvement Stakeholder engagement for scale up:
SAT Model for Community Systems Strengthening (CSS).
Key points Less than half of men and women in Southern Africa do not know their HIV status. HIV legal environment in Southern Africa is not all bad! – opportunities to strengthen “SRHR for all” exist. Need coordinated action to make wide- scale HIVST a reality in Southern Africa.
Report Linkages and SAT Website, Facebook and Twitter SAT website: Twitter handle: SATregional Facebook page: SATregional URL for HIVST reports: orts/
THANK YOU Acknowledgements Legal firms –Arnold and porter (UK) LLP –Arnold and Porter (USA)LLP –Corpus Legal Practitioners (Zambia) –Dechert (France) –Gill, Godlonton & Gerrans (Zimbabwe) –Nexus Attorneys (Tanzania) –Norton Rose Fulbright (South Africa) –Pimenta, Dionisio e Associado (Mozambique) –Rantao Kewagamang Attorney (Botswana) –Savjani & Co (Malawi) –Thomson Reuters Foundation Wits Reproductive Health Institute Participants to the regional HIV ST Consultative meeting held in March 2014 in Johannesburg WHO HIV Dept for this opportunity to share our review