1. The Multi-Sectoral Provincial Strategic Plan for HIV & AIDS, STIs & TB 2012-2016 of KwaZulu-Natal Presentation to PEPFAR all partners meeting Monday 28 November 2011

2. Presentation Outline 1.Background 2.Structure of the KZNPSP 3.Purpose of the KZNPSP 4.Priority Areas 5.Results Framework 6.Operationalisation 7.Governance & Management

3. 1. Background Information Where are we from? Current KZNPSP coming to an end this year (period 2007-2011) What did we do? Carried out a review process to determine progress we had made Result: KZNPSP 2007-2011 Review Report

4. 1. Background Information (contd.) What did the Report Come up with? Achievements, Gaps & Challenges and Emerging Issues-how much progress did the Province make in responding to HIV & AIDS, STI and TB? Information used to develop the new KZNPSP 2011-2016

5. 1. Background Information (contd.) The Premise? What did we do better? How do we maintain what we did better? What is it that we did not do better? How do we close the gaps & tackle challenges? How do we tackle emerging issues? What opportunities can we capitalize on? THE KZNPSP 2012-2016

6. 2. Structure of the KZNPSP 2012-2016 VISION (20 year vision in line with National HAST Vision, Mission-Values) EXECUTIVE SUMMARY-(copy distributed) INTRODUCTION-contains background and contextual information ACHIEVEMENT & GAPS - as per the Review Report

7. 2. Structure of the KZNPSP 2012-2016 (contd.) CONTEXT & ENVIRONMENT OF HAST RESPONSE - plan not isolated from provincial, national or global aspirations RESULTS FRAMEWORK - plan is result oriented showing the logical flow to results from the goal to interventions

8. 2. Structure of the KZNPSP 2012-2016 (contd.) GOVERNANCE & MANAGEMENT Coordination & institutional arrangements MONITORING, EVALUATION & RESEARCH Monitoring & Evaluation System & Research

9. 3. Purpose of KZNPSP 2012-2016 What will it provide? Strategic and broad guidance to the HAST Response over the next five years — therefore a framework for implementation by diverse stakeholders Advocacy & Resources Mobilisation tool

10. 4. Priority Areas 1.Prevention of HIV, STIs & TB (HAST) 2.Sustaining Health & Wellness 3.Promotion of Human Rights 4.Reducing Structural Vulnerability 5.Coordination, Monitoring & Evaluation

11. 5. Results Framework Priority Area 1: Prevention of HIV, STIs & TB 3 Goals: To reduce new HIV infection to less than 1% by 2016 To reduce new smear positive TB infection to less than 200 per 100000 population by 2016 To reduce STI Incidence to less than 0.5% by 2016

12. 5. Results Framework (contd.) Priority Area 1: Prevention of HIV, STIs & TB How do we achieve the goal? Through the following areas - (1) BCC, (2) PMTCT, (3) MMC,(4) STI Treatment, (5) HIV & TB Screening, (6)Condoms, (7) Treatment of TB, (8) Zero HIV transmission thru’ blood; (9) Zero HIV transmission from occupational exposure, sexual violence and discordance

13. 5. Results Framework (contd.) Priority Area 1: Prevention of HIV, STIs & TB The Expected Result? (1)Reduced HIV Incidence in the general population to less than 1% by 2016; (2) Zero HIV Transmission to infants by 2016; (3)Reduced HIV prevalence for age group 15-24 years to 7.5% by 2016;(4) Reduced TB infection to less than 200 new smear positive TB per 100,000 population by 2016;(5) Reduced STI incidence to less than 0.5% by 2016

14. 5. Results Framework (contd.) Priority Area 2: Sustaining Health & Wellness Goal: To reduce mortality, sustain wellness and improve quality of life of at least 80% of those infected and affected by 2016.

15. 5. Results Framework (contd.) Priority Area 2: Sustaining Health & Wellness How do we achieve the goal? Through the following (1) increased access to (HIV) treatment &support, adherence and optimum health, (2) increased access treatment (TB) and services that are responsive (3) increased access to support for the affected (4) increased quality care for OVC

16. 5. Results Framework (contd.) Priority Area 2: Sustaining Health & Wellness The Expected Result? – (1) Reduction in TB associated mortality by 80% by 2016 and (2) Improved quality of life of HIV & TB infected individuals and their families by 2016

17. 5. Results Framework Priority Area 3: Promotion of Human Rights Goal: To reduce vulnerability to HIV, STIs and TB by creating a supportive policy, human rights and regulatory environment and; promoting desirable social norms in the province by 2016

18. 5. Results Framework (contd.) Priority Area 3: Promotion of Human Rights How do we achieve the goal? Through the following-(1) strengthen leadership to speak out against, stigma, discrimination etc (2) adherence to existing legislation and policy on human rights & promotion of access to justice (3) capacity building on policies & legislation relating to HIV & AIDS (4) Greater involvement of PLHIV and LGBT

19. 5. Results Framework (contd.) Priority Area 3: Promotion of Human Rights The Expected Result?: Rights of those infected and affected upheld by a supportive policy, human rights and regulatory environment.

20. 5. Results Framework (contd.) Priority Area 4: Reducing Structural Vulnerability Goal: To reduce vulnerability to HIV, STIs & TB due to poverty, socio-cultural norms and gender imbalance by 2016 infected and affected upheld by a supportive policy, human rights and regulatory environment.

21. 5. Results Framework (contd.) Priority Area 4: Reducing Structural Vulnerability How do we achieve that? (1) addressing poverty, unemployment and gender inequality (2) promoting positive socio- cultural norms and values

22. 5. Results Framework (contd.) Priority Area 4: Reducing Structural Vulnerability Expected Result? Reduced poverty levels, reduced unemployment and gender inequality levels; favourable socio- economic & cultural environment

23. 5. Results Framework (contd.) Priority Area 5: Coordination, Monitoring & Evaluation Goal: To have a well coordinated provincial response to HIV & AIDS, STI & TB that is informed by an effective M&E system by 2016

24. 5. Results Framework (contd.) Priority Area 5: Coordination, Monitoring & Evaluation How do we achieve that?: (1) Strengthen coordination and management (2) Strengthen M&E system at all levels (3) Strengthen research component

25. 5. Results Framework(contd.) Priority Area 5: Coordination, Monitoring & Evaluation Expected Result? (1) Effective coordination, M&E leading to achievement of targets

26. 5. Results Framework (contd.) Measurement? Plan has set targets that should be met -Province already has a Monitoring & Evaluation System -Strategy will be accompanied by a Monitoring & Evaluation Framework and will be designed fit into the already existing system

27. 5. Results Framework (contd.) Measurement? The framework will provide guidance on -the data to be collected at input, output, outcome and impact level, core indicators frequency of data collection, responsibilities of data collection, reporting and feedback, information flow among others

28. 6. Operationalisation How will the strategy be implemented? Through Interventions/Activities by stakeholders at all levels- Sector Operational plans in draft form and Development of District Operational Plans is underway. Costing will also be done at this stage; to give an indication of how much financial resources will be required

29. 7. Governance & Management Coordinating Critical to Implementation the PCA, DAC, LAC and the WAC Strengthen coordination- Development Partners, Civil Society, WACs

30. 8. Recommendations for Government There are outstanding baselines (TBD) from certain Departments --- data that was not reported on – Operational plans will include. The finalization of the Departmental Operational Plans which ensures that all departments are implementing the strategy as of 01 April 2012. Mainstreaming HIV and AIDS and TB is a process that enables all departments to address the causes and effects of AIDS and TB in an effective and sustained manner, both through their usual work and within their workplace. Therefore Mainstreaming means all government departments must have plans which have an internal focus to the employees and external focus of their usual work addressing HIV and AIDS and TB

31. 8. Recommendations for District and Local AIDS Councils and Civil Society District and Local AIDS Councils to finalize and submit their plans in keeping with the Provincial Strategic Plan ensuring that all sectors are implementing the plan at the ward level. The Civil Society and Business Sector to input their aggregated targets into the provincial plan and at the local level into District plans Civil Society and Business Sector to finalize and submit their operational plans to ensure that the strategy is implemented as of 01 April 2012

32. Progress The KwaZulu-Natal Multisectoral plan for HIV, AIDS, STI and TB 2012-2016 has been approved for finalisation and launch on 01 December 2011 as the guiding document for the Province ---by both Cabinet and Provincial Council on AIDS

33. THANK YOU