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HCT programme overview   SOURCE: South Africa HIV/AIDS response stakeholder interviews; Project team analysis ,[object Object],[object Object],Overview ,[object Object],Structure ,[object Object],[object Object],Implemen-tation model ,[object Object],Financing
In April 2010, South Africa launched an ambitious campaign to test 15 million South Africans within 13 months    % ,[object Object],[object Object],[object Object],[object Object],[object Object],Progress against target  ,[object Object],[object Object],[object Object],[object Object],Persons  Tested Persons Counselled  Target  15 69% SOURCE: Health-e-news, SANAC, Department of Health, Press Search “ This is the most ambitious HIV testing campaign in the world.”  - Mark Heywood, SANAC deputy director  Number of participants at Dec 2010 Millions
Programme statistics   ,[object Object],[object Object],Outcomes of the HCT campaign, 2010-2011  Coverage of the HCT programme, 2004-2009 Persons  Tested Persons Counselled  Target  15 69% SOURCE: Department of Health, ASSA  North West 72  Free State Gauteng MP Eastern cape Kwa Zulu Natal Northern Cape Limpopo Western Cape PRELIMINARY Number of participants at Dec 2010 Millions  Cumulative HIV Testing Uptake by Province 2004-2009, % of target tested
Coordination complexity archetypes – South Africa (province)   1 Includes provider-initiated VCT SOURCE:  South Africa HIV/ AIDS stakeholder interviews Medium High Low Extreme Intervention type (primary) ,[object Object],[object Object],[object Object],[object Object],Number of funders ,[object Object],[object Object],[object Object],[object Object],Number of implementers ,[object Object],[object Object],[object Object],[object Object],Examples of programs in archetype ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The HCT programme has medium to high complexity (1/2)   Low Medium High Extreme Funders ,[object Object],[object Object],[object Object],Implementers ,[object Object],[object Object],[object Object],Size ,[object Object],[object Object],[object Object],[object Object],[object Object],Capabilities required SOURCE: South Africa HIV/AIDS response stake holder interviews PRELIMINARY
The HCT programme has medium to high complexity (2/2)   SOURCE: South Africa HIV/AIDS response stakeholder interviews  1 HIV/ AIDS, TB and STD director ILLUSTRATIVE HCT lead Provincial National District HCT lead SANAC Prevention Task Team HCT lead Implementers District AIDS council MoH => DG=> HIV Director Directorate for  Prevention Premier=>MEC=> Head of department District HAST Director Provincial Nerve  Centre Provincial HAST 1 director National Nerve  Centre District Nerve  Centre Provincial  AIDS council National & provincial HCT leads meet quarterly to exchange ideas & information  NGOs NGOs NGOs Gvt clinics/  hospitals NGOs NGOs NGOs NGOs (TA/  mobile CT/direct support),  Private sector (testing) NGOs NGOs NGOs National NGOs NGOs NGOs NGOs Prevention/ CT leads NGOs NGOs NGOs International donors NGOs NGOs NGOs Prevention/ CT leads NGOs NGOs NGOs National NGOs NGOs NGOs NGOs Prevention/ CT leads NGOs NGOs NGOs Local Nerve  Centres
The multi-sector HCT campaign is coordinated by Nerve Centres   SOURCE: South Africa HIV/AIDS response stakeholder interviews   ILLUSTRATIVE Provincial National Local  Implementers SANAC Government  (DoH, DSD, DoE) Private sector Civil society Donors ,[object Object],[object Object],Hospital Nerve Centres coordinate local implementers National Nerve Centre updates PDoHs weekly Led by NDoH and SANAC heads, meets weekly National Nerve Center PDoH Hospital Nerve Centers NGOs NGOs NGOs Partners NGOs NGOs NGOs Private sector NGOs NGOs NGOs District facilities
Key programme players and roles     SOURCE: South Africa HIV/AIDS response stakeholder interviews  PRELIMINARY Donors and providers of technical assistance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Civil society organisations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Government ,[object Object],[object Object],[object Object],Private sector ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Strategy/ Policy Resource allocation/ mobilization Planning Implemen- tation Monitoring & reporting Evaluation
Landscape of programme execution   SOURCE: South Africa HIV/AIDS response stakeholder interviews  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],PRELIMINARY Strategy/ Policy Resource allocation/ mobilization Planning Implementation Monitoring & reporting Evaluation

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Hct

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  • 2.
  • 3.
  • 4.
  • 5.
  • 6. The HCT programme has medium to high complexity (2/2) SOURCE: South Africa HIV/AIDS response stakeholder interviews 1 HIV/ AIDS, TB and STD director ILLUSTRATIVE HCT lead Provincial National District HCT lead SANAC Prevention Task Team HCT lead Implementers District AIDS council MoH => DG=> HIV Director Directorate for Prevention Premier=>MEC=> Head of department District HAST Director Provincial Nerve Centre Provincial HAST 1 director National Nerve Centre District Nerve Centre Provincial AIDS council National & provincial HCT leads meet quarterly to exchange ideas & information NGOs NGOs NGOs Gvt clinics/ hospitals NGOs NGOs NGOs NGOs (TA/ mobile CT/direct support), Private sector (testing) NGOs NGOs NGOs National NGOs NGOs NGOs NGOs Prevention/ CT leads NGOs NGOs NGOs International donors NGOs NGOs NGOs Prevention/ CT leads NGOs NGOs NGOs National NGOs NGOs NGOs NGOs Prevention/ CT leads NGOs NGOs NGOs Local Nerve Centres
  • 7.
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  • 9.