This document presents a multi-sectoral provincial strategic plan for HIV/AIDS, STIs, and TB in KwaZulu-Natal for 2012-2016. It outlines the background and review process, structure and purpose of the plan, priority areas, and results framework. The priority areas are addressing social determinants, preventing new infections, sustaining health and reducing mortality, and protecting human rights. The plan aims to coordinate the provincial response through governance structures and implementation at ward level through Operation Sukuma Sakhe. District and local AIDS councils and civil society are urged to finalize plans aligned with the provincial strategic plan.

1. The Multi-Sectoral Provincial Strategic
Plan for HIV & AIDS, STIs & TB 2012-
2016 of KwaZulu-Natal
Presentation by:
Dr Fikile Ndlovu
Office of the Premier
08/12/13 1

2. Presentation Outline
1. Background
2. Structure of the KZNPSP
3. Purpose of the KZNPSP
4. Priority Areas
5. Results Framework
6. Governance & Management
7. Operationalisation
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3. 1. Background Information
Where are we from?
KZNPSP came to an end (period 2007-2011)
What did we do?
Carried out a review process to determine
progress we had made
Result: KZNPSP 2007-2011 Review Report
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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 2012-2016
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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
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6. 2. Structure of the KZNPSP 2012-
2016
VISION
(20 year vision in line with National HAST
Vision, Mission-Values)
EXECUTIVE SUMMARY-
INTRODUCTION-contains background and
contextual information
ACHIEVEMENT & GAPS - as per the Review
Report ( available on the website)
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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
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8. 2. Structure of the KZNPSP 2012-
2016 (contd.)
GOVERNANCE & MANAGEMENT
Coordination & institutional arrangements
MONITORING, EVALUATION &
RESEARCH
Monitoring & Evaluation System &
Research
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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
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10. Alignment with the NSP
• halving the number of new HIV infections
• ensuring that at least 80% of people who are eligible for
treatment for HIV are receiving it (at least 70% should be
alive and still on treatment after five years)
• halving the number of new TB infections and deaths from
TB
• Ensuring that the rights of people living with HIV are
protected
• halving the stigma related to HIV and TB.
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11. 4. Priority Areas
1.Addressing social and structural factors that drive these
epidemics, influence their impact, and affect the way we care for
affected people.
2.Prevent new HIV, STIs and TB infections through a combination
of interventions.
3. Sustaining Health & Wellness primarily by reducing deaths and
disability from HIV, AIDS and TB.
4. Protect the human rights of people living with HIV and
improve their access to justice
5. Coordination, Monitoring & Evaluation
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12. 5. Results Framework
Priority Area 1 Addressing social and structural factors
that drive these epidemics, influence their impact, and
affect the way we care for affected people.
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.
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13. 5. Results Framework (contd.)
Priority Area 1:
How do we achieve that? (1) addressing
poverty, unemployment and gender
inequality (2) promoting positive socio-
cultural norms and values
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14. 5. Results Framework (contd.)
Priority Area 1:
Expected Result? Reduced poverty
levels, reduced unemployment and
gender
inequality levels; favourable socio-
economic & cultural environment
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15. 5. Results Framework(contd.)
Priority Area 2: Prevent new HIV, STIs and TB
infections through a combination of interventions
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
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16. 5. Results Framework (contd.)
Priority Area 2:
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
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17. 5. Results Framework (contd.)
Priority Area 2:
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 < 1%; (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
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18. 5. Results Framework (contd.)
Priority Area 3 : Sustaining Health &
Wellness primarily by reducing deaths and
disability from HIV, AIDS and TB
Goal: To reduce mortality, sustain wellness
and improve quality of life of at least 80%
of those infected and affected by 2016.
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19. 5. Results Framework (contd.)
Priority Area 3:
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
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20. 5. Results Framework (contd.)
Priority Area 3:
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 201608/12/13 20

21. 5. Results Framework
Priority Area 4: Protect the human rights of
people living with HIV and improve their
access to justice 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
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22. 5. Results Framework (contd.)
Priority Area 4:
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
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23. 5. Results Framework (contd.)
Priority Area 4:
The Expected Result?: Rights of those
infected and affected upheld by a
supportive policy, human rights and
regulatory environment.
08/12/13 23

24. 5. Results Framework (contd.)
Priority Area 5: Coordination, Monitoring
&
Evaluation
Goal: To have a well coordinated
provincial
response to HIV & AIDS, STI & TB that
is08/12/13 24

25. 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
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26. 5. Results Framework(contd.)
Priority Area 5: Coordination, Monitoring
&
Evaluation
Expected Result? (1) Effective coordination,
M&E leading to achievement of targets
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27. 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
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28. 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
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29. 6. Governance & Management
Coordinating bodies are critical for
implementation - the PCA, DAC, LAC and the
WAC
To strengthen the coordination- all partners
are requested to participate
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30. 7. Operationalisation
How will the strategy be implemented?
The sector operational plans with activities,
targets and budgets
Through Operation Sukuma Sakhe in the
wards
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31. 31
Operation Sukuma Sakhe
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32. 32
VERTICAL & HORIZONTAL ALIGNMENT
OSS- STRUCTURES
(OFFICIALS)
OSS-STAKEHOLDERS
AND ACCOUNTABILITY STRUCTURES
STAKEHOLDERSSTAKEHOLDERS
STAKEHOLDERS
EXCO -COUNCIL
EXCO- COUNCIL
STAKEHOLDERS
COHOD- CABINET
08/12/13

33. COMMUNIT
Y
CARE
GIVERS
YOUTH
AMBASSAD
ORS
CDP
CHF
CDW
WAR ROOMWAR ROOM
WARD
COMMITTEE
WARD
COMMITTEE
FBO’s/NGO’s/
DONORS
FBO’s/NGO’s/
DONORS
VARIOUS FORA IN WARD
eg. CPF, SGB, WAC
VARIOUS FORA IN WARD
eg. CPF, SGB, WAC
WAR ROOM
TASK TEAM
ALL OFFICIALS OF
SECTOR
DEPARTMENTS
EXTENSION
OFFICERS
EXTENSION
OFFICERS
SERVICES BY ALL GOVERNMENT OFFICES
HOME AFFAIRS/SASSA/ETC
SERVICES BY ALL GOVERNMENT OFFICES
HOME AFFAIRS/SASSA/ETC
AMAKHOSI/TRADITIONAL LEADERSHIP/ COUNCILLORS
LOCAL TASK TEAMLOCAL TASK TEAM
08/12/13 33

34. 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 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
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35. THANK YOU
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