Pmtct programme summary

PMTCT programme overview SOURCE: South Africa HIV/AIDS response stakeholder interviews; Project team analysis PRELIMINARY ,[object Object],[object Object],[object Object],Overview ,[object Object],[object Object],[object Object],Structure ,[object Object],[object Object],Implemen-tation model ,[object Object],Financing

While coverage is 95%, treatment protocols must be formally amended to enable better data management 9 SOURCE: NDOH Annual report 2008/09, DHIS 2009 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],2009 2008 Treatment Coverage Proportion of HIV+ pregnant women receiving ARV to reduce the risk to MTCT (%) PRELIMINARY

However, PMTCT is believed to be the main factor in the significant reduction of childhood HIV prevalence over the past 10 years 8 SOURCE: HSRC survey reports; K Y E/K Y R reports, 2011 HIV prevalence Percent 2008 2005 2002 ,[object Object],[object Object],[object Object],Children 2-14 PRELIMINARY

However, national transmission rate of HIV to babies born to HIV infected mothers is still over 10% 7 ,[object Object],[object Object],[object Object],[object Object],2007 2006 17.508 8% MP WC 16.834 3.480 NC 12% 12% 16.748 12% NW LP 16.468 13% KZN 74.438 10% GP 60.965 11% FS 10.564 12% EC 28.469 10% SOURCE: KYE/KYR reports, 2011 ,[object Object],Data and transmission rates of mother-to-child by province, 2008 Proportion of HIV+ pregnant women enrolled in PMTCT programme (%) ,[object Object],[object Object],[object Object],PRELIMINARY

Key PMTCT programme players and roles SOURCE: South Africa HIV/AIDS stakeholders 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 Private sector ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Strategy/ Policy Resource allocation (budgeting) Planning Implement-ation Monitoring & reporting Evaluation ,[object Object],[object Object]

Landscape of programme execution SOURCE: South Africa HIV/AIDS stakeholder interviews PRELIMINARY ,[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],Strategy/ Policy Resource allocation (budgeting) Planning Implementation Monitoring & reporting Evaluation

Structure of the HIV response is complex: PMTCT example SOURCE: Interviews 1 HIV/ AIDS, TB and STD director ILLUSTRATIVE PMTCT lead Provincial National District SANAC Treatment Task Team PMTCT lead Implementers District AIDS council DG=>MoH=> HIV Director Directorate for Treatment Premier=>MEC=> Head of department District HAST Director Provincial HAST 1 director PMTCT lead Provincial AIDS council PRELIMINARY NGOs NGOs NGOs Gvt clinics/ hospitals NGOs NGOs NGOs NGOs (provide TA/ mobile CT) NGOs NGOs NGOs National NGOs NGOs NGOs NGOs Treatment leads NGOs NGOs NGOs International donors NGOs NGOs NGOs Treatment leads NGOs NGOs NGOs National NGOs NGOs NGOs NGOs Treatment leads National & provincial PMTCT leads meet quarterly to exchange ideas & information

Pmtct programme summary

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