HIV and the National Strategic Plan
Tuesday, 11 December 2007
The development of the National Strategic Plan on HIV/Aids and STIs 2007-2011 (NSP) is the most positive thing to happen in the HIV sector this year.

The South African National AIDS Council has been re-formed to coordinate the implementation of the NSP, although it does seem that the targets for this current year will not be met. The plan has two headline goals, to be achieved by 2011:

  • to reduce the rate of new infections by 50%; and
  • to provide ARVs to 80% of the people who need them.

While there is contestation around how realistic these targets are, as well as concern that the national Treasury has not provided the money needed for the implementation of the NSP, there is broad agreement within the HIV/Aids sector that these are important goals to work towards.

The current estimates of people receiving ARV treatment in the public sector, are in the region of 270,000, and to reach the NSP targets by 2011 this number needs to  increase to around 1.5 million. This will greatly stretch the already strained health system. The number of healthcare facilities providing ARVs needs to be increased from about 320 today to well over 1,000 by 2011. To achieve these targets, there has been a great emphasis on nurse-centred care. Through its down-referral model which corresponds directly to the nurse-centred approach, the iDART system can assist with the wider rollout of ARVs.

 
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