A Synopsis of the South African Provincial Strategic Plans and Budget Allocations for HIV/AIDS and TB Budget Policy Brief 7. PSP and Budget Review

By Plaxcedes Chiwire, Nhlanhla Ndlovu  |  | 

Abstract

The highest population of people living with HIV/AIDS is found in South Africa. It has the highest HIV prevalence of 17.9% [17.3% – 18.4%]1, with an estimated 6,100,000 [5,800,000 – 6,400,000] people living with HIV/AIDS. The South African government has over the years taken major steps to avert the disease through implementing health and HIV/AIDS policies, supported by increasing allocations from the national revenue. South Africa has aligned its policies with UNAIDS guidelines for the elimination of the pandemic globally. In the UNAIDS 2011-2015 strategic plan, a declaration was made to achieve the UNAIDS vision of, “Zero new HIV infections. Zero discrimination. Zero AIDS-related deaths.”2 The same strategy was adapted in the South African National Strategic Plan (NSP) 2012-2016. The aims of the NSP include a reduction in new HIV and TB infections and deaths caused by TB by 50%, Antiretroviral treatment for 80% of those in need of treatment, adherence and recovery for 70% of those already on treatment; 50% reduction 0f HIV and TB self-reported stigma, and ensuring an enabling environment and legal framework in order to promote and protect human rights.3 The strategic objectives (SO) of the NSP for the years 2012-2016 are denoted in Table 1 below.
The same aims and strategic objectives were adopted by all South African provinces, namely the Eastern Cape (EC), the Free State (FS), Gauteng (GP), KwaZulu-Natal (KZN), Limpopo (LP), Mpumalanga (MP), the Northern Cape (NC), North West (NW), and the Western Cape (WC). They produced their own versions of strategic plans which were not far removed from the NSP, although the sub-objectives differed widely. In fact, the 9 Provincial Strategic Plans (PSP) were meant to reflect the provincial needs whilst collectively adding up to the national commitments

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