The fight against HIV & AIDS
HIV and AIDS prevention
The HIV and AIDS epidemic, with its significant social, economic and cultural impacts, is one of the largest obstacles to development in South Africa. With 6.4 million people living with the Human Immunodeficiency Virus, the country is among those worst hit by the disease.
The main reasons for the epidemic in South Africa are the low use of condoms, together with low rates of male circumcision and the high number of people in numerous, and often simultaneous, sexual relationships. Gender inequalities and male dominance in relationships, as well as sexual violence, contribute to the spread of HIV, as does excessive alcohol and drug abuse that triggers risky sexual practices.
Enlarge image World AIDS Day in Johannesburg (© picture-alliance/ dpa) HIV and AIDS are more than a health issue. However, owing to the lack of sector-encompassing coordination and cooperation, effective treatment and preventive measures do not reach all people at risk and have not yet changed the behaviour of individuals and communities to the desired extent. To address the social drivers and causes of the epidemic at their root, interventions at all levels are required.
The German contribution
Against this backdrop, HIV and AIDS prevention was declared a focal area of South African–German development cooperation in 2010. On behalf of the German Federal Ministry for Economic Cooperation and Development (BMZ), the Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH and the Kreditanstalt für Wiederaufbau (KfW) are working jointly to support the implementation of the National Strategic Plan on HIV, STIs and TB (2012-2016) of South Africa.
Key elements of the German approach are:
- focus on prevention instead of treatment
- piloting innovative projects
- addressing biomedical as well as socio-cultural drivers of the disease (multi-sectoral)
- targeting in particular young South Africans
- geographical focus on the provinces of Mpumalanga and Eastern Cape
- cooperation with public and private actors, aligned with the South African government´s strategy
Components of the German Multisectoral HIV/AIDS Prevention Programme
Financial assistance implemented by KfW
Enlarge image (© GIZ) HIV Prevention through voluntary counselling and testing (VCT):
KfW supports the South African Department of Health in improving access to quality voluntary counselling and testing for HIV.
200 clinics in Mpumalanga, Eastern Cape and KZN have been rehabilited so far and testing facilities have been established
HIV/AIDS Prevention (HCT):
The project supports the Activate! Leadership and Innovation Programme by DG Murray Trust. 220 peer educators between 20-30 years have been trained so far. The Programme aims at changing young people´s behaviour in terms of HIV, drug and alcohol abuse and violence.
KfW is going to assist NGOs in providing mobile testing facilities. These mobile clinics will provide services like HIV and TB counselling and testing as well as male medical circumcision.
Orphans and vulnerable children (OVC):
The component aims at rehabiliting and equipping day care community centres for orphans and vulnerable children. Furthermore a skills programme will be implemented that enables the young people to qualify better for the job market.
Technical assistance implemented by GIZ
Multi-sector HIV/AIDS Prevention Programme (MHIVP):
The emphasis of the programme is on strengthening the AIDS councils at national, provincial and local level and on improving their work through the development of their human capacities.
Furthermore GIZ has been working with the non-governmental organisation “loveLife” – South Africa´s leader in HIV and AIDS prevention and youth development. GIZ supports loveLife with expert advice and skills transfer in the areas of communication, evaluation and programme implementation.
Also, GIZ assists business and labour with the implementation of workplace policies on HIV and AIDS and programmes on health promotion.