29th June 2011

THE G&A CLUSTER’S IMPLEMENTATION OF THE HIV &AIDS AND TB MANAGEMENT POLICY FOR THE PUBLIC

SERVICE, DEVELOPMENT OF HIV&AIDS MAINSTREAMING GUIDELINES AND

PROVISION OF TRAINING ON HIV&AIDS MAINSTREAMINGPresentation to the Portfolio Committee on Public Service and

Administration

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1. Context

1. Definition of HIV and Aids mainstreaming

1. HIV and Aids and TB management policy for the public service

1. Process pillars for implementation of HIV and Aids and TB management policy

1. Achievements on the training on mainstreaming of HIV and AIDS

1. Capacity development on simultaneous mainstreaming of HIV and AIDS, gender and human rights

1. Gender mainstreaming training

1. Concluding Remarks

Presentation outline

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The G&A Cluster has the responsibility to ensure that the Public Service is:

"An efficient, effective and development orientated public service and empowered, fair and inclusive citizenship". Outcome 12

The G&A Cluster’s approach the HIV&AIDS response has been through the implementation of the HIV&AIDS and TB Management Policy for the Public Service.

This policy provides for management of HIV&AIDS as a developmental issue.

Context of G&A Cluster’s Implementation of the HIV&AIDS and TB management Policy for the Public

Service

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Mainstreaming HIV and AIDS is: a process that enables development actors

to address the causes and effects of AIDS

in an effective and sustained manner,

both through their usual work (external) and

within their workplace (internal) (UNAIDS).

UNAIDS Definition Mainstreaming of HIV&AIDS

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Policy Objectives:

To provide HIV&AIDS and TB Prevention

To provide Treatment, Care and Support for those infected and affected by TB and HIV infections

To manage compliance to Human and Legal Rights; and

ensure access to Justice

To ensure Monitoring, Research and Surveillance on HIV&AIDS and TB

Policy Objectives:

To provide HIV&AIDS and TB Prevention

To provide Treatment, Care and Support for those infected and affected by TB and HIV infections To manage compliance to Human and Legal Rights; and ensure access to Justice

To ensure Monitoring, Research and Surveillance on HIV&AIDS and TB

HIV&AIDS AND TB MANAGEMENT

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Project / Program LevelEfficiency

PopulationLevel

Effectiveness

Resourcese.g.

FinanceStaff

Drugs, Supplies

Equipment

Functions,Activities

e.g.TrainingLogistics

IEC

Servicese.g. Facilities offering

ServiceTrained staffUtilization:New clients

Return clients

Intermediate

e.g.HIV+ on GEMS

Disease Management

Inputs Processes/

Activities

Outputs

Outcomes

Impact

Long-terme.g.

Infection rateMortality

Disability and attrition

Results Based Management Approach Int RBM(2)

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HIV Prevention

Reduce Burden of Disease Enhance Productivity

inPublic Service

Provincial Coordination of Programme Implementation, M&E and Province specific

Impact assessments.Provincial Capacity Building

Involvement of key populations and vulnerable Communities

Reduction of stigma and Discrimination

Affirmation of human rights and Managing substantive inequality

Implementation of S+D framework

Treatment care and support

Human Rights and Access to

JusticeResearch,

monitoring and surveillance

Comprehensive identification of HIV and

Aids related psychosocial health risk, and use of

evidence based practices to ensure individual and organizational wellness

Reduce Number of Infections

Reduce impact on Individual Employees, families, communities

and Society

Macro level Governance

National Institutions

Meso level Governance

Provincial Institutions

Micro level Governance

Depts & Institutions

Policy, Implementation Guide, M&E and Impact Assessment Framework .Mainstreamed Public Sector Response to NSP 2007-2011. National Steering Committee& SANAC coordination

Frameworks for Estimation of Disease Burden, Policy Implementation M&E, National Steering Committee Coordination.

National guidelines on SOLVE

Coordination by Steering Committee

Comprehensive Research Agenda

Coordination by National Steering Committee

National Frameworks for delivery

Provincial Frameworks for delivery adapted for Prov. customs & trends

Departmental Framework& Processes

Provincial Coordination of Programme Implementation, M&E and Province specific Impact assessments.

Provincial Capacity Building

Provincial Coordination of Programme Implementation, M&E

and Province specific Impact assessments.

Provincial Capacity Building

Implementation of Costed, Mainstreamed, Comprehensive, HIV&AIDS dept. specific Programs. As part of EHW Committee and Plan

Provincial Coordination of Programme Implementation, M&E and Province specific

Impact assessments.Provincial Capacity Building

Departmental Surveys Registries of Exposure to Risks, Injuries and Diseases. Early Detection and reporting diseases within legal framework Health Education, Promotion Treatment Support

Wellness , SOLVE Program Planning and Implementations Based on Id of risk for individual and organizational wellness

PILLAR 1 PILLAR 2 PILLAR 3 PILLAR 4

STRUCTURE FOR FACILITATING IMPLEMENTATION OF THE HIV&AIDS and TB MANAGEMENT POLICY FOR PUBLIC SERVICE– PILLARS

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Capacity Development. These are initiatives aimed at developing individual capability of employees, managers and professionals to manage HIV&AIDS and TB management policy.

Individual Employees Managers Professionals Specialist Professionals

Organizational Systems Support Initiatives. These are initiatives to asses and develop departmental capacity to implement HIV&TB management Policy for the Public Service

M&E Tools, Costing Tools Systems Monitoring Tools Generic Implementation Guidelines, guidelines

Governance Initiatives. These are governance initiatives to promote consultation, coordination of implementation, monitoring and evaluation among departments and other stake holders (Inter Departmental/ Other Stakeholders)

Inter Departmental Committee on HIV&AIDS and TB Management (IDC, including GEMS and PALAMA) South African National AIDS Council (SANAC) National Economic and Labour Council (NEDLAC) National Institute of Occupational Health (NIOH) Partnerships with Professional Associations/ Councils/ Service Providers

Economic and Development Initiatives (International, AU, SADC, Bi-national)

Mainstreaming of HIV and AIDS (SADC) Africa Peer Review Mechanism (AU-MPSA as Focal Point) Country Reports (UNGASS, SADC, AU) New Developments (UN, ILO, WHO, SADC, ICHO

Capacity Development. These are initiatives aimed at developing individual capability of employees, managers and professionals to manage HIV&AIDS and TB management policy.

Individual Employees Managers Professionals Specialist Professionals

Organizational Systems Support Initiatives. These are initiatives to asses and develop departmental capacity to implement HIV&TB management Policy for the Public Service

M&E Tools, Costing Tools Systems Monitoring Tools Generic Implementation Guidelines, guidelines

Governance Initiatives. These are governance initiatives to promote consultation, coordination of implementation, monitoring and evaluation among departments and other stake holders (Inter Departmental/ Other Stakeholders)

Inter Departmental Committee on HIV&AIDS and TB Management (IDC, including GEMS and PALAMA) South African National AIDS Council (SANAC) National Economic and Labour Council (NEDLAC) National Institute of Occupational Health (NIOH) Partnerships with Professional Associations/ Councils/ Service Providers

Economic and Development Initiatives (International, AU, SADC, Bi-national)

Mainstreaming of HIV and AIDS (SADC) Africa Peer Review Mechanism (AU-MPSA as Focal Point) Country Reports (UNGASS, SADC, AU) New Developments (UN, ILO, WHO, SADC, ICHO

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Training of Public Servants on Mainstreaming of HIV&AIDS using the UNDP curriculum following SADC agreements on Capacity Development for HIV&AIDS

Costing of HIV&AIDS programmes using the DPSA costing model.

Workshop on HIV&AIDS Operational Planning –World Bank facilitated workshop targeted at managers in Offices of the Premier, Department of Health, Department of Education

MOU with Japanese International Cooperation Agency (JICA) on M&E of HIV&AIDS signed by MPSA on behalf of SA Government following the signing of a Presidential Minute by former President Montlanthe

Training of M&E Specialists (technocrats) and Managers on M&E Four Other SADC Countries M&E Technocrats and Managers Trained (Namibia, Swaziland, Lesotho and

Botswana) Public Sector Technical Working Group on M&E established with some of the people trained through this University of Pretoria was the Training Institution

New Capacity Development Curriculum on HIV&AIDS M&E WITS, UNAIDS, World Bank, JICA Initiative to train South Africa and the African Region WITS has been declared Center of excellence on M&E of HIV&AIDS by World Bank Efforts are advanced to institutionalize this training into Public Service Training institutions and other

academic institutions

Capacity Development Initiatives

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These are tools for policy implementation Systems Monitoring Tool (Elements)

1. Commitment of departments for HIV&AIDS and TB management Policy2. Planning for HIV&AIDS and TB Management Programmes3. Implementation of HIV&AIDS and TB Management Programmes with

clear operations and controls4. Documentation, and Monitoring and Evaluation

Systems Monitoring Tool (Development and Use) Developed in consultation with National and Provincial Departments Piloted and adapted to suit the Public Service Data collected on the first ever national survey on the state of

organizational systems to enable implementation Data currently being finalized and report will be circulated to Portfolio

Committee, Auditor General (AG), Public Service Commission (PSC), Department of Labour (OHS Inspectorate) and Political and Administrative authorities.

Systems Support Initiatives

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Generic Implementation Plan To guide development of costed, mainstreamed operational plans

DPSA Costing Model for HIV&AIDS programmes Developed in partnership with PALAMA and Futures Group Departments trained on the use of this tool

Policy Communication Tool Kit Used to communicate policy to National and Provincial Departments Efforts are underway to simplify this and translate this using

Knowledge Management technology in partnership with Service Delivery Improvement unit within the DPSA

Organizational Systems Support Initiatives

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The coordination of implementation of HIV&AIDS and TB Management Policy for the Public Service is through the Inter Departmental Committee (IDC) on HIV&AIDS. This is convened and funded by the DPSA

Offices of the Premier convene and coordinate Provincial IDCs similar to the National IDC

Updates on implementation are sent to SANAC, SADC and MPSA

DPSA is one of the government departments (Labour, Social Development and Health) that participates on behalf of Government at NEDLAC on management of HIV&AIDS in the work place.

Policy Communication Workshops to engage with Private sector service providers to assist departments to comply with HIV&AIDS and TB management policy for the Public Service have been conducted

The Public Service Plan on Monitoring and Evaluation HIV&AIDS and TB management has been developed in consultation with the National and Provincial departments together with Civil Society

Governance Initiatives

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DPSA is focal department representing South Africa as a Member State of SADC on Mainstreaming of HIV&AIDS

Several HIV&AIDS mainstreaming projects are currently being implemented with relevant line departments

DPSA is the focal Department to AU where the MPSA is focal point on Africa Peer Review Mechanism (APRM) and HIV&AIDS is a cross-cutting issue to report on.

Quarterly reports are supposed to be sent to the office of the MPSA on HIV&AIDS and other governance issues

Economic and Developmental Initiatives

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Guidelines on How to mainstream HIV&AIDS, Gender, Human Rights in response to AIDS epidemic (NSP 2012-2016 Implementation

Mainstreaming of HIV&AIDS into Environmental Impact Assessments (EIAs) Mainstreaming HIV&AIDS Into Free Trade Agreement (FTA) Mainstreaming HIV into correctional facilities

Mainstreaming of HIV&AIDS into Care and Support for Learning and Teaching Mainstreaming HIV into Military Health services (New UN Security Council Resolution) Mainstreaming HIV&AIDS into Cross Border and Migration management

Mainstreaming HIV&AIDS into Transport (North South Corridor)

Mainstreaming HIV&AIDS into Tourism Sector, Science and Technology (SHARP Review for HIV Prevention), Social development (Social Security Framework), Economic Development (New Growth Path), National Development Plan

Mainstreaming HIV&AIDS into Treasury : Public Expenditure Tracking Survey (PETS) and QSDS (Quality Service Delivery Survey)

Guidelines on How to mainstream HIV&AIDS, Gender, Human Rights in response to AIDS epidemic (NSP 2012-2016 Implementation Mainstreaming of HIV&AIDS into Environmental Impact Assessments (EIAs) Mainstreaming HIV&AIDS Into Free Trade Agreement (FTA) Mainstreaming HIV into correctional facilities

Mainstreaming of HIV&AIDS into Care and Support for Learning and Teaching Mainstreaming HIV into Military Health services (New UN Security Council Resolution) Mainstreaming HIV&AIDS into Cross Border and Migration management

Mainstreaming HIV&AIDS into Transport (North South Corridor)

Mainstreaming HIV&AIDS into Tourism Sector, Science and Technology (SHARP Review for HIV Prevention), Social development (Social Security Framework), Economic Development (New Growth Path), National Development Plan Mainstreaming HIV&AIDS into Treasury : Public Expenditure Tracking Survey (PETS) and QSDS (Quality Service Delivery Survey)

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Financial Year Number of government employees Trained

2007/08 159

2008/09 155

2009/10 214

TOTAL 528

The training on HIV and AIDS Mainstreaming was commissioned by government to UP

UP was itself trained by SADC on UNDP curriculum on mainstreaming

PALAMA officials were trained on mainstreaming PALAMA is expected to develop a training curriculum based on their

framework for curriculum development.

Achievements on the training on Mainstreaming of HIV and Aids

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This a SADC Initiative as per SADC Focal HIV&AIDS Point meeting 2010

South Africa has been tasked with development of these guidelines for herself and SADC

Draft Three has been developed. The concept of Simultaneous mainstreaming has been consulted on at

SADC National IDC SANAC Programme Implementation Committee

Internal mandating processes for external consultation is being sought

Consultation on these guidelines and the consultation on the new NSP 2012-216 will happen at the same time and will be aligned

Simultaneous Mainstreaming of HIV & AIDS, Gender, and Human Rights into Public Service and Administration in the context of

management of the AIDS epidemic

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The guidelines on simultaneous mainstreaming of HIV and AIDS, gender, human rights will also have workshop material to guide national provincial and national government departments on implementation

Curriculum on simultaneous mainstreaming of HIV and AIDS, gender, human rights will be developed at a later stage by PALAMA using their current curriculum framework which requires length and systematic process.

Capacity Development on simultaneous mainstreaming of HIV and AIDS, gender, human rights

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PALAMA developed a 4-day accredited Gender Mainstreaming (GM) training programme for managers in the public sector. Informed by the following gender developments in the country:• Cabinet decision in 2000 to adopt GM as a strategy to

promote Gender Equality• Strategic Framework for Gender Equality in the Public

Service launched by DPSA in 2006• The Public Service Commission recommendations on

Gender Mainstreaming shaped the development of the programme.

Gender Mainstreaming Training

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Gender Mainstreaming Training 2221 people trained in all three spheres of government. 25% participants

men. Customised training sessions conducted in S. Sudan, Rwanda, Burundi.

Home-grown, ‘how to’ manual with toolkits. Includes the DPSA 8 point plan as well as all the protocols and conventions that South Africa is signatory to.

Only accredited gender mainstreaming training programme in SA. Developed collaboratively with Ministry for Women Children and People

with Disabilities (then OSW) and widely consulted. Adopts a human rights based and inclusive approach to mainstreaming.

Includes mainstreaming of HIV&AIDS, disability, race etc. Contains a well integrated awareness component that includes the social

construction of gender. Very interactive and action oriented. Experienced trainers. Each

participant will complete an integrated Gender Mainstreaming Action Plan The establishment of a virtual discussion forum that facilitates dialogue

around issues of gender. 44 000 hits to date

Gender Mainstreaming Training

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Gender Mainstreaming Training Enhanced capacity to promote gender equality and monitoring of

the implementation of gender policies and legislative frameworks. Be able to raise gender equality concerns in public debate. Know what questions to ask, mainstream within and outside of the

departments, engender reports, sex-disaggregated data. Enhanced capacity to influence and promote policies, programs and

legislation that would focus on addressing the real needs of women. This would also bring a sharper focus on poverty reduction and rural development programs, as well as help make significant improvements in the lives and status of all South Africans.

Gender Mainstreaming Training

2020

Concluding Remarks A lot has been done on the capacity development of

national and provincial departments to mainstream HIV and AIDS and gender.

Mainstreaming is now being institutionalised through policy implementation, monitoring and evaluation.

Further work on capacity development for simultaneous mainstreaming of HIV and AIDS, gender and human rights

Need to strengthen the coordination of the Government HIV&AIDS Response to the G&A Cluster

This is more so now when the country is developing the new NSP 2012-2016

Improvement in quarterly updates to the office of the MPSA as part of the APRM and MDG process

Concluding Remarks

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THANK YOU!

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