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Healthprogramme South Africa

Context

At the micro level the impact of HIV/AIDS on rural societies is huge. Prevalence rates between 20 and 40% have a detrimental impact on the rural economy as it impacts the most productive labor force. Women are especially vulnerable for HIV transmission due to labor migration of their husbands. They also lack proper access to testing, treatment and support services once they get infected. At the meso level harmful views in society on sexuality and stigma on HIV and a lack of proper sexuality education are among the root causes of the epidemic. At the macro level there has been a long-term denial within the SA government of the existence of the epidemic. Insufficient policies and facilities were created for prevention, care, cure and treatment.

Aim of the programme

The intended results of the country program show the contribution of interventions to the overall objective (enabled civil society) and to the result oriented objectives: well-functioning accountability mechanisms; capacitating change agents and the establishment of human resource policies and strategies that contribute to the quality, accessibility and sustainability of the health system. These specific objectives will be achieved by: increased participation of target groups in promoting health and improving their access to health care delivery (micro level); increased access and improved quality of basic health care and related services (meso level); strong networks of CSOs, including grass root organizations, that hold relevant stakeholders in health service delivery accountable and contribute to an equal accessible and resilient health system (macro level).