Department of Basic Education Draft Integrated Strategy on HIV, STI &TB, 2012-2016 Dr Faith Kumalo Chief Director: Care and Support in Schools, DBE 4 th Annual UWC HIV in Context Research Symposium Building an AIDS Free SA: The Classroom and Beyond University of the Western Cape 1 26-27 March 2012
Outline of Presentation Why a new strategy? Mandate Purpose & process Imperatives for a new strategy What have we done? National response Education sector response What should be done? Strategy impact Strategy outcomes Update post-march 2011 and Next Steps
Why a new strategy? 3
Mandate Delivery Agreement on Outcome 1: Quality Basic Education (educator and learner wellbeing ) Schooling 2025 & Action Plan 2014 - centrality of teacher & learner wellbeing to achieve education outcomes Action Plan to 2014- Goal 25: Use the school as a location to promote access amongst children to the full range of public health and poverty reduction interventions National Strategic Plan for HIV, STIs and TB, 2012-2016 Care and Support for Teaching and Learning Framework DBE Draft Integrated Strategy on HIV, STIs and TB
National Strategic Plan for HIV, STIs and TB, 2012-2016 Midterm and end-of-term reviews; KYE/KYR Strategic Objective 1: Address Social and Structural Drivers of HIV and TB Prevention, Care and Impact by 2016 Strategic Objective 2: Prevent New HI V, STI and TB Infections Strategic Objective 3: Sustain Health and Wellness Strategic Objective 4: Ensure Protection of Human Rights and Increased Access to Justice
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Purpose DBE s first response to HIV 1999 HIV Policy Primary intervention was the life skills education programme targeted at learners 13 Yrs on: SA considered a hyper-endemic country From 2009, SA has announced renewed commitment, requiring interventions from all sectors DBE requires strategy & policy aligned to the NSP & global thinking on HIV & AIDS
2009-2010 Process - Consultation and approval within DBE including management and leadership levels (SM; HEDCOM; CEM) - Strategy drafted with support of HEARD & USAID 2011 - Deputy Minister announced Draft strategy (March) - Start consultation process (3 levels- national, provincial and internal DBE) - Revision and alignments with new NSP - Development of implementation plans - Approval- 2012
Imperatives 1: HIV & AIDS as a developmental challenge 2: Impact on educational outcomes HIV has a long-span effect System vs. individual impact 3: Lessons learnt over 30 years of the epidemic Knowledge is important but not enough Comprehensive, combination & large-scale interventions needed Universal vs. targeted approaches Age, gender & provincial differentials
HIV Prevalence by age and sex, 2008 10
HIV Prevalence (%) HIV Prevalence by age, 2002-2008 18 16 14 12 10 8 6 Children Youth Adults 4 2 0 2002 2005 2008 Survey years ELRC Educator Survey 2005-12.7% 11
Imperatives cont. 4: Schooling as a protective factor prevention - Girls; tertiary qualification 5: A duty of care in schooling - Strong policy mandate (CSTL) 6: Education alignment with country plans on HIV 7: Aligning with government s outcomes focus 8: Sustainable, integrated response
How well have we done? Mid-term review NSP - 2009 Insufficient progress on prevention Possibly decreasing knowledge on HIV Health systems obstacles to scaling up responses Lack of coordination & reporting on impact mitigation Weak targets & reporting on human rights & access to justice actions
Life Skills Programme Increased knowledge & skills Limited impact on behaviour change Added peer education & care & support Insufficient no. of LO teachers, teacher training, resources & support including from SMTs Uneven implementation across schools Time; sensitive topics Which LTSM are effective? Pedagogy? What outcomes can the programme achieve? How do we get teachers to set aside their own paradigms?
What should be done? 15
Strategy Impact Improve learner & educator retention within the education system Contribute to reduction in HIV incidence among 15-19 year olds & among educators, support staff & officials Increase sexual & reproductive health amongst learners, educators, support staff & officials Knowledge, confidence, skills, social norms Increased physical & psychological safety
Strategy Outcomes 1. DBE has integrated all components of this HIV strategy and its subsequent policy into their core work, evaluation and reporting systems. 2. Sexual and reproductive health education, including HIV is a mandatory, timetabled and assessed subject delivered in all South African schools. 3. Age appropriate sexual and reproductive health and HIV related life skills are delivered through cocurricular means in all South African schools. 4. Educators receive pre-service and in-service training on sexual and reproductive health including HIV.
Strategy Outcomes 5. Every South African school and education department has a plan to increase access to sexual and reproductive health and HIV services including EHWP. 6. Every South African school implements a safety plan that includes components on physical, psychological, free of stigma, discrimination and gender-based violence 7. Barriers to retention and achievement in school for learners who are HIV affected or infected are mitigated by implementation of care and support programmes (as per CSTL framework).
Update post-march and Next Steps Extensive consultation- workshops, meetings, written submissions TB; Status of LO; Teacher training Implementation issues Revision and finalisation Align with NSP 2012-2016 Logic model and M&E Framework Approval in DBE Development of implementation plans
Update post-march and Next Steps cont Strengthen implementation, partnerships & collaboration SANAC, Health, Social Development, Teacher Unions, academic & research organisations, NGOs, private sector. 2012 Costing Revised Policy Planning for 20112/3 and beyond
Acknowledgements List of Consultations HEARD, UKZN USAID
Thank you www.education.gov.za kumalo.f@dbe.gov.za 22