South Africa

HIV Prevalence (UNAIDS, 2014)

South Africa has the highest number of people living with HIV (PLHIV) in the world. The Joint United Nations Programme on HIV/AIDS (UNAIDS) estimated that the proportion of South Africans infected with HIV is currently at 18.9%. The total number of HIV‐infected South Africans now stands at approximately 6.8 million. Through the coordinated efforts of the government, civil society, research and academic institutions, and international partners, South Africa has made significant progress in meeting the prevention, treatment, care, and support needs of South Africans at risk for and living with HIV. Based on the most recent reviews of the national HIV response, South Africa has achieved its targets for antiretroviral treatment (ART) and for the prevention of mother-to-child transmission. By the end of March 2015, South Africa had 3,103,902 on ART and a MTCT rate of 1.5%. Although the incidence of HIV has declined by about 20% since its peak in 2003 and 2004, South Africa has not yet reached the prevention target as set in the National Strategic Plan HIV, STI, TB (NSP) 2012-2016.

NASTAD South Africa works in collaboration with South African Provincial Departments of Health (PDoHs) to expand and enhance their HIV and AIDS care, treatment and prevention programs by providing technical assistance and support for program design, implementation, management, coordination and monitoring and evaluation. NASTAD South Africa is currently engaged in the LinkCARE program, a targeted program of technical assistance and support to the South African Government (SAG) and its partners to further develop and implement HIV/AIDS care and support services nationwide; support the implementation of National Adherence Guidelines for Chronic Diseases and Integrated Access to Care and Treatment (I ACT) and to progressively strengthen the sustainability of health systems needed to end the epidemic.

Activities & Projects

    • LinkCARE (2015 - Present)

    • The aim of the project is to provide technical assistance and support to the SAG and its partners, to strengthen and cascade HIV/AIDS care and support services down to facility level, contribute effectively to epidemic control, and to improve patient outcomes.


    • Integrated Access to Care and Treatment (I ACT) Program (2009 - 2015)

    • The goal of I ACT is to promote retention to HIV care through early recruitment and linkage of newly diagnosed people living with HIV (PLHIV) into community and facility based care and support programs.

    • I ACT Monitoring and Evaluation (2010 - 2015)

    • NASTAD South Africa supported the PDoHs to design, pilot, implement and strengthen the I ACT monitoring and evaluation (M&E) system. NASTAD South Africa supported the development of the I ACT M&E framework, data collection tools and instruments, technical assistance and training.

    • Leadership Development (2009)

    • In 2009, NASTAD South Africa supported the development of a Leadership Development Toolkit, which focuses on building capacity among PDoHs in the areas of leadership, strategic and program management, community participation and NGO coordination.

    • PLHIV Mobilization (2009)

    • Through relationships with U.S. state health departments, NASTAD South Africa collaborated with partners to: develop a Trainers of Trainers for PLHIV Support Group; deliver sensitization trainings; and build capacity and sustainability of two major NGOs.