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From: PlusNews <[email protected]>
Date: Mon, Feb 27, 2012 at 6:08 PM
Subject: SOUTH AFRICA: New reports chart progress - and costs - in HIV fight
To: Elisabeth Janaina <[email protected]>


SOUTH AFRICA: New reports chart progress - and costs - in HIV fight

JOHANNESBURG, 27 February 2012 (PLUSNEWS) - Mothers, babies and newly
diagnosed HIV patients are receiving more of the services they need
but progress comes at a cost, according to a new report that predicts
a funding shortfall for HIV treatment in South Africa.

On 23 February, the Health Systems Trust released the latest versions
of its annual District Health Barometer and South African Health
Review. www.hst.org.za/district-health-barometer-dhb

Although in its sixth year of publication, this year's barometer is
the first to include data on early infant HIV testing for babies born
to HIV-positive mothers and shows that about half of all babies born
to HIV-positive mothers are now being tested for the virus at six
weeks of age, an important step to ensuring they access the early HIV
treatment recommended for all children younger than one under national
guidelines. In 2009, only about a quarter of such babies were being
tested using the sensitive polymerase chain reaction - tests that
confirm whether HIV-exposed infants are HIV-positive.

The report also found that almost all pregnant women are now tested
for HIV, which has helped lower mother-to-child HIV transmission to
below 4 percent in the country.

The latest barometer is also the first to include data on tuberculosis
(TB) screening among newly diagnosed HIV patients. In 2008, only about
a third of new HIV patients were screened for TB; in 2011 about 70
percent were checked.

People who have both HIV and carry latent TB are up to 30 times more
likely to develop active TB as their HIV-negative peers and TB remains
the leading cause of death in South Africa and among people living
with HIV worldwide.

Funding shortage

The HST also launched the South African Health Review, an independent
review of the public health sector funded by the South African
government. While the report notes that HIV/AIDS spending has
increased substantially since 2007, it predicts the country will need
up to US$5.3 billion extra every year to sustain its HIV/AIDS
response, particularly treatment.

The review notes that this year alone the government will spend about
$3.1 million on HIV and AIDS; less than a fourth of this comes from
donors such as the Global Fund to Fight AIDS, TB and Malaria or the US
President's Emergency Plan for AIDS Relief (PEPFAR).

The South African government already shoulders about 80 percent of its
HIV treatment costs domestically and authors of the review predict
that treatment will be the main driver of the escalating costs of the
country's HIV/AIDS response.

In late 2009, the World Health Organization revised its HIV treatment
guidelines to recommend that people living with HIV start treatment
sooner, at CD4 counts - a measure of the immune system's strength - of
350 or below. Since then, South Africa has gradually fallen into line,
first extending earlier treatment to at-risk groups, such as pregnant
women and TB patients in 2010 and finally to all patients in 2011.
While activists bemoaned the wait, policy-makers argued they had to
make sure the country, which shoulders about 80 percent of its
treatment costs domestically, could afford it.

As of March 2011, about 1.5 million people were on ARVs in South
Africa. The review expects that number to rise to about three million
by 2015.

llg/kn/mw

[END]

This report online: http://www.plusnews.org/report.aspx?reportID=94968



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