74
have undermined successful implementation include beneficiary selection as well as
fragmented beneficiary support, land administration and governance, especially in
communal areas.
The Green Paper on Land Reform provides a comprehensive policy framework within which
to locate the initiatives indicated above in order to improve the pace and quality of land
reform in South Africa. The consultation process on the Green Paper on Land Reform has
been completed. The Department of Rural Development, in partnership with key
stakeholders, is analysing the public and written comments. It is expected that the draft
policy will be presented soon.
Monitoring of progress and impact of the new initiatives is going to be very important given
the sensitivity and importance of resolving the land question in former settler colonies like
South Africa.
3.4.2
Combating HIV and AIDS and other communicable diseases43
During the reporting period, the strategic framework used to guide the work of the National
Department of Health is the 10 Point Plan for 2009-2014. The Plan prioritizes, amongst
others, HIV&AIDS. In operationalising the Plan, the Minister of Health also signed the
Negotiated Service Delivery Agreement (NSDA) 2010- 2014 with various Ministers in
Cabinet and with all the 9 Members of Executive Councils (MECs) for health in the nine
provinces to ensure that the health sector can implement the NSDA.
The National Health Council is the implementing forum for the NSDA and is meeting at
regular intervals to provide leadership to the health sector. In steering the country’s efforts
towards the NSDA 2010-2014, the galvanization of the health sector is focused on advocacy
and community mobilization through campaigns and is aimed at promoting and securing
health. Three successful campaigns were implemented in keeping with this theme - the HIV
counseling and testing (HCT) campaign, community-based TB campaigns, and
immunization campaigns.
In April 2010, the President launched the HCT campaign. By the end of the financial year
2010/2011 a total of 14 million people were tested. This watershed moment marked a
threefold increase from the previous trends. The community-based approach for combating
TB incorporated an active case-finding programme to trace people diagnosed with TB,
screen their family members and counsel them for HIV in their homes. This campaign
reached more than 20 000 families by the end of March 2011.
As of January 2013 more than 20 million South Africans know their HIV status and have
undergone counselling. The recent Human Sciences Research Council (HSRC) 2012 survey
revealed that over 2 million people were on antiretroviral (ARV) treatment by mid-2012. This
remarkable increase of ARV treatment coverage in the country has had a major impact on
the survival of people living with HIV, which was more prominent in the older age groups.
The increase in life expectancy for HIV infected people is general across provinces and is
due to investments government made in ART treatment.
43
Some facts and figures are derived from the annual reports of the national Department of Health for the Financial Year
2010/2011.
74