1. Progress on Implementation of the Comprehensive HIV and AIDS Plan February 2004

2. Care and Treatment  Guidelines and treatment protocols completed  Paediatric  Pregnant women  Adults  HIV/TB co-infection  Other existing guidelines being amended  Guidelines to be presented to MinMEC for endorsement February 27 th 2004

3. Prevention, Care and Treatment Activities / Time Lines  Draft Guidelines completed & presented for endorsement by MinMEC End February 2004  Printing of guidelines End March 2004  Development of training manuals February 2004  Distribution of materials End February 2004  Training commences Mid March 2004 - ongoing

4. Nutrition  Using existing tender for supplement meals; new tender to be awarded July 2004 July 2004  Provinces to increase orders for supplement meals before end 2003/2004  Awaiting MCC approval for micronutrient dosage

5. Accreditation of Service Points  Accreditation tool finalised December 2003  Accreditation visits commenced January 2004  Accreditation visits completed February 24 th 2004  Report on outcomes of accreditation presentation to MinMEC February 27 th 2004

6. Human Resources and Training  Meeting with Provincial Human Resource Directorates February 2004  Inventory of current status of HR underway to be presented at MinMEC February 2004  National tender for training advertised February 13 th 2004  Adjudication process March 2004  Tender awarded End March 2004

7. Human Resources and Training  Stakeholders meeting with academic institutions scheduled March 16 th 2004  Accredited service providers appointed to do interim training March 14 th 2004  Training commences April 2004  Long term strategies for recruitment and retention underway

8. Drug Procurement Activities / Time Frames  Team meeting February 5 th – 6 th 2004  Advertisement; Expression of Interest February 13 th 2004  Request for Proposals advertised 5 th March 2004 for 28 days  Information session on Request for Proposals issued March 9 th 2004  Request for Proposal evaluated and short listed April 5 th – 8 th 2004  Request for quotation (RFQ) to prequalified suppliers for 14 days April 30 th – May 14 th 2004  Negotiations with parties that have submitted RFQ May 17 th – 21 st 2004  Awarding of contracts May 24 th – 28 th 2004  Orders with 2-3 weeks lead time June 2004

9. Drug Distribution Activities / Time Frames  SOP for labeling and dispensing In process  Specifications are being drawn up for the ‘tracker system’ In process  Generic norm, standards and SOP that cover the Drug Supply Management Chain have been distributed

10. Laboratory Services  Enhancing laboratory infrastructure  Establish laboratories in all sites proposed for VL and CD4 testing  18 initial laboratory infrastructure ready - Mid March 2004  Upgrade specimen transport capacity  Assessment of current service point laboratory capacity  Develop plans to deal with gaps identified  Implement long-term strategy to enhance laboratory infrastructure including new sites  Laboratory consumables and equipment procurements  Implement Laboratory Data Management System  Laboratory staff development  Utilize current quality management system

11. Social Mobilisation and Communications  Communication strategy has been developed  Small media and adverts being finalised  Life line counsellors trained  Stakeholder briefings ongoing  Adverts to start mid March 2004

12. Patient Information System Activities / Time Frames  Interim PIS System completed January 2004  Comprehensive PIS System Under development  Additional staff/experts on board December 2003 – January 2004  Demonstration of electronic system to Prov. IT and NHISA December 2003  Electronic data collection tools Under development Under development  Detailed audit of IT requirements & procurement Mid March 2004

13. Patient Information System Activities / Time Frames  Procurement of computer and IT equipment In process  Data management and training on the interim PIS Tender to be advertised  Closed broadcasting (TV) at accredited service points to support IEC In process  Workshop to develop specifications of the National Health Care Management Information System March 2 nd – 5 th 2004

14. Research Activities / Time Lines  Application for transfer of funds to MRC made to National Treasury - approval granted – transfer effected  Draft MOU with MRC developed  Research data based develop system now functional  Support material developed  Working Group meeting scheduled February 2004  Working Group nominations end February 2004  Research proposals identified and send to MRC for review February 2004  Identify priority research questions and publish request for proposals End March 2004

15. Monitoring & Evaluation Activities / Time Lines  Development of indicators for various elements of the comprehensive programme Developed, under review  Data flow of non-patient data Ongoing  Workshop to finalise indicators March 2004  Develop M&E database Upon completion of indicators

16. Pharmacovigilance  Deputy Director has been appointed  Workshop scheduled February 2004  NDOH met with 2 pharmacovigilance units in Bloemfontein & Medunsa

17. Programme Management  SMT received progress reports on a regular basis  Post been identified, TOR developed December 2003  Posts advertised - February 1 st 2004  Application close - March 1 st 2004  Interviews and appointments - March 2004  New appointees commence duty - April/May 2004

18. Outstanding Activities:  Discussions on a strategy to involve the private sector, mining industry and other sectors providing health care  Initiate discussions with Medical AID Schemes on revision of prescribed minimum benefit package  Follow-up discussions with Department of Correctional Services on provision of health in prisons  Full report on outcome of accreditation process

19. Budget R millions 2003/042004/052005/062006/07 Conditional Grant 03006001000 NDOH90554045  R90 million for 2003/2004 for entire programme  Conditional Grants allocation for programme  Discussions with National Treasury ongoing