1. National Strategic Framework on HIV
DHAT Regional Meeting on Disability, HIV and AIDS
Jill Hanass-Hancock (HEARD)

2. John Meletse Film “Stepping into the Unknown”
“You are given a beautiful cocktail of tablets, and no one explains what they are for and how they would help me”
John Meletse Film “Stepping into the Unknown”

3. HIV-Prevalence of at Risk Populations in South Africa
Source: South African National HIV Prevalence, Incidence, Behaviour and Communication Survey, 2008:

4. Disability and Mental Health in the NSPs of Southern and Eastern Africa
Table 2: Emerging responses within NSPs in Eastern and Southern Africa
NSP fails to recognise disability
as an issue in any way
NSPs do not specifically
indentify disability as an issue
but nevertheless include some
reference to disability within the
Response
NSP identifies disability as an
issue but fails to operationalise
this concern
issue and takes selective steps
to operationalise this concern
issue and takes extensive steps
to operationalise the issue
Report based on the UNCRPD and the UNAIDS HIV and Human Rights guidelines
Identification of disability as a key issue in the situational analysis
Inclusion of principles relevant to people with disabilities within the NSP
Creating a framework for the involvement of people with disabilities in responses to HIV and AIDS
Protecting the rights of people with disabilities
Providing HIV-related prevention, treatment, care and support services for people with disabilities
Monitoring and evaluating the impact of HIV on people with disabilities
Evaluating the overall inclusion of disability within NSPs

5. Agencies Developed in the National Strategic Framework
Government
NAC
Sectors
NGO or DPO
Sectors
UNAIDS
Sectors
NSP and Ops Plan

6. Basic Structure of previous NSPs
Situation Analysis
2. National Framework for the Response to HIV
Priority Areas
Key Priority Area 1: Prevention
Key Priority Area 2: Treatment Care and Support
Key Priority Area 3: Research, Monitoring and Surveillance
Key Priority Area 4: Human Rights and Access to Justice
Some have more
The sector plan is very focused on access and human rights issues. It is however relatively silent of issues faced by people with intelelctual and mental disabilities/disorders.
It recognises “HIV as a cause of disability” but does not look into services for PLHIV who are developing disabilities

7. Recommendations for Priority Area 1 and 2
People with mental health problems or intellectual disabilities
PLHIV who develop mental health problems or neuro-cognitive disorders
People who care for PLHIV
especially young carers
Access to health services and education
disability specific sex
education
simplified HIV information
psychological support for
people with intellectual
disabilities in rape cases
integration of mental
health issues in training
of health care staff
Use and adopt screening tools:
SF12
HTQ
CES D
PRIME – MD
ADLs
Rehabilitation
clinics and hospitals
HBC and CBR
adaptation in the
workplace
Support and care
apply CRPD concepts
of universal access and
reasonable
accommodation for
people with disabilities
Work placement
adjustments for PLHIV
care support grants
SF12 (non-clinical administration / cross-cultural evaluation)
HTQ - Harvard Trauma Questionnaire (non-clinical administration / cross-cultural evaluation)
CES D - Centre for Epidemiological Studies Depression Scale (non-clinical administration / cross-cultural evaluation)
PRIME-MD (depression, anxiety, alcohol (non-clinical administration / Botswana)
ADLs – Activity of Daily Living (non-clinical administration / Botswana)
BAVLT – verbal learning and memory (non-clinical administration / Botswana)
Digit Symbol Coding - speed of processing (non-clinical administration / Botswana)
Colour Trail I and II – executive functions (non-clinical administration / Botswana)
Grooved Pegboard - fine motor function (non-clinical administration / Botswana)
GHQ - General Health Questionnaire
SRQ - Self Reporting Questionnaire
SAMISS - Substance Abuse and Mental Illness Symptom Screener

8. Universal Design and reasonable accommodation

9. HIV information for deaf youth
NAM 2009

10. Sign language for health care providers
NAM 2009

11. “Good and Bad Touch”
Rebecca Johns 2007

12. THANK YOU
For more information visit the HEARD disability and HIV resource centre
Or the Good Practise Collection at: