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Translating vision and strategies into the real world: community perspective Lihle Dlamini (Treatment Action Campaign, South Africa)
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Civil society organisation 10 December 1998 (Human Rights day) SA based in 7/9 provinces with over 53 Accredited branches (Support groups) Programmes-PTL, CHA and PCR
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Policy, communications and research Treatment literacy Community mobilisation Media Demonstrations (pickets, night vigils, marches, sit-ins) Litigation
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Taking science into communities and support groups HIV lifecycle ART regimens, benefits and side effects Preventions Community education Drug laws Trips and patents Drug pricing- generics Fixed dose combinations
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Education Support groups Churches Faith based organisation Traditional healers NGOs Schools Clinics Door to door, ET and pamphlet distribution Partnerships Clinics (clinic committees) Civil society organisations Traditional leaders Media Ward councillors AIDS councils Researchers Health care workers
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South African constitution sec 27: Health care, food, water and social security (1) Everyone has the right to have access to- (a) Health care services, including reproductive health care; (b) Sufficient food and water, and (c) Social security, including, if they are unable to support themselves and their dependants, appropriate social assistance (2) The state must take reasonable legislative and other measures, within its available resources, to achieve the progressive realization of each of these rights; and (3) No one may be refused emergency medical treatment.
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National Health Act Promotion of Administrative Justice Act (PAJA) Public Finance Management Act (PFMA) Promotion of Access to Information Act (PAIA) Patent Laws
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Closer health care facilities Access to ART e.g. PMTCT/ Rx plan Policy engagement – SANAC Rx for OIs e.g. Fluconazole- Amphotericin B Reproductive health rights HPTN 052 study results Early treatment Importance of adherence
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Equal treatment District newsletters Letters to individuals, departments and companies Petitions Outside electronic and print media South African National AIDS Council - NSP
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PMTCT case Annexure A of the Rx plan Westville inmates SASFU- Defence force Rath case
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Adherence Prolonged lives Healthy lifestyles- “back to work” Knowing PLHIV and health rights Reduced drug prices Generic drug production Change in political will (Zuma & Motsoaledi) Addressing the health systems National strategic plan 1.4 million people on ART 12 million tested in 1 yr (i.4 mil +)
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Partners Researchers Health care workers Funders TAC staff Media TAC Volunteers
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Better Rx regimens and FDC TB/HIV integration Early treatment Combating stigma Supporting recently diagnosed people Role in prevention Funding Challenge the EU trade laws
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