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Regional Approach to M aking W ide-scale HIVST a Reality in Southern Africa

Regional Approach to M aking W ide-scale HIVST a Reality in Southern Africa. Presentation by Margaret Zulu Southern African AIDS Trust (SAT) www.satregional.org. [Sat logo]. Countries Reviewed.

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Regional Approach to M aking W ide-scale HIVST a Reality in Southern Africa

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  1. Regional Approach to Making Wide-scale HIVST a Reality in Southern Africa Presentation by Margaret Zulu Southern African AIDS Trust (SAT) www.satregional.org [Sat logo]

  2. Countries Reviewed Botswana, Malawi, Tanzania, Zambia, Zimbabwe, South Africa, Mozambique. France, England and the USA.

  3. HIVST Legal Review Findings • HIVST is legal in Malawi, South Africa, Zambia, Zimbabwe, England and USA, Not legal in Botswana, Tanzania and France. • HIVST test kits not presently regulated in South Africa and Zimbabwe • Law in Malawi, Zambia, England and USA does not expressly give persons the right to be tested except in Botswana, Tanzania and France. • A person can be forced to take a test in all jurisdictions except for Zambia, France and England. • All jurisdictions can compel parents to have their children tested for HIV except for France.

  4. HIVST Legal Review Findings • Persons in all jurisdictions except for Mozambique, France and England can be compelled to make disclosures on positive diagnosis. • Individuals who distribute products including medical devices generally have certain obligations towards the users of their products. • Persons in all jurisdictions require consent to HIV testing except in USA – varies by state • Test results are confidential in all jurisdictions • Malawi is the only country which does not criminalise wilful transmission of HIV.

  5. Proposed Regional Approach for Southern Africa

  6. Proposed Regional Approach for Southern Africa • Stigma-free approach and self-testing as an entry point for HTC. • In-country dialogues based on legal review. • Awareness raising among communities . • Parallel operational research needed to monitor HIVST roll-out & uptake. • Community involvement Stakeholder engagement for scale up:

  7. SAT Model for Community Systems Strengthening (CSS).

  8. Key points • Less than half of men and women in Southern Africa do not know their HIV status. • HIV legal environment in Southern Africa is not all bad! – opportunities to strengthen “SRHR for all” exist. • Need coordinated action to make wide-scale HIVST a reality in Southern Africa.

  9. Report Linkages and SAT Website, Facebook and Twitter • SAT website: www.satregional.org • Twitter handle: SATregional • Facebook page: SATregional • URL for HIVST reports: http://www.satregional.org/publications/reports/

  10. THANK YOU Acknowledgements • Legal firms • Arnold and porter (UK) LLP • Arnold and Porter (USA)LLP • Corpus Legal Practitioners (Zambia) • Dechert (France) • Gill, Godlonton & Gerrans (Zimbabwe) • Nexus Attorneys (Tanzania) • Norton Rose Fulbright (South Africa) • Pimenta, Dionisio e Associado (Mozambique) • RantaoKewagamang Attorney (Botswana) • Savjani & Co (Malawi) • Thomson Reuters Foundation • Wits Reproductive Health Institute • Participants to the regional HIV ST Consultative meeting held in March 2014 in Johannesburg • WHOHIV Dept for this opportunity to share our review

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