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Regional Approach to Making
Wide-scale HIVST a Reality in
Southern Africa
Presentation by
Margaret Zulu
Southern African AIDS Trust (SAT)
www.satregional.org
www.aids2014.org
[Sat logo]
Countries Reviewed
www.aids2014.org
Botswana, Malawi, Tanzania, Zambia, Zimbabwe, South Africa,
Mozambique. France, England and the USA.
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.
www.aids2014.org
HIVST Legal Review Findings
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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.
www.aids2014.org
Proposed Regional Approach for
Southern Africa
Support governments
in exploring policy
spaces
Integrate
HIVST in
CSS for HSS
Driving
Demand
for HIVST
Knowledge sharing
www.aids2014.org
Pilot
HIVST use
across
varying
contexts
Proposed Regional Approach for
Southern Africa
Stakeholder engagement for
scale up:
www.aids2014.org
• Stigma-free approach and selftesting as an entry point for
HTC.
• In-country dialogues based on
legal review.
• Awareness raising among
communities .
• Parallel operational research
needed to monitor HIVST rollout & uptake.
• Community involvement
SAT Model for Community Systems Strengthening
(CSS).
www.aids2014.org
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 widescale HIVST a reality in Southern Africa.
www.aids2014.org
Report Linkages and SAT Website,
Facebook and Twitter
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SAT website: www.satregional.org
Twitter handle: SATregional
Facebook page: SATregional
URL for HIVST reports:
http://www.satregional.org/publications/rep
orts/
www.aids2014.org
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)
– Rantao Kewagamang Attorney (Botswana)
– Savjani & Co (Malawi)
– Thomson Reuters Foundation
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Wits Reproductive Health Institute
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Participants to the regional HIV ST Consultative meeting held in March 2014 in
Johannesburg
WHO HIV Dept for this opportunity to share our review
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www.aids2014.org