Southern African Development Community Declaration on HIV/AIDS, Maseru 2003

Sectors : Health systems, medicines and regulation, Health and technology, HIV/AIDS, Gender and social development, Regional cooperation and integration, Food security, Domestic resource mobilisation
Organisation : SADC (Southern African Development Community)
Date made: 
2003
Level: 
Heads Of State

Commitments in: Health - Health systems, medicines and regulation

“...DECLARE the following as the priority areas requiring our urgent attention and action:

... 2. Improving Care, Access to Counselling and Testing Services, Treatment and Support by:

a. Strengthening health care systems, especially public health;
b. Strengthening family and community based care as well as support to orphans and other vulnerable children;
c. Facilitating the expansion of workplace programmes on HIV/AIDS prevention and management among all levels of the workforce, supported by appropriate policy and legal frameworks;
d. Development of service and caring capacity among all people caring for the HIV/AIDS infected persons, including the home based care providers, as well as upgrading of diagnostic and related technologies;
e. Expanding access to voluntary counselling and testing;
f. Preventing and removing stigma silence, discrimination, and denial which continue to hamper and undermine HIV control efforts, particularly, towards the people living with HIV and AIDS;
g. Putting in place national legislation and regional legal regimes to ensure the availability of technologies and drugs at affordable prices for treatment, including bulk purchasing of drugs and manufacturing of generic medicines in the region;
h. Increasing access to affordable essential medicines, including ARVs and related technologies, through regional initiatives for joint purchasing of drugs, with the view of ensuring the availability of drugs through sustainable mechanisms, using funds from national budgets;
i. Investing in nutrition programmes and promoting the use of nutritional supplements, production and consumption of locally available foods;
j. Developing a regulatory framework and institutional capacity for the testing and utilisation of traditional medicines.”

Scope: 
Regional Africa

Commitments in: Health - HIV/AIDS

“...DECLARE the following as the priority areas requiring our urgent attention and action:

1. Prevention and Social Mobilisation by:

a. Reinforcing multi-sectoral prevention programmes aimed at strengthening family units and upholding appropriate cultural values, positive behavioural change and promoting responsible sexual behaviour;
b. Intensifying the provision of comprehensive, affordable and user-friendly reproductive health services to youth, men and women and ensuring that essential commodities such as male and female condoms are made available;
c. Strengthening initiatives that would increase the capacities of women and adolescent girls to protect themselves from the risk of HIV infection, principally through the provision of health care and health services, including for sexual and reproductive health and through prevention education that promotes gender equality within a culturally and gender sensitive framework;
d. Promoting and strengthening programmes for the youth aimed at creating opportunities for their education, employment and self-expression, and reinforcing programmes to reduce their vulnerability to alcohol and drug abuse;
e. Rapidly scaling up the programmes for the Prevention of Mother-to-Child Transmission of HIV, and ensuring that levels of uptake are sufficient to achieve the desired public health impact;
f. Scaling up the role of education and information in partnership with all key stakeholders including the youth, women, parents, the community, health care providers, traditional health practitioners, nutritionists and educators as well as integrating HIV/AIDS education in both the ordinary and extra curricula at all levels of education, including primary and secondary education;
g. Putting in place national strategies to address the spread of HIV among national uniformed services, including the armed forces, and consider ways of using personnel from these services to strengthen awareness and prevention initiatives.”

Scope: 
Regional Africa

“...DECLARE the following as the priority areas requiring our urgent attention and action:

...3. Accelerating Development and mitigating the impact of HIV/AIDS by:

a. Creating and sustaining an enabling environment conducive to gender-balance, rapid and broad-based socio-economic development of the Region and addressing major underlying factors that lead to the spread of the HIV infection;
b. Harmonising policies and strategies and undertaking joint programmes in the priority intervention areas including prevention, treatment, care, support, nutrition and food security;
c. Enhancing the regional initiatives to facilitate access to HIV/AIDS prevention, treatment, care and support for people living along our national borders, including sharing of best practices;
d. Mainstreaming and factoring HIV/AIDS in our regional integration process and focal intervention areas, particularly in the areas of trade liberalisation, infrastructure development, food security, social and human development;
e. Evaluating the economic and social impact of the HIV/AIDS epidemic and developing multi-sectoral strategies to address the impact at individual, family, community, national and regional levels;
f. Establishing mechanisms for mitigating the impact of the HIV/AIDS pandemic, including the provision of support to families, orphans and other vulnerable children, and strategies to ensure a sustained labour supply.”

Scope: 
Regional Africa

“...DECLARE the following as the priority areas requiring our urgent attention and action:

... 4. Intensifying Resource Mobilisation by:

a. Establishing a Regional Fund for the implementation of the SADC HIV/AIDS Strategic Framework (2003-2007);
b. Reaffirming our commitment to implementing the Abuja Declaration on allocating at least 15% of our annual budgets for the improvement of the health sector;
c. Urging the International Cooperating Partners, on humanitarian grounds, to assist our region by substantially increasing the provision of financial and technical support at country and regional levels through various initiatives and commitments such as the Global Fund to fight HIV/AIDS, Tuberculosis and Malaria (GFATM), Official Development Assistance, the Enhanced Heavily Indebted Poor Countries (HIPC) Initiative; and the Multi-country AIDS Programme (MAP);
d. Developing and strengthening mechanisms to involve all stakeholders, such as civil society organisations, the private sector, organised labour and business to contribute towards financing HIV/AIDS programmes;
e. Establishing simplified mechanisms for the timely disbursement of funds to the operational level, ensuring that all communities have adequate access to these funds.”

Scope: 
Regional Africa

“...DECLARE the following as the priority areas requiring our urgent attention and action:

... 5. Strengthening Institutional, Monitoring and Evaluation Mechanisms by:

a. Developing and strengthening institutional mechanisms for HIV surveillance, sharing of experiences and exchange of information on key areas of interventions such as prevention, provision of care to, and support of, HIV/AIDS infected and affected persons and treatment of HIV/AIDS-related conditions;
b. Intensifying training and research initiatives or programmes to strengthen Member States’ capacities to manage the epidemic;
c. Developing and strengthening appropriate mechanisms for monitoring and evaluating the implementation of this Declaration, and other continental and global commitments, and establishing targets and time-frames which will be included in the SADC HIV/AIDS Strategic Framework and Programme of Action (2003 – 2007).”

Scope: 
Regional Africa