Multisectoral (in)action: towards effective mainstreaming of HIV in public sector departments in South Africa

Pinky Mahlangu, Jo Vearey & Jane Goudge. (2018). Multisectoral (in)action: towards effective mainstreaming of HIV in public sector departments in South Africa, African Journal of AIDS Research, DOI: 10.2989/16085906.2018.1536069.

Whilst progress has been made, evidence of effective approaches to improve action on addressing the social and structural drivers of the HIV epidemic remains a priority, to meet the 2030 sustainable development agenda, and to achieve key HIV targets, including the 90-90-90 target and the Treatment as Prevention (TasP) intervention. With a focus on the public sector in South Africa, we critically reflect on the HIV mainstreaming approach, assessing its ability to augment multisectoral action on the response to HIV. We reflect on progress made in mainstreaming HIV in non-health sector departments, exploring factors that have enabled and hindered the process. We also highlight limitations in the adopted approach to mainstreaming HIV in non-health sector departments in South Africa; which currently promotes working in silos and does not encourage collaboration and partnerships. We propose a three-step approach to effective mainstreaming of HIV that will augment multisectoral action. The approach also contributes towards realising the sustainable development agenda of “leaving no one behind” and achieving the national and global targets on HIV that are embedded in collaborative efforts.

About Jo Vearey

Jo Vearey is a Professor and the Director of the African Centre for Migration & Society, University of the Witwatersrand. She holds an Honorary Fellowship with the School of Social and Political Science at the University of Edinburgh, and a Senior Fellowship at the Centre for Peace, Development and Democracy at the University of Massachusetts, Boston. In 2015, Jo was awarded a Humanities and Social Science Wellcome Trust Investigator Award. Jo holds a MSc in the Control of Infectious Diseases (LSHTM, 2003), a PhD in Public Health (Wits, 2010), and has been rated by the National Research Foundation as a Young Researcher. In 2014 and 2015, Jo received a Friedel Sellschop Award from the University of the Witwatersrand for outstanding young researchers. She was a Marie Curie Research Fellow in 2013, at the UNESCO Chair on Social and Spatial Inclusion of Migrants, University of Venice (SSIM-IUAV), Venice, Italy.

With a commitment to social justice and the development of pro-poor policy responses, Jo’s research explores international, regional, national and local responses to migration, health, and urban vulnerabilities. Her research interests focus on urban health, public health, migration and health, the social determinants of health, HIV, informal settlements and sex work. Jo is particularly interested in knowledge production, dissemination and utilisation including the use of visual and arts-based methodologies.

Jo has a range of international collaborations, including an ESRC-NRF funded project with the University of Edinburgh, a WOTRO funded project with the VU University, Amsterdam on migration and sex work, and partnerships with the University of Massachusetts Boston and the London School of Hygiene and Tropical Medicine‘s Faculty of Public Health and Policy and Gender, Violence and Health Unit.

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