The World Health Organisations defines governance in the health sector as a wide range of steering and rule-making related functions carried out by governments/decisions makers as they seek to achieve national health policy objectives that are conducive to universal health coverage.

Leadership and governance therefore involves ensuring that a strategic policy framework exists and is combined with effective oversight, coalition building, regulation, attention to system-design and accountability. It requires overseeing and guiding the health system as a whole, not just the public system, in order to protect the public interest - broader than simply improving health status.

There are subsequently ten components of this envisaged leadership and governance in health: strategic vision, participation and consensus orientation, rule of law, transparency, responsiveness, equity and inclusiveness, effectiveness and efficiency, accountability, intelligence and information, and ethics.  

The AIDS Council therefore, is a voluntary association of institutions established by Government to build consensus across government, civil society and all other stakeholders to drive an enhanced district’s response to HIV, TB and STI’s.

The main objectives of the District AIDS Council are amongst others, to: 

  • foster dialogue between government, civil society and all other stakeholders and to oversee the district’s response to HIV, TB and STIs;
  • advise government on HIV and AIDS, TB and STI policy and strategy and related matters;
  • strengthen the governance, leadership and management of the response to HIV, TB and STIs at district level;
  • strengthen the multi-sectoral response to HIV, TB and STIs as a contribution to the overall social and economic development of Capricorn District, including but not limited to policy review, programme management and co-ordination, technical assistance and capacity building and sectoral support;
  • mobilise resources domestically and internationally to finance the response to HIV, TB and STIs, including but not limited to estimating expenditure and resource needs, fund-raising from domestic and international institutions, including Treasury, donor co-ordination and investigating new sources of funding for the multi-sectoral response;
  • ensure the monitoring of progress against the targets set in the District Plan of Action and ensure mid and end of term evaluations for the prevailing Plan;
  • create and strengthen partnerships for an expanded district response to HIV, TB and STI among government agencies, non-governmental organisations (NGOs), donors of funds, agencies of the United Nations, the South African private sector and people living with HIV, TB and STIs.

The above is informed by and aligned to the country vision as contained in the National Strategic Plan(NSP). Driving this vision is the commitment to have a country and world where in future there will be NO new HIV, TB and STI infections, NO transmission of HIV and other STIs from a parent to an unborn baby, NO deaths caused by HIV, TB and STI infections and NO discrimination of anyone based on their HIV, TB or STI infection.

The National Strategic Plan’s vision is also in line with the mandate of the national Health Department, whose aim is to promote a healthy life, increase life expectancy, decrease maternal and child mortality and to combat HIV and AIDS as well as decrease the burden of disease from TB amongst all South Africans and all those who live in South Africa, including migrant populations.