Briefing: Recent changes in the South African government's HIV/Aids policy and its implementation

SINCE 2002 THERE HAS BEEN A SHIFT IN THE SOUTH AFRICAN government'spolicy response to HIV/AIDS, culminating in a commitment bythe Cabinet in August 2003 to develop a plan to provide antiretroviral(ARV) drugs. While this shift in policy was greeted warmly,if cautiously, by most analysts and activists,we need to understandwhy it has occurred, in order to assess its sustainability andwhether it will translate into meaningful change on the ground.As a civil society submission to the government noted: ‘Thesuccess and sustainability of an ARV roll-out programme dependson a number of interlocking social, medical and political factors.’¹This briefing provides an outline of the government's AIDS policies,recent policy shifts, the social and political factors at playand some explanations for these shifts.