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NACOSA is a network of over 2,500 civil society organisations working together to turn the tide on HIV, AIDS and TB in Southern Africa. NACOSA promotes dialogue, builds capacity with accredited training, mentoring and technical assistance and channels resources to support service delivery on the ground, particularly among children and youth, key populations and women and girls.

As a principal recipient of the Global Fund and in partnership with USAID and PEPFAR and other public and private sector partners, NACOSA works at all levels – from international agencies and national government, right though to sub-district services and small, community groups. NACOSA is a Level 1 B-BBEE contributor.

NACOSA acts as a bridge between people and health and social services.

The NACOSA Training Institute is a centre of excellence providing affordable, accredited and quality training and development opportunities to organisations, businesses and their frontline staff. NACOSA represents a global community of learning drawing on the latest experience from the field.



Born out of a national conference in 1991, NACOSA played a central role in mobilising an effective, multi-sectoral response to HIV, AIDS and TB in South Africa. Since then, we have learned that when people come together to tackle community challenges, they have a stronger voice and are more effective at finding solutions. Our mandate comes from this network of community organisations and individuals. We work collaboratively with multiple stakeholders – ensuring good coordination and reducing overlap and duplication.

"NACOSA takes forward the voices of the people on the ground." 

- NACOSA network member



Although we have made great strides in starting to turn the tide on HIV and AIDS, many challenges remain:

  • At 7 million, South Africa has the highest number of people living with HIV and AIDS in the world.
  • South Africa has an estimated 2.3 million orphaned and vulnerable children.
  • TB is the nation’s leading cause of natural death and over 60% of TB cases are related to HIV.
  • Young women are 8 times more likely to become infected, with 2,400 adolescent girls and young women becoming infected every week.
  • Between 40% and 50% of all new HIV infections among adults occur in people from key populations.
  • An epidemic of gender based violence is estimated to cost the economy up to R42.4 billion a year.

But we have the end of HIV in sight. If we adopt a fast-track strategy for testing and treatment, UNAIDS predicts we can end AIDS by 2030.

“One day when my son grows up and hears about South Africa and that it has the highest HIV rate in the world, and he asks me what I did about it, I want to be able tell him that I tried, that I made an effort to do something.” 

– Charlize Theron, visiting a NACOSA Global Fund project


We believe that we are stronger, when we come together to tackle interlinked health and social challenges. NACOSA works to build healthy and productive communities with:

  • Capacity building – needs assessment, skills & training, mentoring & coaching, technical assistance
  • Networking – strategic communications, advocacy, community mobilisation, links and referrals
  • Promoting dialogue – consultative forums, planning & coordination, community dialogue, community systems strengthening
  • Channeling resources – grant management, funding for services, economic strengthening, performance monitoring, evaluation and reporting


“NACOSA’s capacity building programme has a direct, tangible benefit on organisations and their capacity to deliver efficient and sustainable services in communities.”

- Independent evaluation by Development Works



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