Umgungundlovu District AIDS Council PresentationFinal

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BRIEF PRESENTATION AT THE
PROVINCIAL COUNCIL ON AIDS
uMgungundlovu District AIDS
Council
Cllr Yusuf Bhamjee
TABLE OF CONTENTS
1.
2.
3.
4.
5.
6.
7.
Introduction
Strategic Objective 1
Strategic Objective 2
Strategic Objective 3
Strategic Objective 5
Recommendations
Conclusion
Introduction
The PCA – Provincial Council on AIDS holds its quarterly
meeting wherein all the District AIDS Councils reports.
The uMgungundlovu District AIDS Council has prepared its
brief presentation, based upon the report submitted to the
Secretariat of the PCA, highlighting most of its critical
endeavours in the fight against HIV/AIDS, STI & TB and other
social ills. The presentation covers four strategic areas of the
Provincial Strategic Plan document on HIV/AIDS, STI & TB.
The presentation is a brief synopsis of a comprehensive report
submitted by the uMgungundlovu District AIDS Council.
Strategic Objective 1: Social & Structural Drivers of HAST
Intervention Area: Orphans &
Vulnerable Children
• The number of drop-outs from
School, due to substance abuse
and teenage pregnancy, has
slightly increased in the 3rd quarter
when compared with other
quarters.
•Collaborations
between the
uMgungundlovu District AIDS
Council & the District Department
of
Education
with
other
government departments & NonGovernment Organizations has
been sought to counter the
sporadic increase of Teenage
Pregnancy and other Social ills.
• Campaigns (such as: ‘My Life My
Future’; ‘Anti-Sugar Daddy’)
aimed at reducing the increase of
Teenage Pregnancy & other social
ills have been conducted in
partnership with the Dept. of
Health, District Department of
Education and other NGO’s. The
Campaigns, in most instances,
were spearheaded by the Political
Prevention, Care & Support
14000
12000
10000
8000
6000
4000
2000
0
Male
Female
Number of registered OVC
3714
July-Sept 2012
4583
Number of registered OVC of school going age in school
3077
3888
41
68
Number of OVC of school going age that are not in school
Total
Male
Female
8297
6276
Oct-Dec 2012
7505
Total
Male
Female
13781
9990
12088
6965
4844
5916
10760
7921
9804
109
73
95
168
114
163
Total
Strategic Objective 1: Cont….
Intervention Area: Orphans &
Vulnerable Children
16000
Interventions (over & above the
14000
Campaigns ) are:
1) Information sharing on sexual and
reproductive health in schools, and
2) Dialogues amongst school pupils 12000
have been conducted at schools carefully
recommended by the Department of
Education and through working closely
10000
with NGO’s within the District AIDS
Council.
8000
6000
4000
2000
0
Male
Femal
e
Total
Male
Femal
e
Total
Male
Femal
e
Number of registered OVC
3714
July-Sept 2012
4583
8297
6276
Oct-Dec 2012
7505
13781
9990
Total
12088
Number of registered OVC receiving care and support
4248
5678
9926
6876
7057
13933
11124
12735
Number of registered OVC with access to social grants
3248
3988
7236
5855
9010
14865
9103
12998
Strategic Objective 1 Cont…
Intervention Area: Life
Skills
•
A significant number of learners were
reached with Life Skills through My
Life My Future and Anti Sugar Daddy
Campaigns
and
420
learners
becoming Peer Educators in Schools.
•
The uMgungundlovu District AIDS
Council in partnership with the
District Department of Education,
MEC Office – Health and the District
Department of Health with other
NGO’s reached 3200 number of
leaners with life skills messages and
campaigns last quarter, and in this
quarter the Department of Education
carefully recommended those in dire
need of life skills resulting in 2344.
•
The aggressive life skills interventions
mentioned above helped reduce
learner pregnancy rate to 47 per last
quarter.
Strategic Objective 2:
Intervention Area: PMTCT – ANC Booking
before 20 weeks rate
Prevention of HIV, STIs and TB
Infection
•
52.0
50.4
50.0
49.4
48.0
46.0
•
44.0
43.1
42.0
•
40.0
38.0
April - June 12
Jul - Sep 12
Oct - Dec 12
Ward-based Community dialogues and BLITZ
on PMTCT were conducted in partnership
with the uMgungundlovu District AIDS
Council, DramAid, War Room Members,
Operation Sukuma Sakhe Task Teams and
Outreach teams from the Dept. of Heath.
The Community Dialogues on PMTCT were
targeted at low performing sub-districts, for
instance:
Impendle,Richmond,Umshwathi
and uMsunduzi Municipalities.
The Community Dialogues had a positive impact
as most of the recorded intakes for PMTCT at
Local Clinics had risen after the information was
disseminated by the Ward AIDS Committees,
LAC’s, CCGs, LTT’s and all other Local Structures
operating within the local area/ward.
Intervention Area: Baby HIV antibody
test positive at 18 months
Strategic Objective 2: Prevention of HIV, STI’s &
TB Infections
•
The uMgungundlovu District is operating
below the set target of 5%, of which
indicates a good and acceptable
performance.
•
•
•
Q1:19/609 babies tested positive.
Q2:30/814 babies tested positive.
Q3:24/765 babies tested positive.
•
The implementation of NVP syrup for
babies has made a good impact.
•
HCT – is recommended and done mostly
for all babies coming for 18 months
immunisation so to improve HIV antibody
test to prevent miss opportunities.
4.0
3.6
3.5
3.0
3.3
3.0
2.5
2.0
1.5
1.0
0.5
0.0
April - June 12
Jul - Sep 12
Oct - Dec 12
• Strategic Objective 2
Intervention area: Condom
Distribution
•
The demand and supply of male
condoms far exceeds that of
female
condoms.
•
Aggressive campaigns to entice
the use of female condoms must
be undertaken within the District,
and the female condoms should be
easily available in all kinds of
amenities, for instance: shopping
malls; movie theatres; public
facilities; workplaces and all other
facilities.
•
Distribution of Female Condoms
by both the Non-Health Facility
and the Public Health Facility
should be encouraged and
increased.
• Strategic Objective 2: Conti…
Intervention area: HCT &
TB Screening
• The HCT Campaigns are
still continuing within the
District, they are run by
partner
NGO’s
in
partnership
with
the
Department of Health and
the
uMgungundlovu
District
AIDS
Council.
• There is a need for an
aggressive HCT Campaign
in the District, this is due
to the declining numbers
of HIV tests carried out
through HCT.
• Strategic Objective 3: Sustaining Health
Intervention area: ART &
Adherence Monitoring
•
The third quarter (Q3) has
experienced
an
improved
coverage and reach to remote
areas through the use of ARV
Mobile Truck & Team, and there
has been an increase in the
coverage of ART services to most
clinics
in
the
District.
•
There has been an increase in the
number of de-registered clients
(299 from 63 in the last quarter)
from ART due to loss of follow-up,
and a noticeable decline on clients
deregistered due to death – (from
190 last quarter to 140 on the
third quarter)
& Wellness
Intervention area:
Coordination, Monitoring
& Reporting
•
•
•
90% of the times the District AIDS
Council Meetings are Chaired by the
Mayor – designated Chair.
Over and above 70% of DAC
Members attend the District AIDS
Council Meetings.
The District AIDS Council submits its
Quarterly Reports to the PCA.
•
Mostly 5/7 Local AIDS Council holds
meetings as per schedule, and mostly
4/7 Local AIDS Council Meetings are
Chaired
by
Mayors.
•
The functionality of War Rooms has
been a challenge but over 65% of
War Rooms are now fully functional
at this stage. The 35% of other War
Rooms are being attended to by
relevant Officials in making them
effective and fully functional. The
lack of participation in War Room
activities by other stakeholders,
especially government departments,
makes some War Rooms ineffective
and not functional.
• Strategic Objective 5:
Coordination, Monitoring & Evaluation
Intervention area:
Monitoring, Coordination &
Reporting
•
The functionality of War Rooms
has been a challenge but over 65%
of War Rooms are now fully
functional at this stage. The 35% of
other War Rooms are being
attended to by relevant Officials in
making them effective and fully
functional.
70
60
50
40
•
The lack of participation in War
Room
activities
by
other
stakeholders,
especially
government departments, makes
some War Rooms ineffective and
not functional.
Q1
Q2
30
Q3
20
10
0
War Rooms
Intervention area:
Coordination, Monitoring &
Reporting
A
classical
example
of
true
Coordination, Operation Sukuma
Sakhe Principles and working together
of government departments with the
Community towards a noble cause.
A Caluza house which was in a brink of
falling down with a family of seven
occupying the house. Through a doorto-door campaign, coordinated by the
uMgungundlovu District AIDS Council
and the Edendale Hospital, the house
was identified from the Local War
Room Profiles and the CCG’s working
in the area. The house was built by a
Private
Businessman
(Khayelihle
Funerals) in partnership with other
Government Departments, the Local
Community and other sectors.
Today the family is safe in house with
furniture….this is Operation Sukuma
Sakhe in its best practice.
• Strategic Objective 5: Coordination,
Monitoring & Evaluation
RECOMMENDATIONS
• Aggressive use of a Ward-based interventions and
tackling of social ills, for instance: integration of
the Operation Sukuma Sakhe structures into
Projects aimed at the respective communities.
• Recruitment of Local HIV/AIDS Coordinators and
filling up of posts where there is a vacancy.
• Ensuring the functionality of War Rooms, Ward
AIDS Councils, Local AIDS Councils and the
submittion of reports to the District AIDS Council.
Conclusion
In conclusion, the fight against HIV/AIDS, STI &
TB requires a holistic, integrated and multisectoral approach. The principles of Operation
Sukuma Sakhe should become key in all of our
collective efforts to eradicating the social ills
facing the communities we serve.
Thank you
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