UTHUNGULU DISTRICT PROVINCIAL COUNCIL ON AIDS REPORT

20 MARCH 2013

PRESENTED BY: THE HONOURABLE MAYOR, CLLR TVB MCHUNU

Strategic Objective 1Intervention Area: Community Mobilisation

Indicator Target Q1 Q2 Q3 Challenges Remedial

Number of people aged 25-49 reached with prevention information including anti-gender based violence information

284375

5040 8055

965 •Limited information on Human Rights and Women’s rights• Victims are reluctant to report GBV cases

• Strengthen GBV Campaigns through community dialogues

Number of young people aged 15- 24 reached with prevention information including anti-gender based violence information

187795

12000

6151

6970

• Youth is reluctant to participate in HIV and AIDS and Gender Based Violence campaigns

• Full involvement of Youth Ambassadors on Behavioural change campaigns

Intervention Area: Orphans & Vulnerable ChildrenIndicator Target Q1 Q2 Q3 Challenges Remedial

Number of registered OVC

8783 851 179 • Fair management of OVC registers

• Proper monitoring of the OVC registers by DSD and DOE

Number of registered OVC in schools

11520 463 1502

• Data collection on OVC not well populated

•Improve data collection system for OVC

Number of registered OVC receiving care and support 

10491 852 3468

Intervention Area: Life Skills

Indicator Target

Q1 Q2 Q3 Challenges Remedial

Number of learners pregnant

437 No data

87 • Minimum information on Family Planning •Intergenerational sex where poverty stricken girls become vulnerable and are abused by older man in exchange for money

•Establishment of Youth health Friendly services • Strengthen community partnership on behavioural change campaigns

Strategic Objective 2 : Intervention Area: PMTCT

Indicator Target

Q1

Q2 Q3 Challenges Remedial

Baby PCR tested positive around 6 weeks rate

2% 1%

1.8%

1.9% There are still babies that are not tested

Upscale education of mothers on exclusive breast feeding

Baby HIV antibody test positive at 18 months rate

<5% 6%

2% 2.3% HAART not yet implemented at all Primary Health Care (PHC) Facilities, There is one Doctor in the ARV District Roving Team

CCGs to assist identify all exposed children and refer them to clinic for PCR Test.Nurses trained on NIMAART to be mentored by a Doctor for initiation.

ANC booking before 20 weeks rate

45% 44%

44.9%

48% Communities still believe in starting the ANC when child starts to kickMost of the pregnant women are teenagers, who hide until late

Scale- up Health Education in Health FacilitiesPromote Early bookings through OSS.

Strategic Objective 2Intervention Area: Male Medical Circumcision

Indicator Target Q1 Q2 Q3 Challenges Remedial

Number of males aged 15-49 circumcised 

15731 2 678 3 748 2 750 uThungulu District is wide and mostly rural, there are areas that are not yet reached.

•Motivate for Traditional coordinators to be per Hospital not per Municipality•CCGS and School Health Teams do assist in social mobilization•Scale-up the implementation of Family Health teams

Strategic Objective 2 :Intervention Area: HCT & TB Screening

Indicator Target Q1 Q2 Q3 Challenges Remedial

 Number of new HIV test carried out

351 469 48 676 51 591 54 952 There are still some people who are not keen to test (especially men) who will mention that his wife / girl friend is pregnant and tested negative

•Hlola Manje Zivikele Campaign is on-going•HCT Services to be supported by various congregations•Farms are coming on board for HCT Services•Market HCT Services to other Departments through OSS

Strategic Objective 2 :Intervention Area: Condoms Distribution Indicator Targe

t Q1 Q2 Q3 Challenge

s Remedial

 Number of male condoms distributed

18 909 468

1053307

1218544

1770132

Sustainability of condom distribution in remote communities

• Contracted condom distributors to be increased to cover remote communities as per Hospital/ Clinic catchment population•CCGs and War Rooms are assisting to up-scale condom distribution in the communities•HTA services to be expanded in all Hospitals (HTA communities identified) to be fully functional in 2013/14

Number of female condoms distributed

313543

43 055

34 242

62 775

Clients are reluctant to use female condoms

Health facilities to up-scale awareness campaigns on availability and use of female condoms.

Strategic Objective 2 :Intervention Area: Condoms Distribution

Strategic Objective 2Intervention Area: : Prevention of Exposure to transmission from occupational exposure, Sexual violence

Indicator Target

Q1 Q2 Q3 Challenges Remedial

 Number of new sexual assault cases

177

248

282

Increase is taken as positive because people are reporting the incidents

Up –scale the Awareness Campaigns in schools and Communities

Children under 12 years sexually assaulted rate 

58 69 94 Child sexual abuse cases are not reportedLimited support from caregivers

Conducting Community Outreach Programmes e.g.•community dialogues•Anti Sugar Daddy Campaigns• My life My Future Campaigns

Strategic Objective 2Intervention Area: : Coordination, Monitoring & Evaluation

Indicator Target

Q1

Q2

Q3

Challenges Remedial

Number of LACs submitting reports to DAC

6 0 0 0 Poor/ non submission of LAC reports by municipalities

LACs to align their schedule of meetings to that of the DAC and tosubmit their reports prior to the sitting of the DAC for consolidation purposes

Number of WACs submitting reports to LAC 

99 0 0 0 WACs are established but still under going trainings

The District has planned to hold the Special Programmes Road shows as from 09- 17 April 2013 to assist LMs in the Establishment of Structures/ Forums at ward level

BroadReach Healthcare Medicines Sans Frontier -[ Doctors without

Boarders] DramAidE PATH SAWID US Peace Corps Volunteers

ACKNOWLEDGEMENT OF SUPPORT PARTNERS IN UTHUNGULU DISTRICT:

THANK YOU