Turning The Tide TogetherThe crucial role of Mayors

• Home to just under 4 million people, 30 000 employed by the Metro

• 40% of residents are between the ages of 18 and 49

• Major economic driver is the financial sector

• High levels of in-migration (national and international)

• Hardest hit by the HIV epidemic in Gauteng province

• High number of people living in informal settlements – mostly young single females

• 2001 - the City adopted HIV and AIDS as a Mayoral Priority Programme

• 2005 the City adopts an HIV and AIDS workplace policy

• The approach is to align to National Strategy on HAST and to the GDS 2040

• Prevalence trends at 21% (HCT), national at 17% (WHO)

Introduction

2001 – 2011 HIV Programme

Clinical

o Established ARV sites o Adopts NIMART programmeo HIV Counselling and Testingo Training o Research

Workplace

o Preventiono Peer Educators o HCTo NIMART

Prevention

o Education programmeso Condom Distributiono Peer Educator Trainingo Communities at Risk

Progress to Date

One in five People test positive for HIV

54% of men always use a condom Absenteeism rate reduced to 1.04%

66% have been tested and know their status 60% HIV positive employees uses the workplace programme

70% men will disclose their STI or HIV results TB cure rate at 82.2%

PMTCT rate reduced to 2.7% 85% of TB patients have been tested for HIV

GDS 2040 Goal By 2040, the City aims to zero levels

of new HIV infections, deaths and stigma

Proactive interventions are already in place,

special emphasis is on adopting a socially driven

combination prevention strategy

Johannesburg2001 - 2040

At all clinics, patients should ALWAYS HAVE ACCESS to:

• HIV Counselling and Testing

• HIV Treatment

• Drugs and other medicinal requirements

• Delivery of integrated services

• 1 stop consulting rooms

Accessibility

Mayoral Aids Fund

Uses funds from the annual Golf Day to support ward based NGO’s. Since 2005,

have donated over $800 000 to small NGO’s working in HIV and AIDS

LeadershipJohannesburg Aids Council

Chaired by the Executive Mayor where he provides direction to the 19

sector member invited from the civil society

• Reduced incidence of new HIV infections to zero

• Reduce HIV related sickness and deaths

• See more people living longer healthier lives

• Reduce work absenteeism related to HIV and AIDS

• Increased productivity due to improved health

• Stabilise our communities

Impact

Active participation at campaigns

− HIV and AIDS, STI & TB Campaigns

− World Aids Day is a Mayoral event in the CoJ

− Participating in the door to door HIV education campaigns

Minister of Health, Dr Aaron Motsoaledi being tested at the ABSA

bank HCT launch MEC Health, Ntombi Mekgwe and MM: Molwele leading the 2011 World Aids Day march

City Manager, Trevor Fowler and MMC Molwele leading the launch of

the Healthy Living Lifestyle campaign – Soweto

Visibility

Education

• Promote healthy living lifestyles

• Encourage regular testing for HIV and TB

• An active HIV and AIDS policy dedicated for staff

• Education, education, education

• Upscale combination prevention methods

1.4 million people

tested through HCT

in 2010/11

700 000 people

reached throughdoor to door

HIV education

3.8m condoms

distributed in high risk communities in 2011

Joint Effort

• Government cannot do it alone – adopted a multi-sectoral approach

• In Partnership with Pepfar and local NGO’s to increase impact

• Always engaging communities – feedback is critical

• Create innovative space for civil society space

OffensiveThe GDS 2040 goal is a City that is liveable, sustainable and resilient.

Contained in this goal, the City aims to reduce HIV and AIDS prevalence to zero by 2040.

The only way to achieve this is to ATTACK the virus aggressively, by implementing every prevention programme that is available

ARV

MMC

PMTCT

PCR

FAMILY PLANNING

Cervical cancer screening

TB

PEP Peer EducationCONDOM

DISTRIBUTION

Cryptococal screening

Treat all STI’sPrevention programmes

Community HIV Education

Ijozi Ihlomile

Business Unsual…

• Unconventional solutions for an unconventional disease – HHP

• Find revolutionary and innovative responses to the epidemic

• Adopt new groundbreaking methods and initiatives

• Improve the quality of life for the infected and affected

In addition to the current programmes, we plan to strengthen Men

health services:

o education and awareness

o upscale male initiated prevention methods

o increase the number of men testing for HIV and other diseases

o Make the services more accessible to males

57% males have been circumcised2010, KABP

Realistic

Programmes

• Budget allocations

• Timeframes

• Targets

Expectations

• Partners

• Staff

• Communities

• Results

Gauge

• Check progress – annually, five yearly and every ten years

• GDS 2040 – Measure HIV prevalence every 5 years

• Impact and relevance to the community

• Alignment to national and international goals

The 30 year mission is to transform the lives of the poorest communities and improve access to services. One of the measurement will be the health profile

of the people of Johannesburg

City of Johannesburg Strategic Plan on HIV and AIDS, STI , TB: 2012 - 2016

• Alignment to GDS 2040 and national plans on HIV and AIDS, STI & TB

• Increased space for innovative solutions from civil society

• Address structural and social driverso Know our wards and communities

o Know the social and structural drivers to infection

o Reduce internalised stigmatisation

o Improve on our records on human rights towards HIV positive people

Way Forward

Continuity is key

sustain what has worked

“We need to change course because the people of Joburg deserve it

from all of us. We have a collective responsibility to leave a proud

legacy for the citizens of this City. Years from now, we must all be able to

point out to concrete and revolutionary changes that we have

effected in turning the tide against HIV, AIDS and TB.”

Executive Mayor, Clr Parks TauCity of Johannesburg

A message from the Mayor