PRESENTATION TO PROVINCIAL COUNCIL ON AIDS · Health therefore Teenage pregnancy remains a challenge. DOE and DOH facilitated ’Baby Not Now Project “ at Mqamathi High School in

PRESENTATION TO PROVINCIAL COUNCIL ON

AIDS

• PRESENTER : His Worship Honourable Cllr PMS Ngubane

• DATE : 11th July 2018

• VENUE : GREY’S HOSPITAL

THUTHUKA MZINYATHI

2

QUARTER 4 (JAN - MARCH 2017/18) ACTION ITEM

UPDATE Challenge Mitigation Status

• Increase of

sexual assault

cases for

under 12

years from 41

to 50 cases

were reported.

• Conducting awareness and also

working with SAPS in the

identification of hot spots.

• Involvement of Traditional Leaders

on sexual assault.

• Nquthu Ward 4

KwaJama High

School championed

by DOE.

Awareness

campaign

conducted

addressing teenage

pregnancy.

• Hotspots have

been identified in

ward 17 Msinga-

Pomeroy-

Nhlanhleni Area

and the draft of the

sexual assault has

been done

• Meeting with Inkosi

Mncube was held in

March 2018.

3

QUARTER 4 (JAN - MARCH

2017/18) ACTION ITEM UPDATE Challenge Mitigation Status

• 37 sexual assault cases reported

after 72 hours. Management of

the client was compromised

since prophylaxis was not given

if the client report after 72 hours.

• 24 sexual assault cases tested

HIV positive prior to PEP.

• Mapping of areas

where the 37 clients are

coming from and

conduct dialogues and

engage community

leaders.

• These clients were

initiated on lifelong

ART therapy & linked to

municipal ward based

outreach teams, CCG’s

& support groups for

follow up.

• HIV testing done at 3

month intervals.

• 24 new sexual assault

cases were offered

comfort packs.

• To develop a

plan of

community

dialogues

and address

clients to

report before

72 hours.

• Engagement

with Isibaya

Samadoda,

Amakhosi

and other

Community

Leaders on

sexual

assault.

4



• 582 under 19

years

delivered in

Health

therefore

Teenage

pregnancy

remains a

challenge.

DOE and DOH facilitated ’Baby Not

Now Project “ at Mqamathi High

School in March.

• Conducted youth community

dialogues at Nondweni ward 6 to

exclude misconceptions around

family planning methods.

Grade 12 Learners were

all exposed to the

project of being a parent

whilst in school.

10 subdermal implants

inserted in the last

quarter and currently 52

were inserted in ward 06

Nquthu

.

.

5



• 582 under 19

years

delivered in

Health

therefore

Teenage

pregnancy

remains a

challenge.

• Conducting school visits for

massive campaigns against

teenage pregnancy. As per

calendar schedule event.

• Schools with high

teenage pregnancy

rate have been

mapped. And known

by the District and

visited according to

the District schedule.

• She Conquers

projects like YOLO

and My Life My

Future are still the

major projects used by

DOH , DSD & DOE.

• Dialogue was

conducted in March

2018 at Qhubinyathi

Secondary school.

.

.

6



• 582 under 19 years

delivered in Health

therefore Teenage

pregnancy remains a

challenge.

• Community engagement

involving parents is being

is being conducted .

At Msinga

Municipality Mayoral

Imbizos are

conducted every

Thursday.

7

CHALLENGES FOR Q4(JAN - MARCH 2018) AND MITIGATION PLANS

Challenge Mitigation Status

• Loss to follow up care

due to poor linkage.

• Involvement of

Community based

partners in linkage of all

clients on treatment.

• Rolling out of the HH

champion Program in

the affected areas .

• Working with THPS in

addressing loss to follow

up.

• Local Municipalities

have support groups

and Adherence clubs

Community based

partners such as

Philanjalo Care Centre,

Umvoti Aids Centre are

implementing HTS in

community to improve

linkage.

All facilities are drawing

early missed appointment

to trace clients.

8

CHALLENGES FOR Q4(JAN - MARCH 2018) AND MITIGATION PLANS


• Umvoti Municipality still does

not have a constituted Local

Aids Council.

• The District Champion

has ongoing

discussions with Umvoti

Champion on this

matter. An intervention

by the Office the

Premier will be

appreciated

.

9

CHALLENGES FOR Q4 (JAN - MARCH 2018) AND MITIGATION PLANS


• Not all Key populations are

tested for HIV.

• Low initiation of children on

ART.

• Out reach activities to

key and vulnerable

populations.

• Involvement of other

relevant sectors like

DSD and DOE to

encourage mothers to

consent for children’s

testing especially in

the ECD centres .

• Key

population

launch was

held in March

2018.

• Quarterly

meetings are

conducted

with Key

populations.

• Plan in place

to recall the

children to

ensure

continuum of

care ,

including

database of

orphans and

vulnerable

children.

10

CHALLENGES FOR Q4 (JAN - MARCH 2018) AND MITIGATION PLANS


• High number of viral loads due

not done due to patients not

keeping their appointment

dates and missed

opportunities.

• Monitor support

groups and adherence

clubs to encourage

patients to honour

their appointment

dates.

Ensure clients contacts

and physical addresses

are updated at every visit

36 support

groups and 40

adherence clubs

in the

community.

All facilities are

drawing viral

load due list.

11

CHALLENGES FOR Q4 (JAN - MARCH 2018) AND MITIGATION PLANS Challenge Mitigation Status

• 47 Q2 and 35 Q3 High TB

death rate especially males as

they present late to facilities for

treatment

• Visit hot spots such as

taverns and Izimbizos

and community sports

grounds and Taxi

Ranks

The study was

conducted by

Philanjalo

140 Taverns

around Msinga.

20 taverns have

been visited for

site profiling.

HTS plan has

been drafted to

conduct HTS in

these HTA sites

with a team of 3

male HTS

Counsellors & 1

male enrolled

nurse

12

CHALLENGES FOR Q4 (JAN - MARCH 2018) AND MITIGATION PLANS Challenge Mitigation Status

Mixing of prescribed TB

medication and unprescribed

medication remains a challenge.

Stakeholder engagement

to capacitate the

Traditional Healer

Practitioners on

diseases.

District THP

meeting was

held in March 23

to address the

medication .

13

CHALLENGES FOR Q4 (JAN - MARCH

2018) AND MITIGATION PLANS


• Increase in STI's from 31% to

36% resulting from poor

condom usage.

• The STI contacts are not

attending health facilities for

treatment after contact card

issued to the partner

• Engagement of all

departments , civil

society and

NGO’s in War

Rooms .

• Increase key

population STI

screening .

On going

dialogues with

Isibaya Samadoda

All facilities are

distributing male

and female

condoms in non

medical sites , HTA

sites .

There are facilities

that have been

sensitized on key

population STI

management.

14

UP COMING PLANS FOR THE NEXT QUARTER • Launch of Interfaith forum in May 2018 to assist in creating awareness

about Key Populations and prevention of sexual assault.

• Ongoing engagement of THP’s on the mixing of medication in May

2018.

• Ongoing Open Days to engage the community and market HIV/AIDS

and TB services in May 2018 at Mumbe Clinic.

• Operation MBO at Isinyambothi ward 05 in Umvoti Local Municipality.17

May 2018

• Roll out current plans to mitigate teenage pregnancy in June 2018 at

Mashingizela High School in Umvoti Local Municipality.

• Working with celebrity Nombuso from Uzalo soapie in the following

schools: Fundokuhle and Dumaphansi High Schools in Msinga LM,

Thalana and Sebenzakusakhanya High Schools in Endumeni LM,

Bongumenzi High School at Nquthu LM and Buhlebuyeza High Schools

in Umvoti in June

15

ACHIEVEMENTS/SUCCESSES

GOAL 1: ACCELERATE PREVENTION TO REDUCE NEW TB, HIV/AIDS &STI

INFECTIONS

Actions

• Testing and distribution of condoms on hotspots.

• MMC Camps to reach out to males.

GOAL 2: REDUCE MORBIDITY AND MORTALITY BY PROVIDING TREATMENT,

CARE AND ADHERENCE SUPPORT FOR ALL

Full integration with the THP sector to exclude negative impact on mixing of

treatment.

There are 306 Community pick up points where people get their treatment

closer to where they live.

Treatment is also distributed in the Luncheon Clubs and Adherence clubs

to household champions and Outreach teams

16


GOAL 3:REACH ALL KEY AND VULNERABLE POPULATIONS WITH CUSTOMISED AND TARGETED INTERVENTIONS

9 Clinics have been trained on sensitization of Key Population to provide

services freely.

Key population Launch was on the 27th March 2018 and the official opening of

Regional Leadership Site at Empathe Clinic .

Provision of services to the Brothels for the sex workers.

f treatment care and support plan within the district

Linking of co - infected clients to household champions and Outreach teams

17


• GOAL 4: ADDRESS THE SOCIAL AND STRUCTURAL DRIVERS OF TB,

HIV/AIDS AND STI'S

• Community awareness's ere conducted in all the wards.

• TB blitz and door to door campaigns and referrals to relevant departments.

• Engagement of Traditional Health Practitioners and Leaders in management of

HIV/AIDS and TB through stakeholder engagement

• GOAL 5: GROUND THE RESPONSE TO TB, HIV/AIDS AND STI'S IN

HUMAN RIGHTS PRINCIPLES AND APPROACHES

• HIV and AIDS mainstreamed in agendas for all sector group meetings /events

• District Civil Society Forum was launched and is in place

18

GOAL 6: PROMOTE LEADERSHIP AND SHARED ACCOUNTABILITY FOR

A SUSTAINABLE RESPONSE TO TB HIV/AIDS AND STI'S

• District Mayor chairs all District Aids Council meeting since the District

council inaugurated.

• Chairperson of District Civil Society post have been filled

• Dedicated office and budget for HIV and AIDS in the district and local

municipalities

UMzinyathi District : R 1000 000,00

Nquthu : R300 000

Msinga : R250 000

Endumeni : R95 000

Umvoti : R0

- Involvement of Religious, Traditional Leaders and Local Municipal Councillors in the

management of HIV/AIDS and TB through Izimbizos


19

DAC FUNCTIONALITY

Challenge: Quarterly DAC report submitted to the PCA Secretariat. Poor

participation by Departmental representatives at DAC meetings except

DOH. Key departments not represented in DAC M&E forum. Civil Society

structure is non-functional. Other Local Mayors not attending DA C

Mitigation: Orientate Departmental District Managers on their Department’s

role in the DAC. Orientate DAC members on M&E principles. Coordinate

meeting to revive Civil Society structure

District Actions: District Mayor to table this at the next Mayors Forum

District Performance: Quarterly DAC report submitted to the PCA

Secretariat in every Quarter

20

LAC FUNCTIONALITY

OUT OF THE THREE LOCAL AIDS COUNCIL ONLY ONE THAT IS NOT

FUNCTIONAL

Challenge: Non functionality of Umvoti Local Aids Council

Mitigation: Elect Civil Society Chairpersons for Msinga and Umvoti LACs

and finalise pending election for Civil Society Chairperson for the District

District Actions: To be discussed at the next Mayors Forum Meeting

District Performance: Districts reports are submitted timeously to PCA

21

WAC FUNCTIONALITY

THE DISTRCT MAYOR HAS A PLAN OF VISITING ALL WAR ROOMS

WHERE THE WARDS AIDS COUNCIL FUNCTIONALITY WILL ALSO BE

REVIEWED

22

HIV/AIDS BUDGET & SECRETARIAT

AVAILABILITY

23

SECRETARIAT AVAILABILITY

Permanent/Dedicated Secretariat Available

(Yes/No)

LOCAL

MUNICIPALITY

LOCAL AIDS

COUNCIL FUNCTIONALITY

Nquthu Yes Fully Functional Reports

Submiitted Quarterly

Endumeni Yes Not Fully Functional

Msinga Yes

Fully Functional Reports

And Minutes Forwarded

Quarterly

Umvoti No No Local Aids Council

SUCCESS STORIES

• The District has successfully launched the Key Population Structure

• Ongoing awareness campaigns at TVET’s Colleges (Majuba and Mthashana) on LGBTI sector.

• Ongoing awareness campaigns on “she conquers” in various schools within the District to curb teenage pregnancy.

• Done well in the following indicators after different community engagements and participation:

24

SUCCESS STORIES

• ANC before 20 weeks = 76.2%

• MMC = 130%

• PCR around ten weeks = 0,49%

• HTS = 120%

• Condom Distribution = 122%

• Successful teenage pregnancy awareness and ukumiswa kwamaduku at Inkosi Mncube ward 2 Nquthu LM area.

25

26

Thank You

Documents

PRESENTATION TO PROVINCIAL COUNCIL ON AIDS · Health therefore Teenage pregnancy remains a challenge. DOE and DOH facilitated ’Baby Not Now Project “ at Mqamathi High School in