Status of HIV & AIDS in the Northern Cape

Venue: Garden Court Kimberley

PRESENTATION AT THE BROTHERS FOR LIFE

WORKSHOP

6 May 2010

2

The Provincial HIV prevalence rate among pregnant women decreased slightly

from 16.5 in 2007 to 16.2 in 2008. This change in trend suggest the beginning of

stabilization of the epidemic after a peak of 18.5 in 2005

Provincial HIV Prevalence

3

HIV Prevalence by District

Although Frances Baard has shown consistent high prevalence rates compared

to other districts, infection rates have started shown decreasing trends. There has

been a significant decrease in prevalence in Namakwa from 7.3 in 2007 to 2.2 in

2008

4

Age Distribution of HIV Prevalence

Women in the age group 25 – 29 are the worst affected with prevalence rates of up to 33%.

HIV prevalence among younger women (15 – 19) has shown significant decrease in the three years

4

5

4 Key Priority Areas of the NSP

Prevention Treatment Care and SupportResearch Monitoring & EvaluationHuman Rights and Access to

Justice

5

6

Syphilis prevalence remains the highest in the country. The observed increase

in 2008 brings to a halt progress made in the years 2005 – 2007.

Provincial Syphilis Prevalence

7

Syphilis Prevalence by District

7

88

STI’sSource: DHIS

Comparative STI Incidence

3.1

2.9

2.8 2.8

2.72.72.82.82.92.93.03.03.13.13.2

2008/09 Q1 Apr- Jun 2009 Q2 Jul - Aug 2009 Q3 Oct - Dec 2009

99

STI’sSource: DHIS

28.6

21.1

26.0

20.2

27.4

20.4

24.2

19.1

0.0

5.0

10.0

15.0

20.0

25.0

30.0

2008/09 Q1 Apr-Jun 2009

Q2 Jul -Aug 2009

Q3 Oct -Dec 2009

Comparative STI Partner Tracing Rate vs Treatment Rate

STI PartnerTracing Rate

STI PartnerTreatmentRate

1010

STI Incidence per district –2009/10Source: DHIS

STI Incidence per District

3.2

5.3

1.81.4 1.6

3.5

1.6 1.3 1.3

2.9

1.4 1.2

2.1

5.6 5.8

0.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

FrancesBaard

J T Gaetsewe Namakwa Pixley kaSeme

Siyanda

Q1 2009/10

Q2 2009/10

Q3 2009/10

1111

STI’sSource: DHIS

Male Condom Distribution Rate vs STI Incidence Rate

6.0 6.2 6.4

7.1

3.1 2.9 2.8 2.8

0.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

8.0

2008/09 Q1 Apr- Jun 2009 Q2 Jul - Aug 2009 Q3 Oct - Dec 2009

Male Condom Distribution Rate STI Incidence Rate

1212

VCT excluding ANC Data source: DHIS

Apr - Jun 2009 July - Sept 2009 Oct - Dec 2009

15703

10830

15608

23653

21,537

13,725

0

5000

10000

15000

20000

25000

VCT Uptake Q1, Q2, Q3 2009/10

Clients receivedpre-testcounselling Clients tested forHIV (excl ANC)

1313

VCT Uptake per DistrictData source: DHIS

VCT Uptake: Oct - Nov 2009

7418

5480

2757

41573841

5717

2679 26752133

2404

0

1000

2000

3000

4000

5000

6000

7000

8000

FrancesBaard

J TGaetsewe

Namakwa Pixley kaSeme

Siyanda

HIV pre-test counselled(excluding antenatal)

HIV client tested (excludingantenatal)

1414

VCT Positivity RateData source: DHIS

25%

21%22%

25%

21%

18%

4%4%4%

15%

21%

14%

19%

15%16%

0%

5%

10%

15%

20%

25%

30%

FrancesBaard

J TGaetsewe

Namakwa Pixley kaSeme

Siyanda

VCT Positivity Rate: Q1,Q2 and Q3 2009

15

PMTCT Indicators–Q3 2009Data source: DHIS

NVP ANC Uptake: Oct - Dec 2009

0.0

20.0

40.0

60.0

80.0

100.0

120.0

Antenatal client Nevirapine uptake 59.4 100.0 94.7 74.0 36.0

Frances

Baard J T Gaetsewe Namakwa

Pixley ka

Seme Siyanda

16

PMTCT Indicators–Q3 2009Data source: DHIS

Dual Therapy Uptake Rate Amongst Babies: Oct - Dec 2009

0.0

20.0

40.0

60.0

80.0

100.0

120.0

Baby AZT uptake 90.3 89.5 100.0 86.0 41.6

Baby Nevirapine uptake 103.6 73.7 100.0 92.0 103.4

Frances Baard J T Gaetsewe Namakwa Pixley ka Seme Siyanda

1717

Total Registered PatientsSource: CCMT Monitoring System

ART Uptake : 2004 - 2009

3861756

4876

7734

12824

1547317153

18664

02000400060008000

100001200014000160001800020000

Aug -Dec2004

2005 2006 2007 2008 Jun-09 Sep-09 Dec-09

1818

ART Start per DistrictSource: CCMT Monitoring System

ART Start per District

0

100

200

300

400

500

600

700

800

Siyanda Namakwa JTGaetsewe

Pixley kaSeme

FrancesBaard

Q1 2009/10

Q2 2009/10

Q3 2009/10

19

Achievements

New Provincial AIDS Council established

November 2009

The Provincial Strategic Plan was ratified

and adopted

Launch of HCT Campaign

Mobilization strategy for rollout of HCT

Campaign19

20

Challenges

Low health seeking behaviour amongst men STI treatment Condom useWeak/non structured male sector in the provinceIncidence of STI’s amongst HIV positive patients on

ARTHigh defaulter rates amongst ART patientsStigma and Discrimination

20

2121

Thank you