Transcript UTHUKELA DISTRICT AIDS COUNCIL REPORT TO KZN

UTHUKELA DISTRICT AIDS
COUNCIL REPORT TO KZN
PROVINCIAL COUNCIL ON AIDS
DATE : 20. 03. 2013
By Councilor A.S. Mazibuko
PRESENTATION LAYOUT
 Strategic objective 1
Intervention areas
• Community Mobilization
• Orphans &Vulnerable Children
• Life Skills
PRESENTATION LAYOUT CONT.
 Strategic Objective 2
Intervention areas
• PMTCT
• Male Medical Circumcision
• HCT and TB Screening
• Condoms Distribution
• Prevention of Exposure to Transmission from
Occupational Exposure
• Coordination, Monitoring & Evaluation
COMMUNITY MOBILISATION
Indicator
2012/13
target
Q
1
No. of people
aged 25- 49
reached with
prevention
awareness
including antigender based
violence
information
153 852
38 2
46 7
3 4
25 Inconsistency in trend.
9 There is a need to verify the
validity of data from sources
and patterns of reporting.
2
8
7
7
0
No. of people aged
11 508
15 -29 reached with
prevention awareness
including anti-gender
based violence
information
Q
2
1
2
1
Q
3
Comments
Inconsistency in trend.
There is a need to verify the
validity of data from sources
and patterns of reporting.
ORPHANS AND VULNERABLE
CHILDREN
Indicator
2012/13
Target
Q1
Q2
Q3
Number of
registered
OVCs
6 320
1635
846
204
COMMENT
The OVC are children in need of
care which are catered for in
terms of foster care placement
and other alternative care
services; when these children have
received services and are
immediately exited from receiving
services from HCBC sites.
The trend is being affected by the
fact that the Department has
engaged itself in the process of
validating the submitted
information through source
documents that should
complement the statistics; with a
view to prevent incorrect and
inadequate reporting.
ORPHANS AND VULNERABLE
CHILDREN (CONT.)
Indicator
2012/1
3
Target
Q1 Q2
Number
of
registered
OVCs in
schools
1 100
13
Q3
COMMENT
846 234 The OVC reflected on the report are
those that have been assisted to
access school and education at that
particular reporting period.
The trend is being affected by the
fact that the Department has
engaged itself in the process of
validating the submitted information
through source documents that
should complement the statistics; with
a view to prevent incorrect and
inadequate reporting.
ORPHANS AND VULNERABLE
CHILDREN (CONT.)
Indicator
2012/13
Target
Registered
OVC
receiving
care and
support
20000
Q1
Q2
Q3
COMMENT
6 185 2 303 466 The trend is being affected by
the fact that the Department has
engaged itself in the process of
validating the submitted
information through source
documents that should
complement the statistics; with a
view to prevent incorrect and
inadequate reporting.
LIFE SKILLS
2012/
13
Q1
Targe
t
Number of
learners
pregnant
0
210
Q2
Q3
180
169
COMMENT
Teenage pregnancy is
decreasing because of the
continued and extended
interventions that are
implemented through OSS
such as behavioral change
campaigns, my life my future
campaign, soul buddies and
life skills
PMTCT
Indicator
2012/
13
Targe
t
Baby PCR
tested positive
around 6
weeks rate
Baby HIV
antibody test
positive at 18
months rate
COMMENT
Q1
Q2
Q3
<2%
1.9%
2.6%
2.3%
 Some women are lost to
follow up from delivery
institutions .
 Tracking of post delivery
women from the institutions to
PHC facilities.
2%
2%
6%
8%
 Increase is due to HIV testing
to all children and also
mothers that seroconverted
later in pregnancy or post
delivery. It is also due to
mixed feeding
 Strengthen promotion of
exclusive breastfeeding
through CCGs during home
PMTCT CONT.
Indic
ator
Nat.
Q1
target
ANC 60%
booki
ng
befor
e 20
week
s rate
35%
Q2
Q3
Comments/Remedial action
40.2 39.7  District not on target.
%
%
 Late bookings due to lack of
information on early booking, hiding of
pregnancy, inadequate community
leadership participation in OSS.

Remedial Action
 Community mobilization through CCGs
and clinic committees/Partners.
 Community dialogues.
 Training of CCGs on MCWH.
 Data review and analysis per facility.
MALE MEDICAL CIRCUMCISION
Indicator
2012/
13
Targe
t
Number of
males aged
15-49
circumcised
31488
COMMENT /REMEDIAL ACTION
Q1
Q2
Q3
2274
2528
1904  A decrease during the 3rd
quarter.
 Institutional teams are
incomplete. Shortage of
doctors. Very few doctors
trained on MMC.
 Parents do not want their
boys circumcised during
December.
 Each institution to appoint
new MMC staff.
 SACTWU NGO Partner
supporting MMC camps.
 More nurses to be sent for
MMC training in Q4.
HCT & TB SCREENING
Indicator
2012/
2013
Target
Q1
Q2
Q3
Number of
new HIV test
carried out
160000
35853
38205
31016
COMMENT
 Decrease in HCT uptake
Most facilities not reaching
allocated targets.
 Inadequate Resources for
HCT.
 Inadequate involvement of
community leadership.
 Health facilities conducting
community outreach
events.
 District conducting mop up
of HCT data.
 Increase the number of
facilities implementing PICT.
CONDOMS DISTRIBUTION
Indicator
2012/13
Target
Q1
Q2
Q3
COMMENT
Number of
male
condoms
distributed
14000000
6013
64
6148
50
3597  increase due to increased
066
number of High Transmission
Area identified
 Implementation of revised
condom distribution plans in
health facilities
Number of
female
condoms
distributed
20 000
2276
0
1822
6
7480  Female condoms well
marketed at industries by the
3
contracted service providers.
 Implementing revised
condom distribution plans in
health facilities; involving
CCGs , increasing distributed
number per client, having
daily &monthly targets for
facilities.
PREVENTION OF EXPOSURE TO TRANSMISSION
FROM OCCUPATIONAL EXPOSURE, SEXUAL
VIOLENCE
Indicator
2012/13
Target
Q1
COMMENT
Q2
Q3
Number of
new sexual
assault cases
0
292
318
241
 This is a challenge in the
district.
 Community awareness
campaigns are continued.
 Finalize and implement the
integrated community
based PHC model including
Operation Sukuma Sakhe
Children
under 12
years sexually
assaulted
0
88
85
58
 Conduct community
awareness campaigns
domestic violence, women
and child abuse.
 Finalize and implement the
integrated community
based PHC model including
Operation Sukuma Sakhe.
COORDINATION, MORNITORING &
EVALUATION
Indicator
2012/
13
Q1
Targe
t
Q2
Q3
COMMENT
Number of
5
LACs
submitting
reports to DAC
1
1
2
LACs do not submit reports on
time to the DAC. Only
Emnambithi/Ladysmith and
Okhahlamba LACs submitted.
Number of
WACs
submitting
reports to LAC
5
0
7
Only 7 WACs from
Emnambithi/Ladysmith
submitted reports and are fully
functional.
73
CHALLENGES
• Coordinating structures DAC & LACs
struggling because they do not have
dedicated secretariats/coordinators.
• Poor cooperation from certain sectors, do
not attend meetings and do not submit
reports.
• Poor functionality of certain war rooms due
to lack of resources.
WAY FORWARD
• More WACs will be trained/retrained and orientated.
• Councilors will also be orientated/re-orientated on OSS
and LAC/WAC functionality.
• Avail budgets for employment of dedicated staff.
• All Sectors are expected to submit progress quarterly
reports to the DAC Secretariat at least two weeks before
the next DAC meeting as per meeting schedule. This
information was communicated to all Sectors together
with the DAC schedule of meetings. If reports are not
submitted on time, the DAC report that is compiled and
submitted to the Provincial Council on Aids is submitted
without the input from all Sectors.
THE END
THANK YOU