Transcript CAPRICORN DISTRICT MUNICIPALITY

CAPRICORN DISTRICT
MUNICIPALITY
DISTRICT-WIDE HIV AND AIDS RESPONSE
PROGRAM
02 DECEMBER 2005
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Who is Capricorn
The District is made up of
five Local Municipalities,
namely:
 Aganang
 Blouberg
 Lepelle-Nkumpi
 Molemole
 Polokwane
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Socio Economic Analysis
TOTAL POPULATION (1 154 692)
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SOCIO-ECONOMIC ANALYSIS
INDICATORS
Population
numbers
(census 2001)
AGANANG
BLOUBERG
LEPELLENKUMPI
MOLEMOLE
POLOKWANE
CAPRICORN
TOTAL
147 682
161 322
227 970
109 441
508 277
1 154 692
Number of
households
32 185
33 939
51 244
27 889
124 977
270 236
Age 0-19
84 207
95 562
125 446
57 708
244 198
607 121
( 845 602 up to
34yrs)
24 941
38 009
44 454
23 272
57 436
188 112
45%
43%
45%
40%
41%
43%
No of people with
no schooling
Unemployment
Below basic
income level
R800
170 089
HIV/Aids
prevalence
13.89%
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SOCIO-ECONOMIC ANALYSIS
INDICATORS PER
MUNICIPALITTY
AGANANG
BLOUBERG
MOLEMOLE
POLOKWANE
(161 322p)
(33939h)
LEPELLENKUMPI
(227 970p)
(51244h)
(109 441p)
(27889h)
(508 277p)
(124977h)
CAPRICORN
TOTAL
(1 154 692p)
(270236h)
(147 682p)
(32 185h)
No Access to water
(below RDP
standards)
94 336
115 526
191 302
82 461
310 444
801 786
No Access to
sanitation (h)
27 403
26 899
37 487
19 958
75 092
186 919
12 960
13 648
32 314
20 859
100 997
180 778
Access to formal
housing (h)
31222
30803
49709
26632
102 906
241 272
Households with
refuse Removal
(weekly)
79
331
8263
1835
41 005
51 513
68 558
77 867
102 749
52 559
190 575
492 308
Electricity Access
Without access to
transport
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The Constitutional Mandate of
Local Government
 Provide democratic and accountable
local government
 Ensure provision of services to
communities
 Promote safe and healthy environment
 Encourage involvement of communities
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The IDP Rationale
– Tool for developmental local government
– Helps overcome apartheid legacy of
underdevelopment
– Strengthens democracy and institutional
transformation
– Assists in
• Promoting inter-governmental and sectoral coordination
• Speeding up service delivery
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Strategic Thrusts as per IDP
 Quality of life perspective with emphasis on basic
services
 5 broad strategic areas
Service
Delivery
(Infrastructure)
Institutional Dev
capacity
Economic dev
&
Job creation
Social
Development
Financial
sustainability
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District Planning Framework
PROVINCIAL , NATIONAL GOVERNMENT, OTHER SECTORS
STAKEHOLDER
FORA
FORA
DISTRICT
CO-ORDINATION
SECTORAL
ALIGNMENT
CO-ORDINATION
ADVOCACY
FACILITATION
MONITORING
IGR
LOCAL MUNICIPALITIES
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PEOPLE,
STRUCTURES,PEOPLE
– BETTER LIFE
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DISTRICT PLANNING FRAMEWORK
 CLUSTER APPROACH
– BASIC SERVICES
– ECONOMIC
– SOCIAL
– INSTITUTIONAL TRANSFORMATION
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STAKEHOLDER PARTICIPATION MODEL
Academic Institutions
Business Community
(10 000)
(5)
Traditional Leaders
Media
(29)
(12)
NGOs, CBOs &
Cultural Organisations
(100)
Employees & Councillors
Communities
(172)
(1 154 692)
Sector departments
& Parstatals
Local Municipalities
CDM
(12)
(5)
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HIV & AIDS BACKGROUND
 In 2002/3, District AIDS Council
established.
 May 2003, DAC convenes first its
workshop.
 Recommendations adopted – Basis for
future work.
 2002 Annual Antenatal Survey – HIV
Prevalence 13.89% and in 2003 at
20%.
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HIV & AIDS BACKGROUND
 2003/4, Developed a
district-wide response
strategy that rest on the
following pillars:
– Partnerships
– Prevention
– Care, Treatment and
Support
– Human & Legal Rights
– Research and
Development
–M&E
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HIV & AIDS BACKGROUND
 2003/4, Developed a district workplace policy
resting on the following pillars:
– Recruitment and Selection
– HIV Testing and Confidentiality
– Grievance Handling
– Leave
– Handling, Care & Support for
Infected/affected employees
 Both Response Strategy and Workplace Policy
adopted by Council in early 2004/5
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GOVERNANCE STRUCTURES
 District AIDS Council (Including locals).
 Municipal Council (Mayoral &
Management)
 HIV and AIDS Steering Committee,
chaired by the Program Manager
 HCBC Forum (District & Locals)
 District Health Council
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COMMUNITY RESPONSE FOCUS
 PHC Facilities not coping.
 Therefore, Community Based solutions
 Informed by legislative mandate –
coordination and support.
 Following investigation, deliberate focus
on Home Community Based Care.
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Home Community Based Care
 Over 110 HCBC Organizations.
 Over 700 Care Givers with varying capacity
profiles.
 Funded and non-funded HCBCs.
 Non-regulated environment, therefore
increasing organizations.
 Established Carer’s Forum at district and
local levels.
 Convene monthly coordination and reporting
meetings.
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Home Community Based Care Model
 Care group/centre that provides services to
patients and families/households.
 Community/village focus
 Linked to a clinic/hospital for referral
purposes.
 Strong partnership with DoHSD, other sector
Departments, LMs and Traditional leaders.
 Provision of support both financial and skills.
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Workplace Focus
 Newly established.
 Emphasis on employee wellness, largely
outsourced service.
 September 2005, district-wide HIV KAP
prevalence profiling.
 Results about to be released.
 Outcome to inform overall workplace
interventions in addition to primary
expectations like VCT, leadership &
Management training, etc.
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Monitoring and Evaluation
 Program Manager has an annual
performance plan.
 Line Managers have related specific
performance indicators.
 Monthly Reporting (overall stakeholder
inputs) – quarterly/annual performance
report.
 Reports serve before the governance
structures (District Health Council).
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CHALLENGES
 Increasing demand for services.
 High poverty levels.
 Limited resources/allocations.
 Information management.
 Impact on quality of life.
 Integrated planning, funding and
implementation.
 High levels of ignorance
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I Thank You!
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