The Community Approach of the Project Conclusiones Index of the presentation: PART I - MdM Programme and Namibian National Policy MTPIII : HOW TO REALIZE THE OBJECTIVES OF MTPIII HOW THEY ARE LINKED PART II - Regional AIDS Committees (Structure): THE ROLE OF RACOC/CACOC/DAC UNDER THE MTP III PART III - Support Groups: INVOLVEMENT AND EMPOWERMENT OF PLWH IN HIV & AIDS ACTIVITIES IN THE KUNENE AND ERONGO REGIONS ACHIEVEMENTS & CHALLENGES 1
MdM Programme and Namibian National Policy MTPIII Conclusiones MdM Programme Namibian HIV Policy-MTPIII 1.Reduced the transmission of HIV/AIDS through diagnosis and treatment of STI and improved the coverage and quality of HIV/AIDS diagnosis and treatment services Community health counsellors Kunene Region 1.ENABLING ENVIRONMENT - Capacity development of leadership, Greater involvement of PLWH, Policy & law reform, Intervention to reduce stigma & discrimination 2.PREVENTION - Strengthen capacity to deliver HIV/AIDS prevention, Target general and vulnerable population, behaviour change interventions at youth and Interventions to reduce vulnerability 3.ACCESS TO TREATMENT, CARE AND SUPPORT SERVICES 4.IMPACT MITIGATION SERVICES Developing the capacity of local responses, services for OVC and PLWH, Address poverty 5.INTEGRATED & COORDINATED PROGRAMME MANAGEMENT AT ALL LEVELS - Developing the capacity of local responses, Management and coordination, monitoring evaluation, Surveillance & research 2
MdM Programme and Namibian National Policy MTPIII Conclusiones MdM Programme 2. Improved and increased the knowledge of the beneficiary population about HIV/AIDS-STI promoted non risky behaviours, and reduced the stigma among population in the region Distribution of condoms during Epupa CACOC activity Namibian HIV Policy-MTPIII 1.ENABLING ENVIRONMENT - Capacity development of leadership, Greater involvement of PLWH, Policy & law reform, Intervention to reduce stigma & discrimination 2.PREVENTION - Strengthen capacity to deliver HIV/AIDS prevention, Target general and vulnerable population, behaviour change interventions at youth and Interventions to reduce vulnerability 3.ACCESS TO TREATMENT, CARE AND SUPPORT SERVICES 4.IMPACT MITIGATION SERVICES Developing the capacity of local responses, services for OVC and PLWH, Address poverty 5.INTEGRATED & COORDINATED PROGRAMME MANAGEMENT AT ALL LEVELS - Developing the capacity of local responses, Management and coordination, monitoring evaluation, Surveillance & research 3
MdM Programme and Namibian National Policy MTPIII Conclusiones MdM Programme Opuwo SG gardening project with HBC-Givers 3. Improved the coverage and quality of the Home Based Care programme Namibian HIV Policy-MTPIII 1.ENABLING ENVIRONMENT - Capacity development of leadership, Greater involvement of PLWH, Policy & law reform, Intervention to reduce stigma & discrimination 2.PREVENTION - Strengthen capacity to deliver HIV/AIDS prevention, Target general and vulnerable population, behaviour change interventions at youth and Interventions to reduce vulnerability 3.ACCESS TO TREATMENT, CARE AND SUPPORT SERVICES 4.IMPACT MITIGATION SERVICES Developing the capacity of local responses, services for OVC and PLWH, Address poverty 5.INTEGRATED & COORDINATED PROGRAMME MANAGEMENT AT ALL LEVELS - Developing the capacity of local responses, Management and coordination, monitoring evaluation, Surveillance & research 4
MdM Programme and Namibian National Policy MTPIII Conclusiones MdM Programme Unit mobile for TB/ARV/PMTCT services in Erongo 4. Improved the coverage and quality of opportunistic infections treatment especially TB and ARV. Namibian HIV Policy-MTPIII 1.ENABLING ENVIRONMENT - Capacity development of leadership, Greater involvement of PLWH, Policy & law reform, Intervention to reduce stigma & discrimination 2.PREVENTION - Strengthen capacity to deliver HIV/AIDS prevention, Target general and vulnerable population, behaviour change interventions at youth and Interventions to reduce vulnerability 3.ACCESS TO TREATMENT, CARE AND SUPPORT SERVICES 4.IMPACT MITIGATION SERVICES Developing the capacity of local responses, services for OVC and PLWH, Address poverty 5.INTEGRATED & COORDINATED PROGRAMME MANAGEMENT AT ALL LEVELS - Developing the capacity of local responses, Management and coordination, monitoring evaluation, Surveillance & research 5
MdM Programme and Namibian National Policy MTPIII Conclusiones MdM Programme DAC awareness activity for the community in Erongo 5. Improved the community response in the fight against AIDS Namibian HIV Policy-MTPIII 1.ENABLING ENVIRONMENT - Capacity development of leadership, Greater involvement of PLWH, Policy & law reform, Intervention to reduce stigma & discrimination 2.PREVENTION - Strengthen capacity to deliver HIV/AIDS prevention, Target general and vulnerable population, behaviour change interventions at youth and Interventions to reduce vulnerability 3. ACCESS TO TREATMENT, CARE AND SUPPORT SERVICES 4.IMPACT MITIGATION SERVICES Developing the capacity of local responses, services for OVC and PLWH, Address poverty 5.INTEGRATED & COORDINATED PROGRAMME MANAGEMENT AT ALL LEVELS - Developing the capacity of local responses, Management and coordination, monitoring 6 evaluation, Surveillance & research
nregional/constituency AIDS Cocoordination Conclusiones committee AIDS Committees: THE ROLE OF RACOC/CACOC UNDER THE MTP III RACOC / CACOC / DAC: Regional / Constituency AIDS Co-ordination committee incl. District AIDS Committees Responsible for the coordination and response at regional level (RACOC) and sub-regional levels (DAC & CACOC) Khorixas CACOC & Support Group meeting Building Capacity: leadership, stakeholders and support groups Support Visit meeting with Kamanjab SG members It forms the link between government and civil society 7
nregional/constituency AIDS Cocoordination Conclusiones committee AIDS Committees: THE ROLE OF RACOC/CACOC UNDER THE MTP III PLAN With consultation of all DACs/CACOCs a plan is being set up as per government financial calendar (eg. April 2009 to March 2010). Presented to RACOC and submitted to Regional Council. BUDGET Ministry of Regional Local Government Housing and Rural Development through the Regional Council provided an annual budget (N$200, 000 N$250,000) for activities only. 8
nregional/constituency AIDS Cocoordination Conclusiones committee AIDS Committees: THE ROLE OF RACOC/CACOC UNDER THE MTP III Implementation of activities DAC/CACOC submit proposals in line with the approved plan to RACOC/MDM Female Condom demonstration during CACOC activity RACOC/MDM pays the service providers as indicated by CACOCs/DACs and provide logistical or technical assistance if necessary Schools HIV Awareness Week Activities of all sectors needing Opuwo funds from RACOC/MDM goes through CACOCs/DACs 9
nregional/constituency AIDS Cocoordination Conclusiones committee AIDS Committees: THE ROLE OF RACOC/CACOC UNDER THE MTP III Reporting All CACOCs/DACs submit reports to RACOC RACOC reports presented at RACOC secretariat meetings held twice a year as part of reporting to National level structures. RACOC meeting of Erongo Region 10
Support Groups: INVOLVEMENT OF PLWH IN HIV & AIDS ACTIVITIES PLWH Organize themselves into Support Groups and participate in regional structures Activities of PLWH Support Group : Awareness raising Motivational speeches Candle light services Income Generating Activity 11
INVOLVEMENT OF PLWH IN HIV & AIDS ACTIVITIES IN ERONGO Conclusiones & KUNENE REGION Awareness raising Members of Support groups mobilise the community on HIV/AIDS,STIs, TB, Alcohol & Drugs Abuse through organising an awareness raising Assist in CACOC activities by mobilising the community about the roles of Support Groups during community/village outreach services. 12
INVOLVEMENT OF PLWH IN HIV & AIDS ACTIVITIES IN KUNENE & ERONGO REGION Motivational speeches Sharing their experience as infected people with community Motivate the community to fight against stigma and discrimination toward PLWH and OVCs and encourage the community to go for VCT and treatment. Motivational speech by Outjo SG members to the Community 13
nregional/constituency AIDS Cocoordination Conclusiones committee INVOLVEMENT OF PLWH IN HIV & AIDS ACTIVITIES IN ERONGO & KUNENE REGION Candle light services Mobilize church members to support PLWH through prayer and home visit. Mobilize church leaders to Support OVCs e.g. School uniforms, blankets etc. 14 Candle light service done by Outjo Support Group
nregional/constituency AIDS Cocoordination Conclusiones committee INVOLVEMENT OF PLWH IN HIV & AIDS ACTIVITIES IN ERONGO & KUNENE REGION Income Generating Activities Sewing, crafts project Gardening projects (in collaboration with Min. of Agriculture) House product project, e.g. Stay soft, Menthol, dishwasher 15
The Community Approach of the Project Conclusiones ACHIEVEMENTS - Regional Structures in place and functioning, e.g. RACOC/CACOCs/DACs - In general the HIV prevalence in Namibia has been reduced Sites Namibia Swakopmund Walvis Bay Omaruru Usakos Outjo Khorixas Opuwo 2006 19.9 17.3 22.1 16.0 12.1 7.9 2008 17.8 14.2 21.8 12.0 17.8 18 10.9 7.9 - Leadership commitment increasing - Mobile Unit outreach services reaching (on ARV/TB/PMTCT and Health Education) rural communities - Active participation of Support Groups of PLWHA as motivational speakers in awareness campaign and public events - Increased the empowerment of Support Group members through trainings, meetings and exchange visits - Working on sustainability of the MdM actions in both Regions 16
The Community Approach of the Project Conclusiones CHALLENGES - Practical implementation of MTP III by Government/Line Ministries due to lack of commitments and resources - Budget limitations - Limited Human Resources on the field to supervise and support all activities being conducted - Lack of skills within PLWH Support Group members to manage their projects - Low number of motivational speakers - Lack of commitment from Home Base Care Givers Regional Committee 17
The Community Approach of the Project Conclusiones THANK YOU MERCI OBRIGADO GRACIAS 18