LIMPOPO PROVINCIAL MEN S SECTORS/BROTHERS FOR LIFE PRESENTED BY: RAPAKWANA JOHANNAH MANAGER:GAAP in HIV & AIDS & STIs Directorate DEPT OF HEALTH AND SOCIAL DEVELOPMENT VENUE: THE RANCH HOTEL DATE:09.03.2010
PRESENTATION OUTLINE STIs/Condom week: Theme and Messages HIV Prevalence HIV Prevention Importance of VCT Prevention of Mother to child Transmission Sexually Transmitted infections (STIs) Importance of disclosure of HIV status Anti-Retroviral Treatment (ART) Care and Support Addressing stigma and discrimination How to live with HIV positively Treatment, Care and Support Importance of partnership in fighting against HIV and AIDS The end
STI/CONDOM WEEK theme I AM RESPONSIBLE WE ARE RESPONSIBLE SOUTH AFRICA IS TAKING RESPONSIBILITY
I am responsible Everyone to know their HIV status. Young people to delay having sex for the first time. Young people to delay to make informed choices to prevent unwanted pregnancies and HIV infection. Faithfulness and use of condoms always. Pregnant women to test for HIV early. Those with TB to test for HIV, those with HIV to test for TB and get the right treatment.
We are responsible Couples to talk about their relationships, test for HIV together and be faithful to each other and always use condoms. Men, women and families to support pregnant women so that they can protect their children from HIV. Communities to provide care and support to the infected and affected by HIV including orphans and vulnerable children. Communities to take action and speak out against violence against women. Communities to stop stigma and discrimination against people living with HIV.
South Africa is taking responsibility Government and all sectors of society represented in the SANAC are providing leadership to ensure that every South African can: Prevent HIV infections. Know their HIV status. That pregnant women can access Prevention of Mother to child Transmission services. All those with TB can access TB drugs and all HIV positive people can access Anti-Retro-viral (ARV) treatment.
35.0 National HIV prevalence trend 1990 to 2008 30.0 26.5 27.9 29.5 30.2 29.1 29.4 29.3 25.0 22.8 22.4 24.5 24.8 % Prevalence 20.0 15.0 10.4 14.2 17.0 10.0 7.6 5.0 0.7 1.7 2.2 4.0 0.0 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Year
Age HIV prevalence trend 50,0 % Prevalence 37,5 25,0 12,5 0 15-19 15-24 20 24 25 29 30 34 35 39 40-44 45-49 Age group in years
PROVINCIAL HIV ESTIMATES Botswana Limpopo 20.7% Namibia North West 31.0% Gauteng 29.9% Mpumalanga 35.5 % Swaziland Northern Cape 16.2 % Free State 32.8% KwaZulu- Natal 38.7% Lesotho Western Cape 16.1% Eastern Cape 27.6% 0 65 130 260 390 520 Kilometers
25.0 LIMPOPO HIV PREVALENCE TREND 1990 TO 2008 21.5 20.6 20.4 20.7 20.0 19.3 17.5 % Prevalence 15.0 10.0 8.0 8.2 11.5 11.4 13.2 14.5 15.6 5.0 3.0 4.9 0.3 0.5 1.1 1.8 0.0 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Year
HIV PREVALENCE AMONG ANTENATAL WOMEN BY DISTRICT, LIMPOPO 2006 to 2008 30 % Prevelance 23 15 8 0 Capricorn Mopani Sekhukhune Vhembe Waterberg Limpopo Province
HIV PREVALENCE DISTRIBUTION BY DISTRICT, LIMPOPO, 2008
HIV Prevention Abstinence. Faithfulness. In any new relationship- Both be sure of your HIV status. Use condoms each time you have sex. Avoid sex when drunk. Avoid sex in exchange of money.
Importance of VCT VCT enables people to know their HIV status. It helps to prevent new infections. It enables people to make reproductive choices. E.g. termination of pregnancy. VCT relieves stress. It enables one to seek healthcare timeously e.g. ART and opportunistic infections. It helps to prevent TB.
Importance of VCT cont d VCT helps to prevent stigma and discrimination. It encourages people to practice safer sex. Clients counselled April-Dec (09/10) =381 592 Tested for HIV April -Dec (09/10) =318 348 Tested Positive April -Dec (09/10) = 58 124
PMTCT 1.Prevention of mother to child transmission of HIV is amongst the priority interventions based on the NSP 2007-2011 which expect the Province to: Scale up coverage and improve quality of PMTCT to reduce the MTCT to less than 5% by 2011 and to achieve the Mellinum Development Goals ( MDGs) MDG 4:Reduction of child mortality by 2/3 MDG 5:Improve maternal health by reducing maternal mortality rate MDG 6:Combat HIV & AIDS, Malaria and other
2.The Provincial progress on implementing the PMTCT: (100%)All Facilities with Antenatal services offer the service with increased: Increased number of Pregnant women 78285/83912 (93%) from (90%) 121453 Pregnant women tested/141172 ANC bookings in 2008/9 Increase number of pregnant women receiving ARVs prophylaxis 11105 received ARVs /14006 Tested HIV+ (79%) from 58% in 2008/9 due to the increase in early Antenatal booking at Primary Health facilities. Reduced number of HIV exposed babies testing HIV positive 787 tested HIV+/6054 babies exposed (13,5%) from 18% in 2008/9.
Sexually Transmitted Infections (STIs) Male Condoms Distributed April-Dec 09 = 16 258 560 Female Condoms April- Dec 09 =277 696 STI new episode treated April Dec 09 = 118 454 Partner slips issued April Dec 09 =108 836 Partner Treatment April- Dec 09 =24 522
Importance of Disclosure of HIV status It enables one to get support. e.g. family It relieves stress. Disclosure enables one to access healthcare services. It helps to protect other people from infection. It helps to promote adherence. It enables one to live longer. It promotes productivity. It enables one to get information on the disease. E.g. support groups.
ART (Anti-Retroviral Treatment) Total sites accredited in Limpopo- 66 Patient currently on treatment in the Province -59 307 Adults- 15 257 Female 40 037 Children 4 013
CARE AND SUPPORT District NO. of HCBC Funded Capricorn 77 1077 Mopani 54 1378 Sekhukhu ne 106 1753 Vhembe 115 1569 Waterberg 26 670 Total 378 6447 Total No. of Carers
NGO FUNDING District No. of NGOs providing Lay Counsellor Program Funded Capricorn 2 178 Mopani 3 188 Sekhukhun 2 162 e Vhembe 1 176 Waterberg 1 114 Total 9 818 No. of Lay Counsellors
NGO FUNDING District No. of HTA Funded Capricorn 1 30 Mopani 2 30 Sekhukhune 1 30 Vhembe 1x National 290 Waterberg 1 30 Total 6 410 No. of Peers
NGO FUNDING District Capricorn 2 Mopani 3 Sekhukhune 1 Vhembe 1 Waterberg 1 Total 8 No. of PLHIV Organization
Addressing stigma and discrimination Self-acceptance. Disclosure. Attend support groups. Learn more about HIV and AIDS. VCT, more people should know their HIV status. Educating the community e.g. human rights.
How to live with HIV positively Disclosure. Eating a balanced diet. Exercise. Practising safer sex. Self-care. Relaxation. Recreation. Religion. Doing things that make you happy. Avoid stress. Avoid alcohol and drugs.
Importance of partnership in fighting against HIV and AIDS There is a need for everyone to be involved in the fight against HIV and AIDS. To speak in one voice. To bring resources together. To obtain new development in HIV and AIDS. To reach the goals of the NSP.
The end Thank you!!! Johannah Rapakwana Contact number: 082 4352 890