SABCOHA Conference SABCOHA Conference

Siyanda District Siyanda District

25 - 26 25 - 26 November 2008November 2008

PartnershipsPartnerships

• District AIDS CouncilDistrict AIDS Council– Structure (Siyanda DM, Local Mun,NGO’s, CBO’s, government Structure (Siyanda DM, Local Mun,NGO’s, CBO’s, government

dept. private sector) dept. private sector) – Functioning Functioning

• Local AIDS CouncilsLocal AIDS Councils– Tsantsabane only Tsantsabane only

• ChallengesChallenges– RepresentivityRepresentivity– Functioning Functioning

Service DeliveryService Delivery

• AccessAccess

– VCT VCT

– PMTCTPMTCT

– CHBC – 209( Christiana, Noordkaap Vigs Forum; EU process)CHBC – 209( Christiana, Noordkaap Vigs Forum; EU process)

– ART(13 assessment; 2x treatment; outreach services to Grobblershoop, ART(13 assessment; 2x treatment; outreach services to Grobblershoop,

Keimoes, Kakamas, Askham, Danielskuil; in accreditation process for Keimoes, Kakamas, Askham, Danielskuil; in accreditation process for

additional 2 treatment sites – Kakamas, Rietfontein)additional 2 treatment sites – Kakamas, Rietfontein)

– STI (all facilities, HTA – process Kakamas)STI (all facilities, HTA – process Kakamas)

Service Delivery…Service Delivery…

• ARTART

– Patients on treatment 1070Patients on treatment 1070

– Defaulter rate (April-Sept 08) – (//Khara Hais – 2.93, !Kheis- 14.08, Kai!Garib-0; Mier – 4.84; Defaulter rate (April-Sept 08) – (//Khara Hais – 2.93, !Kheis- 14.08, Kai!Garib-0; Mier – 4.84;

Tsant – 0.53; Tot. – 2.38)Tsant – 0.53; Tot. – 2.38)

• PMTCTPMTCT

– Nevirapine doses to babies - 97.1%Nevirapine doses to babies - 97.1%

– PCR test on infants – 67%PCR test on infants – 67%

– <5 positive babies – 25,4%<5 positive babies – 25,4%

– NVP uptake – 61.3NVP uptake – 61.3

Service Delivery…Service Delivery…

• VCTVCT

– HIV pre-test counselled excluding antenatal – 4 630 (April – Sept 08)HIV pre-test counselled excluding antenatal – 4 630 (April – Sept 08)

– HIV Clients tested exclude antenatal – 4 549(April- Sept 08)HIV Clients tested exclude antenatal – 4 549(April- Sept 08)

– HIV test positive new excluding antenatal – 728 HIV test positive new excluding antenatal – 728

Service Delivery cont..Service Delivery cont..

• ChallengesChallenges

– Structural Structural

– HR ( adequacy, skills)HR ( adequacy, skills)

– QualityQuality