harry gwala district presentation quarter1 2015… · harry gwala district presentation quarter1...

HARRY GWALA DISTRICT PRESENTATION

QUARTER1 2015/ 2016

TO THE KZN PCA MEETING

11 / 10/ 2015

PRESENTED BY CLLR M.E. NDOBE

MAYOR OF HARRY GWALA DISTRICT MUNICIPALITY

AND CHAIRPERSON OF HARRY GWALA DISTRICT MUNICIPALITY

Strategic Objective 1: Addressing Social & Structural Drivers of HIV & AIDS, STI

& TB Prevention Care & Impact Orphans & Vulnerable Children

Strategic Objective 1: Addressing Social & Structural Drivers of HIV & AIDS,

STI & TB Prevention Care & Impact Orphans & Vulnerable Children

DISCUSSIONS

Number of registered OVCs receiving care and support

target reviewed from 5855 to 8012 this financial year

(increased by 2157)

Target not met less by 3,872 ( 48.3%)

Care and Support performance target over reached due to

child protection launch at Kokstad.

Care and support services include beneficiaries of cooked

meals, school uniforms and food parcels.

RECOMMENDATIONS

Care and Support performance will be monitored in the

following quarters

Continued monitoring of the performance of registered

Orphans Vulnerable Care Services (OVCS).

Household profiling will assist to improve performance.

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Strategic Objective 1: Addressing Social & Structural Drivers of HIV 7 AIDS, STI

& TB Prevention Care & Impact

DISCUSSIONS

The information presented in the slide was received from

the District Office.

Still experiencing challenges from other Local

Municipalities.

Only Ubuhlebezwe Local Municipality reported with 13

pregnant learners

RECOMMENDATIONS

Requesting intervention of the DAC to encourage all Local

municipalities to report on this objective .

Continue monitoring the impact of Youth friendly clinic

and dual protection campaigns on the reduction of learner

pregnancy .

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Strategic Objective 2: Prevention of new HIV, STIs and TB Infections

PMTCT

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PMTCT

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PMTCT

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PMTCT

DISCUSSIONS

The District failed to meet the target although it reported an

improvement from last quarter

855 Babies were PCR tested after 6weeks of birth

13 tested PCR positive .

1631 babies done rapid test after 18 months post delivery.

8 tested positive.

A reduction in the number of infants deaths was reported.

Preterm babies contribute a bigger proportion to Early Neonatal

Deaths in Harry Gwala

Number of maternal deaths remains 3, contributing local

Municipalities ,Ingwe=1,Ubuhlebezwe=1 and UMzimkhulu=1.

RECOMMENDATIONS Strengthen intergration of PMTCT into mother neonate child and women

health services

Improved HIV case findings at child health care entry points

Improved clinical mentoring of IMCI (intergraded management of childhood

illnesses)

Community based women empowerment activities to assist in improved

health seeking behavior hence the District has recently launched the women’s

sector.

Involvement of all stakeholders in the campaign for :

Reduction of unplanned pregnancy / Adequate spacing of babies (Dual

protection , First things first campaign)

Awareness Campaigns for Antenatal Bookings before 20 weeks .

Improve access to maternity services

Ensure skilled health professionals at all levels to Improve child survival .

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HCT & TB Screening

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Strategic Objective 2: Prevention of new HIV, STIs and TB Infections HCT &

TB Screening

DISCUSSIONS

Number of HIV positive cases reduced by 690

TB screening also done , but more effort to be placed on

intergration of HCT & TB screening services.

RECOMMENNDATIONS/BCC ACTIVITIES

UNAIDS 90-90-90 targets for 2020

90% of all people living with HIV will know their HIV status

90% of people with diagnosed HIV infection will receive sustained ART

90% of all people receiving ART will have viral suppression

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Condoms Distributions

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Number of secondary distribution sites

Annual target 2014/15 (Jan-March) 500

Q4 2014/15 (Jan-March) 500

Q1 2015/16 (April-June) 500

Q2 2015/16 (July-Sept) 500

Strategic Object 2: Prevention of new HIV, STIs and TB Infections


DISCUSSIONS

Performance exceeded the revised district target .

. Ubuhlebezwe below target as it reported 0.7%

RECOMMENDATIONS DoH to monitor performance of service provider

Monitor availability of condoms in secondary distribution sites

including war rooms.

Ubuhlebezwe to be supported to develop an Improvement plan to

strengthen condom distribution.

poorly performing areas identified to focus attention and support .

The District to monitor the performance of all its facilities and NGO

partners supporting the distribution of condoms.

Civil society and Supporting Partners to be consulted.

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Strategic Objective 2: Prevention of new HIV, STIs and TB Infection Male

Medical Circumcision

DISCUSSIONS

District failed to meet target although performance is on an upward

trend .

New target for mmc translated to increase to the quarterly target

hence gross under achievement of 1383 out of 5816 =24%

Poorly performed local municipalities Kwasani and Greater Kokstad .

RECOMMENDATIONS

Care works has joined the district for the Mobilization with 6 mobilizers

placed at sub-districts but TB and HIV Care partners may exit by the end of

September due to funding coming to an end .

3 day MMC course at Northdale conducted to improve the skills of medical

personnel.

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Prevention of Exposure to transmission from occupational exposure, Sexual

Violence

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Prevention of Exposure to transmission from occupational exposure, Sexual

Violence

DISCUSSIONS

Data reported less by 2.7 % .

The slow decline is a worrying factor considering all

campaigns by Political Leadership, Civil Society and

Officials in structures of Operation Sukuma Sakhe.

RECOMMENDATIONS

Increase awareness campaigns on gender based violence

especially directed to women and children.

Improved access to services for victims of sexual violence

Multi -sectorial involvement to root out incidences of

violence directed to children.

Continue engaging Men’s Forum.

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Strategic Objective 2: Prevention of new HIV, STIs and TB Infections HCT &

TB Screening

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Strategic Objective 3: Sustain Health & Wellness Comprehensive ART services

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Strategic Objective 3: Sustain Health & Wellness Comprehensive ART

services

DISCUSSIONS

Figures show an increase in the number of clients on art compared to

last quarter where the figures were below target.

District surpassed the target of 40 799

Greater Kokstad 8 571 Ingwe 7 867 KwaSani 2 302 Ubuhlebezwe 10 650

and UMzimkhulu 13 231 = Total district 42621

Also an Increase in the number of clients deregistered due to loss to

follow up as well as deregistration due to death is noted.

RECOMMENDATIONS

Improve access to care through Integrated Clinical Services

Management ( ICSM) and Central Chronic medication Distribution

Centers ( CCMDC)

Implement District improvement Plan:

Ward based outreach Teams and CCGs

Accurate addresses and contact details

Linkage to care

Tracer Teams

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Strategic Objective 5: Coordination, Monitoring & Evaluation Coordination,

Monitoring & Evaluation

DISCUSSIONS

An improvement was noted in LAC performance, hence all 5 local

municipalities reported in this quarter.

Gaps still noted in some data elements e.g. pregnant learners .

Only three Local Municipalities reported this quarter compared to Quarter

one. Contributing Local Municipalities being Kokstad LM and Umzimkhulu LM.

Government Departments delay to submit reports to LM’s thus LM’s failing to

report timelessly.

RECOMMENDATIONS

To maintain the status quo in LAC reporting.

Unavailability of data in pregnant learners to be reported in DAC team for

DOE (Department of Education) remedial action.

Government Departments to draw remedial action concerning reporting.

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Strategic Objective 5: Coordination, Monitoring & Evaluation

Coordination, Monitoring & Evaluation

Great improvement had been noted in WACS submission of reports.

There is still a room for improvement since 46 WACS reported out of 55 WACS

in the District.

Out of 55 WACS only 27 WACS reported this data is from the three Local

Municipalities that have reported this quarter.

DISCUSSIONS

RECOMMENDATIONS

Monitoring and evaluation to be strengthened in WACS pertaining submission

of reports.

Good performance in WACS reports is attributed by mentorship training done

by Broad reach.

The District has to do a follow-up and support on LACs to improve their

reporting.

THANK YOU

ZERO

New HIV and TB infections

ZERO

New infections due to vertical transmission

ZERO

Preventable HIV and TB deaths

ZERO

HIV and TB discrimination

harry gwala district presentation quarter1 2015… · harry gwala district presentation quarter1...

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