PROJECTS: HIV /AIDS & CARE WORK

ZIMBABWE REGIONAL GENDER JUSTICE AND LOCAL GOVERNMENT SUMMIT AND AWARDS DATE:23-25 APRIL 2012 VENUE:SOUTH AFRICA KOPONANG HOTEL
365 DAYS OF LOCAL ACTION TO END VIOLENCE AND EMPOWER WOMEN

HIV/AIDS AND CARE WORK

PROJECTS: HIV /AIDS & CARE WORK

Introduction
Chiredzi is a small town located in south-eastern part of Zimbabwe with an estimated population 36,129. Chiredzi is the centre of sugar cane production for the country by Triangle Estate and Hippo Valley Estate Chiredzi Town Council established the health centre Ketter Poly Clinic in 1995 within the Department of Housing &Community services. The clinic is referral centre for patients discharged from Chiredzi General Hospital and also for patients needing Home Based Care.

Ketter Poly Clinic Staff

PROJECT: HIV/AIDS & CARE WORK

HOW DID YOU GO ABOUT IDENTIFYING THIS PROBLEM?

A situational analysis carried out revealed , numerous care givers accompanying HIV/AIDS patients to Chiredzi Ketter Poly Clinic lacked information on HIV /AIDS. Hence the need for Education and Support for the care giver Council adopted an HIV/AIDS policy in 2010 dubbed the Home Grown solution with the thrust being Prevention, Education , Care And Support.

HI

Meeting with of Primary care givers HIV defined& approaches to living with HIV.

HIV/AIDS and care work

IS THIS ISSUE IMPORTANT?

PROJECTS: HIV/AIDS & CARE WORK
To promote acceptance of ones HIV positive status and promote disclosure. To improve the quality of life of the patient ,the patients family and caregivers To diminish the burden of care giving which causes stress in life. Knowledgeable and supported care givers with good psychological health provide the best care .

Peer Counselor During Health Education Talk-Maria Mapuranga

HIV /AIDS and care work

HOW ARE YOU GOING ABOUT ADDRESSING THIS Activity Agenda AaaPROBLEMFrequency Facilitator Of meetings
PROJECTS: HIV/AIDS & CARE WORK
1.Workplace AIDS Awareness Campaigns 2.Monthly meetings with care givers 3.Health Education Talks 4.Provision of IEC material 5.Domiciliary visit

Action in a Staff education on HIV-Aids Planbid Quarterly to eradicate discrimination and encourage men to get tested for HIV Discussions of progress &challenges Monthly faced .Training of primary caregivers
Education on nutrition ,hygiene, living positively Handouts ,posters, pamphlets are to be distributed various points Visits to Home based care patients to support them psychologically, and teach care givers on giving best care Issues are deliberated relating to care work. Information giving& Psychological support. Drama ,Sporting Activities (soccer ,netball ) Distribution &demonstrations are done at public convenience areas ,beer halls and Hair Saloons Prevention of Mother to child transmission and Voluntary Counselling &Testing Monthly

FACT(Family Aids Care Trust) CTC Clinic Staff/ Peer Counsellors CTC Clinic Staff

Whenever Necessary Whenever Necessary

Monthly

CTC Clinic Staff FACT DAC,FACT, PLAN ,Clinic Staff CTC Clinic Staff FACT FACT CTC clinic Staff FACT PLAN PLAN Zimbabwe FACTCTC Clinic staff CTC clinic staff FACT

6.Support groups

7.Social Activities

Monthly

8.Distribution of male &Female Condoms

9.PMTCT & VCT

Weekly& During Session

Pre testing& Post Testing Counselling

WHAT IS THE TIME-FRAME FOR THE PROJECT?

MONTHLY WORKPLAN YEARLY FORECAST
2012-2015
100 90 80

PROJECTS: HIV /AIDS and Care work

Monthly Health education talks Monthly Support group meetings& Weekly Distribution of Condoms
MO TU WE TH FRI SAT SU 1 8 15 22

2 9 16

3 10 17

4 11 18

5 12 19

6 13 20

7 14 21

Prevention of Mother to child HIV transmission& Prevention of new infections %

70
60 50 40 30 20 10 0 2012 2013 2014 2015

23
30

24

25

26

27

28

29

Monthly meetings with caregivers Monthly Social Activities

Provision of IEC material Domiciliary visits - Whenever necessary PMTCT pre testing and Post testing Counselling-

Years

HIV /AIDS and care work

WHO IS THE KEY TARGET? WHO IS INVOLVED? ARE WOMEN AND MEN EQUALLY INVOLVED?
PROJECT :HIV /AIDS & CARE WORK
Key Target : Pregnant Women and their spouses.

Head nurse-Mr Kujongonya with pregnant women and their spouses on antenatal visit

Expecting mothers are encouraged to come for antenatal and postnatal visits with their spouses so that they may be tested together and get health education together. Involvement: The burden of looking after the sick is on women, number of male care givers is trivial . Men have limited involvement since they are mostly at work. Clinic staff are advocating for Mobile Clinics to facilitate VCT at the workplaces so as to address mens concerns on HIV& AIDS.
HIV/AIDS AND CARE WORK

PARTNERSHIPS FORMED THROUGH THE PROJECT

PROJECTS: HIV /AIDS & CARE WORK

Council beer halls are used by local NGOs to stage dramas advocating for behaviour change. The Poly Clinic is used as a holding and distribution point for food donated by various NGOs to people living with HIV and also a centre for support group meetings Triangle & Hippo Valley Estates provide medical facilities. IEC material, pamphlets, handouts, posters and booklets are supplied Ministry Social Welfare & Ministry Of Health. DAAC (District AIDS Council)-NGO. PLAN Zimbabwe NGO . Regai Dzive Shiri NGO FACT (Family AIDS Care trust) supply home based care kits as per need , provide VCT and post test support services.

Beneficiaries of food hampers from FACT queue for registration

RESOURCEFULNESS: WHAT FINANCIAL, HUMAN AND OTHER RESOURCES WERE MOBILISED?

PROJECTS: HIV /AIDS & CARE WORK

Financially- Council budgets annually for the Health section 2012 budget stands at US $118,705-00 Medicines - Donations of drugs are also received from UNICEF through Nat farm Manpower-The clinic is adequately staffed with personnel who are well trained on HIV testing and counselling. IEC materials -are provided by local NGOs Transport - A stand by vehicle has been availed by council as means to facilitate domiciliary visits

Poly Clinic Staff fetching water at nearby borehole Council annually

HIV/AIDS and care work

Medicines budgeted for by

PROJECT :HIV /AIDS & CARE WORK

CREATIVITY: ARE YOU USING ARTS, CULTURE, MEDIA AND SOCIAL MEDIA TO POPULARISE THE ISSUES?
Art- In form of dramas FACT and PLAN local NGOs have clubs which perform in council local beer halls take advantage of community gatherings such as World TB or World AIDS day .To show case their dramas

Drama Group advocating for behaviour change

Media - Posters and Pamphlets disseminate information encouraging behaviour change.

HIV/AIDS & CAREWORK

MONITORING AND EVALUATION

Statistics of prevention of mother to Child Transmission (PMTCT)

PROJECTS: HIV & AIDS & CARE WORK

ITEM TOTAL ANTI NATAL VCT HIV POSITIVE MOTHERS Successful PMTCT MALE SPOUSES- VCT MALE CONDOMS DISTRIBUTED FEMALE CONDOMS DISTRIBUTED

Jan 1300 605 560 38 4300 pieces 800pieces

Feb 1750 809 800 149 6200pieces 1900pieces

March 1500 702 700 207 8000pieces 3900pieces

Annex A :Statistics consolidated from FACT and Ketter Poly clinic

Statistics of HIV and TB patient Jan

Number of patients on ART Number of people with TB 8 505 2 298

Feb 9155 3359

March 10 508 5807

%of population 29.1% 16.1%

Annex B : Statistics obtained from FACT and Ketter Poly clinic

HIV /AIDS and care work

WHAT RESULTS HAVE BEEN ACHIEVED?

PROJECTS: HIV & AIDS & CARE WORK
Improved turn up of individuals coming for VCT including men. Adequate supply of condoms to Discordant couples so as to curb the spread of AIDS. Increased uptake of the female condom Increased uptake of ARVs The Clinic has scored in the district in terms of PMTCT. HIV positive mothers were well educated on taking ART ,as a result their babies were born HIV free.

Nurse administering ART

18 months DPT AND Polio vaccine administered on HIV born free child

HIV /AIDS and care work

IMPACT (BASED ON THE SADC PROTOCOL TARGETS)

PROJECTS: HIV/AIDS & CARE WORK

The weekly distribution of male and female condoms to the public and discordant couple is a strategy to prevent new infections Council supports the efforts of care givers by means of, monthly meetings ,health education talks, domiciliary visits, and facilitation of support group meetings .

Peer educator during group counselling session Condom demonstration- Shella Zengeni

SUSTAINABILITY AND REPLICATION

PROJECTS: HIV /AIDS & CARE WORK
The practise is sustainable if Council Continues to budget annually for HIV Issues Embarks of income generating projects to fund HIV/AIDS programs Embarks on Resource mobilisation

In terms of (replication) /expanding care and support services ,there is need for continued partnerships with the relevant Ministries and NGOs and Private sector. Council to commence payment of incentives to caregivers in a bid to increase their number and to keep them motivated as well.

HIV/AIDS and care work

LESSONS LEARNT
PROJECTS: HIV /AIDS & CARE WORK
No organisation can work alone in addressing the HIV/AIDS pandemic, there is need to work with other organisations so as to improve access to treatment, care and support .Thereby reaching more people needing similar help and support. Hence the importance of forming partnerships with; Various ministries Various NGOs The Private Sector

Thank you

HIV /AIDS & CARE WORK

PROJECTS: HIV /AIDS AND CARE WORK

Any Questions?
Presentation by P.Mutsetse H.R Officer Chiredzi Town Council ZIMBABWE

HIV /AIDS and care work