local government response to hiv/aids taking the lead in coordination and action:
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LOCAL GOVERNMENT RESPONSE TO HIV/AIDS Taking the Lead in Coordination and Action: Strategy and Partnerships ALGAF IV Session III By the Harare City Team (Mr. Magwenjere, Mrs. Mutiti, Mrs. Samuriwo, Mrs Dewa, Mrs. Dupwa, Mrs. Andifasi, Mrs. Majoni). SESSION OBJECTIVES. - PowerPoint PPT PresentationTRANSCRIPT
LOCAL GOVERNMENT RESPONSE TO HIV/AIDS
Taking the Lead in Coordination and Action:Strategy and Partnerships
ALGAF IV Session III
By the Harare City Team(Mr. Magwenjere, Mrs. Mutiti, Mrs. Samuriwo, Mrs Dewa,
Mrs. Dupwa, Mrs. Andifasi, Mrs. Majoni)
SESSION OBJECTIVES
• To emphasize the importance of co-ordination, integration and partnerships in developing an HIV/AIDS strategy
• To provide an overview of the concepts of mainstreaming and functional integration (with examples)
• To present some of the advantages and challenges of partnerships
PURPOSE OF A STRATEGY
• The purpose of a strategy is to provide a framework for how the LGA will address HIV/AIDS in its locality
• This framework should identify the objectives of the strategy, how these objectives will be met and who will be involved in the process.
Importance of Mainstreaming of LGA HIV/AIDS Response
• The local authority can identify areas which are neglected, overlaps, and duplications and where there are possibilities for collaboration.
RESPONSIBILITY FOR COORDINATION OF HIV/AIDS PARTNERSHIP NETWORK IN HARARE
LGA Coordination, IEC, Care, Mitigation services
Mashmbazhou Home Based Care (HBC)Chiedza home of hope IEC & HBCZAPSO VCTWASN Gender IssuesWAG Women & IECIsland Hospice Palliative CarePSI VCT, IEC, Family Planning
RESPONSIBILITY FOR COORDINATION OF HIV/AIDS PARTNERSHIP NETWORK IN HARARE (continued)
SAfAIDS ResearchACT Counseling, IECHOPE HBC & IECSports Commission Youth Education Through Sport (YES)Mayor Community mobilization against HIV/AIDSCouncilors Community mobilization against HIV/AIDSDAAC Prevention, Care & MitigationWAACs Prevention, Care & MitigationZNNP Plus Care of PLWHAPadare Men and HIV/AIDSMAGs Men living with AIDS
RESPONSIBILITY FOR COORDINATION OF HIV/AIDS PARTNERSHIP NETWORK IN HARARE (continued)
Traditional HealersSupport GroupsMoving on ClubYouth ForumAIDS ClubsMinistry of Youth and GenderMedical director of HealthDistrict Health education OfficerChief Health education OfficerDepartment of WorksHealth Department
SERVICES RELATING TO HIV/AIDS PREVENTION, CARE AND MITIGATION IN HARARE LGA
• CLINICS• HOSPITALS• VCT CENTRES• HEALTH PROMOTION IN HIV/AIDS• SOCIAL SERVICES
CLINICS
• Treatment of opportunistic infection• IEC • Condom Distribution • Referral for supplementary feeding• PNTCT• Counseling• Follow up of home based care patients• Referral to social welfare for psychological support
or care
HOSPITALS
• Management of affected patients• VCT• Management of opportunistic infections• Implement discharge plan• IEC
VCT CENTRES
• VCT support groups
HEALTH PROMOTION IN HIV/AIDS
• Youth corners / centres• IEC Activities• YES Programme • Training of Community health workers• Technical support• Kurai Netsika Programme (Community Based
Education Programmes for Children under 16 years)
SOCIAL SERVICES
• Assistance with food and medical treatment, school uniforms, fees, etc.
GAPS IN HIV/AIDS SERVICE DELIVERY
a) Mitigationb) Preventionc) Cared) Researche) Other gaps
Mitigation
• Food Packs not consistently supplied • Those in dire need of school fees and uniforms
sometimes do not benefit due to limited funds
Prevention
• Not all groups in communities actively participate in educational programmes
• Inadequate information material at grassroot level e.g. posters, leaflets, video tapes to suite different target groups
• Conflicting messages on condom use which may impact on prevention strategies
• Some people still not keen to know their HIV status• PMTCT uptake is low
CARE
• There are many organizations carrying out Home based care but they bare fragmented and with allegiance to different donors with little interaction with LGA.
• Gaps in meeting social needs by affected families which impacts on LGA
• Some drugs to treat opportunistic infections in short supply and ARVs not implemented in Local Authority Institutions
• Home based care kits not always available• Lack of clearly laid out Policy on co-ordination,
networking and management of the Home Based Care Programme in the City.
RESEARCH
• This is an area that needs strengthening by the local authority
OTHER GAPS
• NGOs Private Organizations identified as working in the area of HIV/AIDS are not co-ordinated by the Local Government Authority.
• There is no co-ordinated planning, implementation monitoring and evaluation of programmes and activities, by the LGA task force team
MAINTREAMING ACTIVITIES
DEPARTMENT ACTIVITIES
City Treasury HIV/AIDS messages through water bills, rate bills and other print outs
Community Services HIV/AIDS education through sport (e.g YES programme, youth education through sport
Department of Works Condom use and disposal education( sewerage, water works)
Community Leaders HIV/AIDS messages at gatherings and meetings
FUNCTIONAL INTEGRATION
• Gaps Identified There are some missing links in service provision –
not well linked / co-ordinated Resources not well utilised There is an overwhelming demand for other
resources (e.g food for the need
LGA RESPONSE
• HIV/AIDS task team needs to be strengthened in order to co-ordinate all ASOs in LGA
• Strengthen HIV/AIDS multisectoral committee (sharing information and resources)
• Focal person to strengthen public relations and social marketing of services
• Provide supermarket approach to HIV/AIDS service delivery
LGA RESPONSE (continued)
• Increase production of HIV/AIDS information leaflets and ensure access by community groups at all levels
• Co-ordinated approach to information development on condom use and promotion to be encouraged
• Co-ordinated approach to planning implementation and evaluation of programmes at all levels for LGA needs to be laid out for practical guidance of beneficiaries at all levels
• Research on impact of HIV/AIDS information and programmes within the LGA communities is suggested