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Brent Matthysen , Phiwa Sondhlane, Babalwa Fede and John Imrie

Sexua l HIV Prevention Programme (SHIPP) Futures Group International. Combining community-based organizations’ local knowledge, participatory and GIS mapping approaches to improve condom availability in Gert Sibande District, South Africa - Lessons from a pilot intervention.

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Brent Matthysen , Phiwa Sondhlane, Babalwa Fede and John Imrie

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  1. SexualHIVPreventionProgramme (SHIPP) Futures Group International Combining community-based organizations’ local knowledge, participatory and GIS mapping approachesto improve condom availability inGertSibande District, South Africa -Lessons from a pilot intervention July, 21 2014 Brent Matthysen, Phiwa Sondhlane, Babalwa Fede and John Imrie

  2. Background • Condom use remains a core sexual HIV prevention intervention globally • However, ensuring the quality, quantity, distribution continuity & equity of freely-available condoms presents substantial challenges • Erratic & inequitable condom distribution, particularly in poor rural & hard-to-reach areas, results in poor uptake, inconsistent usage & an unwillingness to adopt condoms as a primary HIV prevention strategy

  3. Policy Context 1) South African National Department of Health is the main provider of freely-available condoms in the country

  4. Male Condom Distribution Rates by District (2012-13) and Scale-up Targets 19.1 19 2) Condom distribution has been variable & erratic Source: Health Systems Trust, 2013. District Health Barometer

  5. Policy Context (cont.) • South African NDoH is the main provider of freely-available condoms • Condom distribution across the country has been variable & erratic • 3) National plan aims to supply 1 billion condoms annually 50 male condoms per male aged ≥15 years

  6. Mpumalanga Province (South Africa) PRETORIA. Johannesburg . . Durban . Cape Town

  7. Pilot Site - GertSibande District

  8. Methodology

  9. Methodology – Step 1Geospatial analysis of antenatal HIV rates prevalence, 2011

  10. Methodology – Step 2 • Collaborative systems review of condom supply, management & distribution system • Poor: • condom supply • distribution coverage • monitoring (data recording) • data flow • reporting (NOT feeding the DHIS) • data analyses • information sharing

  11. Methodology – Step 3 Capacity-building workshops with SAG partners • District & Local Municipalities & CBOs • Know Your Epidemic & Response • Drawing of maps by hand: • mapping of infrastructure & services (107 CBOs & 242 persons) • plotting of hot spots & primary & secondary condom distribution points

  12. Methodology – Step 4 • Plotting of sites using Global Positioning System hand-held devices

  13. Mapped & Plotted Potential Hot Spots & SCDPs

  14. Methodology – Step 5 • Creation of electronic maps using: • stored GPS coordinates • freeware Geographic Information Systems (GIS) software applications • Collaborative amendment of condom distribution data collection tool used by the condom warehouse & other primary distribution points • auto-aggregation by week, month & quarter using MS Excel formulas

  15. Combining community-based organizations’ local knowledge and GIS mapping activities to improve condom availability

  16. Methodology – Step 6 • Dissemination of e-maps to stakeholders for use in condom distribution scale-up planning & distribution activities

  17. Gert Sibande Condom Distribution Rates (Number of male condoms per male aged ≥15 years)2013-14

  18. Lessons Learned • Participatory approaches ensure CBOs acquire in-depth understanding of mapping that is easily replicable without need of advanced additional technical support • Combining participatory approaches, GIS technology & CBOs’ indigenous knowledge can fast-track equitable condom distribution & coverage, & reach key populations such as rural communities

  19. Thank You www.futuresgroup_shipp.com The Sexual HIV Prevention Programme (SHIPP) is a United States Agency for International Development (USAID) – PEPFAR funded initiative in South Africa (SA) to galvanize and support combination HIV prevention activities. •Implementing partners include Futures Group, the Centre for AIDS Development, Research, and Evaluation, EngenderHealth, and Futures Institute.

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