OPERATION

1. OPERATION ILEMBE DISTRICT MUNICIPALITY DAC REPORTTO PROVINCIAL COUNCIL ON AIDS 20/03/2013

2. Community Mobilization Number of People aged 25-49 reached with prevention information including anti-gender based violence information Q1-1164; Q2- 1077; Q3- 1348; The LACs have ongoing awareness creation campaigns on anti gender based violence through community, men and women dialogues

3. Number of young people aged 15- 24 reached with prevention information including anti-gender based violence information Q1-3490; Q2-3620; Q3-3295; Most of these campaigns were conducted at schools that is why the trend shows some decline in the third quarter due to exams and school holidays

4. Orphans & Vulnerable Children Number of registered OVC Q1- 154, Q2 – 221, Q3 - 167 The number change as OVCs exit the programme when they receive foster care, grants, etc and when new ones enter

5. Number of registered OVC in schools Q1 – 0 Q2 – 0 Q3 – 0 The information is not captured by DOE and DSD

6. Orphans & Vulnerable Children Number of Registered OVCs receiving Care and Support Q1 – 407 Q2 – 308 Q3 - 249 The same comments as above applies in regard to entry and exit into or out of the programme

7. Life Skills • Number of learners pregnant Q1-286; Q2-142; Q3-137 Although the numbers seem to decrease the anti teenage pregnancy campaigns such as my life my future and inspire life skills continue in the District

8. Strategic Objective 2 PMTC • Baby PCR tested positive around 6 weeks rate Q1-3.1%; Q2-3.1%; Q3- 2.10% The District shows an exponential improvement in its performance on this indicator

9. Baby HIV antibody test positive at 18 months rate • The DAC Reporting tool does not have this indicator however the District Health Information System (DHIS) shows that Q1 – 2%, Q2 – 6% Q3 – 3% • This performance is unstable. The District continues with creating awareness for early presenting to Ante Natal Care and ART

10. ANC booking before 20 weeks rate • This information has not been collected as it is not in the DAC Reporting Tool however the District Health Information Systems (DHIS) records shows the following performance ; • Q1 – 42%, Q2 – 48%, Q3 – 45% • The District continues with the community dialogues and awareness campaigns including talks in the local radio stations.

11. Children under 12 sexually assaulted rate - The DHIS shows the following: Q1 – 56, Q2 – 55, Q3 – 66 • The District is conducting an awareness campaign against Rape and teenage pregnancy in schools and communities to address the above

12. ANC booking before 20 weeks rate • This information has not been collected as it is not in the DAC Reporting Tool however the District Health Information Systems (DHIS) records shows the following performance ; • Q1 – 42%, Q2 – 48%, Q3 – 45% • The District continues with the community dialogues and awareness campaigns including talks in the local radio stations.

13. Male Medical Circumcision Number of males aged 15 – 49 circumcised Q1-1273; Q2-1753; Q3-1022 • This indicator excludes boys under 15 and yet this cohort comes in large numbers. The District has trained nurses to perform MMC and is cascading this programme to clinics in an effort to increase numbers. 7 clinics already involved. • Adult males are not keen to come for MMC and a campaign started last year by the Mayor to have MMC whenever he meets them only attracted the youth again

14. HCT & TB Screening Number of new HIV tests carried out Q1-31513; Q2-33911; Q3-27781 • The first half of the year shows an increase in the District’s performance on this indicator, however there is a decrease in Quarter 3 which is probably due to the noticeable trend of lower health seeking behavior during December holidays

15. Condoms Distribution • Number of Male condoms distributed • Condom distribution has increased Q1-1,278,887; Q2- 1,226,431; Q3- 513205 The decrease in the third quarter is due to the termination of the private service providers’ month to month contract for distribution to taverns , spaza shops etc. in response to the call for reducing activities that count towards irregular expenditure. The new contracts should start in April 2013.There is also a plan to extend the activity to war rooms

16. Number of female condoms distributed Q1-27138 Q2-38696 Q3-54559 This performance indicates a remarkable improvement in all quarters

17. Prevention of exposure to transmission from occupational exposure, Sexual violence • Number of new sexual assault cases Q1-152; Q2-144; Q3-158 • Children under 12 years sexually assaulted Q1-56; Q2-55; Q3-66 As mentioned in slide 11 above the District is conducting an awareness campaign against this increasing social ill especially in schools.

18. Coordination, Monitoring & Evaluation • Number of LACs submitting reports to DAC Q1-2; Q2-2; Q3-1; Only Mandeni and KwaDukuzapresent narrative reports at DAC meetings and the latter did not have the third quarter report. • The narratives are only on activities and not on the LAC tool indicators as expected. • A workshop aimed at work shopping them on the new DAC tool has been proposed.

19. Number of WACs submitting reports to LAC Q1-0, Q2-0; Q3-0 The above mentioned workshop is thought to be a solution to this poor performance as it should address the understanding of the indicators and the sources of the information in each Ward.

20. THANK YOU CllR s.w mdabe