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PROVINCIAL AIDS COUNCIL 10 AUG 2011

OUTCOME 2: A LONG AND HEALTHY LIFE FOR ALL SOUTH AFRICANS. PROVINCIAL AIDS COUNCIL 10 AUG 2011. Estimated number of annual new HIV infections in South Africans aged 15-49, by province (2009, EPP estimates). Source: 2009 EPP estimates provided by E. Gouws in 2010.

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PROVINCIAL AIDS COUNCIL 10 AUG 2011

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  1. OUTCOME 2: A LONG AND HEALTHY LIFE FOR ALL SOUTH AFRICANS PROVINCIAL AIDS COUNCIL 10 AUG 2011

  2. Estimated number of annual new HIV infections in South Africans aged 15-49, by province (2009, EPP estimates) Source: 2009 EPP estimates provided by E. Gouws in 2010

  3. KZN KNOW YOUR EPIDEMIC KNOW YOUR RESPONSE REPORT The following areas are important for the appropriate response in KZN. • Sexual Partners • Marital status, Race, Gender, Location, Education and sexual behaviour To be noted in Africa Centre Research it was found: Females, the most significant factor protecting against first sex before 17 was school attendance

  4. SEXUAL PARTNERS: Percent of people reporting 2+ partners for the past month among those who had sex in the past year, KwaZulu-Natal (NCS 2006 and 2009) Source: HDA secondary analysis NCS 2006 and 2009. Note: All sample sizes above 260, apart from the Non-African stratum of 2009 (N= 53)

  5. Marital Status & HIV Prevalence Source: HDA secondary analysis NCS 2006 and 2009.

  6. HIV prevalence in adults aged 15+ years in KwaZulu-Natal (2002, 2005, 2008) Source: HSRC secondary data analysis

  7. Knowledge in KZN • Knowledge on HIV transmission and prevention: The last two HSRC surveys (2005 & 2008) compared the prevalence of ‘correct knowledge on prevention and the rejection of misconceptions’. • In KZN, just like in Eastern Cape, Limpopo and Mpumalanga, there was a significant decrease noted - the KZN prevalence levels were 49% in 2005 and 30% in 2008.

  8. Gender and HIV in KZN Females: unprotected sex was associated with: • unemployment, lower perceived power • negative condom attitudes, weaker condom use norms & intentions, • lower behavioural skills, • lower HIV stigma, • being threatened with physical violence, and experiencing physical violence.

  9. Gender and HIV KZN Males: unprotected sex was associated with lower education, • lower HIV-related knowledge, • negative condom attitudes, • alcohol before sex, • recent clinical STI treatment, • and having a partner who was trying to conceive.

  10. Prevalence of Rape as reported by men IMAGE STUDY QOUTED IN KYE KYR REPORT

  11. Economic Status and HIV • The NCS 2009 reported the following percentages of people saying that they provided sex in exchange for money or gifts in the past year in KZN (national average):

  12. Migration and HIV • Barnighausen et al. (2007) found that migration was significantly associated with HIV incidence • Also from KZN, Camlin (2008) reported that women’s involvement in migration exacerbates their disproportionate infection risk relative to men.

  13. Orphans and Vulnerable Children in KZN ( using ASSA Model 2008 for AIDS and Demographics) Maternal Orphans Paternal Orphans

  14. Orphans and Vulnerable Children in KZN ( using ASSA Model 2008 for AIDS and Demographics Double Orphans

  15. THE KZN RESPONSE

  16. PREVENTION: HCT HCT target according to NSP was 3 059 233 (49% of targeted population). 2 929 433 (95%) client tested, 561 057 (19%) clients tested positive. Improvement of 225% testing from 2009/10 data 2 305 000 clients screened for TB and 356 761 were referred for clinical diagnosis The campaign improved the PICT implementation Campaign continues with new target of 2 061 196

  17. HCT Progress

  18. MEDICAL MALE CIRCUMCISION

  19. RECOMMENDATIONS Facilities and districts to mobilize and market the programme Urgent filling of roving teams’ post. NGOs to play a supportive and assistants’ role. Municipalities and other departments – COGTA, DOE, DAC to make an input in the implementation. Other stakeholders, traditional leadership, traditional healers, counsillors, Religious Sector being mobilised to input Discussions with SANC and HPCSA

  20. DOH REPORTS

  21. TREATMENT

  22. ART Facilities and NIMART

  23. ART EXPANSION

  24. ART Expansion – June 2011

  25. KZN PROVINCIAL: TB SUSPECTS Qrt 3 / 2010 – Qrt 1 / 2011

  26. KZN PROVINCIAL TB CASE FINDING: Qrt 3 / 2010 – Qrt 1 / 2011

  27. KZN Smear Conversion Rate Qrt 3 / 2010 – Qrt 1 / 2011New Patients

  28. KZN Smear Conversion Rate Qrt 3 / 2010 – Qrt 1 / 2011Re- Treatment Patients

  29. TB/HIV Integration Progress with TB/HIV integration – all facilities implementing both HIV and TB services Improved screening of TB amongst HIV positive patients Increased uptake of IPT 124,963 pts – 71.5% towards target of 170 000 pts by June 2011

  30. CARE AND SUPPORT

  31. GRANTS IN THE PROVINCE

  32. Support Groups for People Living with HIV 546 support groups for PLHIV established in the 11 districts with the total of 12,220 people participating Support group facilitators workshoped on HIV toolkit, which covers disclosure, living positively with HIV and facilitation skills HCBC Programme Care and Support

  33. PMTCT

  34. Mother to child transmission of HIV Transmission measured Aug 2010 within the general population of Children who attended PNC Data Source: MRC 2011

  35. AMAJUBA

  36. eTHEKWINI

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