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Western Cape Wellness Summit 08 November 2011 Infectious Diseases. Priority actions to address the burden and to be considered by work groups. Review. Certain areas, characterised by a ‘deprivation cluster’ of risk factors, carry a disproportionate burden of HIV and TB disease
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Western Cape Wellness Summit08 November 2011Infectious Diseases
Priority actions to address the burden and to be considered by work groups
Review • Certain areas, characterised by a ‘deprivation cluster’ of risk factors, carry a disproportionate burden of HIV and TB disease • These areas are associated with ‘social vulnerability’ which creates a high risk environment for HIV transmission • Our armamentarium is limited to a few bio-medical interventions • We’re not only trying to prevent new HIV and new TB infections • We also have a large population of people who are already HIV-infected, and in whom we are trying to prevent premature death • Our challenge is getting the interventions into the high-risk communities at scale – a challenge of supply and demand 1. Western Cape Burden of Disease report for major infectious diseases, 2007
HCT • Barrier protection methods, • Male Circumcision, • ART Services, • TB case finding Priority Actions: Group Accept Strategic Objective 4 priorities of:
Which led to a discussion of ‘social marketing’ and how to do it differently • Need to move away from the individual as the locus of change
• Combination of mass communication and community mobilization to create a demand and behaviour change. Messages need to targeted • Appropriate messages and adequate marketing • Change community perceptions e.g. • early ART initiation – “ ARVs are no longer the last resort” • “HIV disease is a chronic disease not a fatal disease • Use positive role models to promote empowerment Priority Actions
Target key risk populations; include disability population, prisons, youth (access to schools) • Need a strategy to deal with migration • Target high burden areas Priority Actions
UNAIDS suggested high level strategies… • “Highly active HIV prevention inevitably must be combination prevention” • “Nothing more important than a focus on young people” • “investments should focus on promoting normative and social change to reduce multiple and concurrent partnerships, and to greatly increase availability of safe and affordable male circumcision services” • “The aggregate effect of radical and sustained behavioural changes in a sufficient number of individuals potentially at risk is needed for successful reductions in HIV transmission” “ Understand but don’t overcomplicate. Broad rapid brushstrokes are sufficient for action”
True commitment means that sectors and • government departments commit actions and • resources ( based on NSP and PSP) • Use PAC more effectively as well as other • structures for reporting on actions at all levels • Measure performance • In PSP all sectors must identify planned actions – to be costed Working together
• Invite more members (identified today) to participate in SO 4 Work-Group • Invest in research to bring us together e.g. • surveillance – joint research, community research • in health seeking behaviour, social cohesion and • social capital • Community strengthening – use right people • Use community structures Working together
• Consensus on a uniform community M & E System • High level from political commitment from DOE, • Department of Social Services • Involve Corporate Sector Working together