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 & HBC

ZAPSO VCT

WASN Gender Issues

WAG Women & IEC

Island Hospice Palliative Care

PSI VCT, IEC, Family Planning

RESPONSIBILITY FOR COORDINATION OF HIV/AIDS PARTNERSHIP NETWORK IN HARARE (continued)

SAfAIDS Research

ACT Counseling, IEC

HOPE HBC & IEC

Sports Commission Youth Education Through Sport (YES)

Mayor Community mobilization against HIV/AIDS

Councilors Community mobilization against HIV/AIDS

DAAC Prevention, Care & Mitigation

WAACs Prevention, Care & Mitigation

ZNNP Plus Care of PLWHA

Padare Men and HIV/AIDS

MAGs Men living with AIDS

RESPONSIBILITY FOR COORDINATION OF HIV/AIDS PARTNERSHIP NETWORK IN HARARE (continued)

Traditional Healers

Support Groups

Moving on Club

Youth Forum

AIDS Clubs

Ministry of Youth and Gender

Medical director of Health

District Health education Officer

Chief Health education Officer

Department of Works

Health 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) Mitigation

b) Prevention

c) Care

d) Research

e) 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