Understanding HIV and AIDS: A Guidebook to HIV and AIDS prevention (free)
LOCAL GOVERNMENT RESPONSE TO HIV/AIDS Taking the Lead in Coordination and Action:
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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)
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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
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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.
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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.
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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 & HBCZAPSO VCTWASN Gender IssuesWAG Women & IECIsland Hospice Palliative CarePSI VCT, IEC, Family Planning
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RESPONSIBILITY FOR COORDINATION OF HIV/AIDS PARTNERSHIP NETWORK IN HARARE (continued)
SAfAIDS ResearchACT Counseling, IECHOPE HBC & IECSports Commission Youth Education Through Sport (YES)Mayor Community mobilization against HIV/AIDSCouncilors Community mobilization against HIV/AIDSDAAC Prevention, Care & MitigationWAACs Prevention, Care & MitigationZNNP Plus Care of PLWHAPadare Men and HIV/AIDSMAGs Men living with AIDS
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RESPONSIBILITY FOR COORDINATION OF HIV/AIDS PARTNERSHIP NETWORK IN HARARE (continued)
Traditional HealersSupport GroupsMoving on ClubYouth ForumAIDS ClubsMinistry of Youth and GenderMedical director of HealthDistrict Health education OfficerChief Health education OfficerDepartment of WorksHealth Department
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SERVICES RELATING TO HIV/AIDS PREVENTION, CARE AND MITIGATION IN HARARE LGA
• CLINICS• HOSPITALS• VCT CENTRES• HEALTH PROMOTION IN HIV/AIDS• SOCIAL SERVICES
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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
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HOSPITALS
• Management of affected patients• VCT• Management of opportunistic infections• Implement discharge plan• IEC
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VCT CENTRES
• VCT support groups
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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)
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SOCIAL SERVICES
• Assistance with food and medical treatment, school uniforms, fees, etc.
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GAPS IN HIV/AIDS SERVICE DELIVERY
a) Mitigationb) Preventionc) Cared) Researche) Other gaps
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Mitigation
• Food Packs not consistently supplied • Those in dire need of school fees and uniforms
sometimes do not benefit due to limited funds
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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
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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.
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RESEARCH
• This is an area that needs strengthening by the local authority
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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
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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
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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
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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
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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