Precious Mutsetse, Zimbabwe, HIV/AIDS and Care work - Summit 2012

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ZIMBABWE

REGIONAL GENDER JUSTICE AND LOCAL GOVERNMENT

SUMMIT AND AWARDSDATE:23-25 APRIL 2012

VENUE:SOUTH AFRICA –KOPONANG HOTEL “365 DAYS OF LOCAL ACTION TO END VIOLENCE AND EMPOWER WOMEN ”

HIV/AIDS AND CARE WORK

P R O J E C T S : H I V / A I D S &

C A R E

W O R K



Introduction

Chiredzi is a small town located in south-eastern part of Zimbabwe with an

estimated population 36,129.

Chiredzi is the centre of sugar cane production for the country by

Triangle Estate and Hippo Valley Estate

Chiredzi Town Council established the health centre Ketter Poly Clinic in

1995 within the Department of Housing &Community services. The clinic

is referral centre for patients discharged from Chiredzi General Hospital

and also for patients needing Home Based Care.

K etter Poly Clinic Staff

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http://en.wikipedia.org/wiki/Zimbabwe

http://en.wikipedia.org/w/index.php?title=Triangle_Estate&action=edit&redlink=1

http://en.wikipedia.org/wiki/Hippo_Valley_Estate

http://en.wikipedia.org/wiki/Hippo_Valley_Estate

http://en.wikipedia.org/w/index.php?title=Triangle_Estate&action=edit&redlink=1

http://en.wikipedia.org/wiki/Zimbabwe



HOW DID YOU GO ABOUT IDENTIFYING THIS PROBLEM?

• A situational analysis carried out revealed , numerous care givers accompanying HIV/AIDS

patients to Chiredzi Ketter Poly Clinic lacked information on HIV /AIDS.

• Hence the need for Education and Support for the care giver

• Council adopted an HIV/AIDS policy in 2010 dubbed the” Home Grown solution” with the

thrust being ‘Prevention, Education , Care And Support’.

HI Meeting with of Primary care givers HIV defined& approaches to living with HIV.

HIV/AIDS and care work

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IS THIS ISSUE IMPORTANT?

• To promote acceptance of ones HIV positive status and promote disclosure.

•To improve the quality of life of the patient ,the patient’s family and caregiver’s

• To diminish the burden of care giving which causes stress in life.

• Knowledgeable and supported care givers with good psychological health provide

the best care .

Peer Counselor During Health Education Talk-Maria Mapuranga

• HIV /AIDS and care work

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HOW ARE YOU GOING ABOUT ADDRESSING THIS AaaPROBLEM

Action Plan

Activity Agenda Frequency

Of meetings

Facilitator

1.Workplace AIDS

Awareness

Campaigns

Staff education on HIV-Aids in a bid

to eradicate discrimination and

encourage men to get tested forHIV

Quarterly FACT(Family Aids

Care Trust)

CTC Clinic Staff/Peer Counsellors

2.Monthly

meetings with

care givers

Discussions of progress &challenges

faced .Training of primary caregivers

Monthly CTC Clinic Staff

3.Health

Education Talks

Education on nutrition ,hygiene, living

positively

Monthly CTC Clinic Staff

FACT

4.Provision of

IEC material

Handouts ,posters, pamphlets are to

be distributed various points

Whenever

Necessary

DAC,FACT, PLAN

,Clinic Staff

5.Domiciliary visit Visits to Home based care patients

to support them psychologically, and

teach care givers on giving best care

Whenever

Necessary

CTC Clinic Staff

FACT

6.Support groups Issues are deliberated relating to

care work. Information giving&

Psychological support.

Monthly FACT

CTC clinic Staff

7.Social Activities Drama ,Sporting Activities(soccer ,netball )

Monthly FACTPLAN

8.Distribution of

male &Female

Condoms

Distribution &demonstrations are

done at public convenience areas

,beer halls and Hair Saloons

Weekly&

During

Session

PLAN Zimbabwe

FACTCTC

Clinic staff

9.PMTCT

& VCT

Prevention of Mother to child

transmission and Voluntary

Counselling &Testing

Pre testing&

Post Testing

Counselling

CTC

clinic staff

FACT


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WHAT IS THE TIME-FRAME FOR THE PROJECT?

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HIV /AIDS and care work

0

10

20

30

40

50

60

70

80

90

100

2012 2013 2014 2015

P r e v e n t i o n o f M o t h e r t

o c h i l d H I V

t r a n s m

i s s i o n & P r e v e n t i o n o f

n e w

i n f e c t i o n s %

Years

MO TU WE TH FRI SAT SU

1

2 3 4 5 6 7 8

9 10 11 12 13 14 15

16 17 18 19 20 21 22

23 24 25 26 27 28 29

30

MONTHLY WORKPLAN YEARLY FORECAST

Monthly Support group meetings& 2012-2015

Weekly Distribution of Condoms

Monthly Health education talks

Provision of IEC material -

Domiciliary visits - Whenever necessary

PMTCT pre testing and Post testing Counselling-

Monthly meetings with caregivers

Monthly Social Activities



WHO IS THE KEY TARGET? WHO IS INVOLVED? ARE WOMEN AND MEN EQUALLY INVOLVED?

Key Target :

• Pregnant Women and their spouses.

Head nurse-Mr Kujongonya with pregnant women and their spouses on antenatal visit

Expecting mothers are encouraged to come for antenatal and postnatal visits with

their spouses so that they may be tested together and get health education together.

Involvement:

• The burden of looking after the sick is on women, number of male care givers is trivial .

• Men have limited involvement since they are mostly at work. Clinic staff are advocating

for Mobile Clinics to facilitate VCT at the workplaces so as to address men’s concerns

on HIV& AIDS.

HIV/AIDS AND CARE WORK

P R O J E C T : H I V / A I D S &

C A R E W O R K



PARTNERSHIPS FORMED THROUGH THE PROJECT • Council beer halls are used by local NGOs to stage dramas advocating for behaviour

change.

• The Poly Clinic is used as a holding and distribution point for food donated by various

NGO’s to people living with HIV and also a centre for support group meetings

• Triangle & Hippo Valley Estates provide medical facilities.

• IEC material, pamphlets, handouts, posters and booklets are supplied

Ministry Social Welfare & Ministry Of Health.

DAAC (District AIDS Council)-NGO. PLAN Zimbabwe –NGO . Regai Dzive Shiri –NGO

FACT (Family AIDS Care trust) – supply home based care kits as per need , provide VCTand post test support services.

Beneficiaries of food hampers from FACT queue for registration

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RESOURCEFULNESS: WHAT FINANCIAL, HUMAN AND OTHER RESOURCES WERE MOBILISED?

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Financially - Council budgets annually for the Health section 2012 budget stands

at US $118,705-00

Medicines - Donations of drugs are also received from UNICEF through Nat farmManpower -The clinic is adequately staffed with personnel who are well trained

on HIV testing and counselling.

IEC materials -are provided by local NGOs

Transport - A stand by vehicle has been availed by council as means to facilitate

domiciliary visits

Poly Clinic Staff fetching water at nearby borehole Medicines budgeted for by

Council annually



CREATIVITY: ARE YOU USING ARTS, CULTURE, MEDIA AND SOCIAL MEDIA TO POPULARISE THE

ISSUES?

• Art- In form of dramas FACT and PLAN local NGOs have clubs which perform in

council local beer halls take advantage of community gatherings such as World TB

or World AIDS day .To show case their dramas

Drama Group advocating for behaviour change

Media - Posters and Pamphlets disseminate information encouraging

behaviour change.

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HIV/AIDS & CAREWORK



MONITORING AND EVALUATION

Statistics of prevention of mother to Child Transmission (PMTCT)

ITEM Jan Feb March

TOTAL ANTI NATAL VCT 1300 1750 1500HIV POSITIVE MOTHERS 605 809 702

Successful PMTCT 560 800 700

MALE SPOUSES- VCT 38 149 207

MALE CONDOMS DISTRIBUTED 4300 pieces 6200pieces 8000pieces

FEMALE CONDOMS DISTRIBUTED 800pieces 1900pieces 3900pieces

Annex A :Statistics consolidated from FACT and Ketter Poly clinic

Statistics of HIV and TB patient Jan Feb March %of population

Number of patients on ART 8 505 9155 10 508 29.1%

Number of people with TB 2 298 3359 5807 16.1%

Annex B : Statistics obtained from FACT and Ketter Poly clinic P

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WHAT RESULTS HAVE BEEN ACHIEVED?

• Improved turn up of individuals coming for VCT including men.

•

Adequate supply of condoms to Discordant couples so as to curb the spread of AIDS.• Increased uptake of the female condom

• Increased uptake of ARVs

• The Clinic has scored in the district in terms of PMTCT. HIV positive mothers were well

educated on taking ART ,as a result their babies were born HIV free.

– Nurse administering ART 18 months DPT AND Polio vaccine administered on HIV born free child

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IMPACT (BASED ON THE SADC PROTOCOL TARGETS)

The weekly distribution of male and female condoms to the public and

discordant couple is a strategy to prevent new infections Council supports the efforts of care givers by means of, monthly meetings ,health

education talks, domiciliary visits, and facilitation of support group meetings .

Peer educator during group counselling session

Condom demonstration- Shella Zengeni


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SUSTAINABILITY AND REPLICATION

• The practise is sustainable if Council

Continues to budget annually for HIV Issues

Embarks of income generating projects to fund HIV/AIDS programs

Embarks on Resource mobilisation

• In terms of (replication) /expanding care and support services ,there is need for

continued partnerships with the relevant Ministries and NGO’s and Private sector.

Council to commence payment of incentives to caregivers in a bid to increasetheir number and to keep them motivated as well.

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LESSONS LEARNT

• No organisation can work alone in addressing the HIV/AIDS pandemic, there is need

to work with other organisations so as to improve access to treatment, care and

support .Thereby reaching more people needing similar help and support.

• Hence the importance of forming partnerships with;

Various ministries

Various NGO’s

The Private Sector

Thank you

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HIV /AIDS & CARE WORK



Any Questions?

Presentation by P.Mutsetse H.R Officer

Chiredzi Town Council ZIMBABWE

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Precious Mutsetse, Zimbabwe, HIV/AIDS and Care work - Summit 2012

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Transcript of Precious Mutsetse, Zimbabwe, HIV/AIDS and Care work - Summit 2012