Status of HIV & AIDS in the Northern Cape Venue: Garden Court Kimberley
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Status of HIV & AIDS in the Northern Cape
Venue: Garden Court Kimberley
PRESENTATION AT THE BROTHERS FOR LIFE
WORKSHOP
6 May 2010
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The Provincial HIV prevalence rate among pregnant women decreased slightly
from 16.5 in 2007 to 16.2 in 2008. This change in trend suggest the beginning of
stabilization of the epidemic after a peak of 18.5 in 2005
Provincial HIV Prevalence
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HIV Prevalence by District
Although Frances Baard has shown consistent high prevalence rates compared
to other districts, infection rates have started shown decreasing trends. There has
been a significant decrease in prevalence in Namakwa from 7.3 in 2007 to 2.2 in
2008
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Age Distribution of HIV Prevalence
Women in the age group 25 – 29 are the worst affected with prevalence rates of up to 33%.
HIV prevalence among younger women (15 – 19) has shown significant decrease in the three years
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4 Key Priority Areas of the NSP
Prevention Treatment Care and SupportResearch Monitoring & EvaluationHuman Rights and Access to
Justice
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Syphilis prevalence remains the highest in the country. The observed increase
in 2008 brings to a halt progress made in the years 2005 – 2007.
Provincial Syphilis Prevalence
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Syphilis Prevalence by District
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88
STI’sSource: DHIS
Comparative STI Incidence
3.1
2.9
2.8 2.8
2.72.72.82.82.92.93.03.03.13.13.2
2008/09 Q1 Apr- Jun 2009 Q2 Jul - Aug 2009 Q3 Oct - Dec 2009
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STI’sSource: DHIS
28.6
21.1
26.0
20.2
27.4
20.4
24.2
19.1
0.0
5.0
10.0
15.0
20.0
25.0
30.0
2008/09 Q1 Apr-Jun 2009
Q2 Jul -Aug 2009
Q3 Oct -Dec 2009
Comparative STI Partner Tracing Rate vs Treatment Rate
STI PartnerTracing Rate
STI PartnerTreatmentRate
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STI Incidence per district –2009/10Source: DHIS
STI Incidence per District
3.2
5.3
1.81.4 1.6
3.5
1.6 1.3 1.3
2.9
1.4 1.2
2.1
5.6 5.8
0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
FrancesBaard
J T Gaetsewe Namakwa Pixley kaSeme
Siyanda
Q1 2009/10
Q2 2009/10
Q3 2009/10
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1111
STI’sSource: DHIS
Male Condom Distribution Rate vs STI Incidence Rate
6.0 6.2 6.4
7.1
3.1 2.9 2.8 2.8
0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
8.0
2008/09 Q1 Apr- Jun 2009 Q2 Jul - Aug 2009 Q3 Oct - Dec 2009
Male Condom Distribution Rate STI Incidence Rate
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VCT excluding ANC Data source: DHIS
Apr - Jun 2009 July - Sept 2009 Oct - Dec 2009
15703
10830
15608
23653
21,537
13,725
0
5000
10000
15000
20000
25000
VCT Uptake Q1, Q2, Q3 2009/10
Clients receivedpre-testcounselling Clients tested forHIV (excl ANC)
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VCT Uptake per DistrictData source: DHIS
VCT Uptake: Oct - Nov 2009
7418
5480
2757
41573841
5717
2679 26752133
2404
0
1000
2000
3000
4000
5000
6000
7000
8000
FrancesBaard
J TGaetsewe
Namakwa Pixley kaSeme
Siyanda
HIV pre-test counselled(excluding antenatal)
HIV client tested (excludingantenatal)
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VCT Positivity RateData source: DHIS
25%
21%22%
25%
21%
18%
4%4%4%
15%
21%
14%
19%
15%16%
0%
5%
10%
15%
20%
25%
30%
FrancesBaard
J TGaetsewe
Namakwa Pixley kaSeme
Siyanda
VCT Positivity Rate: Q1,Q2 and Q3 2009
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PMTCT Indicators–Q3 2009Data source: DHIS
NVP ANC Uptake: Oct - Dec 2009
0.0
20.0
40.0
60.0
80.0
100.0
120.0
Antenatal client Nevirapine uptake 59.4 100.0 94.7 74.0 36.0
Frances
Baard J T Gaetsewe Namakwa
Pixley ka
Seme Siyanda
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PMTCT Indicators–Q3 2009Data source: DHIS
Dual Therapy Uptake Rate Amongst Babies: Oct - Dec 2009
0.0
20.0
40.0
60.0
80.0
100.0
120.0
Baby AZT uptake 90.3 89.5 100.0 86.0 41.6
Baby Nevirapine uptake 103.6 73.7 100.0 92.0 103.4
Frances Baard J T Gaetsewe Namakwa Pixley ka Seme Siyanda
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Total Registered PatientsSource: CCMT Monitoring System
ART Uptake : 2004 - 2009
3861756
4876
7734
12824
1547317153
18664
02000400060008000
100001200014000160001800020000
Aug -Dec2004
2005 2006 2007 2008 Jun-09 Sep-09 Dec-09
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ART Start per DistrictSource: CCMT Monitoring System
ART Start per District
0
100
200
300
400
500
600
700
800
Siyanda Namakwa JTGaetsewe
Pixley kaSeme
FrancesBaard
Q1 2009/10
Q2 2009/10
Q3 2009/10
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Achievements
New Provincial AIDS Council established
November 2009
The Provincial Strategic Plan was ratified
and adopted
Launch of HCT Campaign
Mobilization strategy for rollout of HCT
Campaign19
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Challenges
Low health seeking behaviour amongst men STI treatment Condom useWeak/non structured male sector in the provinceIncidence of STI’s amongst HIV positive patients on
ARTHigh defaulter rates amongst ART patientsStigma and Discrimination
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Thank you