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Strengthening Partnerships for Effective HIV/AIDS Service Delivery in Siyanda District

This report highlights the outcomes of the SABCOHA Conference held in Siyanda District on November 25-26, 2008. It focuses on the collaborations between the District AIDS Council, local municipalities, NGOs, CBOs, government departments, and the private sector. The document discusses the functioning of local AIDS councils, challenges faced, service delivery issues, and critical interactions within the community, particularly regarding VCT, PMTCT, and ART. Key data on treatment rates and defaulter statistics are also presented to illustrate progress and areas needing improvement.

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Strengthening Partnerships for Effective HIV/AIDS Service Delivery in Siyanda District

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  1. SABCOHA Conference Siyanda District 25 - 26 November 2008

  2. Partnerships • District AIDS Council • Structure (Siyanda DM, Local Mun,NGO’s, CBO’s, government dept. private sector) • Functioning • Local AIDS Councils • Tsantsabane only • Challenges • Representivity • Functioning

  3. Service Delivery • Access • VCT • PMTCT • CHBC – 209( Christiana, Noordkaap Vigs Forum; EU process) • ART(13 assessment; 2x treatment; outreach services to Grobblershoop, Keimoes, Kakamas, Askham, Danielskuil; in accreditation process for additional 2 treatment sites – Kakamas, Rietfontein) • STI (all facilities, HTA – process Kakamas)

  4. Service Delivery… • ART • Patients on treatment 1070 • Defaulter rate (April-Sept 08) – (//Khara Hais – 2.93, !Kheis- 14.08, Kai!Garib-0; Mier – 4.84; Tsant – 0.53; Tot. – 2.38) • PMTCT • Nevirapine doses to babies - 97.1% • PCR test on infants – 67% • <5 positive babies – 25,4% • NVP uptake – 61.3

  5. Service Delivery… • VCT • HIV pre-test counselled excluding antenatal – 4 630 (April – Sept 08) • HIV Clients tested exclude antenatal – 4 549(April- Sept 08) • HIV test positive new excluding antenatal – 728

  6. Service Delivery cont.. • Challenges • Structural • HR ( adequacy, skills) • Quality

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