The crucial role of Mayors

1. Turning The Tide Together The crucial role of Mayors

2. Introduction • Home to just under 4 million people, 30 000 employed by the Metro • 40% of residents are between the ages of 18 and 49 • Major economic driver is the financial sector • High levels of in-migration (national and international) • Hardest hit by the HIV epidemic in Gauteng province • High number of people living in informal settlements – mostly young single females • 2001 - the City adopted HIV and AIDS as a Mayoral Priority Programme • 2005 the City adopts an HIV and AIDS workplace policy • The approach is to align to National Strategy on HAST and to the GDS 2040 • Prevalence trends at 21% (HCT), national at 17% (WHO)

3. 2001 – 2011 HIV Programme • Clinical • Established ARV sites • Adopts NIMART programme • HIV Counselling and Testing • Training • Research • Prevention • Education programmes • Condom Distribution • Peer Educator Training • Communities at Risk • Workplace • Prevention • Peer Educators • HCT • NIMART

4. Progress to Date One in five People test positive for HIV

5. GDS 2040 Goal By 2040, the City aims to zero levels of new HIV infections, deaths and stigma Proactive interventions are already in place, special emphasis is on adopting a socially driven combination prevention strategy

6. Johannesburg 2001 - 2040

7. Accessibility • At all clinics, patients should ALWAYS HAVE ACCESS to: • HIV Counselling and Testing • HIV Treatment • Drugs and other medicinal requirements • Delivery of integrated services • 1 stop consulting rooms

8. Leadership Johannesburg Aids Council Chaired by the Executive Mayor where he provides direction to the 19 sector member invited from the civil society • Mayoral Aids Fund • Uses funds from the annual Golf Day to support ward based NGO’s. Since 2005, have donated over $800 000 to small NGO’s working in HIV and AIDS

9. Impact • Reduced incidence of new HIV infections to zero • Reduce HIV related sickness and deaths • See more people living longer healthier lives • Reduce work absenteeism related to HIV and AIDS • Increased productivity due to improved health • Stabilise our communities

10. Visibility Minister of Health, Dr Aaron Motsoaledi being tested at the ABSA bank HCT launch City Manager, Trevor Fowler and MMC Molwele leading the launch of the Healthy Living Lifestyle campaign – Soweto MEC Health, Ntombi Mekgwe and MM: Molwele leading the 2011 World Aids Day march • Active participation at campaigns • HIV and AIDS, STI & TB Campaigns • World Aids Day is a Mayoral event in the CoJ • Participating in the door to door HIV education campaigns

11. 700 000 people reached through door to door HIV education Education 3.8m condoms distributed in high risk communities in 2011 • Promote healthy living lifestyles • Encourage regular testing for HIV and TB • An active HIV and AIDS policy dedicated for staff • Education, education, education • Upscale combination prevention methods 1.4 million people tested through HCT in 2010/11

12. Joint Effort • Government cannot do it alone – adopted a multi-sectoral approach • In Partnership with Pepfar and local NGO’s to increase impact • Always engaging communities – feedback is critical • Create innovative space for civil society space

13. Offensive The GDS 2040 goal is a City that is liveable, sustainable and resilient. Contained in this goal, the City aims to reduce HIV and AIDS prevalence to zero by 2040. The only way to achieve this is to ATTACK the virus aggressively, by implementing every prevention programme that is available PMTCT TB Community HIV Education Treat all STI’s Prevention programmes FAMILY PLANNING ARV Ijozi Ihlomile Cryptococal screening PCR PEP Peer Education MMC CONDOM DISTRIBUTION Cervical cancer screening

14. Business Unsual… • Unconventional solutions for an unconventional disease – HHP • Find revolutionary and innovative responses to the epidemic • Adopt new groundbreaking methods and initiatives • Improve the quality of life for the infected and affected

15. 57% males have been circumcised 2010, KABP • In addition to the current programmes, we plan to strengthen Men health services: • education and awareness • upscale male initiated prevention methods • increase the number of men testing for HIV and other diseases • Make the services more accessible to males

16. Realistic • Programmes • Budget allocations • Timeframes • Targets • Expectations • Partners • Staff • Communities • Results

17. Gauge The 30 year mission is to transform the lives of the poorest communities and improve access to services. One of the measurement will be the health profile of the people of Johannesburg City of Johannesburg Strategic Plan on HIV and AIDS, STI , TB: 2012 - 2016 • Check progress – annually, five yearly and every ten years • GDS 2040 – Measure HIV prevalence every 5 years • Impact and relevance to the community • Alignment to national and international goals

18. Way Forward Continuity is key sustain what has worked • Alignment to GDS 2040 and national plans on HIV and AIDS, STI & TB • Increased space for innovative solutions from civil society • Address structural and social drivers • Know our wards and communities • Know the social and structural drivers to infection • Reduce internalised stigmatisation • Improve on our records on human rights towards HIV positive people

19. A message from the Mayor Executive Mayor, Clr Parks Tau City of Johannesburg “We need to change coursebecause the people of Joburg deserve it from all of us. We have a collective responsibility to leave a proud legacy for the citizens of this City. Years from now, we must all be able to point out to concrete and revolutionary changes that we have effected in turning the tide against HIV, AIDS and TB.”