A CATALYST FOR SUSTAINABLE DEVELOPMENT FOR A BETTER LIFE FOR ALL1 CAPRICORN DISTRICT MUNICIPALITY DISTRICT-WIDE HIV AND AIDS RESPONSE PROGRAM 02 DECEMBER 2005

A CATALYST FOR SUSTAINABLE DEVELOPMENT FOR A BETTER LIFE FOR ALL2 Who is Capricorn The District is made up of five Local Municipalities, namely: Aganang Blouberg Lepelle-Nkumpi Molemole Polokwane

A CATALYST FOR SUSTAINABLE DEVELOPMENT FOR A BETTER LIFE FOR ALL3 Socio Economic Analysis TOTAL POPULATION ( )

A CATALYST FOR SUSTAINABLE DEVELOPMENT FOR A BETTER LIFE FOR ALL4 SOCIO-ECONOMIC ANALYSIS INDICATORSAGANANGBLOUBERGLEPELLE- NKUMPI MOLEMOLEPOLOKWANECAPRICORN TOTAL Population numbers (census 2001) Number of households Age ( up to 34yrs) No of people with no schooling Unemployment45%43%45%40%41%43% Below basic income level R HIV/Aids prevalence 13.89%

A CATALYST FOR SUSTAINABLE DEVELOPMENT FOR A BETTER LIFE FOR ALL5 SOCIO-ECONOMIC ANALYSIS INDICATORS PER MUNICIPALITTY AGANANG ( p) (32 185h) BLOUBERG ( p) (33939h) LEPELLE- NKUMPI ( p) (51244h) MOLEMOLE ( p) (27889h) POLOKWANE ( p) (124977h) CAPRICORN TOTAL ( p) (270236h) No Access to water (below RDP standards) No Access to sanitation (h) Electricity Access Access to formal housing (h) Households with refuse Removal (weekly) Without access to transport

A CATALYST FOR SUSTAINABLE DEVELOPMENT FOR A BETTER LIFE FOR ALL6 The Constitutional Mandate of Local Government  Provide democratic and accountable local government  Ensure provision of services to communities  Promote safe and healthy environment  Encourage involvement of communities

A CATALYST FOR SUSTAINABLE DEVELOPMENT FOR A BETTER LIFE FOR ALL7 The IDP Rationale –Tool for developmental local government –Helps overcome apartheid legacy of underdevelopment –Strengthens democracy and institutional transformation –Assists in Promoting inter-governmental and sectoral co- ordination Speeding up service delivery

A CATALYST FOR SUSTAINABLE DEVELOPMENT FOR A BETTER LIFE FOR ALL8 Strategic Thrusts as per IDP  Quality of life perspective with emphasis on basic services  5 broad strategic areas Service Delivery (Infrastructure) Economic dev & Job creation Institutional Dev capacity Financial sustainability Social Development

A CATALYST FOR SUSTAINABLE DEVELOPMENT FOR A BETTER LIFE FOR ALL9 District Planning Framework STAKEHOLDER FORA DISTRICT CO-ORDINATION SECTORAL ALIGNMENT CO-ORDINATION ADVOCACY FACILITATION MONITORING IGR LOCAL MUNICIPALITIES PEOPLE, STRUCTURES,PEOPLE – BETTER LIFE PROVINCIAL, NATIONAL GOVERNMENT, OTHER SECTORS

A CATALYST FOR SUSTAINABLE DEVELOPMENT FOR A BETTER LIFE FOR ALL10 DISTRICT PLANNING FRAMEWORK  CLUSTER APPROACH –BASIC SERVICES –ECONOMIC –SOCIAL –INSTITUTIONAL TRANSFORMATION

A CATALYST FOR SUSTAINABLE DEVELOPMENT FOR A BETTER LIFE FOR ALL11 Business Community (10 000) Employees & Councillors (172) NGOs, CBOs & Cultural Organisations (100) Sector departments & Parstatals (12) Media(12) Traditional Leaders (29) Communities ( ) CDM Local Municipalities (5) STAKEHOLDER PARTICIPATION MODEL Academic Institutions (5)

A CATALYST FOR SUSTAINABLE DEVELOPMENT FOR A BETTER LIFE FOR ALL12 HIV & AIDS BACKGROUND  In 2002/3, District AIDS Council established.  May 2003, DAC convenes first its workshop.  Recommendations adopted – Basis for future work.  2002 Annual Antenatal Survey – HIV Prevalence 13.89% and in 2003 at 20%.

A CATALYST FOR SUSTAINABLE DEVELOPMENT FOR A BETTER LIFE FOR ALL13 HIV & AIDS BACKGROUND  2003/4, Developed a district-wide response strategy that rest on the following pillars: –Partnerships –Prevention –Care, Treatment and Support –Human & Legal Rights –Research and Development –M & E

A CATALYST FOR SUSTAINABLE DEVELOPMENT FOR A BETTER LIFE FOR ALL14 HIV & AIDS BACKGROUND  2003/4, Developed a district workplace policy resting on the following pillars: –Recruitment and Selection –HIV Testing and Confidentiality –Grievance Handling –Leave –Handling, Care & Support for Infected/affected employees  Both Response Strategy and Workplace Policy adopted by Council in early 2004/5

A CATALYST FOR SUSTAINABLE DEVELOPMENT FOR A BETTER LIFE FOR ALL15 GOVERNANCE STRUCTURES  District AIDS Council (Including locals).  Municipal Council (Mayoral & Management)  HIV and AIDS Steering Committee, chaired by the Program Manager  HCBC Forum (District & Locals)  District Health Council

A CATALYST FOR SUSTAINABLE DEVELOPMENT FOR A BETTER LIFE FOR ALL16 COMMUNITY RESPONSE FOCUS  PHC Facilities not coping.  Therefore, Community Based solutions  Informed by legislative mandate – coordination and support.  Following investigation, deliberate focus on Home Community Based Care.

A CATALYST FOR SUSTAINABLE DEVELOPMENT FOR A BETTER LIFE FOR ALL17 Home Community Based Care  Over 110 HCBC Organizations.  Over 700 Care Givers with varying capacity profiles.  Funded and non-funded HCBCs.  Non-regulated environment, therefore increasing organizations.  Established Carer’s Forum at district and local levels.  Convene monthly coordination and reporting meetings.

A CATALYST FOR SUSTAINABLE DEVELOPMENT FOR A BETTER LIFE FOR ALL18 Home Community Based Care Model  Care group/centre that provides services to patients and families/households.  Community/village focus  Linked to a clinic/hospital for referral purposes.  Strong partnership with DoHSD, other sector Departments, LMs and Traditional leaders.  Provision of support both financial and skills.

A CATALYST FOR SUSTAINABLE DEVELOPMENT FOR A BETTER LIFE FOR ALL19 Workplace Focus  Newly established.  Emphasis on employee wellness, largely outsourced service.  September 2005, district-wide HIV KAP prevalence profiling.  Results about to be released.  Outcome to inform overall workplace interventions in addition to primary expectations like VCT, leadership & Management training, etc.

A CATALYST FOR SUSTAINABLE DEVELOPMENT FOR A BETTER LIFE FOR ALL20 Monitoring and Evaluation  Program Manager has an annual performance plan.  Line Managers have related specific performance indicators.  Monthly Reporting (overall stakeholder inputs) – quarterly/annual performance report.  Reports serve before the governance structures (District Health Council).

A CATALYST FOR SUSTAINABLE DEVELOPMENT FOR A BETTER LIFE FOR ALL21 CHALLENGES  Increasing demand for services.  High poverty levels.  Limited resources/allocations.  Information management.  Impact on quality of life.  Integrated planning, funding and implementation.  High levels of ignorance

A CATALYST FOR SUSTAINABLE DEVELOPMENT FOR A BETTER LIFE FOR ALL22 I Thank You!