Zululand District Aids Council Report to KPCA Presented by; Cllr. BM Nxusa, Mayor of eDumbe Municipality on behalf of Chairperson for Zululand District AIDS Council

Zululand District Aids Council Report to KPCA Introduction This report is the summary outline of what has mostly been happening in our District during this reporting quarter in terms of responding to HIV & AIDS, STIs, TB and other developmental issues. It is a collective report compiled from deliverables of all sectors and or Departments, especially the social cluster. It mainly focuses on the co-ordination of programmes within the Zululand District in responding to basic health challenges, primarily HIV & AIDS, STIs, TB and strengthening of OSS and its initiatives.

Zululand District Aids Council Report to KPCA Community Mobilisation IndicatorOutputComments Number of people aged reached with prevention information including anti- gender based violence information by DOHThese clients are reached through CCGs. District still has to improve data to include partners contribution Number of young people aged reached with prevention information including anti-gender based violence information 443 by DOH males and females seen by Humana People to people from July to December 2012 There are many more people reached by other stakeholders who are not counted here. The district still has agree on reliable reporting systems

Zululand District Aids Council Report to KPCA Orphans & Vulnerable Children and Life Skills Zululand District Aids Council Report to KPCA IndicatorTARGETQ1Q2Q3CHALLENGEACTION  Number of registered OVC Early identification of ovc due to insufficient community caregivers (CCGs) operating in wards CCGs not yet trained on the integrated community caregiver are foundation course Ensure appointment of Community Caregivers in all wards Training of Community care givers  Number of registered OVC in schools No proper tracking system for ovc’s in schools Concerned departments(DOE &DSD) to work on the tracking system of ovc’s in schools  Number of registered OVC receiving care and support Not all ovc’s receive care and support due to limited resources To source funds from other donors working with ovc’s Number of learners pregnant Poor parental support & community participation in addressing learner pregnancy in schools. Involvement of SGBs, Parents, Community members & other interest groups in HIV & AIDS programmes

Zululand District Aids Council Report to KPCA Prevention of Mother to Child Transmission IndicatorTARGETQ1Q2Q3CHALLENGEACTIVITY Baby PCR tested positive around 6 weeks rate <2%3%2%3%Late booking contributes to vertical transmission. Early identification of pregnant women by CCGs and referral to clinics. Fast tracking of eligible HIV positive pregnant women to access ARVs Baby HIV antibody test positive at 18 months rate <3%3%4%2%There is a steady decline in babies who test HIV positive at 18 months To continue with health education at all times and support for good infant feeding practices. ANC booking before 20 weeks rate 50%45%47.8%51%There is a gradual increase noted each quarter. To continue with health education and active identification of pregnant women by all health workers at all levels. To continue to involve stake holders

Zululand District Aids Council Report to KPCA HCT, Condom Distribution & MMC IndicatorsAnnual Target Q1Q2Q3outputComments Number of new HIV test carried out District to recruit HCT coordinator Number of male condoms distributed District is on target at 76.7%. District performance has improved due to the contribution of NGO/CBO partners as well as CCGs. Number of female condoms distributed There is a continued improvement in the number of female condoms distributed. Number of males aged circumcised The program seems to only attract school going population who are mainly available during school holidays. Need to work hard in motivating targeted men to agree to be circumcised.

Prevention of Exposure to transmission from occupational exposure and Sexual violence Zululand District Aids Council Report to KPCA IndicatorTARGETQ1Q2Q3Comments Number of new sexual assault cases The number of people reporting sexual assault seems to be stabilized around 155. Children under 12 years sexually assaulted rate Reduce from 34% to 5% of new sexual assaults. 45%47%57%There is a steady increase in the number of children who are sexually assaulted. The district has to come up with a strategy to involve all stakeholders

Coordination, Monitoring & Evaluation Zululand District Aids Council Report to KPCA IndicatorOutputComments Number of LACs Holding Meetings as scheduled 02Non adherence to LAC meetings schedule as submitted to DAC. Number of LACs submitting reports to DAC 05There is still a challenge on timely submission though all LACs submit. Number of WACs submitting reports to LAC 01Training of WACs secretariat(CDWs Youth Ambassadors is underway) to improve reporting. Number of functional War rooms 90Some wards have more than one War room due to wideness

Severe Acute Malnutrition: April 2012 – January 2013 No of Children <5 admitted: 96 No of deaths from SAM: 20 <5 Years ambulatory: 439 <5 Years underweight: 748 <5 Years not gaining weight: Underweight adults HIV + receiving supplements: Underweight TB adults receiving supplements:3 112 Underweight Pregnant women receiving supplements: 516 Zululand District Aids Council Report to KPCA

Thank you !! Dankie!! Ngiyabonga!!