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

3. 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

4. A CATALYST FOR SUSTAINABLE DEVELOPMENT FOR A BETTER LIFE FOR ALL3 Socio Economic Analysis TOTAL POPULATION (1 154 692 )

5. A CATALYST FOR SUSTAINABLE DEVELOPMENT FOR A BETTER LIFE FOR ALL4 SOCIO-ECONOMIC ANALYSIS INDICATORSAGANANGBLOUBERGLEPELLE- NKUMPI MOLEMOLEPOLOKWANECAPRICORN TOTAL Population numbers (census 2001) 147 682161 322227 970109 441508 2771 154 692 Number of households 32 18533 93951 24427 889124 977270 236 Age 0-1984 20795 562125 44657 708244 198607 121 ( 845 602 up to 34yrs) No of people with no schooling 24 94138 00944 45423 27257 436188 112 Unemployment45%43%45%40%41%43% Below basic income level R800 170 089 HIV/Aids prevalence 13.89%

6. A CATALYST FOR SUSTAINABLE DEVELOPMENT FOR A BETTER LIFE FOR ALL5 SOCIO-ECONOMIC ANALYSIS INDICATORS PER MUNICIPALITTY AGANANG (147 682p) (32 185h) BLOUBERG (161 322p) (33939h) LEPELLE- NKUMPI (227 970p) (51244h) MOLEMOLE (109 441p) (27889h) POLOKWANE (508 277p) (124977h) CAPRICORN TOTAL (1 154 692p) (270236h) No Access to water (below RDP standards) 94 336115 526191 30282 461310 444801 786 No Access to sanitation (h) 27 40326 89937 48719 95875 092186 919 Electricity Access12 96013 64832 31420 859100 997180 778 Access to formal housing (h) 31222308034970926632102 906241 272 Households with refuse Removal (weekly) 793318263183541 00551 513 Without access to transport 68 55877 867102 74952 559190 575492 308

7. 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

8. 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

9. 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

10. 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

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

12. 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 (1 154 692) CDM Local Municipalities (5) STAKEHOLDER PARTICIPATION MODEL Academic Institutions (5)

13. 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%.

14. 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

15. 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

16. 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

17. 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.

18. 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.

19. 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.

20. 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.

21. 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).

22. 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

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