1. Return to Contents Frances Baard Hugo Canham 26.11.08

2. Return to Contents Frances Baard District Challenges & Priorities

3. Return to Contents Challenges Demographic Challenges largest & urbanised district highest HIV & AIDS, STI prevalence 21.7% prevalence condom usage rates have declined and the challenge of condom supply at the moment largest ARV treatment sites: but too burdened by 4000 patients (Galashewe Day Hospital) stable patients are being referred downwards to other centres

4. Return to Contents Challenges shortage of doctors workplace programmes must address prevention more constructively alcohol abuse is prevalent and affecting treatment business is called upon to address alcohol abuse faith based representative called on business to be banned from advertising alcohol poor service mapping for SMME’s – this is being addressed by DOH through Compass Project & will be distributed to district AIDS Councils

5. Return to Contents Solutions District AIDS Councils NOCCI no longer represented & should be undertook to link Business associations such as the mine managers forum to government through AIDS Councils big business needs to be more active in AIDS Councils CSI should address alcohol issues more education & strategies to use outside service providers to have higher VCT uptake NGO’s need to be supported by business business should ‘adopt’ a clinic in outlying areas and support it with condoms and other key issues

6. Return to Contents private sector hospitals have offered to support gov hospitals and this will be followed up SAAMA and DOH will talk about getting more doctors to support public system