1. 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

2. 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.

3. Zululand District Aids Council Report to KPCA Community Mobilisation IndicatorOutputComments Number of people aged 25- 49 reached with prevention information including anti- gender based violence information 17 104 by DOHThese clients are reached through CCGs. District still has to improve data to include partners contribution Number of young people aged 15- 24 reached with prevention information including anti-gender based violence information 443 by DOH 40 665 males and 56280 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

4. 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 420011091917431 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 83339321235872 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 1093794819921432 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 636 550 Poor parental support & community participation in addressing learner pregnancy in schools. Involvement of SGBs, Parents, Community members & other interest groups in HIV & AIDS programmes

5. 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

6. Zululand District Aids Council Report to KPCA HCT, Condom Distribution & MMC IndicatorsAnnual Target Q1Q2Q3outputComments Number of new HIV test carried out 278188439425015938826139659District to recruit HCT coordinator Number of male condoms distributed 15 96959536664283443788515073012 260946 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 263066407754888158053147707There is a continued improvement in the number of female condoms distributed. Number of males aged 15- 49 circumcised 136131957201514025474The 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.

7. 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 562161140165The 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

8. 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

9. 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: 1 044 Underweight adults HIV + receiving supplements: 9 004 Underweight TB adults receiving supplements:3 112 Underweight Pregnant women receiving supplements: 516 Zululand District Aids Council Report to KPCA

10. Thank you !! Dankie!! Ngiyabonga!!