1. LIMPOPO PROVINCIAL MEN’S SECTORS/BROTHERS FOR LIFE PRESENTED BY: RAPAKWANA JOHANNAH MANAGER:GAAP in HIV & AIDS & STIs Directorate DEPT OF HEALTH AND SOCIAL DEVELOPMENT VENUE: THE RANCH HOTEL DATE:09.03.2010

2. PRESENTATION OUTLINE  STIs/Condom week: Theme and Messages  HIV Prevalence  HIV Prevention  Importance of VCT  Prevention of Mother to child Transmission  Sexually Transmitted infections (STIs)  Importance of disclosure of HIV status  Anti-Retroviral Treatment (ART)  Care and Support  Addressing stigma and discrimination  How to live with HIV positively  Treatment, Care and Support  Importance of partnership in fighting against HIV and AIDS  The end

3. STI/CONDOM WEEK theme  I AM RESPONSIBLE…  WE ARE RESPONSIBLE…  SOUTH AFRICA IS TAKING RESPONSIBILITY…

4. I am responsible…  Everyone to know their HIV status.  Young people to delay having sex for the first time.  Young people to delay to make informed choices to prevent unwanted pregnancies and HIV infection.  Faithfulness and use of condoms always.  Pregnant women to test for HIV early.  Those with TB to test for HIV, those with HIV to test for TB and get the right treatment.

5. We are responsible…  Couples to talk about their relationships, test for HIV together and be faithful to each other and always use condoms.  Men, women and families to support pregnant women so that they can protect their children from HIV.  Communities to provide care and support to the infected and affected by HIV including orphans and vulnerable children.  Communities to take action and speak out against violence against women.  Communities to stop stigma and discrimination against people living with HIV.

6. South Africa is taking responsibility  Government and all sectors of society represented in the SANAC are providing leadership to ensure that every South African can: Prevent HIV infections. Know their HIV status. That pregnant women can access Prevention of Mother to child Transmission services. All those with TB can access TB drugs and all HIV positive people can access Anti-Retro-viral (ARV) treatment.

7. National HIV prevalence trend 1990 to 2008 0.7 1.7 2.2 4.0 7.6 10.4 14.2 17.0 22.8 22.4 24.5 24.8 26.5 27.9 29.5 30.2 29.1 29.4 29.3 0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 1990199119921993199419951996199719981999200020012002200320042005200620072008 Year % Prevalence

8. Age HIV prevalence trend

9. PROVINCIAL HIV ESTIMATES Northern Cape 16.2 % Eastern Cape 27.6% Free State 32.8% NorthWest 31.0% Western Cape 16.1% KwaZulu - Natal 38.7% Limpopo 20.7% Mpumalanga 35.5 % Gauteng 29.9% 013026039052065 Kilometers Namibia Botswana Lesotho Swaziland

10. 0.3 0.5 1.1 1.8 3.0 4.9 8.0 8.2 11.5 11.4 13.2 14.5 15.6 17.5 19.3 21.5 20.6 20.4 20.7 0.0 5.0 10.0 15.0 20.0 25.0 19901991199219931994199519961997199819992000200120022003 20042005200620072008 Year % Prevalence LIMPOPO HIV PREVALENCE TREND – 1990 TO 2008

11. HIV PREVALENCE AMONG ANTENATAL WOMEN BY DISTRICT, LIMPOPO 2006 to 2008

12. HIV PREVALENCE DISTRIBUTION BY DISTRICT, LIMPOPO, 2008

13. HIV Prevention  Abstinence.  Faithfulness.  In any new relationship- Both be sure of your HIV status.  Use condoms each time you have sex.  Avoid sex when drunk.  Avoid sex in exchange of money.

14. Importance of VCT  VCT enables people to know their HIV status.  It helps to prevent new infections.  It enables people to make reproductive choices. E.g. termination of pregnancy.  VCT relieves stress.  It enables one to seek healthcare timeously e.g. ART and opportunistic infections.  It helps to prevent TB.

15. Importance of VCT cont’d…  VCT helps to prevent stigma and discrimination.  It encourages people to practice safer sex.  Clients counselled April-Dec (09/10) =381 592  Tested for HIV April -Dec (09/10) =318 348  Tested Positive April -Dec (09/10) = 58 124

16. PMTCT 1.Prevention of mother to child transmission of HIV is amongst the priority interventions based on the NSP 2007- 2011 which expect the Province to:  “ Scale up coverage and improve quality of PMTCT to reduce the MTCT to less than 5% by 2011” and to achieve the Mellinum Development Goals ( MDGs)  MDG 4:Reduction of child mortality by 2/3  MDG 5:Improve maternal health by reducing maternal mortality rate  MDG 6:Combat HIV & AIDS, Malaria and other diseases

17. 2.The Provincial progress on implementing the PMTCT:  (100%)All Facilities with Antenatal services offer the service with increased:  Increased number of Pregnant women 78285/83912 (93%) from (90%) 121453 Pregnant women tested/141172 ANC bookings in 2008/9  Increase number of pregnant women receiving ARVs prophylaxis 11105 received ARVs /14006 Tested HIV+ (79%) from 58% in 2008/9 due to the increase in early Antenatal booking at Primary Health facilities.  Reduced number of HIV exposed babies testing HIV positive 787 tested HIV+/6054 babies exposed (13,5%) from 18% in 2008/9.

18. Sexually Transmitted Infections (STIs)  Male Condoms Distributed April-Dec 09 = 16 258 560  Female Condoms April- Dec 09 =277 696  STI new episode treated April – Dec 09 = 118 454  Partner slips issued April – Dec 09 =108 836  Partner Treatment April- Dec 09 =24 522

19. Importance of Disclosure of HIV status  It enables one to get support. e.g. family  It relieves stress.  Disclosure enables one to access healthcare services.  It helps to protect other people from infection.  It helps to promote adherence.  It enables one to live longer.  It promotes productivity.  It enables one to get information on the disease. E.g. support groups.

20. ART (Anti-Retroviral Treatment)  Total sites accredited in Limpopo- 66  Patient currently on treatment in the Province -59 307  Adults- 15 257  Female – 40 037  Children – 4 013

21. CARE AND SUPPORT DistrictNO. of HCBC Funded Total No. of Carers Capricorn771077 Mopani541378 Sekhukhun e 1061753 Vhembe1151569 Waterberg26670 Total3786447

22. NGO FUNDING… DistrictNo. of NGOs providing Lay Counsellor Program Funded No. of Lay Counsellors Capricorn2178 Mopani3188 Sekhukhune2162 Vhembe1176 Waterberg1114 Total9818

23. NGO FUNDING… DistrictNo. of HTA Funded No. of Peers Capricorn130 Mopani230 Sekhukhune130 Vhembe1x National290 Waterberg130 Total6410

24. NGO FUNDING… DistrictNo. of PLHIV Organization Capricorn2 Mopani3 Sekhukhune1 Vhembe1 Waterberg1 Total8

25. Addressing stigma and discrimination  Self-acceptance.  Disclosure.  Attend support groups.  Learn more about HIV and AIDS.  VCT, more people should know their HIV status.  Educating the community e.g. human rights.

26. How to live with HIV positively  Disclosure.  Eating a balanced diet.  Exercise.  Practising safer sex.  Self-care.  Relaxation.  Recreation.  Religion.  Doing things that make you happy.  Avoid stress.  Avoid alcohol and drugs.

27. Importance of partnership in fighting against HIV and AIDS  There is a need for everyone to be involved in the fight against HIV and AIDS.  To speak in one voice.  To bring resources together.  To obtain new development in HIV and AIDS.  To reach the goals of the NSP.

28. The end Thank you!!! Johannah Rapakwana – Contact number: 082 4352 890