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LOCAL GOVERNMENT RESPONSE TO HIV/AIDS Taking the Lead in Coordination and Action:

LOCAL GOVERNMENT RESPONSE TO HIV/AIDS Taking the Lead in Coordination and Action: Strategy and Partnerships ALGAF IV Session III By the Harare City Team (Mr. Magwenjere, Mrs. Mutiti, Mrs. Samuriwo, Mrs Dewa, Mrs. Dupwa, Mrs. Andifasi, Mrs. Majoni). SESSION OBJECTIVES.

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LOCAL GOVERNMENT RESPONSE TO HIV/AIDS Taking the Lead in Coordination and Action:

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  1. LOCAL GOVERNMENT RESPONSE TO HIV/AIDS Taking the Lead in Coordination and Action: Strategy and Partnerships ALGAF IV Session III By the Harare City Team (Mr. Magwenjere, Mrs. Mutiti, Mrs. Samuriwo, Mrs Dewa, Mrs. Dupwa, Mrs. Andifasi, Mrs. Majoni)

  2. SESSION OBJECTIVES • To emphasize the importance of co-ordination, integration and partnerships in developing an HIV/AIDS strategy • To provide an overview of the concepts of mainstreaming and functional integration (with examples) • To present some of the advantages and challenges of partnerships

  3. PURPOSE OF A STRATEGY • The purpose of a strategy is to provide a framework for how the LGA will address HIV/AIDS in its locality • This framework should identify the objectives of the strategy, how these objectives will be met and who will be involved in the process.

  4. Importance of Mainstreaming of LGA HIV/AIDS Response • The local authority can identify areas which are neglected, overlaps, and duplications and where there are possibilities for collaboration.

  5. RESPONSIBILITY FOR COORDINATION OF HIV/AIDS PARTNERSHIP NETWORK IN HARARE

  6. RESPONSIBILITY FOR COORDINATION OF HIV/AIDS PARTNERSHIP NETWORK IN HARARE (continued)

  7. RESPONSIBILITY FOR COORDINATION OF HIV/AIDS PARTNERSHIP NETWORK IN HARARE (continued)

  8. SERVICES RELATING TO HIV/AIDS PREVENTION, CARE AND MITIGATION IN HARARE LGA • CLINICS • HOSPITALS • VCT CENTRES • HEALTH PROMOTION IN HIV/AIDS • SOCIAL SERVICES

  9. CLINICS • Treatment of opportunistic infection • IEC • Condom Distribution • Referral for supplementary feeding • PNTCT • Counseling • Follow up of home based care patients • Referral to social welfare for psychological support or care

  10. HOSPITALS • Management of affected patients • VCT • Management of opportunistic infections • Implement discharge plan • IEC

  11. VCT CENTRES • VCT support groups

  12. HEALTH PROMOTION IN HIV/AIDS • Youth corners / centres • IEC Activities • YES Programme • Training of Community health workers • Technical support • Kurai Netsika Programme (Community Based Education Programmes for Children under 16 years)

  13. SOCIAL SERVICES • Assistance with food and medical treatment, school uniforms, fees, etc.

  14. GAPS IN HIV/AIDS SERVICE DELIVERY a) Mitigation b) Prevention c) Care d) Research e) Other gaps

  15. Mitigation • Food Packsnot consistently supplied • Those in dire need of school fees and uniforms sometimes do not benefit due to limited funds

  16. Prevention • Not all groups in communities actively participate in educational programmes • Inadequate information material at grassroot level e.g. posters, leaflets, video tapes to suite different target groups • Conflicting messages on condom use which may impact on prevention strategies • Some people still not keen to know their HIV status • PMTCT uptake is low

  17. CARE • There are many organizations carrying out Home based care but they bare fragmented and with allegiance to different donors with little interaction with LGA. • Gaps in meeting social needs by affected families which impacts on LGA • Some drugs to treat opportunistic infections in short supply and ARVs not implemented in Local Authority Institutions • Home based care kits not always available • Lack of clearly laid out Policy on co-ordination, networking and management of the Home Based Care Programme in the City.

  18. RESEARCH • This is an area that needs strengthening by the local authority

  19. OTHER GAPS • NGOs Private Organizations identified as working in the area of HIV/AIDS are not co-ordinated by the Local Government Authority. • There is no co-ordinated planning, implementation monitoring and evaluation of programmes and activities, by the LGA task force team

  20. MAINTREAMING ACTIVITIES

  21. FUNCTIONAL INTEGRATION • Gaps Identified • There are some missing links in service provision – not well linked / co-ordinated • Resources not well utilised • There is an overwhelming demand for other resources (e.g food for the need

  22. LGA RESPONSE • HIV/AIDS task team needs to be strengthened in order to co-ordinate all ASOs in LGA • Strengthen HIV/AIDS multisectoral committee (sharing information and resources) • Focal person to strengthen public relations and social marketing of services • Provide supermarket approach to HIV/AIDS service delivery

  23. LGA RESPONSE (continued) • Increase production of HIV/AIDS information leaflets and ensure access by community groups at all levels • Co-ordinated approach to information development on condom use and promotion to be encouraged • Co-ordinated approach to planning implementation and evaluation of programmes at all levels for LGA needs to be laid out for practical guidance of beneficiaries at all levels • Research on impact of HIV/AIDS information and programmes within the LGA communities is suggested

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