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2013/2014 Kweneng East District Evidence Based Plan

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2013/2014 Kweneng East District Evidence Based Plan 2013/2014 Kweneng East District Evidence Based Plan Submitted: 10‐Dec‐2012 District AIDS Coordinating Office Molepolole Ms. Theresa N. Makati, DAC Mr. K. Ntshese, M&E Mr. P. Reetsang, BNAPS Grant Coordinator Ms. Patlo Entaile, BNAPS Grant Coordinator [email protected] Page 1 of 7 TABLE OF CONTENTS Executive Summary 3 Community Services Inventory 4 District HIV/AIDS Profile 5 DMSAC Plan for 2010‐2011 7 Final Summary 8 Appendix A ‐ CSI Alphabetic Full Listing Appendix B ‐ CSI Target Group Listing Appendix C ‐ CSI Type of Activity Offered Listing Appendix D ‐ CSI Type of Service Offered Listing Appendix E ‐ Plan Activities and Budget Page 2 of 7 Executive Summary Kweneng East District has more than 117 organizations in the district that help provide HIV/AIDS‐ related services as well as 19 ARV sites. These include 2 Hospitals and 42 Health Facilities which are made up of Clinics, Health Posts and Testing Sites. The theme for 2011 through 2016 is “Getting to Zero”. This means zero new infections, zero discrimination and zero AIDS related deaths. To facilitate the success of this theme, the Kweneng East DMSAC recently completed its Evidence Based Planning (EBP) process for financial year 2013‐2014. This process involved forming a Planning Group consisting of DMSAC/TAC members, AIDS service organizations representatives, PLWHAs, and traditional leaders in the district. The planning process began by researching and writing an HIV/AIDS profile for the district, the District Profile, and updating the HIV/AIDS Community Services Inventory (CSI). The Planning Group held a one week EBP Training Workshop where collectively they reviewed the District Profile and establish a prioritized list of key issues as follows: 1) Low HIV Testing 2) Low SMC Uptake 3) Low Screening of HIV+ Clients for TB 4) High STI Incidence 5) High Teenage Pregnancy For each issue the Planning Group drafted SMART objectives to guide the creation of strategies to address these issues, which are listed in priority order under each objective. Considering the District Profile and the Community Services Inventory, they arrived at 5 Activities to be implemented for each of the 5 Issues. The resulting Plan addresses these priority issues through listing 27 activities at a cost total cost of P291,840.00. In addition, there is a request for P128,000.00 for Operating Costs. Page 3 of 7 Community Services Inventory Purpose of the Community Services Inventory The CSI is a comprehensive and accurate listing of the many local community resources that join forces in the fight against HIV/AIDS. The list includes full contact information as well as the Type of Provider, the Types of Services they offer and the Target Groups they focus on. The CSI is used to coordinate the EBP efforts each year. Besides the EPB process, this inventory is a useful tool for providers, community leaders and individuals to identify the broad range of services available in the district. Finally, Stakeholders and Organizations within the Kweneng East District are encouraged to collaborate with each other and share this information. Counselors should feel free to refer community members to appropriate services listed in the directory. The Kweneng East Community Services Inventory comes in 4 Grouped Reports and included at the end of this Report. Appendix A Directory of all Organisations This section lists all of the organizations in alphabetical order. This section contains full contact information and a listing of the type of services they offer and their target groups. Appendix B Target Group This section lists organizations according to the Target Group they focus on (i.e. In School Youth, Out of School Youth, Women, OVC). Appendix C Type of Activity This section lists organizations by the Type of Activities they offer (i.e. ARVs, Abstinence, HIV Testing). Appendix D Type of Services This section lists organizations according to the Type of Service (i.e. NGO, CBO, and Government). Note: Corrections, additions and updates should be brought to the District AIDS Coordination Office in Molepolole. The office is outside of the RAC guard gate, in Building DA‐3. Page 4 of 7 District HIV/AIDS Profile Priority Issues At the October 2012 EBP Workshop the Planning Group reviewed and discussed the District Profile. Based on the key findings from the profile, the Planning Group came up with the five highest priority key issues that need to be addressed. SMART objectives were drafted by the planning group to aid in the development of interventions designed to address these issues. Priority Issue I: Low HIV Testing Objective: To increase HIV testing uptake among age group 15‐49 years old from 9.2% to 12.0% by 31st March 2014 in Kweneng East District Evidence Source: District Profile – DHMT Data Priority Issue II: Low SMC Uptake Objective: To increase SMC uptake from 4,825 to 10,000 by 31st March 2014 in Kweneng East District Evidence Source: District Profile – DHMT Data Priority Issue III: Low Screening of HIV+ Clients for TB Objective: To increase screening of HIV+ clients for TB from 1,607 to 10,000 by 31st March 2014 Evidence Source: District Profile – DHMT Data Priority Issue IV: High STI Incidence Objective: To reduce STI Incidence from 8.4% to 6.0% by March 31st 2014 in Kweneng EAST District Evidence Source: District Profile – DHMT Data Priority Issue V: High Teenage Pregnancy Objective: To reduce the prevalence of teenage pregnancy from 2.6% to 1.6% by 31st March 2014 in Kweneng East Evidence Source: District Profile – DHMT Data Page 5 of 7 Key Findings of the District Profile The District wide Key Issues identified are as follows (in no particular order): Low SMC Uptake High TB Cases High STI Cases Low HIV Testing Low MCP Coverage Low Condom Distribution Low Levels of Gender Equity Increase in Teenage Pregnancy Inactive Community Structures Low HAART Enrollment for TB Patients Low Partner Testing Inadequate CCE‐CCO Facilitators in the District The following activities have been identified to address each of the five Key Priority Issues: Training Workshops SMC Campaigns Community Conversations HIV Testing House to House Campaigns TB Education Condom Promotions DMSAC Plan for 2013‐2014 The attached Appendix E ‐ Proposed Activities and Budget specifies the Activities and Organisations targeted, budgeted and scheduled to address the above five Key Priority Issues. Page 6 of 7 Final Summary Kweneng East District has not escaped the devastating impact of HIV/AIDS. The 2008 BAIS III estimated that the Kweneng East District’s prevalence rate is 16.7%. The District’s incidence rate is estimated to be 2.7%. By comparison to the national values, Kweneng East is doing only slightly better at curbing new infections and has a lower percent of population living with the disease. Despite targeted interventions and increased awareness of HIV/AIDS, the overall prevalence in Kweneng East District has not shown signs of decline over the past five years. Since the 2004 BAIS II study, the prevalence rate for Kweneng East has increased from 15.2% to its current state of 16.7%, a 10% increase over four years. The EBP process is the single most important effort that the Government of Botswana implements to combat the effects of the HIV/AIDS pandemic. Page 7 of 7 Kweneng District Profile Financial Year 2013‐2014 District AIDS Coordinating Office Molepolole, Botswana (267) 591‐0579 (30‐Nov‐12) Page 1 of 12 District Overview Kweneng District is located in the south eastern part of Botswana. It has a large population of 304,549, representing approximately 15% of Botswana. Kweneng District comprises three Sub Districts; Letlhakeng, Molepolole/Lentsweletau and Mogoditshane/Thamaga. There are 57 villages in the full District. The Kweneng East Sub District is made up of the Molepolole/Lentsweletau and the Mogoditshane/Thamaga Sub Districts and contains a population of 256,833. The 2008 Botswana AIDS Impact Survey III (BAIS III) data shows a national HIV prevalence rate of 17.6%. This is an increase of 3.0% from the Botswana AIDS Impact Survey II (BAIS II) conducted in 2004 in which the prevalence was found to be 17.1%. The National HIV infection rate is estimated to be at 2.9%. The 2008 national prevalence rate shows 20.4% females and 14.2% malesi. The 2004 national prevalence rate shows 19.8% females and 13.9% males. ii There was an overall increase in prevalence for both males and female. The HIV incidence follows a similar trend showing females at 3.5% and males 2.3%iii. The 2008 report for the Kweneng East District shows the prevalence rate is 16.7% and the incidence rate at 2.7%. By comparison to the national values, Kweneng East is doing only slightly better at curbing new infections and has a smaller population living with the disease. In the past year, the Kweneng East District has had successes in many programs dedicated to combating the spread of HIV. In particular, the district has seen a significant decrease in the number of ARV clients lost to follow up and has continued to see high testing uptakes among ANC clients and low transmission rates between mothers and children. However, even with these successes, there are still other contributing factors that have challenged the district. Gaps in knowledge regarding the role of Multiple Concurrent Partnerships (MCP) in the spread of HIV, high acceptance of MCP practices, and high levels of Gender Based Violence (GBV) show that increased effort must be made to educate the district and alter their current practices if the district is to reach the national goal of no new infections by 2016. Demographics Population According to the most recent census data collected in 2011, Kweneng East has a population of 256,833.
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