A District Response to HIV Klipfontein/ Substructure 18 April 2012

Neshaan Peton Metro District Geographic Service Area Platform

. • Metro= East and West

• Metro West is divided into Southern /Western substructure and

Klipfontein/Mitchells Plain substructures

• Metro East is divided into Northern /Tygerberg substructure and

Khayelitsha/Eastern Plain substructures

• Each substructure = two municipal sub-districts

• Both authorities render PHC services

• Provincial DoH has a SLA with Coct, in this respect. Klipfontein/Mitchells Plain Substructure Population data for the KMP substructure

• Klipfontein SD has a population of 421 027 of which 16% insured

• Klipfontein SD had between 9-11% of patients accessing HCT in 2011 , testing HIV + (positive). For the

year the SD tested +/- 74 000 patients.

• Mitchells Plain SD has a population of 481 076 of which 12 % insured

• Mitchells Plain SD had 7-9% of patients accessing HCT, test HIV + for 2011

• For the year the SD tested +/- 76 000 patients. ACTS fully implemented .All counselors are trained in the

finger prick procedure.

• We have identified the need to expand our HAST Program to include all our facilities render ARV

services.

• ‘Link to care’. Each year we roll out more sites to reach this goal.

• Planned new sites for 12/13 – Phumlani ; Masincdane; Westridge Clinics

NUMBER OF FACILITIES IN THE KLIPFONTEIN / MITCHELL’S PLAIN SUBSTRUCTURE Of these facilities, there are 7 BANC sites and 11 ARV sites , of the 11 ART 4 offer paeds services.

Health district Facility type No.

Community Health Centres (CHC’s) 3

Community Day Centres (CDC’s) 6

Maternity & Obstetric Units (MOU’s) 3

Clinics 18

Satellite Clinics 6

KLIPFONTEIN / MITCHELL’S PLAIN Mobile Clinics 0

District Hospitals 2

Associated Psychiatric Hospitals (APH’s) 1

Rehabilitation Hospitals 1

Palliative Care In-patient facilities 1

Sub-acute care In-patient facilities 1 CHC CDC CLINIC SATELITE DISTRICT MOU RHC CLINIC

Guguletu CHC Dr. Silvertown Hazendal GF Jooste Mitchells Plain Nyanga Abdurahman MOU Junction RHC Hanover Park CDC Lansdowne Honeyside CHC Ruimte road CDC Vuyani Nyanga CDC Heideveld

Masicedane

Nyanga

Guguletu

Hanover Park

CHC CDC CLINIC SATELITE DISTRICT MOU RHC CLINIC

Mitchells Plain Crossroads Crossroads 1 Mandalay New Mitchells Mitchells Plain Mitchells Plain CHC CDC Satellite Clinic Plain District MOU Youth Health Crossroads 2 Hospital Browns Farm Westridge (Inzame Phumlani satelite Zabantu) Mzamomhle Rocklands satelite Tafelsig

Eastridge Lentegeur

Weltevreden Valley

Rocklands

MDHS Facilities : CoCt Clinic:

The two sub-districts has support systems

CHC –*Guguletu ; Hanover Park; Hanover Park; Heideveld; Manenberg;Lansdowne;Silvertown; Guguletu;Nyanga; Vuyani and Masincedane;*

Mzamomhle;Phumlani;Cross *Mitchells Plain roads;Weltevreden Valley;Eastridge; Westridge;Lentegeur;Rocklands and Tafelsig

CDC- *Heideveld (combined facility); Dr Abduragman ;*Nyanga (combined facility);

Inzame Zabantu and *Cross Roads (combined facility)

RHC-Nyanga; Mitchells Plain

MOU- Guguletu; Hanover Park and Mitchells Plain

Leading causes of YLLs: Districts 2009 Rank City of Cape Cape Central Karoo Eden Overberg West Coast Town Winelands 1 HIV TB HIV TB TB TB 13.1% 11.3% 13.7% 12.6% 10.6% 12.2% 2 Homicide HIV Road injuries HIV HIV HIV 9.8% 11.0% 13.1% 9.3% 9.3% 8.9% 3 TB Homicide TB Homicide Homicide Road injuries 9.6% 6.6% 10.9% 6.7% 8.2% 7.6% 4 Road injuries Road injuries COPD Ischaemic heart Road injurie