A District Response to HIV Klipfontein/Mitchells Plain 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 Heideveld Manenberg 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: Western Cape 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