HIV

Launch of social ills campaign in eThekwini

Launch of social ills campaign in eThekwini

On 31 August 2023, the TB HIV Care PPPrev Team joined the Deputy Minister of Health, Sibongiseni Dhlomo, at the launch of a new inter-departmental campaign in eThekwini. The campaign, led by the Department of Basic Education and supported by TB HIV Care, aims to end social ills such as violence, bullying, gender-based violence, learner pregnancy, and drug and substance abuse that ultimately affect adolescents and young people (AYP).

Presenters echoed the same sentiments, highlighting that teenage pregnancy remains a considerable challenge in KZN schools. The Deputy Minister cautioned that once adolescent girls begin menstruating, they can fall pregnant, urging learners to abstain from early sexual debut.

“There is no benefit in using drugs and alcohol; however, this can increase your vulnerability to rape or pregnancy. As young people, you should have a plan for your life to navigate school and, ultimately, your career and be able to contribute to the economy of this country. I encourage every learner to take charge of their future and health outcomes,” said Dhlomo.

According to the Commission for Gender Equality (CGE), the high teenage pregnancy rate contributes to the high drop-out rate in schools, thus harming the mother and child’s health, education and socio-economic status.

The social ills campaign follows TB HIV Care’s PPPrev Team’s recent launch of the ‘0% Learner Pregnancy’ campaign in eThekwini and the upcoming radio campaign which will shine a spotlight on the issue – just some of the intensive campaigns that PPPrev eThekwini has embarked on to end teenage pregnancy in the district.

 

Closing the Gap in Paediatric HIV Management

Closing the Gap in Paediatric HIV Management

South Africa is committed to reaching the UNAIDS 95-95-95 targets by 2025, whereby 95% of people living with HIV (PLHIV) know their status, 95% of those are on sustained antiretroviral therapy (ART), and 95% of people receiving treatment are virally suppressed.

In 2023 in South Africa, 92% of PLHIV know their status, 77% of those are on ARVs, and 92% of those are virally suppressed. To close the gaps, certain challenges still need to be overcome, including those associated with paediatric HIV management and care.

On Wednesday, 12 July a Family Care Day was held at Nqamakwe Community Health Centre (CHC) in the Amathole District Municipality of the Eastern Cape to address paediatric HIV management challenges – and the structural and societal barriers on the road to 95-95-95.

The event brought together key stakeholders, including the Department of Health (DOH) District Manager, the district HAST team, Ward Councillors, Old Mutual, AIDS Healthcare Foundation, and Beyond Zero, all united in their efforts to improve paediatric and adolescent HIV care in a district which is struggling to make significant progress against targets.

Among the challenges:

  • Case finding among children and men
  • Linkage to treatment for all age groups
  • Viral load suppression among children under 10 years (currently at 77%)
  • Mother-to-child transmission rates leading to new child infections

A big part of the day focused on interacting with the community, raising awareness and delivering services. CHC Case Officers and Community Health Workers successfully recalled 40 of 48 children on antiretroviral therapy (ART), 14 clients received HIV testing services (HTS), Professional Nurses (PNs) and Medical Officers provided treatment and specialised care for clients with unsuppressed viral loads, while PNs led adherence counselling sessions for clients with upcoming return dates. Youngsters were also empowered through a fun and engaging “Snakes and Ladders” game, designed to educate children about treatment adherence, peer influence and family support.

Importantly, the event also established a Youth Care group for adolescents living with HIV. This group will help motivate and support newly diagnosed children and adolescents struggling with viral load (VL) suppression. Progress on VL suppression will be monitored through a Quality Improvement (QI) project.

The Family Care Day at Nqamakwe CHC highlighted the power of collective action and collaboration in tackling paediatric HIV management challenges. By addressing case finding, improving linkage to care, enhancing viral load suppression, and preventing mother-to-child transmission, the Amathole district is making meaningful strides towards achieving the 95-95-95 targets. All stakeholders remain committed to a brighter future for children and adolescents living with HIV in the region.

Skinner Clinic: KP Friendly Public Health Services Arrive in Tshwane!

Skinner Clinic: KP Friendly Public Health Services Arrive in Tshwane!

TB HIV Care’s PWID Programme celebrated the launch of the Centre of Excellence, a key population-friendly health services centre at Skinner Clinic, Tshwane District Hospital, on Tuesday, 30 May 2023.

The new centre will ensure vulnerable populations, including PWID/PWUD, MSM and female sex workers have easy access to friendly, inclusive and non-judgemental healthcare services. These key populations face heightened risk of HIV transmission and STIs compared to the general population, largely due to various structural, socio-cultural and behavioural factors.

The launch allowed for candid dialogue between Gauteng Health MEC Nomantu Nkomo-Ralehoko, valued partners and service users (representing various key populations), which not only shed light on the challenges faced by key populations – but also explored potential solutions.

TB HIV Care’s Site Manager, Phumzile Mngomezulu, delivered a comprehensive speech highlighting the PWID Programme’s intricacies and the tailor-made harm reduction strategies employed to prevent and manage HIV among people who inject drugs. The programme’s profound impact in Tshwane and the collaborative relationship with the district were also emphasised. In attendance were members of the TB HIV Care team, including peer educators, a peer coordinator and three service users. Importantly, the service users were given a platform to address the MEC directly, sharing their challenges in accessing services at public health facilities.

The MEC attentively responded to the challenges raised by each key population and reiterated the support that Skinner Clinic, as the Centre of Excellence, will provide. The event marked the successful commencement of key population-friendly services at Skinner Clinic, thanks to our partners’ continuous support and commitment. Through training, mentoring, sensitisation efforts, and the implementation of effective service referral systems, the clinic is fully dedicated to meeting the unique needs of vulnerable groups.

Launching the Key Populations Friendly Service Centre at Skinner Clinic was a significant milestone, promising a brighter future for key populations who can now access the care and support they deserve.