05 slabbert sahara conference m slabbert 2
DESCRIPTION
TRANSCRIPT
![Page 1: 05 Slabbert Sahara Conference M Slabbert 2](https://reader033.vdocuments.site/reader033/viewer/2022042623/5453ddb6af79597c338b4998/html5/thumbnails/1.jpg)
![Page 2: 05 Slabbert Sahara Conference M Slabbert 2](https://reader033.vdocuments.site/reader033/viewer/2022042623/5453ddb6af79597c338b4998/html5/thumbnails/2.jpg)
![Page 3: 05 Slabbert Sahara Conference M Slabbert 2](https://reader033.vdocuments.site/reader033/viewer/2022042623/5453ddb6af79597c338b4998/html5/thumbnails/3.jpg)
CD4<350HIV- VL<50 CD4>250HIV+
![Page 4: 05 Slabbert Sahara Conference M Slabbert 2](https://reader033.vdocuments.site/reader033/viewer/2022042623/5453ddb6af79597c338b4998/html5/thumbnails/4.jpg)
Primary prevention: prevention of diseases
and conditions before biological onset
Secondary prevention: the identification and
interdiction of diseases that are present in
the body, but that have not progressed to
the point of causing signs, symptoms, and
dysfunction
Tertiary prevention: the prevention of
disease progression and suffering after it is
clinically obvious. It prevents morbidity and
mortality
Retention through Motivation
Prevention…
Definition adapted from: Robert B Wallace, The Gale Group Inc
![Page 5: 05 Slabbert Sahara Conference M Slabbert 2](https://reader033.vdocuments.site/reader033/viewer/2022042623/5453ddb6af79597c338b4998/html5/thumbnails/5.jpg)
![Page 6: 05 Slabbert Sahara Conference M Slabbert 2](https://reader033.vdocuments.site/reader033/viewer/2022042623/5453ddb6af79597c338b4998/html5/thumbnails/6.jpg)
VCT(+):
Confidential HIV screening, CD4 staging, TB
questionnaire, referral
VCT+ is not an outcome
VCT+ entry point into a continuum of care
100% uptake of target group
Annual VCT+
Prevalence & incidence
VCT+ …
![Page 7: 05 Slabbert Sahara Conference M Slabbert 2](https://reader033.vdocuments.site/reader033/viewer/2022042623/5453ddb6af79597c338b4998/html5/thumbnails/7.jpg)
![Page 8: 05 Slabbert Sahara Conference M Slabbert 2](https://reader033.vdocuments.site/reader033/viewer/2022042623/5453ddb6af79597c338b4998/html5/thumbnails/8.jpg)
Retention Strategies Applied in the Community
Intensive adherence management
Childcare program
Sports program
Drama and music
Theatre “The Miracle”
Entrepreneurship
Retention through motivation
![Page 9: 05 Slabbert Sahara Conference M Slabbert 2](https://reader033.vdocuments.site/reader033/viewer/2022042623/5453ddb6af79597c338b4998/html5/thumbnails/9.jpg)
•Community participation
•Family involvement
•Integrated into Social Mobilisation
•Integrated into Primary Healthcare
CHAMP Prevention program
![Page 10: 05 Slabbert Sahara Conference M Slabbert 2](https://reader033.vdocuments.site/reader033/viewer/2022042623/5453ddb6af79597c338b4998/html5/thumbnails/10.jpg)
Outcome measures of success…
Primary prevention: reduced Prevalence &
Incidence (VCT+, CD4, stigma)
Secondary prevention: earlier care seeking
behaviour (VCT+, CD4, stigma)
Tertiary prevention: lowered morbidity &
mortality
Retention for life – motivation &
destigmatisation
![Page 11: 05 Slabbert Sahara Conference M Slabbert 2](https://reader033.vdocuments.site/reader033/viewer/2022042623/5453ddb6af79597c338b4998/html5/thumbnails/11.jpg)
Some early results…
![Page 12: 05 Slabbert Sahara Conference M Slabbert 2](https://reader033.vdocuments.site/reader033/viewer/2022042623/5453ddb6af79597c338b4998/html5/thumbnails/12.jpg)
010
020
030
040
0m
ean
of c
d4co
unt
0 1
Mean baseline cd4 count at clinic (0=NMC, mean baseline cd4 count=189.5 cells/ul) and Outreach patients (1= Outreach patients, mean baseline cd4 counts= 341.7cells/ul)
Mean Baselines
![Page 13: 05 Slabbert Sahara Conference M Slabbert 2](https://reader033.vdocuments.site/reader033/viewer/2022042623/5453ddb6af79597c338b4998/html5/thumbnails/13.jpg)
![Page 14: 05 Slabbert Sahara Conference M Slabbert 2](https://reader033.vdocuments.site/reader033/viewer/2022042623/5453ddb6af79597c338b4998/html5/thumbnails/14.jpg)
What has gone wrong with past strategies
• Atheoretical not informed by behavioural science
models
• Target groups not assessed, messages not tailored
to target population,
• Messaging too broad with a general focus
• Information without practical advice
• Fail to motivate, do not teach behavioural skills
• Not rigorously evaluated
• Not disseminated widelyFisher, JD SA AIDS conference 2009. Changing AIDS-Risk behaviour
![Page 15: 05 Slabbert Sahara Conference M Slabbert 2](https://reader033.vdocuments.site/reader033/viewer/2022042623/5453ddb6af79597c338b4998/html5/thumbnails/15.jpg)
![Page 16: 05 Slabbert Sahara Conference M Slabbert 2](https://reader033.vdocuments.site/reader033/viewer/2022042623/5453ddb6af79597c338b4998/html5/thumbnails/16.jpg)
010
2030
40m
ean
of a
ge
0 1
Mean Ages
![Page 17: 05 Slabbert Sahara Conference M Slabbert 2](https://reader033.vdocuments.site/reader033/viewer/2022042623/5453ddb6af79597c338b4998/html5/thumbnails/17.jpg)
0 1
1 2
Graphs by time
Sex distribution
Female Male
![Page 18: 05 Slabbert Sahara Conference M Slabbert 2](https://reader033.vdocuments.site/reader033/viewer/2022042623/5453ddb6af79597c338b4998/html5/thumbnails/18.jpg)
Thank you Questions & Discussion