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CAPRICORN DISTRICT MUNICIPALITY

DISTRICT-WIDE HIV AND AIDS RESPONSE PROGRAM

02 DECEMBER 2005

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Who is Capricorn

The District is made up of five Local Municipalities, namely:

AganangBloubergLepelle-NkumpiMolemolePolokwane

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Socio Economic Analysis TOTAL POPULATION (1 154 692)

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SOCIO-ECONOMIC ANALYSISINDICATORS AGANAN

GBLOUBERG LEPELLE-

NKUMPIMOLEMOLE POLOKWAN

ECAPRICORNTOTAL

Population numbers(census 2001)

147 682 161 322 227 970 109 441 508 277 1 154 692

Number of households

32 185 33 939 51 244 27 889 124 977 270 236

Age 0-19 84 207 95 562 125 446 57 708 244 198 607 121( 845 602 up

to 34yrs)

No of people with no schooling

24 941 38 009 44 454 23 272 57 436 188 112

Unemployment 45% 43% 45% 40% 41% 43%

Below basic income levelR800

170 089

HIV/Aids prevalence

13.89%

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SOCIO-ECONOMIC ANALYSISINDICATORS PER MUNICIPALITTY

AGANANG

(147 682p)(32 185h)

BLOUBERG

(161 322p)(33939h)

LEPELLE-NKUMPI

(227 970p)(51244h)

MOLEMOLE

(109 441p)(27889h)

POLOKWANE

(508 277p)(124977h)

CAPRICORNTOTAL

(1 154 692p)(270236h)

No Access to water (below RDP standards)

94 336 115 526 191 302 82 461 310 444 801 786

No Access to sanitation (h)

27 403 26 899 37 487 19 958 75 092 186 919

Electricity Access

12 960 13 648 32 314 20 859 100 997 180 778

Access to formal housing (h)

31222 30803 49709 26632 102 906 241 272

Households with refuse Removal(weekly)

79 331 8263 1835 41 005 51 513

Without access to transport

68 558 77 867 102 749 52 559 190 575 492 308

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The Constitutional Mandate ofLocal Government Provide democratic and

accountable local government Ensure provision of services to

communities Promote safe and healthy

environment Encourage involvement of

communities

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The IDP Rationale – Tool for developmental local

government– Helps overcome apartheid legacy of

underdevelopment– Strengthens democracy and

institutional transformation– Assists in

• Promoting inter-governmental and sectoral co-ordination

• Speeding up service delivery

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Strategic Thrusts as per IDP Quality of life perspective with emphasis on

basic services 5 broad strategic areas

Service Delivery

(Infrastructure)

Economic dev&

Job creation

Institutional Devcapacity

Financialsustainability

Social Development

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District Planning Framework

STAKEHOLDERFORA

FORA

DISTRICTCO-ORDINATION

SECTORALALIGNMENT

CO-ORDINATIONADVOCACY

FACILITATIONMONITORING

IGR

LOCAL MUNICIPALITIES

PEOPLE, STRUCTURES,PEOPLE – BETTER LIFE

PROVINCIAL , NATIONAL GOVERNMENT, OTHER SECTORS

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DISTRICT PLANNING FRAMEWORK

CLUSTER APPROACH– BASIC SERVICES– ECONOMIC – SOCIAL – INSTITUTIONAL TRANSFORMATION

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Business CommunityBusiness Community(10 000)(10 000)

Employees & CouncillorsEmployees & Councillors(172)(172)

NGOs, CBOs & NGOs, CBOs & Cultural OrganisationsCultural Organisations

(100)(100)

Sector departmentsSector departments& Parstatals& Parstatals

(12)(12)

MediaMedia(12)(12)

Traditional LeadersTraditional Leaders(29)(29)

CommunitiesCommunities(1 154 692)(1 154 692)

CDMLocal MunicipalitiesLocal Municipalities

(5)(5)

STAKEHOLDER PARTICIPATION MODEL

Academic InstitutionsAcademic Institutions

(5)(5)

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HIV & AIDS BACKGROUND In 2002/3, District AIDS Council

established. May 2003, DAC convenes first its

workshop. Recommendations adopted – Basis

for future work. 2002 Annual Antenatal Survey –

HIV Prevalence 13.89% and in 2003 at 20%.

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HIV & AIDS BACKGROUND 2003/4, Developed a

district-wide response strategy that rest on the following pillars:– Partnerships– Prevention– Care, Treatment

and Support– Human & Legal

Rights– Research and

Development– M & E

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HIV & AIDS BACKGROUND 2003/4, Developed a district workplace

policy resting on the following pillars:– Recruitment and Selection– HIV Testing and Confidentiality– Grievance Handling– Leave– Handling, Care & Support for

Infected/affected employees Both Response Strategy and Workplace

Policy adopted by Council in early 2004/5

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GOVERNANCE STRUCTURES

District AIDS Council (Including locals).

Municipal Council (Mayoral & Management)

HIV and AIDS Steering Committee, chaired by the Program Manager

HCBC Forum (District & Locals) District Health Council

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COMMUNITY RESPONSE FOCUS

PHC Facilities not coping. Therefore, Community Based

solutions Informed by legislative mandate –

coordination and support. Following investigation, deliberate

focus on Home Community Based Care.

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Home Community Based Care Over 110 HCBC Organizations. Over 700 Care Givers with varying

capacity profiles. Funded and non-funded HCBCs. Non-regulated environment, therefore

increasing organizations. Established Carer’s Forum at district and

local levels. Convene monthly coordination and

reporting meetings.

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Home Community Based Care Model Care group/centre that provides services

to patients and families/households. Community/village focus Linked to a clinic/hospital for referral

purposes. Strong partnership with DoHSD, other

sector Departments, LMs and Traditional leaders.

Provision of support both financial and skills.

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Workplace Focus Newly established. Emphasis on employee wellness, largely

outsourced service. September 2005, district-wide HIV KAP

prevalence profiling. Results about to be released. Outcome to inform overall workplace

interventions in addition to primary expectations like VCT, leadership & Management training, etc.

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Monitoring and Evaluation Program Manager has an annual

performance plan. Line Managers have related specific

performance indicators. Monthly Reporting (overall

stakeholder inputs) – quarterly/annual performance report.

Reports serve before the governance structures (District Health Council).

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CHALLENGES

Increasing demand for services. High poverty levels. Limited resources/allocations. Information management. Impact on quality of life. Integrated planning, funding and

implementation. High levels of ignorance

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I Thank You!