umkhanyakude presentation - pca ( 12 march 2014)...nnoono unitno unitunitof measurement of...

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Page 1: uMKhanyakude Presentation - PCA ( 12 March 2014)...NNooNo UnitNo UnitUnitof Measurement of Measurement of Measurement Q1 QQ11Q1 Q2 QQ22Q2 Q3 QQ33Q3 Target TargetTarget Baseline Baseline
Page 2: uMKhanyakude Presentation - PCA ( 12 March 2014)...NNooNo UnitNo UnitUnitof Measurement of Measurement of Measurement Q1 QQ11Q1 Q2 QQ22Q2 Q3 QQ33Q3 Target TargetTarget Baseline Baseline
Page 3: uMKhanyakude Presentation - PCA ( 12 March 2014)...NNooNo UnitNo UnitUnitof Measurement of Measurement of Measurement Q1 QQ11Q1 Q2 QQ22Q2 Q3 QQ33Q3 Target TargetTarget Baseline Baseline

NoNoNoNo UnitUnitUnitUnit of Measurement of Measurement of Measurement of Measurement Q1Q1Q1Q1 Q2Q2Q2Q2 Q3Q3Q3Q3 TargetTargetTargetTarget Baseline Baseline Baseline Baseline

1.1.1.1. NumberNumberNumberNumber ofofofof peoplepeoplepeoplepeople agedagedagedaged 25252525----49494949

reachedreachedreachedreached withwithwithwith preventionpreventionpreventionprevention awarenessawarenessawarenessawareness

campaignscampaignscampaignscampaigns includingincludingincludingincluding antiantiantianti----gendergendergendergender

basedbasedbasedbased violenceviolenceviolenceviolence informationinformationinformationinformation

557557557557 1524152415241524 6423642364236423 31423314233142331423 25613256132561325613

2.2.2.2. NumberNumberNumberNumber ofofofof youngyoungyoungyoung peoplepeoplepeoplepeople agedagedagedaged 15151515----24242424

reachedreachedreachedreached withwithwithwith preventionpreventionpreventionprevention informationinformationinformationinformation

includingincludingincludingincluding antiantiantianti gendergendergendergender basedbasedbasedbased violenceviolenceviolenceviolence

informationinformationinformationinformation

66 66 66 66 4723472347234723 375 375 375 375 20632206322063220632 14032 14032 14032 14032

Comments: Figures though they are increasing from Q1-Q3, Q3 indicates higher figure this is due to having events during November and December such as 16 days of Activism and the world AIDS

day which also has some build up events where such information and awareness is disseminated.

Also municipalities have many events i.e. Municipal events, cultural events. With indicator number

2, younger people 15-24 Q1 there was underreporting but in Q3 we also had few numbers because

this age includes children at school and children in higher learning and during this time they were

writing exams. The District therefore needs to design a plan on how to fast track the process of

meeting the target.

Page 4: uMKhanyakude Presentation - PCA ( 12 March 2014)...NNooNo UnitNo UnitUnitof Measurement of Measurement of Measurement Q1 QQ11Q1 Q2 QQ22Q2 Q3 QQ33Q3 Target TargetTarget Baseline Baseline

NNNNoooo

UnitUnitUnitUnit of Measurement of Measurement of Measurement of Measurement Q1Q1Q1Q1 Q2Q2Q2Q2 Q3Q3Q3Q3 Target Target Target Target BaselineBaselineBaselineBaseline

1.1.1.1. NumberNumberNumberNumber ofofofof registeredregisteredregisteredregistered OVCOVCOVCOVC 312312312312 279 279 279 279 117117117117 10937109371093710937 3110311031103110

2.2.2.2. NumberNumberNumberNumber ofofofof registeredregisteredregisteredregistered OVCOVCOVCOVC ofofofof schoolschoolschoolschool

goinggoinggoinggoing ageageageage inininin schoolschoolschoolschool

482482482482 267267267267 117117117117 10937109371093710937 1232123212321232

3.3.3.3. NumberNumberNumberNumber ofofofof registeredregisteredregisteredregistered OVCOVCOVCOVC receivingreceivingreceivingreceiving

carecarecarecare andandandand supportsupportsupportsupport

1023102310231023 943943943943 926926926926 10937109371093710937 4248424842484248

CommentCommentCommentComment:::: TheTheTheThe numbernumbernumbernumber ofofofof OVCOVCOVCOVC withinwithinwithinwithin thethethethe DistrictDistrictDistrictDistrict isisisis decreasingdecreasingdecreasingdecreasing duedueduedue totototo declinedeclinedeclinedecline ofofofof adultadultadultadult mortalitymortalitymortalitymortality....

ThisThisThisThis isisisis accordingaccordingaccordingaccording totototo thethethethe studystudystudystudy thatthatthatthat waswaswaswas conductedconductedconductedconducted bybybyby AfricaAfricaAfricaAfrica CenterCenterCenterCenter.... TheTheTheThe studystudystudystudy indicatedindicatedindicatedindicated thatthatthatthat theretheretherethere

hashashashas beenbeenbeenbeen anananan increaseincreaseincreaseincrease inininin lifelifelifelife expectancyexpectancyexpectancyexpectancy duedueduedue totototo ARVARVARVARV rollrollrollroll outoutoutout treatmenttreatmenttreatmenttreatment whichwhichwhichwhich reducesreducesreducesreduces thethethethe spreadspreadspreadspread

ofofofof HIVHIVHIVHIV andandandand AIDSAIDSAIDSAIDS....

Page 5: uMKhanyakude Presentation - PCA ( 12 March 2014)...NNooNo UnitNo UnitUnitof Measurement of Measurement of Measurement Q1 QQ11Q1 Q2 QQ22Q2 Q3 QQ33Q3 Target TargetTarget Baseline Baseline

NoNoNoNo Unit of MeasurementUnit of MeasurementUnit of MeasurementUnit of Measurement Q1Q1Q1Q1 Q2Q2Q2Q2 Q3Q3Q3Q3 TargetTargetTargetTarget BaselineBaselineBaselineBaseline

1.1.1.1.

NumberNumberNumberNumber ofofofof learnerslearnerslearnerslearners pregnantpregnantpregnantpregnant

381381381381 307307307307 334334334334 0000 1022102210221022

Comments: We do have integrated resources in the District through Department of Education (My life, My Future Campaign), Government Departments (Child Protection week, 16

days of Activism, etc) and Civil Societies (Girls and Boys talk, Life Skills, etc.); though such

resources are taken to schools, figures still remain high. The District has started community

dialogues whereby it appeared that some of the parents are poverty stricken and therefore are

unable to fend for their children, thus exposing them to financial vulnerability. The parents also

do not support the programmes which are in place. The plan therefore is to continue with

community dialogues as well as advocacy campaigns on Schools Senior Management Teams.

Page 6: uMKhanyakude Presentation - PCA ( 12 March 2014)...NNooNo UnitNo UnitUnitof Measurement of Measurement of Measurement Q1 QQ11Q1 Q2 QQ22Q2 Q3 QQ33Q3 Target TargetTarget Baseline Baseline
Page 7: uMKhanyakude Presentation - PCA ( 12 March 2014)...NNooNo UnitNo UnitUnitof Measurement of Measurement of Measurement Q1 QQ11Q1 Q2 QQ22Q2 Q3 QQ33Q3 Target TargetTarget Baseline Baseline

NoNoNoNo InterventionInterventionInterventionIntervention Area Area Area Area Q1Q1Q1Q1 Q2Q2Q2Q2 Q3Q3Q3Q3 TargetTargetTargetTarget BaselineBaselineBaselineBaseline

1.1.1.1. BabyBabyBabyBaby PCRPCRPCRPCR testedtestedtestedtested positivepositivepositivepositive atatatat aroundaroundaroundaround 6666 weeksweeksweeksweeks

raterateraterate2.5%2.5%2.5%2.5% 1.6%1.6%1.6%1.6% 1.5%1.5%1.5%1.5% <1.4%<1.4%<1.4%<1.4% 3%3%3%3%

2 .2 .2 .2 . BabyBabyBabyBaby HIVHIVHIVHIV antibodyantibodyantibodyantibody testtesttesttest positivepositivepositivepositive atatatat 18181818 monthsmonthsmonthsmonths

raterateraterate4%4%4%4% 1%1%1%1% 2%2%2%2% 3%3%3%3% 5%5%5%5%

3. 3. 3. 3. ANCANCANCANC bookingbookingbookingbooking beforebeforebeforebefore 20202020 weeksweeksweeksweeks raterateraterate 55%55%55%55% 67%67%67%67% 60%60%60%60% 60%60%60%60% 54%54%54%54%

4. 4. 4. 4. NumberNumberNumberNumber ofofofof maternalmaternalmaternalmaternal deathsdeathsdeathsdeaths 3333 0000 2222 0000 15151515

5.5.5.5. NumberNumberNumberNumber ofofofof infantinfantinfantinfant deathsdeathsdeathsdeaths 15151515 16161616 22222222 0000 203203203203

Comments:• Babies who tested positive at 18 months were found to be mixed fed and some had mothers who had

tested HIV negative during pregnancy and became positive while breastfeeding. Few pregnant women

who visited the clinics before 20 weeks of their pregnancy in December

Page 8: uMKhanyakude Presentation - PCA ( 12 March 2014)...NNooNo UnitNo UnitUnitof Measurement of Measurement of Measurement Q1 QQ11Q1 Q2 QQ22Q2 Q3 QQ33Q3 Target TargetTarget Baseline Baseline

NoNoNoNo InterventionInterventionInterventionIntervention Area Area Area Area Q1Q1Q1Q1 Q2Q2Q2Q2 Q3Q3Q3Q3 TargetTargetTargetTarget BaselineBaselineBaselineBaseline

1.1.1.1.NumberNumberNumberNumber ofofofof malesmalesmalesmales agedagedagedaged 15151515----49494949

undergoingundergoingundergoingundergoing malemalemalemale medicalmedicalmedicalmedical circumcisioncircumcisioncircumcisioncircumcision

4293429342934293 4987498749874987 787787787787 17171717 848848848848 6 7226 7226 7226 722

Comments:

� Total number of males circumcised is 10 067 and is above the last year’s performance of 6 722.

Page 9: uMKhanyakude Presentation - PCA ( 12 March 2014)...NNooNo UnitNo UnitUnitof Measurement of Measurement of Measurement Q1 QQ11Q1 Q2 QQ22Q2 Q3 QQ33Q3 Target TargetTarget Baseline Baseline

N0N0N0N0 Q1Q1Q1Q1 Q2Q2Q2Q2 Q3Q3Q3Q3 TargetTargetTargetTarget BaselineBaselineBaselineBaseline

1.1.1.1. NumberNumberNumberNumber ofofofof newnewnewnew HIVHIVHIVHIV teststeststeststests carriedcarriedcarriedcarried

outoutoutout32964329643296432964 37856 37856 37856 37856 33026330263302633026 162162162162 160160160160 116 322116 322116 322116 322

CommentsCommentsCommentsComments::::TheTheTheThe districtdistrictdistrictdistrict hashashashas reviewedreviewedreviewedreviewed HCTHCTHCTHCT plansplansplansplans totototo testtesttesttest moremoremoremore peoplepeoplepeoplepeople inininin thethethethe nextnextnextnext quarterquarterquarterquarter andandandand totototo

capturecapturecapturecapture allallallall outstandingoutstandingoutstandingoutstanding statisticsstatisticsstatisticsstatistics fromfromfromfrom variousvariousvariousvarious facilitiesfacilitiesfacilitiesfacilities....

Page 10: uMKhanyakude Presentation - PCA ( 12 March 2014)...NNooNo UnitNo UnitUnitof Measurement of Measurement of Measurement Q1 QQ11Q1 Q2 QQ22Q2 Q3 QQ33Q3 Target TargetTarget Baseline Baseline

N0N0N0N0 Q1Q1Q1Q1 Q2Q2Q2Q2 Q3Q3Q3Q3 TargetTargetTargetTarget BaselineBaselineBaselineBaseline

1.1.1.1. TBTBTBTB CureCureCureCure RateRateRateRate 79%79%79%79% 75%75%75%75% 78%78%78%78% 80%80%80%80% 68%68%68%68%

2. 2. 2. 2. TBTBTBTB DefaulterDefaulterDefaulterDefaulter RateRateRateRate newnewnewnew PTB)PTB)PTB)PTB)

1.9%1.9%1.9%1.9% 4.1%4.1%4.1%4.1% 3.7%3.7%3.7%3.7% 4%4%4%4% 2.8%2.8%2.8%2.8%

3333 MDRMDRMDRMDR ----TBTBTBTB –––– newnewnewnew casescasescasescases 73737373 108108108108 102102102102 <280<280<280<280 310310310310

4444 XDRXDRXDRXDR ----TBTBTBTB –––– newnewnewnew casescasescasescases 4444 2222 6666 <12<12<12<12 10101010

Comments:TBTBTBTB casescasescasescases stillstillstillstill highhighhighhigh.... MDRMDRMDRMDR----TBTBTBTB casescasescasescases alsoalsoalsoalso remainingremainingremainingremaining highhighhighhigh.... MassiveMassiveMassiveMassive TBTBTBTB awarenessawarenessawarenessawareness campaignscampaignscampaignscampaigns totototo bebebebe

conductedconductedconductedconducted inininin areasareasareasareas withwithwithwith highhighhighhigh incidentsincidentsincidentsincidents.... TrainingTrainingTrainingTraining ofofofof healthhealthhealthhealth carecarecarecare workersworkersworkersworkers onononon managementmanagementmanagementmanagement ofofofof TBTBTBTB isisisis

continuingcontinuingcontinuingcontinuing....

Page 11: uMKhanyakude Presentation - PCA ( 12 March 2014)...NNooNo UnitNo UnitUnitof Measurement of Measurement of Measurement Q1 QQ11Q1 Q2 QQ22Q2 Q3 QQ33Q3 Target TargetTarget Baseline Baseline

NoNoNoNo Unit of MeasurementUnit of MeasurementUnit of MeasurementUnit of Measurement Q1Q1Q1Q1 Q2Q2Q2Q2 Q3Q3Q3Q3 TargetTargetTargetTarget BaselineBaselineBaselineBaseline

1.1.1.1.

NumberNumberNumberNumber ofofofof malemalemalemale condomscondomscondomscondoms

1373614137361413736141373614 2270191 2270191 2270191 2270191 1,225,9111,225,9111,225,9111,225,911 11111111 891 730891 730891 730891 730 4 340 3294 340 3294 340 3294 340 329

2.2.2.2.NumberNumberNumberNumber ofofofof femalefemalefemalefemale condomscondomscondomscondoms

distributeddistributeddistributeddistributed

24328243282432824328 40595405954059540595 35794357943579435794 107107107107 868868868868 105 900105 900105 900105 900

Comments:There is a shortage of service providers to distribute condoms in grey areas of the district. The district has

distributed 4, 869, 716 so far and is above the total distributed in 2012/13, however this is still below target.

Health facilities and CCGs have been given targets to distribute in order to meet the target.

Page 12: uMKhanyakude Presentation - PCA ( 12 March 2014)...NNooNo UnitNo UnitUnitof Measurement of Measurement of Measurement Q1 QQ11Q1 Q2 QQ22Q2 Q3 QQ33Q3 Target TargetTarget Baseline Baseline

NoNoNoNo Unit of MeasurementUnit of MeasurementUnit of MeasurementUnit of Measurement Q1Q1Q1Q1 Q2Q2Q2Q2 Q3Q3Q3Q3 TargetTargetTargetTarget BaselineBaselineBaselineBaseline

1.1.1.1.

NumberNumberNumberNumber ofofofof newnewnewnew sexualsexualsexualsexual assaultassaultassaultassault casescasescasescases

69696969 89898989 81818181 <80<80<80<80 288288288288

2.2.2.2.ChildrenChildrenChildrenChildren underunderunderunder 12121212 yearsyearsyearsyears sexuallysexuallysexuallysexually

assaultedassaultedassaultedassaulted raterateraterate

33%33%33%33% 33%33%33%33% 0%0%0%0% <35%<35%<35%<35% 35%35%35%35%

Comment: the target set for new assault cases is high and needs to be reviewed in the next Comment: the target set for new assault cases is high and needs to be reviewed in the next Comment: the target set for new assault cases is high and needs to be reviewed in the next Comment: the target set for new assault cases is high and needs to be reviewed in the next year. year. year. year.

The 0% rate of children under 12 years sexually assaulted equals to 26 children under 12 years The 0% rate of children under 12 years sexually assaulted equals to 26 children under 12 years The 0% rate of children under 12 years sexually assaulted equals to 26 children under 12 years The 0% rate of children under 12 years sexually assaulted equals to 26 children under 12 years

out of the population of 105 317out of the population of 105 317out of the population of 105 317out of the population of 105 317

Page 13: uMKhanyakude Presentation - PCA ( 12 March 2014)...NNooNo UnitNo UnitUnitof Measurement of Measurement of Measurement Q1 QQ11Q1 Q2 QQ22Q2 Q3 QQ33Q3 Target TargetTarget Baseline Baseline
Page 14: uMKhanyakude Presentation - PCA ( 12 March 2014)...NNooNo UnitNo UnitUnitof Measurement of Measurement of Measurement Q1 QQ11Q1 Q2 QQ22Q2 Q3 QQ33Q3 Target TargetTarget Baseline Baseline

NNNNoooo

Unit of MeasurementUnit of MeasurementUnit of MeasurementUnit of Measurement Q1Q1Q1Q1 Q2Q2Q2Q2 Q3Q3Q3Q3 TargetTargetTargetTarget TotalTotalTotalTotal Baseline

1111

....NumberNumberNumberNumber ofofofof childrenchildrenchildrenchildren onononon

ARTARTARTART

4350435043504350 4691469146914691 4442444244424442 6 3486 3486 3486 348 4442444244424442 4 237

2222

....NumberNumberNumberNumber ofofofof adultsadultsadultsadults onononon

ARTARTARTART

51184511845118451184 55049550495504955049 54063540635406354063 57 12857 12857 12857 128 54545454 063063063063 49 239

3333

....NumberNumberNumberNumber ofofofof adultsadultsadultsadults lostlostlostlost

totototo followfollowfollowfollow upupupup

709709709709 513513513513 647647647647 <635<635<635<635 1 8691 8691 8691 869 2073

Comments:

The number of clients lost to follow up is high due to the implementation of an electronic

register which captures patients who were previously not captured as lost. The figure is

expected to drop from April 2014 when all facilities are fully implementing the electronic

register. Some children who reach the age of 15 years are removed from children register to

adult register.

Page 15: uMKhanyakude Presentation - PCA ( 12 March 2014)...NNooNo UnitNo UnitUnitof Measurement of Measurement of Measurement Q1 QQ11Q1 Q2 QQ22Q2 Q3 QQ33Q3 Target TargetTarget Baseline Baseline
Page 16: uMKhanyakude Presentation - PCA ( 12 March 2014)...NNooNo UnitNo UnitUnitof Measurement of Measurement of Measurement Q1 QQ11Q1 Q2 QQ22Q2 Q3 QQ33Q3 Target TargetTarget Baseline Baseline

NoNoNoNo Unit of MeasurementUnit of MeasurementUnit of MeasurementUnit of Measurement Q1Q1Q1Q1 Q2Q2Q2Q2 Q3Q3Q3Q3 TargetTargetTargetTarget BaselineBaselineBaselineBaseline

1.1.1.1. NumberNumberNumberNumber ofofofof LAC,sLAC,sLAC,sLAC,s submittingsubmittingsubmittingsubmitting quarterlyquarterlyquarterlyquarterly reportreportreportreport

totototo DACDACDACDAC5555 5555 5555 5555 15151515

2.2.2.2. NumberNumberNumberNumber ofofofof WAC,sWAC,sWAC,sWAC,s submittingsubmittingsubmittingsubmitting reportsreportsreportsreports totototo LACLACLACLAC 0000 0000 0000 68686868 0000

Comments: DAC resolved that non submission of WAC will be discussed at Mayors Forum

and this is receiving attention of the Councillors.

Page 17: uMKhanyakude Presentation - PCA ( 12 March 2014)...NNooNo UnitNo UnitUnitof Measurement of Measurement of Measurement Q1 QQ11Q1 Q2 QQ22Q2 Q3 QQ33Q3 Target TargetTarget Baseline Baseline