Development Aid from People to People Total Control of the Epidemic Monze West Year Report 2014 January to December

Transcription

1 Development Aid from People to People Total Control of the Epidemic Monze West Year Report 2014 January to December To U-landshjelp fra Folk til Folk, Norge 1

2 Name of project: TCE Monze West Development Aid from People to People in Zambia Reporting Period: January to December INTRODUCTION Development Aid from People to People runs the Total Control of Epidemic in Monze district. During this reporting year the project worked with 40 field Officers who were conducting door-to-door HIV counseling and testing, giving HIV and AIDS prevention messages, following up those tested HIV positive and linking them to care and support. The project aimed at empowering the communities with knowledge of how to defend, protect, fight against stigma by encouraging all tested HIV positive to be linked to care and support in order to achieve Zero HIV infection, zero AIDS related death and zero stigma and discrimination. 2. PROJECT ACTIVITIES 2.1 HIV Prevention In order to enhance preventive measures of HIV infection, reinfection and its spread the project encouraged all men tested HIV negative to go for Voluntary Medical Male Circumcision (VMMC) in the same way women were encouraged to go for cervical cancer screening and couples were also encouraged to go with their spouses for both cervical or VMMC. To ensure that all the people referred for VMMC and cervical cancer screenings complete the referral the Field Officers conducted more visit to those referred for VMMC and cervical cancer screening. The Troop managed to refer 236 men and boys for VMMC and 214(90%) men and boys completed the referral and the remaining 22 are still in the process of accessing the service. Mobilization for VMMC started from the local leaders who are the custodians of the tradition who themselves were in the forefront in accepting going for VMMC as a way of leading by example, also the field officer managed to reach people during door to door, in churches, in schools, during HIV counseling and testing, and during community gatherings and ceremonies Organisation of people to Defend the Community Against the Epidemic The 40 Field Officers made 116,557 visits during the period under review and managed to register 97,254 people from 17, 122 registered households. Before registration, the Field Officers together with 2,061 passionates had to introduce the all TCE programme in order for people to have a clear understanding of the all TCE project Giving people knowledge about the epidemic in the community Using the five steps approach mainly used during household visitation, the field officers reached out to the community with information about the HIV epidemic and advocated for 2

3 behavior change in the community among the targeted groups such as support groups, community clubs and Anti AIDS clubs. Information on correct condom use to prevent damage and spread of the virus, Voluntary Medical Male Circumcision and Cervical Cancer information was disseminated to the community. The support groups were provided with information on positive living in order to maintain adherence to treatment and fight the epidemic School and youth programmes During the reporting period under review, the youths were also among the people reached with AB messages, through Anti AIDS clubs in schools, church programmes, door-to-door, National events like Youth Day, traditional gatherings and community events. In order to achieve this, passionates worked together with the Field Officers in reaching out to 57 Anti AIDS clubs with 3,356 members in 63 schools Condom distribution As a way of promoting safer sex, 1,272,646 condoms were distributed; the target was achieved due increased demand for condoms in the communities as well as increased supply. The condoms were distributed from the Field Workers to passionates who run 306 established condom distribution outlet, demonstrations on correct condom use were conducted in different communities during the promotion as well as by the condom distributors. 2.2 Care and Support to OVC and to People living With HIV During the period under review the project worked with different partners in order to provide support and care for people affected by HIV and AIDS through referral services these partners were: Social welfare, support groups, Community AIDS Task Forces (CATF), churches and Community Orphan committees. The project managed to provide care and support to 400 pregnant women and 2,965 orphans Referral The project together with the Field Officers and passionates (Treatment Supporters) managed to help those referred to Highly Active Anti retroviral Therapy (HAART) complete referral and be linked for care and support through formation of ARV trios and support groups through door to door visits. Those who missed dates of appointments at ART centers for more than 1 month were declared lost to follow up and the Field Officers and Treatment Supporters managed to trace them and the project gave the feedback to the ART centers at Monze Mission Hospital Reaching hard to reach areas with services The project is aiming at bringing health care services and ART services closer to the 3

4 community by providing or lobbying mobile ART at strategic centers which are very far from ART centers and those places which are hard to reach during rainy seasons in Monze west. The project with support from District Community Medical Office reached the islands where the community received different kind of health services thus Voluntary Medical Male Circumcision VMMC, family planning HIV Counseling and Testing HCT, prevention of Malaria by distribution of Treated Insecticide Mosquito Nets, and general health examinations Treatment and Mobile ART services Working In collaboration with Ministry of Community Development Mother and Child s Health in Monze west the project managed to lobby for mobile ART and to open centers for mobile ART, thus Hamangaba and Hakunkula the centers provide ART services to islands, game park and fish camps. 2.3 The Increased awareness of HIV/AIDS in the communities During the period under review, the project worked with 2,061 active passionates to empower the community to defend and deal with issues to do with HIV and AIDS. The Field Officers continued working hand in hand with all community-based organization in order to create effective linkages, good system for support and care for the people infected and affected with HIV and AIDS. 2.4 Improved income for PLHIV and their families The Field Officers managed to form new support groups and strengthened the existing ones and they encouraged them to start income generating activities by mobilizing their own resources. Orphans and people living with HIV were helped by providing nutritious foods and transport to go for review at ART centers. 4

5 3.0 EFFECTS OF THE PROJECT During the period under review the field workers intensified on HIV counselling and testing, as a result the number of people accessing prevention services such as female and male condoms, male circumcision, counselling and testing, and family planning services increased. The project managed to distributed 1,276, 242(212% achievement) condoms to end users; this was coupled with information on HIV prevention to about 200,000 people and is expected to have significantly contributed towards reduced number of HIV infections in the operation areas. 138% completion of referral for ART can be attributed to increased awareness of HIV/AIDS in the communities and the number of people getting to know their HIV status as couples. The project recorded an increase in the numbers of both Positive and negative pregnant women mobilized and referred for PMTCT services and completing the referrals. This was because the number of husbands taking part in PMTCT increased after being sensitized on the importance of male involvement in PMTCT hence supporting and accompanying their pregnant wives in accessing the services. The increase in the number of school Anti AIDS club members can be attributed to AB information disseminated to youths in their respective clubs. During this period under review, the project worked with 57 Anti AIDS clubs consisting 1553 members in 63 schools. 5

6 Annex 1: Output Table Activities Planned Achievements Variance % Achieved 1 No of People Registered 100,000 97,254 14, % 2 No of household registered 17,000 17, % 3 Total number of visits 50, ,557 66, % 4 Total counselled and tested 40,000 44,773 4, % 5 No couples tested 0 11,612 11, % 6 No TCE compliant 20,000 67,339 47, % 7 No condom outlets % 8 No condom distributed 600,000 1,272, , % 9 No of schools % 10 No of children in school 5,000 3,356-1,644 67% 11 Number of pregnant women mobilized for PMTCT % 12 People referred for ART 800 1, % 13 People completed referred % 15 Orphans in the program 1,000 2,965 1, % 16 Active as TCE passionates 1,000 2,061 1, % 17 Trio for ARVs % 18 No of support groups % 19 Most at risk population reached Comments to the numbers: During the period under review, the project achieved most of the planned goals. This was thanks to the efforts the Field Workers put during implementation. With regards to condom distribution, demand increased in the community and the supply of condoms came from the Ministry of Health and other organizations. The project also conselled and tested couples and worked with most at risk populations even if it was not planned for. 6

7 Annex 2: Project Pictures A TCE Field officer distributing condoms in workplaces and during community gatherings DAPP/TCE staff & Clinic nurse discussing support to client Condom demonstration Training session for the Troop on quality Control Field Officers Providing AB information in school 7

8 A Field Officer presenting the TCE goals and Achievements to the partner Partnership meeting Field workers during Golden jubilee cerebrations. Review meeting with the community Stakeholders on the TCE program World AIDS Day commemoration Review meeting in a clinic 8

9 Project staff meeting with the local Chief Provision of HIV information Counselling and testing 9

10 Annex 3: Project Success Story TCE A Solution to Gods People Pastor Samson Mudenda of Keemba SDA Church who is a TCE passionate expressed himself about how working as a Passionate helps him to carry out his call: During the camp meeting which attracted 4000 people from more than 20 churches and about 24 TCE Passionate workers attended. I am indeed happy to learn that working with DAPP-TCE as a passionate is really helping me to do God s work, since working for the Lord doesn t only mean preaching the word or praying for people but also getting physically involved in ensuring that church members and the community at large have good health, care and support. I am now convinced that being a TCE Passionate does not only mean giving lessons, mobilizing people for various activities and forming support groups and TRIOs for people living with HIV and AIDS but also finding ways of helping Orphans, the poor, vulnerable, families, churches and the community to find targetable solutions. Therefore, I would say TCE project has provided solution for me, for my church members and other passionates to help in saving lives for God s people, which requires someone to have a Passionate Heart to change our communities for better and achieve Total Control of the Epidemic. I am encouraging you all member to go for VCT today and my appeal to all elders, deacons and members of the church is to join in the fight against the epidemic. 10

11 Annex 4: Recommendation Letters 11

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