Global leaders in child health

1. Global Leaders in Child Health

Mission statement: global leaders in child health through educating disadvantaged communities on Prevention of Mother to Child Transmission Programmes.

1.1 Purpose

To seek sponsorship for the implementation of a tailor-made PMTCT programme in disadvantaged communities in Gauteng Province. This will cover the 3 Gauteng districts( Metsweding District municipality, Sedibeng District municipality, West Rand District municipality

1.2 Aims

  • To build a culture of HIV/AIDS prevention and awareness in disadvantaged communities within the province of Gauteng.
  • To implement PMTCT guide pack to the most vulnerable communities within the Gauteng Province.
  • Abantu Santé aims to inform and mobilize Governments, communities and individuals to ensure that awareness on PMTCT is fully integrated into school curricula in high risk areas.

1. Overview and Project description (SUMMARY)

The agency Abantu Santé (AbaSa) is setting up a project aimed at empowering disadvantaged communities towards better understanding of the governments Prevention of Mother to Child Transmission Programme.

This will alleviate and reduce the number of HIV infected babies, born from HIV positive mothers.

The project will include:

  • Training of professionals at community level to enable them to provide professional support within their districts.
  • Training of lay-counsellors, religious leaders, school learners, educators, traditional healers
  • Co-ordination of community -based project activities
  • Material support
    1. designed by AbaSa.
    2. In line with the districts policies on HIV Prevention.
    3. Tailor made for specific audiences.

This project is aimed at reaching between 300 and 400 Health Care professionals and 50 000 community members.

The project will emphasise:

  1. Establishing community- based projects and co-ordinating structures to ensure sustainability.
  2. Partnering with government on proper antiretroviral roll-out to the affected individuals.
  3. Keeping families together and communities involved in building a HIV/AIDS free community.

The agency AbaSa is therefore requesting funding from World Health Organisation to cover administrative costs, training and co-ordination costs.

INTRODUCTION

Across the world hundreds of thousands of children are infected by HIV, and without treatment die of AIDS. Even those not infected are affected by the epidemic due to the death and suffering that is being caused by AIDS in their families and communities.

Children are suffering from the consequences of the epidemic despite efforts to prevent infection. This is partly due to lack of investment and resources, including adequate testing, antiretroviral drugs and proper prevention programmes.

BACKGROUND

2.1 million Children were living with HIV globally by the end of 2008

  • 430 000 of these were new infections
  • In the same year of the 2 million people who died of AIDS 1 in 7 were Children
  • Every HOUR 31 children die of AIDS worldwide

9 of 10 of children living with HIV - live in Sub Saharan Africa

90% of all children with HIV were infected through mother - to - child - transmission.

According to the HSRC Household Survey, people living in rural and urban informal settlements seem to be at highest risk for HIV infection and AIDS.

1.4. Objectives

  • To Increase public awareness on PMTCT especially among non-health care practitioners.
  • To increase awareness of the importance of HIV/AIDS policies, thereby facilitating and promoting the implementation of those policies through ensuring that the PMTCT is part of the community -based- projects.
  • To increase the reliability and availability of appropriate PMTCT information to the public, as set out in relevant provisions of the National Strategic Plan.
  • To share good practices and lessons learned to further reduce new infections within the context of attaining sustainable development, and to identify gaps and challenges.

1.5. Target audience

Disadvantaged communities of Gauteng Province (3 districts).

  • High school learners, religious leaders, traditional leaders, and allied health care practitioners
  • Health Care Practitioners in the Metsweding, Sedibeng and westrand district municipalities.

The PMTCT is a government's initiative in the prevention of HIV infected babies by their mothers

There are 4 elements of PMTCT:

  • Women of child bearing age- primary prevention programmes
  • Women living with HIV- prevention of unintended pregnancies
  • prevention of transmission to infant
  • Women living with HIV & families-appropriate treatment, care & support

Government has admitted to CHALLENGES faced by this programme, such as:

  • Poor communication from Provincial Director
  • Information flow a problem
  • Role clarification between Director and district managers
  • Understaffing
  • training venues

It is at these levels that our agency aims to have an impact in this programme.

PROPOSED PROCESS

  • Employ expert panel of HIV specialists (pediatrician experienced in HIV Management and 1 physician).
  • Training of Nurses - 24 permanent staff of AbaSa = Educators (8 per district)
  • AbaSa trainers, per district to collaborate with district (public sector) trainers (Someone who will carry out or organize training for appropriate staff members e.g. Training Nurses)

However we believe that for the project to succeed, extensive community training is needed in the form of intensive interventions with professionals from the following fields:

  1. Educators ( primary and high schools)
  2. Religious community leaders
  3. Social workers
  4. District government officials in other fields
  5. Traditional healers
  6. Community leaders
  7. Training will mainly be theoretical

- Will provide information on:

  • Existing PMTCT programme
  • Specialist training
  • Updates
  • Setting up and running projects(practical)

Training will be conducted in a five three day sessions per year over 2 years, making it a total of 30 days training per group in each district.

We will apply for accreditation with the South African National Standards (SANS) so that on completion, people must get certificates.

  • The agency members will hold quarterly meeting to share challenges and breakthroughs.
  • We view this as a two year project and believe communities will have acquired independence by the end of this period.
  • While our agency tackle other challenged provinces, we will still avail our support to these districts.

OUTPUTS

  1. Six courses, each consisting of nine modules.
  2. Participants' workbooks and facilitators guides.
  3. A total of 100 three day modules completed.
  4. At least 600 certified graduates of the programme.
  5. Independent District Co-coordinating Committees in each of the 3 districts.
  6. A detailed report on the impact of the project by the end of 2012.

RECOMMENDATIONS

  • Based on the information provided we therefore recommend that the World Health Assembly fund this project.
  • More emphasis in educating disadvantaged communities

To save our children

  • Communities: Community-based interventions focusing on reproductive health, gender relations, & livelihood strategies
  • Parents: Promoting open communication, parent-child bonds & setting & enforcing rules
  • Mass media: Increase the intensity & coverage with distinct focus on pregnancy and HIV prevention in the disadvantaged communities.

CONCLUSION

It is therefore vital to secure necessary investment and resources aimed at testing, antiretroviral roll-out and prevention programmes.

This initiative will provide Families, Friends, Caregivers and healthcare workers with the opportunity to provide social and emotional support to children

We therefore request funding from World Health Organisation for the training, administrative and coordination costs.

REFERENCES

National Department of Health (2008). Policy and guidelines for the implementation of the PMTCT programme.

www.hst.org.za/publications/478

www.avert.org/children.htm

HIV & AIDS and STI. National Strategic Plan. 2007-2011

www.civicus.org/new/.../Writingfundingproposal.

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