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Nkomazi Local Municipality 20 - Co-operative Governance and ...

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The <strong>Municipality</strong> recognized by COGTA, SALGA <strong>and</strong> Ehlanzeni District Municipalities to have the best HIV/AIDSprogramme <strong>and</strong> also recommended to assist other Municipalities in establishing fully fledged AIDS <strong>Co</strong>uncil.StrengthThe <strong>Municipality</strong> has a committed political <strong>and</strong> Administrative leadership who fully support HIV/AIDS programmes,always visible <strong>and</strong> champion the programmes, advocate for the needs of communities, <strong>and</strong> make provision for the budget.AIDS <strong>Co</strong>uncil has 98% committed members.Challenges The increasing HIV/AIDS prevalence is a threat to the community of <strong>Nkomazi</strong> <strong>and</strong> to Government.Insufficient budget to respond to the needs/problems of the <strong>Co</strong>mmunity of <strong>Nkomazi</strong>.Shortage of personnel remains a challenge.<strong>Nkomazi</strong> still have communities that do not have clinics, therefore HIV <strong>Co</strong>unseling <strong>and</strong> testing remains a challenge tothese communities, such communities still travel more than 10km to access treatment <strong>and</strong> chances of defaultingtreatment are 99% due to transport un affordability <strong>and</strong> failure to cope with travelled long distances on foot.Defaulter rate of clients on ARV is increasing because a majority of patients are living below the poverty line <strong>and</strong> access togood nutritious food is a challenge.Lack of Funding for Home Based Care Organizations is still a challenge.Increasing number of Orphans <strong>and</strong> Vulnerable children who do not have birth certificates because their parents are illegalimmigrants, therefore unavailability of necessary documents as per the requirements of home affairs remains a challenge.Child headed families who need housing, food, school uniform increases daily.HIV/AIDS strategy not approved by <strong>Co</strong>uncil because it needs to be aligned with the (PSP & NSP) Provincial Strategic plan<strong>and</strong> National Strategic Plan to integrate TB. <strong>Nkomazi</strong> HIV/AIDS Strategy in the future will be HIV/AIDS <strong>and</strong> TB strategicplan.Future plans Establish a place of safety that will take care of HIV positive clients who are discharged from hospital for home care(still sick, unable to feed or bath themselves) <strong>and</strong> do not have people to look after them at home.Establish 24hr Voluntary counseling <strong>and</strong> Testing Centre.Establish a place of safety for children (Orphans <strong>and</strong> Vulnerable children.Establish food on wheels programme that will help clients who are taking ARVs but do not have food <strong>and</strong> they areunemployed.GoalsTo reduce HIV/AIDS new infections through intensive educational programmes focusing on behavior change, promotion ofconsistent condom usage, interdenominal programmes, through an integrated service delivery mechanism.To ensure that all clients who test HIV positive are encouraged for positive living <strong>and</strong> those eligible for treatment (ARVs)access all Primary Heath Care <strong>and</strong> social support.To provide social support services for all Orphans in <strong>Nkomazi</strong> through provision <strong>and</strong> advocating for foster care services <strong>and</strong>ongoing counseling.NKLM Integrated Development Plan <strong>20</strong>12_<strong>20</strong>13 74

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