1. “Jozi Ihlomile”: A unique model of HIV and AIDS Intervention in Johannesburg
Meisie Lerutla

2. Regions of the Johannesburg City Council

3. Background on Jo’burg 3.2 million people in 791 367 households;
Earn more than R28 billion, one fifth(18.12%) survive on less than R500 per month, almost half of these have no regular income whatsoever;
Unemployment rate of about 29%;
African population (70.2%) lives mainly in the large urban townships;
14% of households use paraffin or candles;
13% use a pit latrine or bucket latrine;

4. HIV and AIDS infection in the City of Johannesburg
- 1 out of every 5 young people under the age of 30 years is infected by HIV
- 1 out of every 10 adults in the City has HIV
- Prevalence of HIV in Joburg was 33% in 2003 among women attending public antenatal clinics
- 50% of TB patients treated at City’s health facilities HIV positive

5. Joburg response to the HIV
and AIDS problem
The Mayor launched HIV and AIDS Council in 2001
Joburg AIDS strategy adopted in 2002
Community and workplace programme in place
VCT provided in health sites
HIV support groups – NGO’s
Peer education programme including CSW
Jozi Ihlomile concept- HIV ands AIDS programme conceived in 2004
An inter-sectoral response to AIDS is being formulated

6. Where to from here?
Implement a sustainable integrated developmental programme that addresses HIV and AIDS prevention, care and support
More responsive programme to the community’s needs
Increase access to basic social, and heath care services –identification of problems, and referrals to appropriate services
Improve support for people infected and affected by HIV and AIDS
Enable/support communities to actively participate

7. Implement the ‘Jozi Ihlomile’ Programme!

8. What is Jozi Ihlomile? A unique model of HIV and AIDS intervention
Model to assist COJ to translate HIV and AIDS awareness into action
Development of the targeted areas as vibrant communities
Attempt to create communities where HIV negative people strive to remain negative
Environment that supports HIV positive people on healthy life styles
Attempt to create communities that strive keep HIV negative people negative
Strengthen families to care, educate and support those infected and affected by HIV and AIDS

9. Areas - Implementation
Initial phase of programme implementation in 6 informal settlements

10. Targeted Areas Region Area Region 2 Ivory Park Region 5 Sol Plaatjies
Kliptown and Dlamini Camp
Region 9
Denver
Region 10
Devland
Region 11
Finetown

11. Project Concept
Working in partnership with relevant role players within the COJ in the coordination of preventative, and supportive programmes that will have a positive effect, changing people’s sexual behavior's lifestyles and perceptions
Reduce the incidence of HIV and AIDS in identified areas.
Increase support for those affected
Volunteers identified from the 6 identified areas

12. Project concept
To work towards developing informed communities that can take care of HIV,AIDS and Tuberculosis issue;, educate one another, support and care for one another, fight HIV and AIDS stigma and discrimination Market VCT services provided in health facilities and non-medical sites in each of the eleven administrative regions of the COJ, leading to increased utilization of services and a decrease in new HIV infections

13. Objectives (1)
To implement targeted youth out of school programme in the targeted areas using the Love life Model
To improve the quality of life of those affected and infected through the provision/referrals to HBC, and support groups for people living with HIV and AIDS
Decrease the incidence of sexually transmitted infections in an effort to decrease HIV transmission
To train community leaders (including ward committees in all targeted areas/communities in HIV and AIDS

14. Objectives (2)
Strengthen relationships and partnerships with sectors, including FBOs, NGOs, CBOs in order to strengthen the community capacity to take care of their needs
Increase access to health and social services through referrals to appropriate services
To contribute in the moral regeneration programme in the fight against HIV and AIDS (promoting abstinence in the youth at family and peer educator level)

15. Components of the Project
The implementation in different phases as part of the best practice model that the City aims to implement in the fight against the HIV and AIDS epidemic, in identified vulnerable communities

16. Phases - implementation

17. Phase 1 - Preparatory
Consultative meetings/workshops with the ward Clrs, ward committees, departments and other leaders
Consultative meetings/workshops with the NGO’s,
Internal communication (officials and politicians

18. Phase 2 -Preparatory Cont
Identification of the volunteers
Identification of the service provides to do training
Training of community volunteers
Allocation blocks to volunteers
NB. JAC advise, support, coordination

19. Phase 3 -Situational Analysis
1. Volunteers collect information about the community and upgrade it on a monthly basis for better understanding of the area they serve (including mapping of available services)

20. Situational Analysis (Cont)
2. This exercise will assist in the implementation of other projects, the (COJ) will know the extent of the HIV and AIDS problem in the identified communities for planning purposes

21. Situational Analysis (Cont)
3. Information gathered will include:
Number of houses in the area, number of people, number of children staying with relatives, unemployed, orphans, people on social grants, people chronically, deaths natural/accidental social problems identified by community, level of HIV and AIDS understanding, and knowledge on available services

22. Interventions Adopt a Block VCT Community Education
Home Based Care Services
Indigent Burials
Nutrition Programme vegetable gardens (already available in some regions as part of PWA support activities)
Support for PLWHA- referrals to available services

23. Interventions for the Jozi Ihlomile
HIV and AIDS programme
Voluntary Counselling and Testing
Community education
Support for PLWHA
Community action groups
Jozi Ihlomile HIV and AIDS programme
Home-based care services
Nutrition programme
Indigent burials
Men as partners
Adopt-a-block

24. Adopt a block
Trained volunteers will adopt a block and attend to the identified needs and refer the clients
Each family will be visited at least once a month and being followed up to provide support, education and referrals to necessary services according to identified needs
Families with sick members who require Home Based Care services will be visited at least once a week
HIV and AIDS education is done per family, therefore providing an opportunity to raise questions in a non-threatening environment

25. Community Education
Trained volunteers will conduct door-to-door and face-to-face education on basic HIV and AIDS, Voluntary Counseling and HIV Testing, Prevention of Mother To Child HIV transmission, Ante-retroviral Treatment programme and available Social Services to the community to be able to deal with the AIDS epidemic

26. Community Action Groups
Work with community leaders in establishing community action groups for support, education of one another (street committees concept)
Dissemination of information on HIV Testing, Prevention of Mother To Child HIV transmission, Ante-retroviral Treatment programme and available Social Services to the community- mitigation of the AIDS epidemic

27. Support for people living with HIV and AIDS
Trained volunteers will give counseling support for those on ART and TB programme to promote adherence to treatment, which is significant for treatment success and refer to available services for continued support

28. Home Based Care Services
During the education visits, trained volunteers will provide immediate basic home where there is a need, and refer to the relevant service providers

29. Beneficiaries
The project is aimed at reaching out to individuals, families - community in the identified vulnerable groups

30. Expected Results
Informed communities regarding HIV and AIDS, which are more able to support one another
Reduction of new HIV infections
Increased family dialogues/discussions on HIV and AIDS issues, more informed children, ? Delayed sexual relations ? abstinence

31. Expected Results
4. Increasing number of needy people accessing available services including social grants
5. Increasing support for people on Tuberculosis and Antiretroviral treatment to ensure compliance to RX

32. Expected Results
6. A system that provides an opportunity for high % of community members to be more informed on the HIV and AIDS epidemic, therefore contributing in decreasing stigma and discrimination for people infected and affected by HIV and AIDS

33. Allocation of Volunteers
Region
Area
Population
Volunteers
Region 2
Ivory Park
250,000 56
Region 5
Sol Plaatjies
16,600 10
Region 6
Kliptown and Dlamini Camp
24,960 16
Region 9
Denver
18 000 12
Region 10
Devland
100,000 34
Region 11
Finetown
20,000

34. Achievements to date: March 05 – June 05
Total number of people reached between March and June 2005 is in all six areas

35. Achievements(Cont.) Region 2 Orphans identified – 45
Referrals to Home Based Care (HBC) services – 166
Referrals to Social Services – 316
Referrals to Clinics - 49

36. Achievements (Cont.) Region 5 Orphans identified – 23
Referrals to HBC – 86
Referral to Social Services – 150
Referrals to Clinics – 88
Referrals to Hospital – 13
Referrals to Home Affairs - 39

37. Achievements (Cont.) Region 11 Referrals to HBC – 45
Referrals to Social Services – 67
Referrals to Clinics – 25
Referrals to support indigent burial – 4
Referrals to Child Abuse – 2
Referrals to Home Affairs - 39

38. JOZI IHLOMILE, an opportunity for Joburg to win the war against HIV and AIDS!

39. THANK YOU!
REA LEBOGA!
HIKHENSILE!