Combining community-based organizations’ local knowledge, participatory and GIS mapping approaches to improve condom availability in Gert Sibande District, South Africa - Lessons from a pilot intervention Brent Matthysen , Phiwa Sondhlane, Babalwa Fede and John Imrie July, 21 2014 Sexual HIV Prevention Programme (SHIPP) Futures Group International
19
Embed
Brent Matthysen , Phiwa Sondhlane, Babalwa Fede and John Imrie
Sexua l HIV Prevention Programme (SHIPP) Futures Group International. Combining community-based organizations’ local knowledge, participatory and GIS mapping approaches to improve condom availability in Gert Sibande District, South Africa - Lessons from a pilot intervention. - PowerPoint PPT Presentation
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Combining community-based organizations’ local knowledge, participatory and
GIS mapping approachesto improve condom availability in
Gert Sibande District, South Africa -
Lessons from a pilot intervention
Brent Matthysen, Phiwa Sondhlane, Babalwa Fede and John Imrie
July, 21 2014
Sexual HIV Prevention Programme (SHIPP) Futures Group International
Background• Condom use remains a core sexual HIV prevention
intervention globally
• However, ensuring the quality, quantity, distribution continuity & equity of freely-available condoms presents substantial challenges
• Erratic & inequitable condom distribution, particularly in poor rural & hard-to-reach areas, results in poor uptake, inconsistent usage & an unwillingness to adopt condoms as a primary HIV prevention strategy
Policy Context1) South African National Department of Health is the main provider of freely-available condoms in the country
Source: Health Systems Trust, 2013. District Health Barometer
19
Policy Context (cont.)• South African NDoH is the main provider
of freely-available condoms
• Condom distribution across the country has been variable & erratic
• 3) National plan aims to supply 1 billion condoms annually
50 male condoms per male aged ≥15 years
Mpumalanga Province (South Africa)
PRETORIA.
. Cape Town
. Durban
Johannesburg .
Pilot Site - Gert Sibande District
Methodology
Methodology – Step 1Geospatial analysis of antenatal HIV rates
prevalence, 2011
Methodology – Step 2• Collaborative systems review of condom supply,
management & distribution system
– Poor:• condom supply• distribution coverage• monitoring (data recording)• data flow• reporting (NOT feeding the DHIS)• data analyses • information sharing
Methodology – Step 3Capacity-building workshops with SAG partners
– District & Local Municipalities & CBOs
1. Know Your Epidemic & Response
2. Drawing of maps by hand:• mapping of infrastructure &
services (107 CBOs & 242 persons)
• plotting of hot spots & primary & secondary condom distribution points
Methodology – Step 4 Plotting of sites using Global Positioning System
Civil Services InfrastructureTuck Shops, Stores, Supermarkets & Markets Public Primary & Secondary Health FacilitiesTaverns, Bars & Shebeens (unlicensed) CBOs (nonSHIPP-funded)Hair Salons Police StationsIndustry, Mines, Farms & Timber Sidings Libraries, Community & Information CentersGas Stations Municipal OfficesTruck Inns, Truck Stops & Taxi Ranks Social Development Services OfficesInformal Settlements Other Government Department OfficesTelecommunication Booths Post Offices
Methodology – Step 5 Creation of electronic maps using:
− stored GPS coordinates− freeware Geographic Information Systems (GIS)
software applications
Collaborative amendment of condom distribution data collection tool used by the condom warehouse & other primary distribution points− auto-aggregation by week, month & quarter
using MS Excel formulas
Combining community-based organizations’ local knowledge and GIS mapping activities to improve condom availability
Methodology – Step 6 Dissemination of e-maps to stakeholders for use
in condom distribution scale-up planning & distribution activities
Gert Sibande Condom Distribution Rates (Number of male condoms per male aged ≥15 years)2013-14
Apr-13
May-13
Jun-13Jul-1
3
Aug-13
Sep-13
Oct-13
Nov-13
Dec-13
Jan-14
Feb-14
Mar-14
Apr-14
May-14
0
10
20
30
40
50
60
19.4
28.325.1 25.8 27
40
53.8
34.7 32.2
25.7 27.1 28.2 27.6 25.6
• Participatory approaches ensure CBOs acquire in-depth understanding of mapping that is easily replicable without need of advanced additional technical support
• Combining participatory approaches, GIS technology & CBOs’ indigenous knowledge can fast-track equitable condom distribution & coverage, & reach key populations such as rural communities
Lessons Learned
Thank Youwww.futuresgroup_shipp.com
The Sexual HIV Prevention Programme (SHIPP) is a United States Agency for International Development (USAID) – PEPFAR funded initiative in South Africa (SA) to galvanize and support combination HIV prevention activities. •Implementing partners include Futures Group, the Centre for AIDS Development, Research, and Evaluation,