Service Mapping - National HIV/AIDS Control Programmes in Rural Manicaland
HIV/AIDS control services covering prevention, treatment and impact mitigation are currently being scaled-up nationally in Zimbabwe. In the Manicaland Study, trends in the uptake and effectiveness of these services are being measured as part of an ongoing prospective population-based cohort study. However, for these data to be interpreted correctly, information is needed on trends in the local availability and provision of services. It is against this background that this project seeks to measure the impact of trends in the availability of national HIV/AIDS control programme activities on trends in the epidemic at local level in rural areas in eastern Zimbabwe.
This prospective facility-based survey draws on a a baseline census of all HIV/AIDS-related service providers and a sample survey of facilities in the existing Manicaland Study areas in Mutasa and Makoni districts. The survey was conducted in May 2010 and is being updated at 6-monthly intervals. Data on trends in the availability and provision of services will be cross-validated with data from the National AIDS Council’s Monitoring and Evaluation System where possible and compared with data on the uptake and impact of these services currently collected in the ongoing Manicaland general population cohort survey.
Preliminary findings of the survey has found that at baseline, in Mutasa District, there were nine NGOs, four community- or faith-based organisations and one UN agency providing HIV/AIDS services in the district. Two higher education / research institutions also were operating in the district. All of these organisations were visited in the initial census. In addition, the three large hospitals, three out of six rural hospitals, ten out of thirty-two clinics, three out of eight satellite clinics, five out of fifty-one primary schools, and three out of twenty-seven secondary schools were identified and visited in the census.
In Makoni District, there were eleven NGOs (including a New Start HIV counselling and testing centre), two community- or faith-based organisations, one UN agency and one research institution providing HIV/AIDS services. In addition, the two large hospitals, one out of four rural hospitals, thirteen out of forty-one clinics (including the one satellite clinic), twelve out of one hundred and sixty-nine primary schools, and seven out of seventy-two secondary schools were identified and visited in the census.
- Tidings Masoka
- Noah Kadzura
- Rufu Maswera