LAMVELASE (cont.)

CARE AND SUPPORT

Home based care: The program trained community volunteers to take care of the terminally ill patients in the different wards and peri-urban areas. Currently, the program has 35 trained care givers distributed in the various wards where mobilisation for volunteers was possible and an average of 180 patients is visited each month. The caregivers are provided monthly with home based care supplies such as gloves, soap, disposable diapers, jik etc. However, these supplies have been limited to the ever increasing numbers of patients that need care in the homes. Another main challenge for this service has been the poverty situation in most homes especially in the peri-urban areas where patients on medication including antiretroviral therapy, default as a result of the lack of food. 

 Antiretroviral (ART) Clinic

The Lamvelase centre also provides comprehensive quality and ART services for those that are already living with HIV and AIDS. The clinic is operated in partnership with AIDSHealth Foundation who has provided the services of a full time medical director for the centre. Clients are provided with pre-ART and ART services. The clinic started operation in September 2007 and it has grown with over 1000 patients enrolled and over 500 enrolled on ART. This growth in numbers has posed challenges in terms of space and human resources. There is an urgent need to address these if the city has to meet the demands for the services.   

Services for Orphaned and Vulnerable Children (OVC): Currently the program seeks to provide support to OVC aged 18 years and below, through the provision of psychosocial services at Social Centres. The social centres are operated with technical assistance from Manzini Youth Care and Children’s Cup Swaziland. Services provided at the centre include food, education, clothing, counselling, medical and recreation. However, the services that children receive at the social centres vary from one centre to the next depending on support from partners and these are often limited. An average of 250 children is catered for at each centr

Positive Living: This activity is provided by the Swaziland Aids Support Organisation (SASO). SASO is responsible for promoting positive living to those living with HIV and AIDS and their relatives. The organisation promotes a healthy, balanced and proper nutrition that shall help as a boost to the immunity system through education and training of its members. Another major component provided by this NGO is provision of optimum counselling on issues related to HIV and AIDS. SASO also advocates for the rights of people living with HIV & AIDS.

COORDINATION AND MANAGEMENT OF THE RESPONSE

HIV & AIDS activities in the city of Manzini are therefore coordinated at the LaMvelase Help Centre where the secretariat for the Municipal HIV Team (MHT) is located. The MHT is technical advisory body for the Municipal Council made up of local non-governmental organisations actively involved in HIV & AIDS activities within the city. At the ward level, Community AIDS Action committees have been established for the coordination of HIV & AIDS activities at the community level. Community volunteers implement activities in the wards.

Besides the Manzini AMICAALL coordination initiative, the centre operates like a wholesale of HIV/AIDS information; Voluntary Counselling and Testing (VCT), Antiretroviral therapy, positive living with HIV and AIDS which is provided by Swaziland AIDS Support Organization (SASO). All services carried out at the centre are free of charge. 

 

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Council's workers at the hope house