Africa Centre for Health and Population Studies 2007-2012

Hlabisa sub-district within Umkhanyakude district

What is the Africa Centre? Africa Centre University of KwaZulu-Natal College of Health Sciences Governing Committee Chair : Vice-Chancellor Members: MRC, University, Community Research Ethics Committee UKZN Research Committee DoH Service Providers Dept of Health Hlabisa Hospital & sub-district Umkhanyakude Health District Dept of Education Dept of Welfare Authorities Umkhanyakude District Municipality Hlabisa Municipality Mtubatuba Municipality Tribal Authority Community Advisory Board Ward Committee Representative Isigodi Representative

Service Providers

Dept of Health

Hlabisa Hospital & sub-district

Umkhanyakude Health District

Dept of Education

Dept of Welfare

Authorities

Umkhanyakude District Municipality

Hlabisa Municipality

Mtubatuba Municipality

Tribal Authority

Community Advisory Board

Ward Committee Representative

Isigodi Representative

How is research conducted? Africa Centre Community-based Research Surveillance area Mobile teams – Household consent, Individual written consent Facility-based Research In partnership with public service providers Linked to capacity enhancement of public service Community Liaison Dedicated CLO team Integrated communications strategy Capacity building of community members Policy Liaison Dedicated PL Officer Understanding research needs of policy makers Communicating research results

Africa Centre HIV research To improve understanding of HIV dynamics and the impact of ART roll-out To identify approaches to and target groups for interventions To evaluate interventions to prevent transmission and acquisition of HIV To implement and further evaluate HIV treatment and prevention programmes

To improve understanding of HIV dynamics and the impact of ART roll-out

To identify approaches to and target groups for interventions

To evaluate interventions to prevent transmission and acquisition of HIV

To implement and further evaluate HIV treatment and prevention programmes

Africa Centre Demographic Information System (ACDIS) Started in Jan 2000 About 90,000 household members Approximately 11,000 households 2 rounds per year Routine data collection Births Deaths  verbal autopsy Migration Additional demographic and health data Economic data collected once a year See Int J Epidemiology 2007, Nov 12

Started in Jan 2000

About 90,000 household members

Approximately 11,000 households

2 rounds per year

Routine data collection

Births

Deaths  verbal autopsy

Migration

Additional demographic and health data

HIV Surveillance (annual) Household Visit Informed Consent Sample Taking From 2007 covers all those over 50 years of age HIV prevalence and incidence; Impact of provision of ART; Sexual behaviour

HIV prevalence by age for male and female residents Overall, nearly 20% of the adult population between the ages of 15 and 50 years are HIV infected The proportion of people infected varies by age, with the highest proportion among women of 25-29 year old (nearly 50%) and among men 30-34 year old (about 45%)

Overall, nearly 20% of the adult population between the ages of 15 and 50 years are HIV infected

The proportion of people infected varies by age, with the highest proportion among women of 25-29 year old (nearly 50%) and among men 30-34 year old (about 45%)

HIV treatment and care programme Department of Health and AC in partnership Began enrollment in October 2004, accelerated since early 2006 Now has nearly 6000 people on ARV treatment, and several HIV-related activities within the programme

Department of Health and AC in partnership

Began enrollment in October 2004, accelerated since early 2006

Now has nearly 6000 people on ARV treatment, and several HIV-related activities within the programme

Africa Centre – public engagement Africa Centre Policy makers Community Community Advisory Board Research community Traditonal Authority