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Belot: Sexually Transmitted Infections and Condom event (14/02/2006)

14th February 2006

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Date: 14/02/2006
Source: Free State Provincial Government
Title: Belot: Sexually Transmitted Infections and Condom event


Speech by MEC of Health, Mr Sakiwo Belot at the Sexually Transmitted Infections and Condom event at Edenburg

Programme Director,
Ladies and Gentlemen

Programme Director, the second week of every February has been declared the National Sexually Transmitted Infections (STIs) week. This year the event is from 13 to 18 February. During this week, the prevention of STIs is emphasised and at healthcare facilities the comprehensive syndromic management is explained to clients. Health workers place great emphasis on the use of barrier methods during sexual intercourse. Condom distribution is increased as well as emphasis is place on the distribution of condoms in high transmission areas.

Our message this week to all is to prevent STIs including HIV and promote consistent and correct use of condoms. The theme for the week is "just the two of us can prevent STIs".

The STI programme in the Free State is running well and as it is known, the Department of Health is using the strategy of Primary Healthcare in providing health service to the community. This strategy includes syndromic treatment to clients having Sexually Transmitted Infections. The most important advantage of this approach is that clients are treated according to what they present with e.g. discharge or ulcers, there are no blood test needed. Treatment is given promptly and clients are encouraged to bring their partners for treatment because the treatment of one partner is not effective as one is prone for re-infection. Service providers at Primary Healthcare facilities are professional nurses who are trained in syndromic treatment. So far STI training has been provided for 119 facilities throughout the Free State during this financial year. (The goal was to train 50 facilities).

The Clinical Sentinel Surveillance research programme was commenced in 2003. The aim of this research is to provide additional information regarding the Sexually Transmitted Infections among our clients. Thirtye1 sites are functional throughout the Free State and these sites provide monthly reports to the departmental research unit through the district Health Information System programme. The reporting rate was above 90%. This means that data provided though these facilities is representative of what is transpiring within the Free State. The results shows, among other things, the vaginal discharges in females and urethral discharges in males are the predominant syndromes that are treated within our facilities and also confirm the point that age groups mainly affected by STIs are between 20-29. In the treatment of discharges partners are encouraged to be treated as well.

The high transmission area projects are targeting high risk groups within our communities. These high risk groups include mobile populations, commercial sex workers, truckers as well as any place where high risk activities like unprotected sex occur. The goal of the Department is to have at least two projects running per district. So far seven projects are functioning and training will be conducted later this month for the other three projects and these will up and running by the end of the financial year.

The places of the projects are as follows:
* Motheo: Bloemfontein and Van Stadensrus (20 farms)
* Xhariep: Smithfield (20 farms)
* Lejweleputswa: Ventersburg and Harmony mines
* Thabo Mofutsanyana: Harrismith and Bethlehem

The following sites will be functional before the end of the financial year:
* Xhariep: Springfontein
* Fezile Dabi: Sasolburg and one farm project

The forth leg of our programme focuses on barrier methods. Male condoms have been proved to be effective in preventing unwanted pregnancy and sexually transmitted infections. The Department is distributing its own brand that is the "Choice" condom. From January to December 2006 more than 15 728 160 male condoms have been distributed, (in 2004 it was 13 329 740 and 2003 10 195 805 were distributed). There was an increase in the primary sites from 10 in 2003, 13 in 2004 and 15 in 2005. The distribution sites have performed well in the distribution of the male condom. There are a variety of stakeholders who are involved in the distribution of the male condom such as clinics, business, non-governmental organisations (NGOs), taverns, farm workers and farmers, etc.

Female condoms are distributed in conjunction with the male condoms. The aim of the Department is to increase distribution of the female condom to all primary healthcare facilities. The hallmark of the female condom is to make sure that the recipients of this condom make full use of it, this means that education is the key factor in the distribution. At present there are 23 functional sites that are distributing the female condoms. The number was 18 in 2004. Total female condoms distributed are more than 51 000 in 2005.

Ladies and Gentlemen, in conclusion, I do not need to remind us all that the fight against HIV and AIDS is a fight we aim to win. We as government cannot fight all the battles alone. We need the partnerships of men and women in our province, we need people to start taking aggressive responsibility for their sexual health, and we need our citizens to rally around protection and need our youth to make wise choices. The fight against HIV and AIDS can only be won with the support and collective approach by all partners and for us to make sure that our future, our youth and our partners remain HIV negative.

Ladies and Gentlemen, we are fast approaching 1 March 2006, the day on which we all need to go to the voting stations to cast our votes in the upcoming local government elections. I want to appeal to all citizens of the province eligible to vote to make that all important mark. By expressing your choice for a political party and a ward candidate you not only contribute significantly to our growing democracy but also express one of your fundamental human rights.

I thank you.

Issued by: Office of the MEC for Health, Free State Provincial Government
14 February 2006
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