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TASC initiates
CARE Letsema project in Swaziland
In the period April to September 2006, TASC
conducted a project called CARE Letsema. The
project provides HIV testing, counselling, home based care, medical care,
HIV and AIDS literature, female and male condoms. The services were
provided in five rural communities in the Shiselweni
region, that is: Nsalitje, Lulakeni,
New Haven, Qomintaba and Matsanjeni. CARE Letsema is a
South Africa-Lesotho based consortium funded by CARE International.
1,1624people received HIV/AIDS education in the
five rural communities. 1,015 female condoms and 1, 8188 male condoms were
distributed by TASC Community VCT counselors. 398 clients went through
HIV/AIDS pre-test counseling and testing, and 73 clients returned for
re-test counseling, 203 clients received ongoing supportive counseling. 141
clients were referred for continuity of care to other health and care
facilities.
5,209 IEC materials (677 booklets and 4,532
leaflets) were distributed by TASC VCT counselors and trained home based
peer educators. Close to one hundred (98) home visits were conducted by
TASC counselors.
Lessons Learnt
A great need for HIV testing and counseling was in
the rural communities, as indicated by the large number of clients waiting
for HIV tests.
Other challenges facing these communities include
that some clients who tested positive cannot afford to continue with care
when referred to health facility. Reasons cited were transport costs to and
from the health facilities.
The home visits are helpful in that they assist
the counselors in understanding the family structures and identifying
points of interventions. Technical support provided by the TASC counselors
on HIV prevention and care given to family members were aimed at reducing
stigma and discrimination. The clients really appreciated the supply
provided by the counselors (such as e-pap food supplements) given to
them and were encouraged to utilize the TASC services.
Circumcision
In all these communities circumcision was discussed. An
observation was made that in all these communities, male participation was
high in terms of responses compared to females. The men were for
circumcision, yet it was noted that they lacked the necessary understanding
as to whether circumcision prevents HIV infection or not.
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