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Prevention and education is coordinated by the Tertiary, Area and Mobile
Military Health Coordinators in the HIV Management Structure and contains
the following components:
- HIV in the workplace programmes.
- Condom provision.
- Peer Education.
- Voluntary counselling and testing.
- Capacity development.
- Prevention of occupational
exposure.
- Syndromic management of sexually
transmitted infections.
- HIV prevention and health
promotion programmes.
- Female empowerment and
gender equality programmes.
HIV in the workplace programmes. The establishment of HIV workplace programmes in every workplace in the Department can be
considered as one of the crucial elements of the prevention programme as it addresses the following:
- Condom distribution and
provision.
- Peer Education.
- General awareness on HIV
and STI prevention.
- The prevention of
occupational HIV transmission.
Condom provision. As
mentioned, the distribution and provision of condoms forms part of HIV in
the workplace programmes and the department endeavours to have condoms available and easily
accessible throughout the DOD, in all workplaces, but also during
operational deployments.
Peer education. As
mentioned previously, peer education forms part of HIV in the workplace programmes, but structured training in this regard is
coordinated by the DOD HIV Training Programme.
Peer education is performed through formal peer group education training as
explained in the HIV Training programme, but also
through informal interaction between trained members and their peers.
Voluntary counselling and testing. VCT
is one of the standard services that must be available in any HIV Programme. The SA Military Health Service (SAMHS) has facilities throughout the country that is
currently performing VCT but to enhance the VCT service currently provided, all members of the SAMHS are trained in pre- and post-test counselling skills. This process is part of the DOD HIV
Training Programme and ensures uniformity of
service throughout the organisation.
Capacity building.
Members involved in HIV management and prevention require continuous update
with regard to new HIV information, management processes, policy and strategy.
To facilitate the exchange of such information and to improve communication
and coordination in HIV management and prevention, the SAMHS
utilise various opportunities for enhancing the
knowledge of members, and improving their skills in HIV management.
Prevention of
occupational exposure. The prevention of HIV transmission in the workplace
is one of the important objectives of the HIV Prevention Programme. This
does not only involve the prevention of HIV transmission in the hospital
setting (eg with needle-stick injuries) but also includes initiatives aimed
at preventing HIV transmission on the battlefield and during training. The main focus of this prevention initiative is through
training of personnel, awareness with regard to the risk of transmission in
the workplace, and the provision of Personal Protective Equipment.
Syndromic management of sexually
transmitted infections. The effective management of Sexually Transmitted
Infections (STIs) has been proven to have a major
impact on HIV transmission and the syndromic
management of these infections are mandated in the
SAMHS through policy. To ensure standardised and uniform treatment throughout the organisation all personnel involved in the treatment of
STIs are provided with training in the fundamentals
of syndromic management.
Health prevention and
promotion programmes. Health prevention and
promotion programmes can be considered as the
grass roots initiative for HIV prevention. These programmes
are designed by regional HIV programme managers
(HIV Nodal Points) for regional implementation to address specific regional
objectives in support of the Masibambisane Campaign.
Female empowerment and
gender equality programmes. Due to the cultural
history and background of the South African society, the issue of female
empowerment and the low status of women in society is one of the leading
factors that increase the susceptibility of women to HIV transmission. Programmes that specifically focus on this issue form
part of the HIV programme of the Department.
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