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City opens new ARV care centre
29 June 2009

An antiretroviral treatment centre, providing free medication, has opened in the Malvern Clinic

An antiretroviral treatment centre, providing free medication, has been opened in the Malvern Clinic, to treat people with HIV and Aids in the deprived areas on the eastern edge of the city.

THE City of Johannesburg has expanded its antiretroviral (ARV) treatment programme to its Malvern Clinic, with the establishment of an antiretroviral treatment centre inside the facility.

The portfolio head of health, Bengeza Mthombeni, gave the key-note address
The portfolio head of health, Bengeza Mthombeni, gave the key-note address

At the new facility, people from disadvantaged communities around the clinic - including George Goch, City Deep, Cleveland and Denver - will now be able to get free antiretroviral treatment.

The centre was accredited by health officials from the national and provincial departments of health on Thursday, 25 June. It forms part of the City's HIV/Aids strategy, which aims to reduce drastically the spread of HIV/Aids in the metro.

Through this strategy, the City has set up various programmes focusing on education, prevention, community support projects and the rollout of ARVs.

The Malvern Clinic focus primarily on antenatal, adult curative and chronic treatment with a doctor's support, mother and child health care, sexually transmitted infections, reproductive health and tuberculosis treatment, as well as immunisation and growth monitoring of babies and children.

Treatment for the prevention of mother to child transmission of HIV/Aids is also on offer, as is treatment for reproductive health care and cancer screening for adults.

Help
Giving the keynote address at the ceremony held to celebrate the centre's accreditation, the new portfolio head of health, Bengeza Mthombeni, said it would significantly help those living in the area who were infected with and affected by HIV.

"The City ... recognises that it has a pivotal role to play in the fight against HIV/Aids as it is affected by the day-to-day impact of this epidemic."

The clinic in Malvern was moved to its present, purpose-built building in the latter part of 2008; prior to that, it operated from unsuitable rented space. It is on the eastern periphery of the city, in an area characterised by socio-economic challenges, a high rate of unemployment, decrepit tenements and infrastructure; crime levels and indigence are sky-high.

According to the City's health department, an estimated 40 000 people have been treated at the Malvern facility since May 2007.

Mthombeni said the severity of the HIV/Aids epidemic was aligned to the area's deprivation levels, the low status of women and other socio-economic factors, which all exacerbate the spread of infections. "Even with the knowledge of how to protect oneself from infection, such information may not always be usable in daily situations of economic and social disadvantage that characterise the lives of many young people in poor [communities]."

Intensified response
To face up to the challenges of HIV/Aids, Mthombeni noted that the City required an intensified, comprehensive, multispectral response. "[We need to] provide tools to prevent infection and provide services designed to mitigate the wide-ranging impact of the epidemic."

A study released in December 2007 by the Joint United Nations Programme on Aids (UNAids) and the World Health Organization (WHO) found that in many cases, HIV/Aids prevention programmes were not reaching poorer communities who were most at risk of infection.

It found that in South Africa, more than 25 million people had died of Aids-related illnesses since 1981.

The latest world statistics on the HIV/Aids pandemic - published by UNAIDS and the WHO - indicate an increase in the number of people who are in immediate need of antiretroviral drugs.

They also report that 29,7 percent of pregnant women seen at public sector clinics in Joburg in the past three years were HIV positive. "The impact of HIV and Aids in Johannesburg cannot be overstated. As the powerhouse of the country, a threat to the social and economic health of Johannesburg represents a risk to the entire country," said Mthombeni.

The City had four ARV treatment sites, five referral sites and three workplace voluntary counselling and testing sites. "We need to understand that we are fighting a war that is ‘bigger than us', which is HIV/Aids," he added.

There are 83 primary health care facilities dotted around Joburg.

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