1.0 Executive Summary
Behavioral change requires a number of interventions and involvement of both beneficiaries and those implementing the Programme. HIV continues to affect lives of people as such there is need to sensitize the rural masses with a form of education. Mangochi NAPHAM empowered members of support groups to conduct HIV education sessions in their communities. This month alone, a total of 34 HIV and AIDS education sessions were conducted by 12 support groups. In attendance were 4, 888 people (716 boys, 987 men, 1,087 girls and 2,098 women). In a related development, a certain group of people were educated in another way this time around through interactive drama session. The interactive drama group conducted 1 session and 244 people were sensitized (45 boys, 67 men, 43 girls and 69 women). NAPHAM members continue to access services from 48 Health Facilities. The district registered 2,027 members (10 boys, 39 men, 44 girls and 1, 934 women). Some of the members conducted Community Home Based Care (CHBC) who managed to make 13 visits. In total there were 55 people that were visited (7 boys, 34 men, 10 girls and 4 women). For those that were provided with this support, 8 were referred to hospital. In the therapy sessions, 12 adult therapy sessions were conducted and in attendance were 891 people (324 men and 567 women). Similarly, 7 child therapy sessions were conducted with 822 people in attendance (308 boys and 514 girls) while the youth had 3 sessions with 165 members (67 boys and 98 girls.
During the month, there was no advocacy session that was conducted both at district and community level. However, members continue to be in touch with their traditional leaders and other stakeholders. They were empowered to engage them once their rights have been violated.
In its continued effort to promote members to empower themselves economically, members are being encouraged to have Income Generating Activities (IGAs). The IGAs emanate from the loans that were made possible by the district office through Head Office. Currently, there are 28 IGAs within the district. While some groups are doing IGAs, some members are having communal gardens while others are combining the two. There are 54 support groups with communal gardens that are planted with crops ranging from maize, groundnuts and soya. A total of 312 families continue to rear livestock and 54 support groups are doing Village Saving and Loans (VSL). To create a learning ground, there is a central VSL group that was strategically formed at the district office for support group leaders to learn the operation of the activity.
The district continues to face some challenges. The first notable one is lack of computer. For a year and some months now, the district office continues to use tele centre to compile reports which pose another challenge in form of monetary resource
Mangochi district has a total population of 916, 734. Currently, the approximate number of PLHIV and prevalence rate is not yet out as we are still waiting for the Mangochi District Socio-Economic Profile report. However, the district has registered 15% as positivity rate as was reported by HTC Coordinator. The district is situated in the Southern Region of Malawi with a total land area of 6, 273 square Kilometers which is approximately 19.8 and 6.7 percent of the Southern and the whole country land area respectively. The District is approximately 200 Km from Blantyre, a major commercial and industrial city of the country and approximately 320Km from Lilongwe the capital city via Liwonde. Mangochi district has a total of 9 T/as namely Mponda, Chimwala, Namkumba, Jalasi, Bwananyambi, Chowe, Katuli, Makanjira and Namabvi with a total of 91 Group Village Headmen (GVH).
There are currently 48 support groups that have registered with the district office to date. The office is located in the heart of Mangochi District along Old Mangochi Depot Road past Assemblies and Seventh Day Adventist Churches. There are currently 2,337 members in these support groups. All the members are on ARVs which currently in Mangochi is not a challenge to access for the members. Approximately, over 6,000 people are on ARVs that are accessed in 48 static health facilities and 5 mobile clinics.