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Informal settlements and HIV in South Africa:  the need for a developmental local response   Jo Vearey (Wits/HEARD) Liz Thomas (Wits/MRC) Lorena Nunez (Wits) Jacques Bezuidenhout (University of Nijmegen)  Scott Drimie (IFPRI-RENEWAL/Wits) SAHARA Conference 2 nd  December 2009 Johannesburg, South Africa
Overview ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Structural and contextual factors Why a focus on HIV and urban informal settlements? Housing ? Urban ? SADC, 2006
A focus on the urban: an increasing urban population
World Urbanization Prospects (2005 Revision),  United Nations, Department of Economic and Social Affairs By 2030, 50% or more of the African population will be living in a city
Henk Van Renterghem, UNAIDS (2009)
HIV prevalence in adults aged 15 – 49 years by locality type, South Africa, 2005 (HSRC, 2005) Why a focus on HIV and urban informal settlements?
Why a focus on HIV and urban informal settlements? three key points ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Sol Plaatjies informal settlement n = 200
RENEWAL: urban informal settlement compared to urban formal ,[object Object],[object Object],[object Object],[object Object]
24 hours Dietary Diversity Score: respondents residing informally are more likely to have a deficient dietary score Chi-square 89.880;  p =  <0.0001 Score 0 - 3 Score 4 - 6 Score 7 - 9 24 hour Dietary Diversity Score In a context of high HIV prevalence, urban informal settlements have poor food security.
Perception of risk of HIV Chi-square = 14.221; p = 0.0002 In a context of high HIV prevalence, urban informal settlement residents perceive themselves at risk of HIV
Inadequate access to basic services ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Housing
Schooling
Transit camps
Development…..
The role of local government in responding to HIV and informal settlements
Developmental local government “ local government committed to working with citizens and groups within the community to  find sustainable ways to meet their social, economic and material needs  and  improve the quality of their lives ”  (RSA, 1998: 23)
National Strategic Plan (NSP) for HIV & AIDS and STIs, 2007 - 2011 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Key findings
Urban informal settlements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Establishing a local-level response to informal settlements and HIV ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Responding to HIV in urban informal settlements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Future research ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acknowledgements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Informal settlements and HIV in South Africa:

  • 1. Informal settlements and HIV in South Africa: the need for a developmental local response Jo Vearey (Wits/HEARD) Liz Thomas (Wits/MRC) Lorena Nunez (Wits) Jacques Bezuidenhout (University of Nijmegen) Scott Drimie (IFPRI-RENEWAL/Wits) SAHARA Conference 2 nd December 2009 Johannesburg, South Africa
  • 2.
  • 3. Structural and contextual factors Why a focus on HIV and urban informal settlements? Housing ? Urban ? SADC, 2006
  • 4. A focus on the urban: an increasing urban population
  • 5. World Urbanization Prospects (2005 Revision), United Nations, Department of Economic and Social Affairs By 2030, 50% or more of the African population will be living in a city
  • 6. Henk Van Renterghem, UNAIDS (2009)
  • 7. HIV prevalence in adults aged 15 – 49 years by locality type, South Africa, 2005 (HSRC, 2005) Why a focus on HIV and urban informal settlements?
  • 8.
  • 9.  
  • 10. Sol Plaatjies informal settlement n = 200
  • 11.
  • 12. 24 hours Dietary Diversity Score: respondents residing informally are more likely to have a deficient dietary score Chi-square 89.880; p = <0.0001 Score 0 - 3 Score 4 - 6 Score 7 - 9 24 hour Dietary Diversity Score In a context of high HIV prevalence, urban informal settlements have poor food security.
  • 13. Perception of risk of HIV Chi-square = 14.221; p = 0.0002 In a context of high HIV prevalence, urban informal settlement residents perceive themselves at risk of HIV
  • 14.
  • 19. The role of local government in responding to HIV and informal settlements
  • 20. Developmental local government “ local government committed to working with citizens and groups within the community to find sustainable ways to meet their social, economic and material needs and improve the quality of their lives ” (RSA, 1998: 23)
  • 21.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.

Notas del editor

  1. If we’d like a map?
  2. Not sure that we need this slide as the data/findings are presented over the next few slides….
  3. There are several ways of viewing food security: dietary diversity is one. Also access to food…. But I’m trying to keep it simple. I can ‘talk to it’ if needed (i.e. about other ways we measured food security).
  4. I can talk to this (I’ve not put numbers).
  5. I’ve kept is simple… just thought easier to convey that there is a need rather than getting too caught up in the detail??