title: Provision and need of HIV/AIDS services in the City of Tshwane Metropolitan Municipality, 2010.
abstract: OBJECTIVE
  To determine the need for HIV/AIDS service provision in the City of Tshwane Metropolitan Municipality (CTMM), especially in municipal areas.
  
  
  METHODS
  The Foundation for Professional Development initiated the Compass Project. Using a questionnaire, data were collected during May - June 2010 from organisations providing HIV/AIDS services in the CTMM (organisational information and types of HIV/AIDS services). The need for HIV counselling and testing (HCT), antiretroviral treatment (ART), prevention of mother-to-child transmission (PMTCT), and care for orphans and vulnerable children (OVC) was estimated using data from various sources.
  
  
  RESULTS
  A total of 447 service providers was included in the study: 72.3% non-governmental organisations (NGOs); 18.1% in the public sector; 5.1% in the private sector; and 4.5% faith-based organisations. The majority of the prevention- (70.2%) and support-related services (77.4%) were provided by NGOs, while the majority of treatment-related services originated from the public sector (57.3%). Service need estimates included: HCT - 1 435 438 adults aged 15 - 49 years (11 127/service provider); total ART - 75 211 adults aged 15+ years (1 213/service provider); ART initiation - 30 713 adults aged 15+ years (495/service provider); PMTCT-HCT - 30 092 pregnant women (510/service provider); PMTCT-ART - 7 734 HIV+ pregnant women (221/service provider); and OVC care - 54 590 children (258/service provider).
  
  
  CONCLUSIONS
  Service gaps remain in the provision of HCT, PMTCT-ART and OVC care. ART provision must be increased, in light of new treatment guidelines from the Department of Health.
authors.affiliation: Epi Result, Louis Trichardt, Limpopo. gerritsen.annette@gmail.com
authors.forename: Annette A M
authors.initials: AA
authors.lastname: Gerritsen
authors.forename: Janine S
authors.initials: JS
authors.lastname: Mitchell
authors.forename: Brenda
authors.initials: B
authors.lastname: White
mesh_terms: D000293:Adolescent; D000328:Adult; D044966:Anti-Retroviral Agents / Q000600:supply & distribution / Q000627:therapeutic use; D002648:Child; D002662:Child Health Services / Q000458:organization & administration; D003376:Counseling / Q000458:organization & administration; D005260:Female; D015658:HIV Infections / Q000517:prevention & control / Q000628:therapy / Q000635:transmission; D006282:Health Personnel; D006301:Health Services Needs and Demand; D006801:Humans; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control; D008297:Male; D008403:Mass Screening / Q000458:organization & administration; D008875:Middle Aged; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000517:prevention & control*; D055818:Public-Private Sector Partnerships / Q000458:organization & administration; D019037:Urban Health Services / Q000458:organization & administration; D000078329:Workforce
chemical_list: D044966:Anti-Retroviral Agents