Emthonjeni HIV Management Services

Emthonjeni HIV Management Services Emthonjeni™️ is a Cape Town based registered provider of public health and education related institutional support and systems strengthening services.

Emthonjeni HIV Management Services is a registered provider of HIV and public health related services in areas of policy and programming, monitoring and evaluation, social science research and other related public health systems strengthening and support services.

02/09/2026

September is a busy month:
*Arbor Week on 1-7
*Su***de Prevention Day on 10
*World Tourism Day on 27

2 September 2026I wanna reflect on the issue of stigma and discrimination when accessing public healthcare. As a person ...
02/09/2026

2 September 2026
I wanna reflect on the issue of stigma and discrimination when accessing public healthcare. As a person because I've worked in public healthcare for a long time, mostly doing research, monitoring and evaluation I have insight into what happens inside including challenges that the sector is faced with. I have been both on the side of being a service provider and of being a patient. I must say the advantage is that because staff already know you they are friendlier to you as a patient because you've also been a colleague. I can't say I've experienced stigma per se but people tend to be curious about the condition (outcome of interest) that makes you access to healthcare.

With HIV funding cuts I can imagine how difficult it must be for people who have experienced stigma and discrimination first hand and have not been able to overcome this challenge.
It really comes down to making hard choices of "do I stay away from public clinics because of stigma and discrimination and face difficulties of going without treatment and possibly death OR do I access care in spite of fear of stigma and discrimination so that I can receive the care that I need.

I must say it is not business as usual in public clinics because they have been impacted a lot by international funding cuts. For instance I was at a public health facility for my appointment today when I get to the pharmacy it was explained to me that I will get half my medication today and must come back when it is finished because they have stock shortages. Because I am aware of international finding cuts I understand this well and actually grateful that I could receive some medication.

As someone who worked with public clinics a lot even at the one I get treatment from currently, I can see the impact of funding cuts at this clinic. The clinic floors are not as shiny as they used to be when I was working there. They are sweeped and cleaned but not polished. I'm thinking it is probably a matter of deciding "do we spend money on keeping public clinic floors shiny or do we ensure that the pharmacy is stocked with adequate medication.

Lack of access to information also contributes to creating barriers for people. Ongoing awareness raising and education and even about the International finding cuts are critical so that people can make informed decisions.
??https://en.wikipedia.org/wiki/Sustainable_Development_Goal_3"

01/09/2026

1 Sept 2026
This week is on raising awareness about NCDs such as diabetes, cardiovascular disease, mental health, cancers.

1 September 2026As South Africa goes to the polls in November 2026 for local government elections what has been the mean...
01/09/2026

1 September 2026
As South Africa goes to the polls in November 2026 for local government elections what has been the meaning of democracy for you. For me democracy is better realisable when people are actively involved in meaningful employment and in education and training.

Right now according to statistics South Africa, there is a high rate of unemployment among youth let alone asking what is the nature and quality of employment youth are in involved in.

The education outcomes show that South Africa can do much more in improving the situation not only in pass rate but most importantly throughput rate. The quality of education can be improved a lot including retention of learners in school.

The group of young people who are not in education, employment or training called NEET is concerning.

Local government can also improve in other areas such as water and sanitation especially in rural areas, the housing backlog and the ailing public health system.

Many people are dependent on social security grant including youth who should be in employment. South Africa under democracy did not envisage a welfare state. Through the early program such as the Reconstruction and Development Program (RDP) the state committed itself to moving away from a welfare state to a developmental state. But now we hear government priding themselves for providing social security grants than job creation and economic growth and development.

Due to lack of opportunities especially in rural areas we see a lot of people flocking to urban areas in search of employment, education and training opportunities. This results to rapid population growth and poses a challenge of housing and increase in informal settlements and lack of basic services.

Things like corruption are eroding the hard earned democracy.

When people have meaningful opportunities in the form of employment they are in a better position to do things for themselves and relieve the state of the burden of care
📷https://lnkd.in/dY685ihh

31 August 2026A call to actionEducation is a known safety net for children and youth, holistically protecting and safegu...
31/08/2026

31 August 2026
A call to action
Education is a known safety net for children and youth, holistically protecting and safeguarding their wellbeing and ability to face challenges of life such as HIV while they participate in school or the world of work.

Encourage and support a child or youth to take available opportunities.

Globally there is a group of young people who are categorized as NEET meaning they are not in employment, education or training.

Attending to the problem of NEET needs a holistic approach with stakeholders both from government and the private sector.

30 August 2026Sharing concluding remarks from today's church sermon at UCT Baxter Theatre Centre in Rondebosch here in C...
30/08/2026

30 August 2026
Sharing concluding remarks from today's church sermon at UCT Baxter Theatre Centre in Rondebosch here in Cape Town (I didn't attend church today). These insights are from the sermon recording.

As believers we are accountable to God and our government:
1. We are dual citizens.
2. We need to align with God's purpose for government.
3. We need more of God's people in government. (without our involvement the current state of affairs will persist).

See below our spheres of influence as a church within our countries.

Since the traditional motivational picture frames are no longer up the walls of Black people's homes, anymore, at least...
30/08/2026

Since the traditional motivational picture frames are no longer up the walls of Black people's homes, anymore, at least here in South Africa, such as "mabadane bahlazeke abacinga ububi ngam (loosely translated as "let those who think bad of me be put to shame") what is up the walls now? As for me I have the Lord's prayer .
Those went with ceramic vases kept in the wall unit.

28/08/2026

28 August 2026
Public health word of the day:
SOGIESC = S*xual Orientation, Gender Identity and Expression, and S*x Characteristics

26/08/2026

26 August 2026
This has been one of the not so easy years so far for me. What helps me is focusing on what is within my control.

The impact of PEPFAR HIV funding cuts.Source: AVACSignificant challenges persist in the wake of cuts to PEPFAR programs...
26/08/2026

The impact of PEPFAR HIV funding cuts.
Source: AVAC
Significant challenges persist in the wake of cuts to PEPFAR programs, as the ripple effects continue to be felt across the field and organizations grapple with how to maintain services with fewer resources.

At the start of the conference, amfAR released a report detailing the results from their recent PEPFAR Pulse study. The study provides the first concrete evidence and key details on the impact of PEPFAR cuts: surveying 166 organizations in 46 countries, they found that nearly 2,000 service sites had been forced to shutter.

The results from the study were significant: almost no organizations were able to fill the funding gap with other donors. Services for key populations (KPs) were “decimated”: 73% of implementing partners stopped at least one KP service and 67% stopped outreach services.

HIV prevention services overall took a huge hit: PEPFAR expenditures for condoms and lubricants were almost completely cut, while non-biomedical HIV prevention and VMMC expenditures were cut in half and PrEP expenditures were reduced by 38%. Expenditures for associated services such as violence prevention and response were also cut by two-thirds.

As a result almost half of respondents reporting that they had halted key prevention activities such as condom or PrEP distribution. Two-thirds reported interruption of PMTCT and nearly one in four stopped providing prevention of mother-to-child transmission services entirely. As outlined in amfAR’s accompanying JIAS article analyzing service delivery data from PEPFAR-supported facilities, these cuts have resulted in drastic reductions in the number of people served.

Additionally, the release of UNAIDS’ United to End AIDS special report and a companion KFF-UNAIDS analysis shared results on the global picture of the AIDS epidemic and donor funding landscape.

The report shows HIV financing entering one of its most precarious periods in decades, with international assistance declining 18% between 2024 and 2025. Donor government funding fell by $2.1 billion in 2025—the largest annual decline since global HIV funding began scaling up—and epidemiological progress has stalled, with new HIV infections remaining essentially unchanged for the third consecutive year.

Taken together, these findings underscore the broader challenges facing the field in effectively translating scientific progress into the impact needed to end AIDS as a public health threat by 2030.

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