Unfinished Business Initiative in KwaZulu-Natal – ELMA and PACT
AFSA is a recipient of a three-year grant spanning from May 2019 to April 2022 to implement the Unfinished Business Phase II programme funded by the ELMA Philanthropies and ViiV Healthcare through the Positive Action for Children Fund (PACF) as part of a consortium of 5 partners in 2 provinces, AFSA implements the Unfinished Business programme in two high HIV burdened districts of KZN, eThekwini and uMgungundlovu. The HIV prevalence in these 2 districts remains high. Through the Unfinished Business programme, AFSA works across the 90-90-90 cascade at a community level and contributes to accelerating HIV case finding in the community through implementing different context specific strategies to improve case finding of children and adolescents between the ages of 2 and 19 years. The programme strives to initiate 90 per cent of the identified children and adolescents to the lifelong antiretroviral treatment (ART) using community-initiated referrals to health facilities and ensures that children and adolescents living with HIV are retained in care and virally suppressed over time by implementing a differentiated case management programme using the uniquely developed Mngani Case Management Model.
Goal: Find 1584 new positives. Implement 100% ART initiation.
641FIND HIV POSITIVE ADOLESCENTS
99%ELIGIBLE BUT NOT YET ON TREATMENT
Key Partnerships Department of Health – On-going work with the department was done with more added activities, in the main, the implementation of the case management programme was primarily done through the community-facility collaborations. Department of Education – Though AFSA does not have a memorandum of understanding with the DoE, engagements and partnerships were formed with them to support the school health programmes. AFSA was given the go ahead to work with local schools in uMgungundlovu.
Department of Social development – In the provision of case management services AFSA had a partnership with the DSD that allowed for a smooth referral channel of children that needed to see Social Workers for further psychosocial support. FHI360 in partnership with DoE – AFSA partnered with FHI 360 and DoE in the Sexuality Health programme in schools, the programme was implemented in uMgungundlovu. Zoe-Life – Through its programme implemented in Umlazi, eThekwini and Msunduzi in uMgungundlovu, AFSA and Zoe Life collaborated to support each other’s programme objectives. Through this programme Zoe Life trained AFSA staff on KidzALive and further provided on site mentorship.
Thuthuzela Care Centre – Children and adolescents reporting cases of rape and/or GBV were referred to Thuthuzela centres for support. Heath Systems Trust – Through the implementation of the case management programme AFSA partnered with HST to model a comprehensive approach to case management where a client received support both in the community and facility. This project is piloted in 5 facilities in eThekwini and the results will be reported in the 2nd year of the programme. TB/HIV Care – Partnerships were formed with TB/HIV Care for referral of clients that required further services including PrEP.