HIV Combination Prevention Programme
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.
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.
Bridge Project – FHI 360
Increase number of adolescents and youth receiving package of EB socio-economic interventions;
Improve wellbeing of the households of vulnerable adolescents and youth by increasing their ability to better prevent and cope with shocks (social, health, and economic) and mitigate the impact of HIV/AIDS on the family;
Advocate and mobilize community support & resources to increase access to information, networks, and new technologies that build linkages to professional and community networks and reduce social exclusion.
The AFSA Bridge project aims to refer beneficiaries enrolled in the programme to services which benefit them. Local stakeholders include local clinics, CBOs, faith based organisations, government departments, Inanda, Ntuzuma and Kwa Mashu Business forums, recruitment agencies as well as local leadership such as ward councillors and traditional authorities.
The Bridge Project currently operates in Inanda, Ntuzuma, and KwaMashu in eThewini, South Africa.
Beneficiaries of the Bridge project are between 10 – 20 years old and fall into at least one of the following subpopulations:
Single Orphan, Double Orphan, Children Living with HIV, youth living with HIV+ caregivers, Children of key populations, youth exposed to GBV and most vulnerable AGYW.
UNAIDS GOALS FOR HIV CONTROL 90-90-90
STOP TB GOALS 90-90-90
The project aims to retain and give services to all the beneficiaries enrolled into the program. Services include ART adherence support, referral for family planning, PrEP, VMMC, GBV, saving and budgeting and homework support. Service provision is separated into 2 components, namely:
The health component
The Economic strengthening component
The Health Component – 95.95.95.
The first 95 seeks to determine how many enrolled beneficiaries are between 15 – 19 years of age and further how many are aware of their HIV status. The aim is to ensure 100% known status.
The second 95 seeks to encourage beneficiaries to join in on sessions for support. HIV- beneficiaries join in Vhusthilo 2 sessions designed to educate and provide tools for safe sex. HIV+ beneficiaries attend Vhusthilo 3 sessions, which include ART adherence and Disclosure support groups. These are implemented in local clinics and community-based organisations for peer support and adherence as well as treatment literacy education.
The third 95 covers the implementation of home visits which are conducted to ensure that beneficiaries are adhering to treatment, and to monitor viral load to confirm treatment response.
The Economic strengthening component – Financial Capability, Supporting access to tertiary education, Entrepreneurship, Employability
The financial capability intervention encourages behaviour change in beneficiaries. Beneficiaries are equipped with information and tools to understand the importance of saving, having a saving goal and the importance of opening of bank accounts.
Supporting access to tertiary education is an important intervention for the youth of the INK area, it addresses concerns which many beneficiaries and their parents have about tertiary education. The opinion that a lot of matriculants have a little to no knowledge tertiary education is one that is a reality for beneficiaries of The Bride Project.
This intervention has been the most encouraged as the Bridge Project believes every one of its beneficiaries have these things in common: The desperate need to improve their standard of living, the love for making an income of your own, the desire to change things positively for your family and lastly the desire to see yourself make it in life and this is why this intervention has proven very popular among all the age groups we serve, it encourages young entrepreneurs to think beyond the chains that bind them, it also allows budding entrepreneurs to think creatively and to dream and actively work towards realizing those dreams. The project monitors 10 businesses that exist in the program, covering: catering, sewing, a car wash, hair dressing, grass cutting, a tuck shop, selling of traditional hats, poultry business, farming and beadwork.
The employability intervention focuses on sharing information about employment opportunities, CV writing and job interview skills.
Grantees for Years 1 and 2 are situated in the uMsunduzi, Chatsworth, Mhlathuze, Hammarsdale and Kwanyuswa sub-districts, as well as the Umkhanyakude, UMgungundlovu, and Harry Gwala Districts in KwaZulu Natal; the Sarah Baartman, and the Mabhashe sub-district and Buffalo City Metropolitan district in the Eastern Cape; and the Nkomazi sub-district, and Ehlanzeni District in Mpumalanga. Due to the COVID-19 pandemic funding will not be granted in Mpumalanga province for Year 2.
Small Projects Support Fund – Bread for the World
Background of the SPSF:
The Small Project and Support Fund (SPSF) is a project funded by Bread for the World (BfdW) to support small local initiatives that are made up of committed and dedicated people who may belong to any of these structures: self-help groups, community based organisations (CBO’s), faith based organisations (FBO’s) or smaller non-governmental organisations (NGO’s) or small local networks and their members working within their vicinity and context to improve the lives of the marginalised. The BfdW partner organisation, the AIDS Foundation of South Africa (AFSA) is the administrative partner who manages the programme autonomously based on criteria which have been mutually agreed with BfdW. Funding to successful applicants is channelled through AFSA. The SPSF aims to empower communities to act and participate in their own development through actions that are designed, implemented and owned by the communities themselves. It will target grass-root initiatives that are known in their communities; at least 25% of the funded initiatives will be female led so as to address gender inequalities and drive female empowerment. The SPSF will run for 3 years-2019-2022.
AFSA implemented the first phase of the project (Year 1) between April 2019 and March 2020 through a grant received from BftW in partnership with 7 initiatives that were spread over the 3 geographical provinces. The SPSF is made up of two components each to be implemented annually:
Component 1 is implemented in Kwa-Zulu Natal, Eastern Cape & Mpumalanga provinces with no thematic focus area. Maximum funding period is 1 year to the value of R150000.
Component 2 supports initiatives that are focused on the protection of Human Rights it has no geographic locations. This is once off ad-hoc funding that is provided as and when required. Maximum value funding is R75000.
REDUCE HIV INFECTIONS IN
15-24 YEAR OLD GIRLS &
YOUNG WOMEN IN 2016
REDUCE HIV INFECTIONS IN
15-24 YEAR OLD GIRLS &
YOUNG WOMEN IN 2017
Social and Behaviour Change – SANAC and Department of Social Development
AFSA is implementing the Social and Behaviour Change (SBC) Programme in partnership with the Department of Social Development targeting young people aged 15-24 years, in particular girls and young women, with a view to decrease risky sexual behaviours among the young people in order to contribute to the reduction of HIV infections and unwanted teenage pregnancies in the KwaZulu Natal Province. AFSA is implementing the SBC programme in the Amajuba, ILembe, uMzinyathi and Harry Gwala districts.
YOLO: Mobilize and conduct YOLO sessions targeting youth in and out of school between the ages of 15-24, participants are recruited from their communities and schools.
FMP : Mobilize and conducting Families Matter Programmes sessions targeting parents and their children, to help improve communication between parents and their children on sexual reproductive health.
KeMoja: Mobilize and conduct KeMoja sessions in schools and in communities targeting participants between the ages 15-24, providing comprehensive prevention programs on substance abuse and promoting a healthy lifestyle
MCC: Mobilize and conduct dialogues in communities targeting young and adult males, increasing the involvement of young men in the protection of women and girls from gender-based violence and HIV acquisition
CCE: Mobilize and conduct dialogues in communities, investing positive values in young people to become change agents within their communities.
Social Mobilisation Programme – Bread for the World
The Social Mobilisation programme aims to increase the uptake of interventions implemented by other HIV Prevention Programmes as well as increase the uptake of HTS and linkage to ART. From July 2020 – June 2023, the programme will evolve to Access Inclusion focusing on People Living With Disabilities.
The Top 3 Objectives of the programme:
Increased uptake of HIV Testing Services
Men Championing Change
Open days for social mobilisation for other interventions