1 department of social development presentation to the portfolio committee for social development...
TRANSCRIPT
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DEPARTMENT OF SOCIAL DEVELOPMENT
Presentation to the Portfolio Committee for Social Development
Home-Based Care / Community-Based Care in HIV/AIDS
26 September 2001
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Background June 2000: Joint Health and Social
Development MINMEC decided that Departments should develop and cost integrated models for Home-Based Care and Community-Based Care
July 2000: Minister’s Provincial Visits highlighted need for urgent intervention – support existing initiatives of communities and Faith-Based Organisations
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Background Department decided to run the two
processes concurrently January 2001: Joint Health and Social
Development approved HBC models MINMEC
Presentation focuses on Department of Social Development’s work
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Overview of HBC/CBC 3 programmes:
Joint projects with Department of Health and provinces
Projects funded and managed by National Department using HIV/AIDS funds (5 projects)
National Projects funded from Poverty Relief Fund – 17 projects (Provinces also have HIV/AIDS-related projects funded from Poverty Relief Funds)
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Budget OverviewProgramme Programme
DescriptionFunding
National Integrated Plan for Children infected and affected
Setting up projects in areas identified with high levels of poverty and HIV/AIDS prevalence
Special Allocation for HIV/AIDS2000/01: R5.62 m2001/02: R12.5 m
National Department Special Projects
Support to CBOs and NGOs with existing projects
Special Allocation for HIV/AIDS2000/01: R1.18 m2001/02: R900 000
Poverty Relief Programme(*national projects only)
Support to CBOs, NGOs and FBOs in care and support and raising awareness
Poverty Relief Fund:*2000/01: R9.73 m2001/02: R5m plus R10.88 m for food security
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HBC/CBC in context Department’s goal is to mitigate the
socio-economic impacts of HIV/AIDS Elements of DSD response:
Appropriate social assistance Care and support through special HIV/AIDS
projects Promotion and protection of rights Poverty alleviation strategies Research and information Building capacity
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Joint Projects with Health Social Development functions:
Establish community structures Training of volunteers and communities Provide material support to households
(food, clothing, shelter) Access to social grants Find alternative care for orphans Referral to other programmes (poverty
alleviation, counseling, childcare)
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Community-initiated Projects Proposal submitted on own accord or
through invitation Home-Based Care Projects:
Provide food, health care, counseling for children and orphans
Social grants for children who qualify Provide outreach service to other children and
families in district Provide interim care while alternative care is
investigated
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Community-initiated Projects Community-based projects:
Outreach programmes for families affected
Assistance with accessing social grants Food parcels, assistance with medical,
burials Some have poverty relief components
for economic empowerment
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Progress Summary of projects (details are
provided in report) Provincial departments have other
projects not included Working on reporting mechanism for
capturing information on all projects
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Coverage of Joint ProjectsProvince 2000/2001 2001/2002
Eastern Cape Tsolo DistrictEstimated beneficiaries:50 families and 47 orphans
Mhlakulo; Butterworth
Free State Welkom DistrictEstimated beneficiaries:210 children and their families/caregivers
QwaQwa; Sasolburg; Odendaalsrus; Virginia; Theunissen; Bultfontein
Gauteng - Alexandra; Carleton; Sebokeng; Bronkspruit/ Cullinan
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Coverage of Joint ProjectsProvince 2000/2001 2001/2002
KwaZulu-Natal - Ndumu; Moyeni; Nseleni, Nduduzweni; Bhambayi, Khanyeselani; MpendlePortshepstone/Kokstad;Pietermaritzburg
Mpumalanga Tonga District – 34 projectsEstimated beneficiaries:2816 children
Matibidi; Mmamthlake;KwaMhlanga; Eerstehoek
Northern Cape De Aar Diamond FieldsNamaqualand
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Coverage of Joint ProjectsProvince 2000/2001 2001/2002
Northern Province
Maraba; Mashashane; Westernburg; Seshego1120 children
Dwarsloop; Acornhoek; Dzanani; Messina; Nylstroom; Potgietersrus
North West Jouberton; Klerksdorp115 children
Brits; Zeerust; Vryburg
Western Cape - All regions of Province will be covered
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National ProjectsKidds Beach Development Association – Eastern CapeR138 250
Training of volunteers in 33 communities targeting 19 800 people
Khululeka Women’s Group – Beaufort West (Western Cape)R100 000
Providing Home-Based Care for vulnerable children, including street children. Involving community in production projects
Tembalatwana – Child Welfare Society (Western Cape)R304 000
Training of staff and volunteers in HBC and CBC. Targets 156 families
CINDI Network (KwaZulu-Natal)R30 000
Researching how local networking works to develop best practice guide for networking in HBC and CBC
Koningsdal HIV/AIDS Centre (KwaZulu-Natal)R200 000
Children’s home for HIV positive children. Includes food production. Services 306 families
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Poverty Relief ProjectsAgape (KwaZulu-Natal)R400 000
Care for orphans and vulnerable children. 350 children in care plus children living with families
Hillbrow Home of HopeR400 000
Education and care for sex workers, aims to provide alternative sources of income. 50 youth
African Faith Mission (Eastern Cape)R600 000
Workshops and education seminars aimed at increasing understanding of HIV/AIDS and eliminating stigma. 1000 beneficiaries
Nyumba Yakwethu (Gauteng) R1 500 000
Housing orphans whose parents have died of HIV/AIDS-related illnesses. 70 children
Lumbombo Spatial Development InitiativeR150 000
HIV/AIDS awareness and support for women in craft programme
Masoyi (Mpumalanga)R500 000
CBC for orphans and vulnerable children. Has outreach programme targeting. 800 children
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Poverty Relief ProjectsCarol Shaw Memorial Centre (Gauteng)
Youth involved in drug abuse and extended to include youth HIV/AIDS. 80 youth in-house and 316 in outreach programmes
Catholic Diocese of Tzaneen R500 000
Care and counseling for infected and affected people. Extended to proving Home-Based Care. 300 beneficiaries
Masangulo (Northern Province) R1 200 000
Home-based care, using volunteers to provide care and counseling to infected and affected people. 180 children
AIDS Free Community – Langa (Western Cape) R285 000
Home-based care programme and HIV/AIDS awareness. 69 patients plus outreach beneficiaries
Rural Health Initiative (University of Western Cape) R244 200
Programme run by students to address primary health care and HIV/AIDS awareness in Eastern Cape and Western Cape. 280 beneficiaries
St Clements Home-Based Care (KZN) R500 000
Integrated Home-based care for adults and children, covering HIV/AIDS, the elderly and persons with disabilities. 1000 beneficiaries
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Information Base Started audit/survey of all HBC and CBC
projects in country (with Department of Health)
Survey identifies services offered, target groups, sources of funding, governance structures, etc.
Survey will be used to scale up response and identify areas not covered
Survey will serve as a basis for the monitoring system
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Building capacity Home-Based Care and Poverty Relief
Programmes include building capacity of participants
Launched HIV/AIDS Capacity Building Programme for government officials – includes understanding impact of HIV/AIDS on women
Requests received to extend programme to NGOs and CBOs
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Advocacy work & Partnerships 16 Days of Activism on “No violence
against women” includes men as partners in combating violence against women and sharing responsibility to reduce HIV/AIDS
Working on partnership with LoveLife: Training girls and boys as ‘groundbreakers’ to
promote HIV/AIDS awareness Life skills training Involving youth in Home-Based and
Community-Based Care Programmes
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Advocacy work & Partnerships Partnerships with aid organisations Partnership with Faith-Based
Organisations: Already supporting HIV/AIDS projects of
FBOs Working with FBOs to involve them
more comprehensively in HIV/AIDS programmes
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Challenges and Responses Scaling up response to meet
demand Direct more support to community-
initiated projects Strengthen partnership with FBOs Other partnerships with business and
labour Promoting volunteerism and
involvement of youth
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Challenges and Responses Ensuring protection of children
Prioritise orphans and infected children in new Child Care legislation
National guidelines and protocols to apply to all HBC and CBC projects funded by government
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Challenges and Responses Access to social assistance
Interim national procedures for dealing with applications for disability grants and social relief in distress
Mechanisms to check that participants who are eligible for social assistance receive grants
Long term options on grants being investigated by Committee on Social Security
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Challenges and Responses Addressing the problem of stigma
Provide tangible assistance to people affected (access to social grants, counseling, health care, etc)
Education of communities where HBC and CBC projects are located
Support to National campaigns:• Young men as partners in fight• Faith-Based Organisations
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Challenges and Responses Food security
Strengthen food security component of HBC and CBC Programme through Poverty Relief Programme. 144 food production clusters to be established over 3 year period.
Government developing Integrated Food Security Strategy (Health, Agriculture, Social Development and Education)
Budgetary issues Discussions with Treasury on funding for HBC
and increasing social relief budgets