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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