Project information

Wellness Programme: Healthcare in rural areas

The programme aims to ensure the physical, mental and social wellbeing of vulnerable/orphaned children affected by HIV in South Africa. Our Wellness Wagon’s are mobile clinics which provide HIV, TB, and diabetes testing and access to treatment and medication in remote rural communities.

January 2018 - December 2018

Charity information: Starfish Greathearts Foundation

Starfish Greathearts Foundation logo
  • Need


    South Africa has the highest HIV prevalence in the word with 7 million people (240,000 children) living with the virus. 3 million AIDS orphans also reside in South Africa (UNAIDS 2016). Negative health indicators are particularly high in the KwaZulu-Natal region and the Eastern Cape Province. Our partners also report a lack of healthcare, education, and nutrition services within these areas. Mobilising recourses in remote rural and understaffed areas is hence vital in tackling the HIV pandemic.


    The Wellness Programme seeks to improve health outcomes in remote rural communities across South Africa. Stationed at key points within the communities the Wagons enable communal participation, where HIV care is integrated with routine healthcare. Taking a holistic approach the project improves the children’s access to healthcare, facilitates regular check-ups and maximises children's learning potential by allowing them to stay in school rather than travel long distances for health services.

  • Aims

    Aim 1

    Provide immunisations and educate communities on the importance of the 'Road to Health Card'.


    » Professional nurse to provide immunisations for children and update their RTHC, which provides medical records.

    Success shown through increased numbers of children from the supported communities receiving top to toe check-ups, immunisations, and improved medical records through RTHC.

    Aim 2

    Provide general screening services to detect a range of health issues, ranging from eyesite to HIV.


    » Professional nurse to provide screening for TB, HIV and diabetes, but also more generally for eyesight, hearing and oral hygiene checks.
    » Professional nurse to administer treatment and provide follow up visits to keep records and monitor children's progress.

    By screening 3,500 children, more children will know their status particularly regarding TB, HIV and diabetes and will have received relevant follow up treatment.

    Aim 3

    To prevent mineral deficiencies and malnourishment in children and educate carers in dietetics.


    » Assessing the key growth indicators and highlighting any anomalies to the carer, ensuring children receive daily meals and/or supplements.

    Improved knowledge of dietetics for carers, professional nurse assessments, and food parcels and supplements will ensure reduced malnourishment in the 3,500 children assessed.

    Aim 4

    Deliver prevention messaging on drug/alcohol use and abuse, and sexual/reproductive counselling.


    » Professional nurse to provide initial prevention messaging and campaigning.
    » Volunteer and Lay counsellor to provide follow up support and counselling.

    Improved sexual/prevention education will ensure a reduction of mother to child transmission, unwanted pregnancies, and improved postpartum care, for a healthier mother and child.

  • Impact


    Healthcare delivery to children in rural areas will be strengtened. The success of the project will be demonstrated by the number of children reached and their overall wellbeing. Early diagnosis of HIV, TB and diabetes will dramatically increase the quality of children’s lives and good nutrition will improve concentration, school attendance and education prospects. Educated careworkers and families will share their skills and knowledge with the wider community, sustaining good health practices.


    The potential risks include staff turnover, stock levels and efficient management at a CBO level. Having worked closely with our CBOs for 15 years, we have a robust plan in place to ensure these risks are mitigated. The Wellness Wagon is serviced and stocked on a quarterly basis and by re-visiting the CBOs every 6 weeks to check the children's progress, the staff remain engaged with the project.


    We receive quarterly financial and statistical reports, in addition to real time reports from the CBOs and wider communities in the form of case studies, pictures and interviews with local staff. All information will be publicised via a quarterly newsletter and social media platforms.

  • Budget

    Budget - Project Cost: £41,705

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      Amount Heading Description
      £4,500 Driver/Lay Counsellor salary Drivers salary for travel to the 6 CBOs
      £12,000 Nurse salary nurse salary for time at 6 CBOs
      £938 CBO Co-ordinator Salary for organisation, communication, and follow up with the CBO sites.
      £6,904 Operational Costs Cost for the vehicle operations, including; license, service, repairs/maintenance.
      £17,363 Programme Cost Cost of medical equipment, medication, educational material and referral costs.

    Current Funding / Pledges

    Source Amount
    The Park Family CT £2,500 Guaranteed
    The Forest Hill CT £1,000 Guaranteed
    The Dragonfly CT £3,000 Guaranteed
    W M Sword CT £1,000 Guaranteed
    Persula Foundation £3,000 Guaranteed
    I. B. B Trust £1,000 Guaranteed
    Angus Lawson MT £5,000 Guaranteed
    Scouter CT £4,000 Guaranteed
    The Lewis Ward Trust £1,000 Guaranteed
  • Background


    7million people (240000 children) currently live with HIV in South Africa (SA). KZN and EC are in the top three regions, along with Limpopo as having the highest burden of disease (including HIV and TB) associated with poverty. From living in the legacy of apartheid, high poverty rates, HIV prevalence and orphan rates, means there are substantial numbers of child headed households within the regions. Our CBOs report a lack of healthcare, education, and nutrition services within these areas.


    Our project will positively impact communities experiencing high poverty, selected based on evidence of vulnerability from national and local strategic plans. Each year we aim to reach 3,5000 children who will directly benefit from the wellness project. Through educational material and workshops caseworkers and families will share their skills and knowledge with the wider community, sustaining good health practices, allowing for one going benefits, and help creating self-sustaining communities.

  • Why Us?

    Why Us?

    With 15 years of experience we have developed an effective monitoring/evaluation system to deliver crisis intervention, comprehensive care and development programmes in partnership with 6 CBOs at a grassroots level. Our long-standing partnerships with local CBOs enable us to liaise with local communities, and have proven that we can empower communities and improve the lives of thousands of vulnerable children. Our countrywide network covers 33 partners and 12,000 children.

    Read more about the Charity running this project.


    Absalom Sibuyi

    As a Programme Manager, Absalom will oversee the roll out, organise supplies and training and monitor progress, through visits and regular follow ups