We've moved!

This donation page is on the old Big Give website. Please go to theBigGive.org.uk to find current campaigns and opportunities to double your donation.

If you have any queries on the changes, please email us at info@thebiggive.org.uk.

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 2019 - December 2019

Charity information: Starfish Greathearts Foundation

Starfish Greathearts Foundation logo
  • Need


    South Africa has the highest HIV prevalence in the world with 7 million people living with the virus. 1.7 million children have been orphaned as a direct result of the pandemic (UNAIDS 2017). KwaZulu Natal is the region with the highest HIV prevalence and our partners report a lack of access to prevention measures, care and treatment. To overcome the HIV pandemic, it is crucial to effectively mobilize resources to reach rural and understaffed areas.


    Our mobile health clinics, the Wellness Wagons, are a key component of the Wellness Programme. The communal participation and visibility of the wagons, as well as the integration of HIV care with routine health care together contributes to reducing the stigma associated with HIV. Bringing the Wellness Wagons to schools in the area facilitates ongoing regular check-ups without children missing school to travel. Our mobile clinics ensure the physical, mental and social wellbeing of children.

  • Aims

    Aim 1

    Provide immunisations and educate communities on the importance of the Road to Health Card (RTHC)


    » Qualified on board nurse to provide immunisations for children and update their RTHC, keeping their medical records up to date.

    What success will look like

    Improved health and wellbeing for children as a result of receiving immunisations at the correct time

    Aim 2

    Provide head to toe health checks including testing for HIV and screening for TB.


    » Qualified on board nurse to provide testing for HIV, diabetes, blood pressure and mineral deficiencies.
    » Carry out screening for TB, eyesight, hearing and oral hygiene
    » Administer treatment, make referrals where necessary and carry out follow up visits to monitor children's progress.

    What success will look like

    HIV testing and TB screening will enable early identification, dramatically increasing the quality of a child's life

    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.

    What success will look like

    Improved knowledge of dietetics for carers. Distribution of food parcels and supplements to reduce malnourishment in the children assessed.

    Aim 4

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


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

    What success will look like

    Improved knowledge of sexual health and contraception methods. Reduction in mother to child transmission and improved postpartum care, for a healthier mothers and children.

    Aim 5

    Provide tailored health initiatives for young and adolescent females.


    » Provide HIV education, contraception, sanitary pads and test kits
    » Provide 25 tailored family planning and HIV education and awareness sessions

    What success will look like

    Knowledge of sexual health and availability of contraception. Increased school attendance as girls feel confident to attend school during their periods.

  • Impact


    Healthcare delivery to children in rural areas will be strengthened. Success 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 in the future.


    The potential risks include staff turnover, stock levels and efficient management at a CBO level. Having worked closely with our CBOs for 16 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 case studies, pictures and interviews with CBO employees and beneficiaries. All information will be shared via a quarterly newsletter/report and through social media platforms.

  • Budget

    Budget - Project Cost: £33,672

    Loading graph....
      Amount Heading Description
      £9,365 Operational Costs Combined cost of license, service, insurance, equipment, waste disposal and estimated fuel
      £9,019 Programme Costs Cost of test kits, contraceptives, sanitary pads, over the counter medication and referrals
      £15,288 Human Resources Nurse and driver salary for visits to 6 partner sites

    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
    Harford Charitable Trust £700 Guaranteed
    Persula Foundation £3,000 Guaranteed
    Dorfred Charitable trust £1,125 Guaranteed
  • Background


    7 million people currently live with HIV in South Africa (SA). KwaZulu Natal (KZN) remains the region with the highest rates of HIV prevelance in South Africa. Affected by the legacy of apartheid, high poverty rates, HIV prevalence and orphan rates, there is a significant number of child headed households within the region. Our CBOs report a lack of healthcare, education, and nutrition services.


    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 3,500 children who will directly benefit from the Wellness Wagons. Through educational workshops caseworkers and families will share their skills and knowledge with the wider community, maintaining good health practices and creating self-sustaining communities.

  • Why Us?

    Why Us?

    With 16 years experience we have developed an effective monitoring and evaluation system to deliver crisis intervention, comprehensive care and development programmes in partnership with 7 CBOs at a grassroots level. Our long-standing partnerships enable us to liaise with local communities, empowering them to improve the lives of thousands of vulnerable 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

    Melissa Chetty

    As Operations Manager, Melissa is responsible for the monitoring and evaluation of the programme. She compiles narrative, stats and financial reports.