Strengthening HIV and Sexual Health Services
Through a structured mentoring and teaching model, we work alongside staff, on-site in health facilities, building their skills and knowledge to deliver quality HIV and Sexual and Reproductive Health services to all adolescents and young people in their community.
January 2018 - December 2018
Charity information: CHIVA Africa
UNAIDS states that there are 320,000 adolescents living with HIV in South Africa; the highest in the world. With more than half of all HIV infections occurring in young people between the ages 15 and 24, HIV in South Africa has largely become a ‘youth epidemic’.
Our experience has highlighted key factors that prevent services from meeting the needs of young people. These include accessibility of services; concerns about confidentiality; attitudes and skills among staff; and management issues.
Our teams provide mentoring, teaching and support to help each clinic attain the 10 Department of Health standards for Adolescent and Youth Friendly Services (AYFS).
Our aim is for each clinic to reach the minimum standard (80%) for all 10 standards, thus achieving overall AYFS status. We commence with a baseline (assessing 244 indicators) which helps us to tailor our approach for each clinic. This approach ensures ownership of the staff team, and transforms HIV and Sexual Health services.
Strengthen HIV and Sexual Health services by supporting clinics to achieve 10 DOH AYFS standards.
Activities» 10 days (1/month) with each clinic team delivering mentoring and teaching focused on improving adolescent health services in their community.
» Assessments at baseline, interim and exit against 244 indicators/10 standards for AYFS. Analysis enables focused teaching for all on-site sessions
» Between on-site visits our team provide remote support to each clinic focused on each area identified for quality improvement in the action plan.
» Data collection and analysis of service use by adolescents. Teach staff how to collect and analyse data, in order to spot trends and gaps in service.
Success will be demonstrated by:
(1) Each clinic achieving >80% for all AYFS Standards.
(2) Evidence of new activity.
(3) Positive response from adolescents and health workers.
By the end of the project each facility will be providing comprehensive sexual and reproductive health services, HIV prevention, treatment and care to all adolescents accessing their services.
This is achieved through new services including: Happy Hours; Fast tracking children; Outreach activities; and Clinic Committees which include young people to ensure accountability.
Focusing on building skills, in the environment where health workers work each day helps to ensure change is sustainable.
The biggest risk we face is when staff teams do not engage. This is rare but can derail the process.
We overcome resistance to change through our supportive on-site mentoring (we are not judgmental) and engagement with the team during the baseline assessment - showing them how they are a part of the design of the project (it's focused on their needs).
Questionnaires with young people also show the staff team what services are needed, and how engaging with young people can be helpful.
We will provide a report at the end of the twelve month project and also provide updates during the year. We'll be able to provide testimonials from health workers, young people, and our staff detailing the changes made through their support. We would aim to provide images and possibly video.
Budget - Project Cost: £40,303Loading graph....
Amount Heading Description £7,233 Country Director The CD manages the overall programme and DOH relationship - this is 15% of her time. £5,810 M&E Officer Will support the team and clinics to collect and analyse data to measure performance and spot trends £8,429 AYFS Manager 25% of PM time to work with clinics and manage the AYFS teams £7,808 AYFS Facilitator The AYFS Facilitator will lead the work with the health facilities. 100% of salary. £3,689 AYFS Mentor The AYFS Mentor role is an intern role which supports the AYFS Facilitator. 100% of salary. £4,505 Transport Transport to and from health facilities. Includes cost of driver/administrator £2,460 Admin Telephones, internet and rent - pro-rata based on involvement in the project £369 AYFS Materials for clinics Cost of printing AYFS materials for clinics
Current Funding / Pledges
Source Amount ELMA Foundation £15,114 Guaranteed JAKAMaR Trust £12,500 Guaranteed
The project will take place in 5 communities in eThekwini District in KwaZulu Province, South Africa.
eThekwini is one of the Districts most affected by HIV in South Africa. From the South Africa District Health Barometer 2013/14 we know that in eThekwini, there are 256,807 adults (aged 15+) receiving ART, and 14,523 children (aged 0-15) – both of these are the highest in South Africa.
Beneficiaries fall into three groups:
Young people and adolescents served by the 5 clinics. From previous projects we estimate that each clinic serves 10,000 people aged 10-24 years.
All staff in clinics incl. nurses, counselors, administrators, security and cleaners (all have an impact on making youth welcome). On average there are 30 staff/clinic.
Children younger than adolescents. The effect of improving the skill and knowledge of healthcare workers will benefit future adolescents.
We have been working in South Africa since 2004 providing mentoring, teaching and support to healthcare professionals caring for children and adolescents living with HIV.
Our experience led to us to develop the model in this project. Over the past 3 years we have continually evolved our approach and have helped staff teams strengthen services in 23 clinics. in 2017 we are implementing this model in 15 clinics, as well as piloting a condensed programme in 20 clinics in partnership with UNFPA.
Read more about the Charity running this project.
Juliet is responsible for the development and delivery of all work in South Africa. She will oversee the delivery and design of this project.
Nokuthula is CHIVA South Africa's Adolescent Programme Manager and will manage the day to day of the programme and relationships with each clinic.
Sonto is the AYFS Facilitator on this project and will lead the mentoring and teaching work with each clinic team.
TK is an AYFS Mentor and will support Sonto in the ongoing mentoring and teaching with each clinic team.