DEPARTMENT OF SOCIAL DEVELOPMENT

1
DEPARTMENT OF SOCIAL DEVELOPMENT

• Presentation to the Portfolio Committee for
  Social Development
• Home-Based Care / Community-Based Care in
  HIV/AIDS
• 26 September 2001

2
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 Ministers Provincial Visits
  highlighted need for urgent intervention
  support existing initiatives of communities and
  Faith-Based Organisations

3
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
  Developments work

4
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)

5
Budget Overview
Programme Programme Description Funding
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/AIDS 2000/01 R5.62 m 2001/02 R12.5 m
National Department Special Projects Support to CBOs and NGOs with existing projects Special Allocation for HIV/AIDS 2000/01 R1.18 m 2001/02 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 m 2001/02 R5m plus R10.88 m for food security
6
HBC/CBC in context

• Departments 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

7
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)

8
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

9
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

10
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

11
Coverage of Joint Projects
Province 2000/2001 2001/2002
Eastern Cape Tsolo District Estimated beneficiaries 50 families and 47 orphans Mhlakulo Butterworth
Free State Welkom District Estimated beneficiaries 210 children and their families/caregivers QwaQwa Sasolburg Odendaalsrus Virginia Theunissen Bultfontein
Gauteng - Alexandra Carleton Sebokeng Bronkspruit/ Cullinan
12
Coverage of Joint Projects
Province 2000/2001 2001/2002
KwaZulu-Natal - Ndumu Moyeni Nseleni, Nduduzweni Bhambayi, Khanyeselani Mpendle Portshepstone/Kokstad Pietermaritzburg
Mpumalanga Tonga District 34 projects Estimated beneficiaries2816 children Matibidi Mmamthlake KwaMhlanga Eerstehoek
Northern Cape De Aar Diamond Fields Namaqualand
13
Coverage of Joint Projects
Province 2000/2001 2001/2002
Northern Province Maraba Mashashane Westernburg Seshego 1120 children Dwarsloop Acornhoek Dzanani Messina Nylstroom Potgietersrus
North West Jouberton Klerksdorp 115 children Brits Zeerust Vryburg
Western Cape - All regions of Province will be covered
14
National Projects
Kidds Beach Development Association Eastern Cape R138 250 Training of volunteers in 33 communities targeting 19 800 people
Khululeka Womens 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 Childrens home for HIV positive children. Includes food production. Services 306 families
15
Poverty Relief Projects
Agape (KwaZulu-Natal) R400 000 Care for orphans and vulnerable children. 350 children in care plus children living with families
Hillbrow Home of Hope R400 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 Initiative R150 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
16
Poverty Relief Projects
Carol 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
17
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

18
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

19
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

20
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

21
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

22
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

23
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

24
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

25
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