1. 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. 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: Minister’s Provincial Visits highlighted need for urgent intervention – support existing initiatives of communities and Faith-Based Organisations

3. 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 Development’s work

4. 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. 5 Budget Overview ProgrammeProgramme 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. 6 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

7. 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. 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. 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. 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. 11 Coverage of Joint Projects Province2000/20012001/2002 Eastern CapeTsolo District Estimated beneficiaries: 50 families and 47 orphans Mhlakulo; Butterworth Free StateWelkom District Estimated beneficiaries: 210 children and their families/caregivers QwaQwa; Sasolburg; Odendaalsrus; Virginia; Theunissen; Bultfontein Gauteng-Alexandra; Carleton; Sebokeng; Bronkspruit/ Cullinan

12. 12 Coverage of Joint Projects Province2000/20012001/2002 KwaZulu-Natal-Ndumu; Moyeni; Nseleni, Nduduzweni; Bhambayi, Khanyeselani; Mpendle Portshepstone/Kokstad; Pietermaritzburg MpumalangaTonga District – 34 projects Estimated beneficiaries:2816 children Matibidi; Mmamthlake; KwaMhlanga; Eerstehoek Northern CapeDe AarDiamond Fields Namaqualand

13. 13 Coverage of Joint Projects Province2000/20012001/2002 Northern Province Maraba; Mashashane; Westernburg; Seshego 1120 children Dwarsloop; Acornhoek; Dzanani; Messina; Nylstroom; Potgietersrus North WestJouberton; Klerksdorp 115 children Brits; Zeerust; Vryburg Western Cape-All regions of Province will be covered

14. 14 National Projects Kidds Beach Development Association – Eastern Cape R138 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

15. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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