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Children in Distress Network

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Qhawekazi Empowerment Programme

 

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Qhawekazi is KZN Provincial Treasury’s Programme supported by the Global Fund. The programme has been developed in consultation with local role players with the aim of enhancing the sexual and reproductive health and well-being of young women and girls (YWG) through preventative health and psycho-social interventions whilst enhancing their meaningful transition to adulthood. The programme provides a youth-friendly, comprehensive combination prevention package of services that address a range of biomedical, social-behavioural, structural and economic vulnerabilities in young women. The approach aims to build on existing research in South Africa and elsewhere to demonstrate the utility and effectiveness of Cash plus Care interventions in KwaZulu-Natal (KZN) in reducing the vulnerability of young women to HIV.

 The overall goal of the intervention is to generate programmatic evidence to support whether a tailored, incentivised behaviour change intervention model will assist in reducing the HIV and TB incidence and unwanted pregnancies in young women aged 19 to 24 years in the of King Cetshwayo District (KCD by 31 March 2019.

 The Programme focuses on providing a systems strengthening approach that supports the building of community-based care while addressing a range of vulnerabilities that drive the HIV epidemic for young woman aged 19-24. This is done in two ways:

  1. Cash: a conditional incentive is provided in the form of cash or vouchers. Part of the condition is to attend health/ empowerment sessions. They will also be expected and to take up HCT and TB screening once every 6 months.
  2. Care: this component is inclusive of the month health/empowerment/ life skills session. Care also includes the support given at the health care facility.

 

Programme Focus

The overall goal of the intervention is to generate programmatic evidence to support whether a tailored, incentivised behaviour change intervention model will assist in reducing the HIV and TB incidence and unwanted pregnancies in young women aged 19 to 24 years in the KCD by 31 March 2019.

 The Programme focuses on providing a systems strengthening approach that supports the building of community-based care while addressing a range of vulnerabilities that drive the HIV epidemic for young woman aged 19-24. This is done in two ways:

  1. Cash: a conditional incentive is provided in the form of cash or vouchers. Part of the condition is to attend health/ empowerment sessions. They will also be expected and to take up HCT and TB screening once every 6 months.
  2. Care: this component is inclusive of the month health/empowerment/ life skills session. Care also includes the support given at the health care facility.

 

Geographic Coverage

The KCD is one of the highest burden districts within the province, particularly amongst 15-49 year olds. The district also has the highest TB incidence in the province and the second highest learner pregnancy rate. The CINDI Cash plus Care intervention will target 20 000 YWG recruited from across all five sub districts of KCD, namely: uMhlathuze, Umlalazi, Mthonjaneni, Nkandla and Umfolozi. Four sub-sub recipients (SSR) have been contracted to assist with the implementation of the programme in specified sub districts.

 Goals and Objectives

The overall goal of this initiative is to generate programmatic evidence to support whether a tailored, incentivised behaviour change intervention model will assist in reducing the HIV and TB incidence and unwanted pregnancies in young women aged 19 to 24 years. This will be achieved through the following primary objectives:

  1. To reduce risky sexual behaviour of 20 000 young women aged 19-24 years by 31 March 2019 by 20%
  2. To increase the percentage of young women adopting a positive sexual health lifestyle through provision of comprehensive sexuality and life skills education among 20 000 young women aged 19 -24 years by 31 March 2019 by 20%
  3. To increase uptake of holistic SRH services that include HIV, TB and STIs among 20 000 young women aged 19-24 years by 31 March 2019 by 50%

 

 Partners

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Child Care South Africa (CCSA)

 Child Care SA is the implementing partner contracted by CINDI to implement the Cash Plus Care in the other two Local Municipalities in King Cetshwayo District. These Local Municipalities are Umlalazi and Mthonjaneni and have different dynamics with Mthonjaneni being the smallest local municipality in the King Cetshwayo District. Mthonjaneni however is also a vastly rural area and network coverage challenges are also prevalent in this area. Child Care SA has been implementing the Cash Plus Care Programme in these Local Municipalities since March and the activities outlined below occurred in the month of October.


EDI Training and Development (EDI)

 Edi is one of the implementing partners contracted by CINDI to implement the Cash Plus Care Programme in two Local Municipalities namely; Umfolozi and Nkandla. Nkandla is characterized by mainly rural areas which explains the different dynamics in this Local Municipality. Implementing the Cash Plus Care Programme in Nkandla has been met with a series of challenges such as network and connectivity problems ranging from the geographical landscape of the area. Umfolozi is precinct in King Cetshwayo also characterized by rural areas. These two Local Municipalities fall under King Cetshwayo District and Edi in collaboration with CINDI has been implementing the Cash Plus Care Programme since March within these Local Municipalities. Activities outlined below occurred in the month of October. 


Life Line Zululand

Lifeline is the implementing partner contracted by CINDI to implement the Cash Plus Care in UMhlathuze which is the economic hub of King Cetshwayo District. UMhlathuze is the most developed with a mixture of rural and urban areas. UMhlathuze is the largest Local Municipality in King Cetshwayo District consisting of consisting of 34 Wards. UMhlathuze has been the implementing the Cash Plus Care Programme since March and the activities below occurred in the October.

 

Indicator Municipality Target Session March to November Total
Total number of Young Women & Girls
(YWG's) reached with the
Cash Plus Care (CPC) Programme
    S1 S2 S3 S4 S5 S6 S7 S8  

uMlalazi

4 265 4 077 3 121 3 112 2 419 1 664 0 0 0 14 393

Mthonjaneni

1 483 2 193 1 650 1 316 970 26 0 0 0 6 155

Nkandla

2 252 2 057 1 596 600 717 374 195 23 1 5 563
Total for cluster 8 000 8 327 6 367 5 028 4 106 2 064 195 23 1 26 111
uMfolozi 2 881 2 915 2 834 2 346 1 950 1 729 1 384 666 145 13 969
uMhlathuze 9 119 5 910 4 058 3 376 2 664 2 402 1 898 1 358 631 22 297
Total for cluster 12 000 8 825 6 892 5 722 4 614 4 131 3 282 2 024 776 36 266
Total 20 000 17 152 13 259 10 750 8 720 6 195 3 477 2 047 777 62 377