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: Minister’s 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 Development’s 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

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. 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

12. Coverage of Joint Projects

13. Coverage of Joint Projects

14. National Projects

15. Poverty Relief Projects

16. Poverty Relief Projects

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