loveLife’s groundBREAKER and mpintshi programmes

1. loveLife’s groundBREAKER and mpintshi programmes Dr. Andile Dube & Scott Burnett 18 October 2011

2. SECTION1: STATE OF THE HIV EPIDEMIC

3. State of the epidemic: Why target youth? • Half our population is under 25

4. Main spike of infection is among youth Source: HSRC National Survey (2008)

5. It’s about more than just knowledge Source: Pettifor et al (2004). HIV and sexual behaviour among young South Africans: A national survey of 15-24 year olds 2003., Reproductive Health Research Unit, University of Witwatersrand (secondary analysis)

6. Young people are showing the way

7. We can halve incidence... again Source: Thomas M. Rehle et al. (2010) “A Decline in New HIV Infections in South Africa: Estimating HIV Incidence from Three National HIV Surveys in 2002, 2005 and 2008”, PLoS ONE,1 June 2010, Volume 5, Issue 6, e11094.

8. SECTION 2: loveLife’s APPROACH

9. How does loveLife fight HIV? • Individual/Behavioural: Address attitudinal and knowledge gaps in schools through massive outreach programmes. • Social change: Sustain media and youth leadership initiatives that entrench positive social norms. • Structural: Deliver youth friendly clinical services, psychosocial support, career guidance, school sport, and so on. • Bio-medical: Create demand for bio-medical prevention technologies while reducing the burden on the primary healthcare system.

10. loveLife’s Theory of Change A cluster of social & economic factors predict high risk behaviour • Social • COERCION • PEER PRESSURE • LACK OF PARENTAL COMMUNICATION • EXPECTATIONS OF WOMANHOOD • MALE SENSE OF ENTITLEMENT • Structural • POVERTY • LOW EDUCATION • MARGINALIZATION • INEQUALITY • Individual • LOW SELF-ESTEEM • NO SENSE OF FUTURE • UNCERTAIN IDENTITY Helplessness in the face of challenges Pressure to conform to negative social norms Sense of constrained choices Perception of scant opportunity HIGH RISK TOLERANCE 10

11. SECTION 3: REACH AND METHODOLOGY

12. Geographic presence

13. Holistic Approach and Impact Youth Friendly Clinics: 532 1,500,000 enrolments in educational programmes Schools: 6,520 goGogetters: 500 9,452*peer educators *2010: 1,447 groundBREAKERS, 8005 mpintshis NGO Community Partnerships: 330 760,102 calls to call centre loveLife Games Teacher Training 1,702,621site event participants loveLife Games 386,986 participants in loveLife Games Call Centre Festivals & Events Sustained Media: Radio, TV, Print, Web, and Mobile

14. Combined Programmatic Approach

15. The Construct Societal level • Strengthen institutional response • health • education • social security • sports • NGOs • Get people • talking about: • Confronting HIV/Aids • Drivers of high risk behavior • Trigger social change • Strengthen institutional response • health • education • social security • sports • NGOs • Get people • talking about: • Confronting HIV/Aids • Drivers of high risk behavior • Trigger social change PROGRAMME CAMPAIGN • Enable young people to: • Understand risk • Develop an incentive to reject risk • Reduce risk tolerance • Nurture sense of: • Motivation for • Identity with • Belonging to.. • an HIV-free future Individual level

16. groundBREAKERS • Aged between 18 and 25 • 1243 caps in 2011 (funder-dependent) • loveLife’s programme implementation in communities from loveLife sites and schools • Youth Leadership - Youth Service • Capacity building – training • sexual health counselling skills and techniques for effective outreach to other young people • Personal Development • Linking youth with opportunities

17. Beyond the conduit model • Traditional peer education sees young people as conduits for communication. (i) (ii) (iii) (iv) Peer Educator Translation Mediation Noise?

18. Competencies

19. Social Impact • A study of South African youth (15-24 years old) found that interaction with loveLife face-to-face was had a 0.61 AOR “protective effect” (Pettifor et al. A national survey of 15-24 year-olds, AIDS 2005) • This means that participating in loveLife programmes makes young men and women around 40% less likely to contract HIV – a remarkable efficacy rate that is exceptionally cost effective. • 2,500 temporary employment opportunities1 • Cash transfers to marginalized communities • Skills transfers affect long-term employability 1goGogetters, groundBREAKERS, IDT Mpintshis, HWSETA learnerships – Monitoring2009 and 2010 2 VOSESA groundBREAKER Survey, 2007.

20. The basis of all of this is the mpintshi programme

21. Mpintshis and groundBREAKERS • 1:5 • Acceptance into groundBREAKER programme is conditional on completion of mpintshi programme. • Training and support is similar, though groundBREAKER programme is more intense. • groundBREAKERS see themselves as mentors, friends, and coaches to mpintshis – this is evidenced in consistent programme performance. • Thorough evaluation of mpintshi programme has not yet been completed.

22. The next generation... • Activate! • Young leaders for public innovation: • Social capital: bonds, bridges, and links. • Cash transfers to communities depends on service. • The whole ends up far greater than the sum of the parts.

23. Thank you The New loveLife Trust Tel +27 (0)11 523 1000 Fax +27 (0)11 523 1001 48 wierda rd west wierda valley sandton 2196 P O Box 45 parklands 2121 south Africa talk@lovelife.org.za www.mymsta.mobi www.lovelife.org.za