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DEPARTMENT OF SOCIAL DEVELOPMENT. Presentation to the Portfolio Committee for Social Development Home-Based Care / Community-Based Care in HIV/AIDS 26 September 2001. Background.
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DEPARTMENT OF SOCIAL DEVELOPMENT Presentation to the Portfolio Committee for Social Development Home-Based Care / Community-Based Care in HIV/AIDS 26 September 2001
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
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
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)
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
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)
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
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
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
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
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
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
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
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
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
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
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
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