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Presentation to the Social Development Portfolio Committee. Grace Matlhape. CEO: New loveLife Trust 30 August 2011. History of loveLife (1). 1997-1999: Consensus among some civil society partners to initiate an HIV/AIDS prevention programme targeting youth in South Africa

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Presentation to the social development portfolio committee

Presentation to the Social Development Portfolio Committee

Grace Matlhape

CEO: New loveLife Trust

30 August 2011


History of lovelife 1

History of loveLife (1)

  • 1997-1999: Consensus among some civil society partners to initiate an HIV/AIDS prevention programme targeting youth in South Africa

  • MOU signed between the Kaiser Family Foundation and the South African government to create a large-scale HIV-prevention programme for youth

  • loveLife has been promoting healthy, HIV-free living among South African teenagers since 1999.

  • Tri-partite relationship established 2005 with significant funding from DOH and DSD.


History of lovelife 2

History of loveLife (2)

  • Since inception loveLife has combined sustained nationwide multimedia withcommunity-level outreach and support programmes

  • The 2004 evaluation of loveLife resulted in the scaling up of outreach and support and the scaling down of media campaign.

  • Thereafter the campaign continued to focus on addressing the individual and social drivers of the epidemic, with a specific new focus on structural factors, with 2008 seeing “Make Your Move” launched.


Functional organogram of lovelife

Functional organogram of loveLife


Geographic presence

Geographic presence


Lovelife performance summary

loveLife Performance Summary

Youth Friendly Clinics: 532

1,500,000enrolments in educational programmes

Schools: 6,520

9,452* peer educators

*2010: 1,447 groundBREAKERS, 8005 mpintshis

goGogetters: 500

NGO Community Partnerships: 330

760,102 calls to call centre

loveLife Y-Centres: 18

1,702,621site event participants

loveLife Games

Youth Helpline

Festivals & Events

Sustained Media: Radio, TV, Print, Web, and Mobile


State of the epidemic why target youth

State of the epidemic: Why target youth?

  • Half our population is under 25


Main spike of infection is among youth

Main spike of infection is among youth

Source: HSRC National Survey (2008)


It s about more than just knowledge

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)


An unequal society drives new infections

An unequal society drives new infections


Young people are showing the way

Young people are showing the way


We can halve incidence again

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.


How does lovelife fight hiv

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.

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Lovelife s theory of change

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

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Alignment to dsd strategic priorities

Alignment to DSD Strategic priorities


Lovelife annual report 2010 all sites

loveLife Annual Report 2010: All Sites

Total = 880

Figure 1: Sites by site type

Source: 2010 loveLife Monitoring Report

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Lovelife annual report 2010 all sites1

loveLife Annual Report 2010: All Sites

Table 1: Sites table by province and type

Source:2010 loveLife Monitoring Report


Lovelife annual report 2010 dsd sites

loveLife Annual Report 2010: DSD Sites

Figure 2: DSD sites by region and type

Source:2010 loveLife Monitoring Report


Lovelife annual report 2010 dsd sites1

loveLife Annual Report 2010: DSD Sites

Figure 3: DSD sites by type

Source:2010 loveLife Monitoring Report


Lovelife annual report 2010 dsd sites by geo type

loveLife Annual Report 2010: DSD sites by geo-type


Lovelife annual report 2010 dsd groundbreakers

loveLife Annual Report 2010: DSD groundBREAKERS

Male to Female Ratio of all groundBREAKERS (n=1476)

Total = 519

Figure 4: DSD groundBREAKERS by region showing M:F ratio

Source:2010 loveLife Monitoring Report


Lovelife annual report 2010 mpintshis

loveLife Annual Report 2010: mpintshis

Total = 8,005

Figure 5: mpintshis by province showing M:F ratio

Source:2010 loveLife Monitoring Report


Lovelife annual report 2010 mpintshis at dsd sites

loveLife Annual Report 2010: mpintshis at DSD sites

Figure 6: DSD mpintshis by region

Source:2010 loveLife Monitoring Report


Lovelife annual report 2010 schools

loveLife Annual Report 2010: Schools

Total = 6,520

Figure 7: Schools by province and type

Source:2010 loveLife Monitoring Report


Presentation to the social development portfolio committee

loveLife Annual Report 2010: Schools linked to DSD sites

Total number of schools linked to DSD sites

Figure 8: Schools by loveLife Region

Source:2010 loveLife Monitoring Report


Presentation to the social development portfolio committee

loveLife Annual Report 2010: In-school programmes

Young people registered = 1,509,555

Figure 9: Total participants in loveLife programmes by province

Source:2010 loveLife Monitoring Report


Presentation to the social development portfolio committee

loveLife Annual Report 2010: Participant age distribution

Figure 10: Total participants in loveLife programmes by province

Source:2010 loveLife Monitoring Report


Presentation to the social development portfolio committee

loveLife Annual Report 2010: Participants (DSD)

Figure 11: Registrations by region, DSD-funded sites

Source:2010 loveLife Monitoring Report


Presentation to the social development portfolio committee

loveLife Annual Report 2010: Site-based events (all)

Total participants = 1,702,621

Figure 12: Site events by type and participants

Source:2010 loveLife Monitoring Report


Presentation to the social development portfolio committee

loveLife Annual Report 2010: Site-based events (DSD)

Figure 13: Site events by type and participants

Source:2010 loveLife Monitoring Report


Lovelife annual report 2010 born free dialogues

loveLife Annual Report 2010: Born Free Dialogues

Total participants = 49,226

Parents

Children

Figure 14: Participants in Born Free Dialogues: Parents vs. Children

Source:2010 loveLife Monitoring Report

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Lovelife annual report 2010 gogogetters and ovc

loveLife Annual Report 2010: goGogetters and OVC

Total goGogetters = 465

Total OVC supported = 2,247

Figure 15: goGogetters and the children they support by province

Source:2010 loveLife Monitoring Report


Lovelife annual report 2010 call centre

loveLife Annual Report 2010: Call Centre

Youth Line: 760,102 calls in 2010

Parent Line: 29,788 calls in 2010

Figure 16: Calls to loveLife Youth Line and Parent Line

Source:2010 loveLife Monitoring Report


Lovelife annual report 2010 call centre1

loveLife Annual Report 2010: Call Centre

Callers by Province

Callers by reason for calling

Figure 17: Callers by province and reason for calling

Source:2010 loveLife Monitoring Report


What do we know prevents hiv

What do we know prevents HIV?


Behavioural interventions have been shown to work

Behavioural interventions have been shown to work

  • Participated in face-to-face HIV prevention programme1(AOR: women 0.61 95% CI 0.43-0.85 & men 0.60 95% CI 0.40-0.89).Pettifor et al., “Young people’s sexual health in South Africa: HIV prevalence and sexual behaviours from a nationally representative household survey”. AIDS 19:1525-1534.

  • In-school learners report less risky sexual behaviour and have lower rates of HIV than same-aged out of school peers. Hargreaves et al., “The association between school attendance, HIV infection and sexual behaviour in rural South Africa”. Journal of Epidemiological Community Health; 000;18;doi.10.1136/jech.2006.053827 (2007).

1 The programme under evaluation was loveLife.


Combination prevention is necessary

Combination prevention is necessary

  • Multi-pronged interventions, none of which is 100% effective.

  • All require the adoption of certain behaviours (adherence, correct and consistent condom use, etc.)

  • Growing consensus (cf. Lancet Series 2008) that we need to combine our interventions:

“...to avoid risk compensation and to increase adherence, biomedical methods should be inextricably implemented together with behavioural interventions. Likewise, biomedical interventions, such as male circumcision, offer a unique opportunity for risk reduction counselling.”

Padian et al., Lancet 2008


Significant inroads have already been made

Significant inroads have already been made


Significant inroads have already been made1

Significant inroads have already been made


Preliminary findings of hsrc impact assessment

Preliminary findings of HSRC impact assessment

  • Most reported improved skills development and increased access to opportunity as a result of loveLife participation

  • Increased motivation and capacity to perceive and take opportunities after loveLife participation

  • Increased likelihood of safe sex

  • Youth reported (1) learning healthy sexual behaviour (2) practicing safe sex after participating in loveLife

  • Youth reported positive thinking and ‘hope’

Study conducted by the Human Sciences Research Council; Funded by Kaiser Family Foundation


Upcoming evaluations of lovelife

Upcoming evaluations of loveLife

  • 2012: National Communication Survey (NCS) in partnership with Soul City and JHHESA:

    • To examine whether public health communications programmes and messages have an impact in changing knowledge, attitudes, norms and behaviour with regard to HIV/AIDS and TB

    • To be conducted across South Africa, sample of 10000 households

    • To be conducted in 2012

  • 2012: Internal evaluation of loveLife groundBREAKER programme

  • 2011-12: Plans for baseline study and follow up evaluations of new Y-Centre; and plans for assessment of impact of existing Y-Centres


What does sa get for investing in lovelife

What does SA get for investing in loveLife?

  • 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.


Lovelife has implemented at ever increasing scale

loveLife has implemented at ever increasing scale

Participants: 450% increase over 5 years

Schools: 127% increase over 5 years

Community Sites: 29% increase over 5 years

Source: loveLife Monitoring Reports 2006-2010


Lovelife has increased efficiency levels dramatically

loveLife has increased efficiency levels dramatically

Source: loveLife Annual Reports 2006-2010


Who pays for lovelife

Who pays for lovelife?


Who pays for lovelife1

Who pays for loveLife?


Expenditure breakdown

Expenditure breakdown


Thank you lovelife

Thank youloveLife

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

[email protected]

www.mymsta.mobi

www.lovelife.org.za


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