Abaqulusi Child Survival Programme

1. Abaqulusi Child Survival Programme Final Evaluation Presented by ACSP Team

2. Background on ACSP Worked in five supervision areas: • Vyrheid • Mondlo • Hlobane • Mvunyane • Louwsburg • Benefited approximately 27,242 children under five years and 37,816 women of reproductive age.

3. Background on ACSP Served in 93 communities Trained 145 Community Health Workers

4. ACSP Surveillance System:Monitor process and outcome measures ACSP Surveillance officer

5. Accomplishments: Home Management of Childhood Illnesses

6. Accomplishments: Preventive Behaviors • Full vaccination rate increased • 63.4% to 78.5% • Exclusive breastfeeding up to 6 months old • 34.4% to 49.2% • Caregivers washing hands before food preparation, before feeding children, after defecation, and after attending to a child • 1.2% to 32.1%

7. Accomplishments: HIV • Caregivers who knew at least two ways to reduce HIV infection: • 30.7% to 74.9% • Caregivers who would allow their child to play with a child who was HIV positive: • 54.9% to 78.5%

8. Percentage of ninth graders who named at least two of three main programmatic ways to prevent HIV (abstinence, faithfulness, condoms): 54.9% to 78.5% Percentage of ninth graders who reported being virgins: 67.8% to 73.2% Accomplishments: Students

9. Indicators with Greatest Change

10. Mothers and CHW

11. Interviewed 56 mothers from 3 supervision areas 99% of mothers knew their CHW Findings from interviews with mothers

12. Findings from interviews with mothers • 99% of mothers would give breast milk onlyto this 3-month old infant. • 86% of mothers knew that an infant should be exclusively breastfeed for up to 6 months.

13. Findings from interviews with mothers • All mothers knew how to correctly identify this sick child.

14. Findings from interviews with mothers • Mothers recognized danger signs, and more than half knew when to refer sick child to clinic. • Mothers understood importance of giving more liquids and continuing to feed the sick child. • Mothers knew about HIV/AIDS.

15. Findings from Interviews with CHW • Interviewed 55 CHWs • They are active in the community: • Number of days that they visited in the last week: • 3 to 4 days: 66% • 5 to 7 days: 34% • They visited an average of 12 homes last week

16. What They Advise Mothers When a Child has Diarrhea • Continue to breastfeed and give sorol: 100% • Refer to the clinic: 50% • Wash hands: 31% • Possible problem area: a few CHW said that should not give food. • DOH recommendation: Give food when a child has diarrhea

17. Church Support for Health Care

18. Ministry with OVCs • 9 OVC Counselors • Minister in collaboration with Salvation Army Corps • Minister to over 240 OVCs

19. Support Given to OVCs • OVC camps • Kids clubs • Home visits • Food parcels • Referrals • Feeding schemes

20. Things that Churches do for OVC

21. Home-based Care Volunteers • 22 Home-based care volunteers certified • Trained using a certified curriculum developed by St. John’s Ambulance • Work as a team with League of Mercy (Salvation Army) and community health workers • Donate 5-9 hours a week of their time

22. Things that HBC Volunteers Do

23. Pastors Feelings about HIV and the Church: • 100% say that the church should be involved in HIV ministry • Get involved in helping PLWA • Help PLWA get grants • Pray for PLWA

24. Church ministry team: League of Mercy Ways in which the church helps PLWA • Conduct home visits • Help the sick • Bathing old people • Conduct health education • Help PLWA accept their HIV status

25. Ways in Which Church Helps OVCs • Help them by meeting their physical and spiritual needs. • Help them meet with a social worker • Help them regain their self esteem. • Involve OVC's in church activities.

26. Youth in Schools

27. Programme with Students • Trained 7th graders in over 50 schools • Train Mentors who teach Life Skills Programme • Self-esteem • Knowledge of HIV transmission and prevention • Making choices about sex and family

28. Findings from Survey of 7th graders • 147 students from 6 schools • 143 of 147 knew their mentor’s name • 86% talked to their friends about issues in the Life Skills programme.

29. Reasons Why Students are Sexually Active

30. Influences on Decisions about Sexual Behavior

31. How to Prevent HIV Message re abstinence is getting through

32. Findings from Teachers • Evaluation team surveyed 7 seventh grade teachers • 4 participated in ACSP Life Skills training • 100% taught sessions about HIV/AIDS • 100% knew the Life Skills Mentor • Regarded the Mentor’s as partners in teaching students life skills and about HIV/AIDS

33. Mentors • ACSP trained almost 50 mentors • Mentors are trained in how to teach the Life Skills program to students • Teach and mentor seventh grade students

34. Mentors have Become Leaders in Their Community • Help to organize support groups for OVC • Organize the community to meet problems • Teach Life Skills outside of school • Are well known: • All but 2 of 147 students knew the mentor in their school • All the teachers know the mentor for their school

35. Leadership Skills that Mentors Put in Practice • Facilitation • Communication skills • Listening skills • Patience! • How to work with PLWA • Prepare lesson plans • Time management

36. Capacity for Scale-up in The Salvation Army • OVC counselors sponsored and supervised by Corps Officers • Teamwork with League of Mercy • Home-Based Care Volunteers as Corps ministry teams • Have training resources in Mama Mayise and Mama Mokoena