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Our HIV programme in South Africa

Background
The British Red Cross response
Red Cross services

Background

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South Africa has more than five million people currently living with HIV and has some of the highest rates of HIV prevalence in the world. In KwaZulu-Natal more than one in four adults is living with the disease. Despite recent progress made in access to anti-retroviral therapy (ART), South Africa, and especially KwaZulu-Natal, is struggling to cope with the enormity of the challenge and the overwhelming effect that the HIV pandemic is having on people’s everyday lives.

A survey conducted by the South Africa Red Cross in KwaZulu-Natal shows there is still stigma attached to AIDS in many communities and people have a well-founded fear of being rejected by family and friends when diagnosed with HIV.Soweto Red Cross Choir sing at the opening of an HIV conference in S. Africa 1 © IFRC
Young people still have misconceptions about how to prevent HIV. Furthermore, an increasing number of children are vulnerable or orphaned and rely on extended families and communities to provide their care and protection.

The British Red Cross response

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The British Red Cross has been supporting HIV programmes in South Africa since 1999. We support the South Africa Red Cross’ work in KwaZulu-Natal, a province of ten million people. KwaZulu-Natal province has the lowest life expectancy at birth in South Africa – 42 years old for men and 45 for women.

The British Red Cross supports an integrated HIV programme, where all strategies complement each other to improve the situation for people living with HIV and AIDS.

The focus of our programme is:

  • preventing further HIV infections
  • expanding and improving the quality of care, treatment and support
  • significantly reducing stigma and discrimination
  • increasing the capacity of the South Africa Red Cross.
Magalefa family from Mabopone, Pretoria supported by Red Cross 2 © David ChancellorThe programme will run until 2011. By then the British Red Cross will have supported the South Africa Red Cross to reach 582,000 people about HIV prevention, and support 14,000 people living with HIV and 14,000 orphans and vulnerable children.
In 2007 the programme focused on four locations: Pietermaritzburg, Zululand, South Coast and Umzimkulu. It will expand to Durban, Newcastle and Howick by 2010. Community-based volunteers, facilitators and peer educators will work in each district to provide care and support to people living with HIV. They will also support communities to prevent further infections and reduce stigma and discrimination.  By 2011, 582,000 people will have been reached.

Red Cross services

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Through Red Cross services, we aim to improve the quality of life of people living with HIV and their families – with demonstrable impact on health, personal hygiene, mobility, food availability, well-being and other aspects of life.

Awareness campaigns
Teams of specialist facilitators and volunteers will deliver structured health education workshops on HIV and AIDS, TB, prevention of mother-to-child transmission, sexual and reproductive health and rights, gender-based violence issues, and other related health issues in community settings and clients’ homes.

Youth peer education
Two hundred peer educators (aged 18-25) will be recruited and trained to promote life skills and positive living to other young people in their communities and schools, including sexual and reproductive health and rights, sexually transmitted infections (STIs), HIV and AIDS.

Condom distribution
There will be an increased distribution of condoms – including female condoms – and training on their use.

Care and support for people living with HIV
Each site will have 40 volunteer caregivers who will visit 600 chronically ill clients (i.e. home-bound or bed-ridden clients) each week. They will provide a wide range of assistance, including bringing food parcels, providing basic nursing care, giving advice on access to ART, nutrition and establishing food gardens, and referring clients to auxiliary social workers for psychosocial counselling. During these visits families and primary caregivers will be empowered to manage the work themselves so each volunteer caregiver will be able to visit three or four clients a day.

Support to caregivers
There will be increased training for primary caregivers, focusing on the provision of effective care and support for family members with HIV and AIDS. A “Care for the Caregiver” service will be established in each project site.

Support groups
Support groups will be established for people living with HIV and caregivers as an important way of receiving psychosocial support from other community members, as well as for knowledge sharing and encouraging the creation of community food gardens.

Income generation
New initiatives will be started in communities to provide jobs and income for people living with HIV.

Work with orphans and vulnerable children
Orphans and other vulnerable children will receive a wide range of practical assistance, including food, home visits, education support (e.g. uniforms and school materials) and support groups.

Water and sanitation initiatives (WATSAN)
Facilitators and volunteers will provide advice on important environmental health practices, including hygiene and sanitation, for HIV-affected households, orphans and vulnerable children.

Support access to testing and treatment
We will increase promotion of and support in accessing anti-retroviral treatment and HIV testing, as well as promoting mother-to-child transmission prevention programmes.

Anti-stigma and discrimination
We will significantly increase advocacy and championing the rights of people living with HIV, orphans and other vulnerable children, helping them to access the support they need.

Read about people living with HIV

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related pages

Related pages

HIV
HIV: Our greatest challenge
Peer education volunteering
related sites

Related sites

International Federation of Red Cross and Red Crescent Societies HIV workOpens in a new window
South Africa Red CrossOpens in a new window
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British Red Cross, UK Office, 44 Moorfields, London EC2Y 9AL Phone: 0844 871 11 11. Fax: 020 7562 2000.
The British Red Cross Society, incorporated by Royal Charter 1908, is a charity registered in England and Wales (220949) and Scotland (SC037738).