The Small Projects Foundation

Making meaning. Taking action. Changing lives. 

One to One Paediatric ART Support Programme

The Small Projects Foundation

Making meaning. Taking action. Changing lives. 

One to One Paediatric ART Support Programme

Preventing the transmission and spread of HIV & providing ART to affected children

We work to improve the health of vulnerable women and children, with a focus on adolescent girls and their ability to have mastery over their own bodies and their future careers. We move onto the sexual & reproductive health of pregnant women, and finally on to the ongoing health management of children infected with HIV.

We implement this through:

  • PMTCT: Focusing on the PMTCT of HIV, reducing it to 0% and saving an estimated 10 000 children’s lives. This includes the testing of at least 98% of pregnant women for HIV and placing of 100% of HIV positive pregnant women and mothers, and their babies, on the PMTCT regime.
  • Provision of ART to pregnant women, mothers and children: Urgent & immediate initiation of pregnant women, mothers, babies and children under 15 years on ART if diagnosed as HIV positive. This programme element includes counselling on adherence, breastfeeding and baby/child care.
  • Capacity buildingon PMTCT and ART provision: Providing training to Community Healthcare Workers, nurses and Expert Patients to ensure that they can provide children and their families with high quality care and appropriate support.
  • Nutrition programme: we establish home food gardens with families of HIV positive women and children, as well as those on ART.
  • Adolescent care and education: We employ the Protecting Futures Programme which empowers school girls to have mastery over their bodies & plan for their future careers.
  • Health systems strengthening: Development, with the clinics and sub-districts, of new clinic systems and procedures, and assistance with infrastructure needs so as to strengthen clinics’ ability to improve their delivery of primary health care services.
  • Community mobilisation: Empowerment of communities so that they can identify their health-related needs and challenges, and can participate in ward-based planning, with these plans feeding into the DoH’s sub-district and district health plans.

Donor visits

Hommy from Medicor visited Kwazakele and Gqebera Clinics in January 2015. He met with the CHWs and Clinic Managers. He also met with Ms Thami Gqamana, a CHW from Kwazakele Clinic and they discussed the possibility to provide her and other CHWs with training using Professor Dave Woods’ materials to improve the skills of CHWs. Thereafter he visited community projects and gardens in Uitenhage and Port Elizabeth.

David & Susana Friend of Adventure Philanthropy visited New Brighton, Kwazakele and Govan Mbeki clinics and Kwanxolo Primary school in February 2015. They were impressed with the Bright Futures Programme on SRH and the learners demonstrated what they have learned in song and dance.

Supporting the Department of Health HCT, PMTCT, TB and ART & OVC programmes

During January 2015, the One to One staff and CHWs assisted the DoE with 2 HIV Counselling and Testing (HCT) campaigns, in Didimana Village and Sada Location. A total of 98 people were reached, undergoing HIV testing and TB sputum tests. During these campaigns the CHWs could test community members in the privacy of their homes and thereby maintain a high level of confidentiality.

The coordinators visited 12 clinics and the impact of the CHWs on the breast feeding programme was noted in that the mothers from these clinics who have babies are now breast feeding.

The nurses who attended the ARV Toolkit workshop are initiating mothers and babies onto ARV’s with greater confidence.

The youth are using the separate room for counselling and as a testing facility at the Sada clinic in greater numbers. They have expressed their appreciation for the service of being tested in a private room.

Due to the progress in the PMTCT programme most of the babies born by HIV mothers during the past 12 months were negative.

Adolescent Care

We provided uniforms for seven Lukhanji soccer teams and five NMB/Cacadu soccer teams, from the project budget. These teams are mentored by teachers and the One to One staff arranges quarterly matches where the youth are offered HIV tests and HIV/AIDS talks are done.

The Govan Mbeki clinic in NMB received funds from PATA during 2013 to set up adolescent-friendly services. A large-screen TV set and couches were purchased for a separate room in the clinic.

Achievements

Our work has decreased the mother to child transmission of HIV down to:

Port Elizabeth – 2.5%
Uitenhage – 1.83%
Nyandeni – 1.5%
Lukhanji – 4.83%

– We have trained and mentored over 130 CHWs over the past two years. At least 40 have been taken over by the EC DoH. Our CHWs are much sought after by the EC DoH because of their training, track record and commitment. EC DoH has undertaken to take over programme CHWs as posts become available in each clinic.

– We have also increased the capacity for supporting the DoH clinics with their PMTCT and ART programmes through the deployment of Community Health Workers in each clinic in five areas of the Eastern Cape Province.

– Increase in the provision of community-based education on HIV/AIDS and TB, through talks provided by CHWs in communities and during door-to-door visits.

– Improvement in the early detection of HIV infection in pregnant women and therefore an improvement in the provision of PMTCT to HIV positive pregnant women, and early detection of HIV infection in their babies. The integrated register has now allowed us to identify the approximately 30% of patients who default from the first ANC visit up until the baby is 18 months old and to trace and get back at least 80% of those.

– We have reduced the level of defaulting and lost to follow up patients. 99.72% of patients are adherent to ART.

– The number of home vegetable gardens now stands at 4 832.

– Support for the DoH’s HCT campaign has increased through the recruitment of CHWs and provision of tents which are used for counselling and testing.

– Three clinic committee members from each of the Lukhanji clinics were provided with training on their roles and responsibilities. They praised us for providing them with the knowledge to assist their communities to access their health-related rights.

– We provided training on the balanced score card to nurses and clinic committee members in both Lukhanji and Uitenhage. Each clinic represented at the training then developed a balanced score card for quality improvement of clinic services. These score cards will form the basis for a quarterly planning process, inclusive of clinic committees, nurses and other stakeholders.

– In all areas, CHWs trace, and refer for testing, child contacts of TB and MDR-TB patients. There has been a marked increase in the numbers of children being diagnosed with TB. While this is not good news, it means that children who may have gone undiagnosed have been put onto treatment through the hard work of our tireless Community Healthcare Workers.

– We have traced 650 OVCs in Lukhanji and referred them to clinics and DSD.

– Our CHWs in each area have been assigned mapped patients in all Lukhanji clinics. Final maps have been supplied to clinics.

– We have identified 20 Port Elizabeth, 10 Uitenhage and 10 Lukhanji schools to participate in the Bright Futures Programme. Teachers and Learner Support Agents from these schools have been trained and we have implemented SRH education in these schools.

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