loveLife’s groundBREAKER and mpintshi programmes Dr. Andile Dube & Scott Burnett 18 October 2011
Jan 18, 2016
loveLife’s groundBREAKER and mpintshi programmesDr. Andile Dube & Scott Burnett
18 October 2011
SECTION1: STATE OF THE HIV EPIDEMIC
State of the epidemic: Why target youth?
Half our population is under 25
Main spike of infection is among youth
Source: HSRC National Survey (2008)
It’s about more than just knowledge
Condom use at last sex, by single year age bands for women
-20
-18
-16
-14
-12
-10
-8
-6
-4
-2
0
15 16 17 18 19 20 21 22 23 24
Age
Per
cen
tag
e p
oin
t d
evia
tio
n
fro
m p
eak
con
do
m u
se (
60%
)
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)
Young people are showing the way
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.
SECTION 2: loveLife’s APPROACH
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.
How does loveLife fight HIV?
10
A cluster of social & economic factors predict high risk behaviour
loveLife’s Theory of Change
Helplessness in the face of challenges
Individual
• LOW SELF-ESTEEM
• NO SENSE OF FUTURE
• UNCERTAIN IDENTITY
Social
• COERCION
• PEER PRESSURE
• LACK OF PARENTAL COMMUNICATION
• EXPECTATIONS OF WOMANHOOD
• MALE SENSE OF ENTITLEMENT
Perception of scant opportunity
Pressure to conform to negative social norms
HIGH RISK TOLERANCE
Structural• POVERTY• LOW EDUCATION• MARGINALIZATION• INEQUALITY
Sense of constrained choices
SECTION 3: REACH AND METHODOLOGY
Geographic presence
Waterberg / CapricornWaterberg / CapricornWaterberg / CapricornWaterberg / CapricornWaterberg / CapricornWaterberg / CapricornWaterberg / CapricornWaterberg / CapricornWaterberg / CapricornMopaneMopaneMopaneMopaneMopaneMopaneMopaneMopaneMopane
SekhukhuneSekhukhuneSekhukhuneSekhukhuneSekhukhuneSekhukhuneSekhukhuneSekhukhuneSekhukhune
BojanalaBojanalaBojanalaBojanalaBojanalaBojanalaBojanalaBojanalaBojanala
NkangalaNkangalaNkangalaNkangalaNkangalaNkangalaNkangalaNkangalaNkangala
Thabo MofutsanyaneThabo MofutsanyaneThabo MofutsanyaneThabo MofutsanyaneThabo MofutsanyaneThabo MofutsanyaneThabo MofutsanyaneThabo MofutsanyaneThabo Mofutsanyane
LejweleputswaLejweleputswaLejweleputswaLejweleputswaLejweleputswaLejweleputswaLejweleputswaLejweleputswaLejweleputswa
Gert SibandeGert SibandeGert SibandeGert SibandeGert SibandeGert SibandeGert SibandeGert SibandeGert Sibande
SiyandaSiyandaSiyandaSiyandaSiyandaSiyandaSiyandaSiyandaSiyanda
NamakwaNamakwaNamakwaNamakwaNamakwaNamakwaNamakwaNamakwaNamakwa
Boland/KarooBoland/KarooBoland/KarooBoland/KarooBoland/KarooBoland/KarooBoland/KarooBoland/KarooBoland/Karoo
Kruger ParkKruger ParkKruger ParkKruger ParkKruger ParkKruger ParkKruger ParkKruger ParkKruger Park
BizanaBizanaBizanaBizanaBizanaBizanaBizanaBizanaBizana
BophirimaBophirimaBophirimaBophirimaBophirimaBophirimaBophirimaBophirimaBophirima
CentralCentralCentralCentralCentralCentralCentralCentralCentral
Chris HaniChris HaniChris HaniChris HaniChris HaniChris HaniChris HaniChris HaniChris Hani
EhlanzeniEhlanzeniEhlanzeniEhlanzeniEhlanzeniEhlanzeniEhlanzeniEhlanzeniEhlanzeni
EthekwiniEthekwiniEthekwiniEthekwiniEthekwiniEthekwiniEthekwiniEthekwiniEthekwini
IlembeIlembeIlembeIlembeIlembeIlembeIlembeIlembeIlembe
JHB CentralJHB CentralJHB CentralJHB CentralJHB CentralJHB CentralJHB CentralJHB CentralJHB Central
KarooKarooKarooKarooKarooKarooKarooKarooKaroo
MetroMetroMetroMetroMetroMetroMetroMetroMetro
Motheo/XhariepMotheo/XhariepMotheo/XhariepMotheo/XhariepMotheo/XhariepMotheo/XhariepMotheo/XhariepMotheo/XhariepMotheo/Xhariep
SedibengSedibengSedibengSedibengSedibengSedibengSedibengSedibengSedibeng
Southern CapeSouthern CapeSouthern CapeSouthern CapeSouthern CapeSouthern CapeSouthern CapeSouthern CapeSouthern Cape
UmtataUmtataUmtataUmtataUmtataUmtataUmtataUmtataUmtata
UthukelaUthukelaUthukelaUthukelaUthukelaUthukelaUthukelaUthukelaUthukela
VhembeVhembeVhembeVhembeVhembeVhembeVhembeVhembeVhembe
West CoastWest CoastWest CoastWest CoastWest CoastWest CoastWest CoastWest CoastWest Coast
WesternWesternWesternWesternWesternWesternWesternWesternWestern
ZululandZululandZululandZululandZululandZululandZululandZululandZululand
TshwaneTshwaneTshwaneTshwaneTshwaneTshwaneTshwaneTshwaneTshwane
Frances BaartFrances BaartFrances BaartFrances BaartFrances BaartFrances BaartFrances BaartFrances BaartFrances Baart
loveLife Partnership Schools loveLife Implementation Schools loveLife Partnership & Implementation Schools
PPA Sites
loveLife Regions
Kruger National Park
NAFCI ClinicsYouth CentresRegional OfficesFranchises
MAP LEGEND
Holistic Approach and Impact
Sustained Media: Radio, TV, Print, Web, and Mobile
9,452* peer educators*2010: 1,447
groundBREAKERS, 8005 mpintshis
1,500,000 enrolments in educational programmes
Schools: 6,520
Youth Friendly Clinics: 532
NGO Community Partnerships: 330
loveLife Games Teacher Training
loveLife Games
Call Centre
goGogetters: 500
Festivals & Events
760,102 calls to call centre
1,702,621 site event participants
386,986 participants in
loveLife Games
Programme (Interpersonal)
Youth-friendly clinical services.
A multifunctional call centre.
loveLife Games.
Youth leadership programme.
Extracurricular positive lifestyle programmes.
Support to orphans and vulnerable children.
Platforms for intergenerational dialogue.
Bringing it all together at the community hub.
Campaign (Media)
Radio (weekly shows in 11 languages, PSAs)
TV (PSAs and Series)
Billboards
Print (Youth Magazine)
Online (Webpage, Facebook, Twitter)
Mobile (MYMsta – social networking plattform)
Outdoor Broadcasting unit
Combined Programmatic Approach
The Construct
Societal level
Societal level
Individual levelIndividual level
Enable young people to:
• Understand risk
• Develop an incentive to reject risk
• Reduce risk tolerance
Strengthen institutional response
• health• education• social
security • sports• NGOs
Nurture sense of:• Motivation for • Identity with• Belonging to..
an HIV-free future
Get people talking about:
• Confronting HIV/Aids
• Drivers of high risk behavior
• Trigger social change
Strengthen institutional response
• health• education• social
security • sports• NGOs
Get people talking about:
• Confronting HIV/Aids
• Drivers of high risk behavior
• Trigger social changeCAMPAIGNCAMPAIGN PROGRAMMEPROGRAMME
groundBREAKERS
Aged between 18 and 25 1243 caps in 2011 (funder-dependent) loveLife’s programme implementation in communities from
loveLife sites and schools Youth Leadership - Youth Service Capacity building – training
sexual health counselling skills and techniques for effective outreach to other young people
Personal Development Linking youth with opportunities
Beyond the conduit model
• Traditional peer education sees young people as conduits for communication.
(i) (ii)
(iii) (iv)
Peer Educator
TranslationMediationNoise?
CompetenciesRO
LES Community
ActivationTeam Building and Team DevelopmentProgramme Implementation & Events ManagementPersonal Development* CO
MPE
TEN
CIES Leadership
Facilitation SkillsHIV/Aids AwarenessMarketing and AdvocacyEvents Management
Social Impact 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
1 goGogetters, groundBREAKERS, IDT Mpintshis, HWSETA learnerships – Monitoring2009 and 20102 VOSESA groundBREAKER Survey, 2007.
SA Youth Average groundBREAKERS before programme
groundBREAKERS after programme2
POST-MATRIC QUALIFICATION 6.1% 8% 47%
EMPLOYMENT 34% 12% 60%
The basis of all of this is the mpintshi programme
Mpintshis and groundBREAKERS
• 1:5• Acceptance into groundBREAKER programme is conditional on completion
of mpintshi programme.• Training and support is similar, though groundBREAKER programme is
more intense.• groundBREAKERS see themselves as mentors, friends, and coaches to
mpintshis – this is evidenced in consistent programme performance.• Thorough evaluation of mpintshi programme has not yet been completed.
The next generation...
• Activate!• Young leaders for public
innovation:• Social capital: bonds,
bridges, and links.• Cash transfers to
communities depends on service.
• The whole ends up far greater than the sum of the parts.
Thank youThe New loveLife Trust
Tel +27 (0)11 523 1000 Fax +27 (0)11 523 100148 wierda rd west wierda valley sandton 2196P O Box 45 parklands 2121 south [email protected]