Child and youth care workers (CYCWs) are a crucial and growing component of South Africa’s national response to HIV and AIDS and other issues affecting children and families. CYCWs use the community-centred Isibindi model of care to reach the most vulnerable with key services including psychosocial, health, economic and educational support. Like others in similar professions, they may be at risk for occupational challenges affecting retention.

Share

Parental illness and death have profound effects on the emotional and psychological wellbeing of children and youth. The past decade has seen an increase in programming and resource mobilization to provide support for children and adolescents impacted by HIV and AIDS in South Africa. However, many of these efforts have focused on children’s material and educational needs, and little has been documented about programs that may be working to address psychological health.

Share

This case study aims to contribute to the knowledge base on OVC programming by documenting the activities of Heartbeat’s Tswelopele training and mentoring program, which aims to build capacity among community-based organizations (CBOs) working to improve the lives of OVC.

Share

South Africa has one of the highest rates of gender-based violence (GBV) in the world.  Addressing GBV and HIV is a priority in both the government and non-governmental sectors, and there is an urgent need for research that identifies effective programming and best practices for the South African context. This case study aims to contribute to the growing knowledge base on interventions addressing GBV by documenting the activities carried out by the Greater Rape Intervention Program (GRIP), which offers a range of support services to survivors of GBV in the Mpumalanga province of South Africa, including psychological support and medical and legal assistance.

Share

Physical growth and cognitive development during the first five years of a child’s life can have profound effects on lifetime educational achievement and economic potential, and early developmental delays may perpetuate intergenerational cycles of poverty.  The past decade has seen an increase in resource mobilization for early childhood development (ECD) programs in South Africa targeting the most disadvantaged and vulnerable children, but there has been relatively little systematic research to document these efforts.

Share

This case study documents the activities and services of one program, Childline Mpumalanga, working to address the needs of orphaned and vulnerable children, their families and communities. Since its inception in 2003, Childline Mpumalanga has sought to prevent child abuse and protect and promote the welfare of all children throughout Mpumalanga province.

Share

This case study focuses on an innovative model of support for OVC program careworkers, Care for Caregivers (C4C).  C4C operates as a service within the Isibindi service delivery program. The National Association of Child Care Workers (NACCW) implements Isibindi at 65 sites throughout South Africa, directing support to OVC and their families through a developmental child and youth care work response. The program partners with local organizations, recruiting and training a network of child and youth care workers (CYCWs) who conduct regular home visits to beneficiaries and oversee activities at Safe Parks and community gardens.

Share

This report details the Integrated AIDS Program-Thika (IAP-Thika), supported by Pathfinder International — and identifies lessons learned that could be applied to other initiatives. IAP-Thika has a number of objectives ranging from increasing the number of people accessing voluntary counseling and testing (VCT) services to building the capacity of youth and the community at large to address issues related to HIV and AIDS by raising awareness and decreasing stigma and discrimination. 

Share

This case study offers an in-depth study of the Tumaini Home-Based Care Program model and identifies lessons learned that could be applied to other initiatives. While the Tumaini program addresses the needs of both people living with HIV as well as OVC, the case study is focused on specific services for highly vulnerable children, and their effects.  The Tumaini model draws upon the potential of civil service organizations to respond to the needs of children, youth and families.

Share

This case study describes the Salvation Army’s (TSA) Mama Mkubwa Psychosocial Support Program model, including challenges, successes, lessons learned and the way forward. The case study and report are focused on the program components that aim to strengthen community responses to the needs of vulnerable children and their families and provide psychosocial support for OVC.

Share

This case study focuses on Catholic Relief Services’ (CRS) OVC program model in Kenya and documents lessons learned that could be applied to other OVC initiatives. The Kilifi OVC project of CRS program aims to increase the capacity of communities and families and orphans to respond to the needs of OVC and increase local partner agencies’ capacity to deliver high quality and sustainable interventions. To accomplish these goals, CRS collaborates with the Archdiocese of Mombasa by providing technical and financial support. 

Share

This case study is a review of U.S. Pathfinder in Kenya’s OVC program model and documents lessons learned.  Pathfinder International’s Community Based HIV/AIDS Prevention, Care, and Support Program (COPHIA) focuses on working with community-based organizations (CBOs). Program goals include strengthening the capacity of communities to identify children’s needs and to develop and implement activities focused on HIV/AIDS prevention, care, and support for OVC and persons living with HIV and AIDS (PLHA); and build the capacity of local organizations to manage and implement HIV/AIDS prevention, care, and support services. 

Share

Guide 1:  This guide details recommended contents for an OVC program case study report.  Ideally, it should serve as a reference prior to information gathering in the field as well as during the report development.   This guide begins with a case study report outline and then provides details on suggested content under the broad categories of setting the stage, methodology, program description, program stakeholders, lessons learned, future directions and final touches.

Share

Guide 2: In this series was specifically designed to aid stakeholders in gathering the information needed to complete the case study report.  It begins with an overview of various information-gathering techniques including: document review, in-depth interviews with key informants, focus groups, and the direct observation of program activities.  Suggestions on selecting focal sites for the case study and guidance on synthesizing information are also provided.

Share

Guide 3: This document offers a wealth of additional material designed to complement the practical guidance contained in the first two Case Study Guides, including tools for writing the case study report and conducting fieldwork.  Specifically, this guide contains resources including descriptions of activities and services common to OVC programs, sample interview guides, practical advice on planning and conducting focus groups, a guardian consent form for child participation, a photography consent form, and a sample OVC case study description handout to share with stakeholders.

Share

Background: Child and youth care workers (CYCWs) are a crucial and growing component of South Africa’s national response to HIV and AIDS and other issues affecting children and families. CYCWs use the community-centred Isibindi model of care to reach the most vulnerable with key services including psychosocial, health, economic and education support. Like others in similar professions, they may be at risk for occupational challenges affecting retention.

Share

Let’s Talk is a structured, family-centered adolescent HIV prevention program developed for use in South Africa using key components adapted from programs successfully implemented in the US and South Africa. It is designed to address individual HIV transmission risk factors common among orphaned and vulnerable adolescents, including elevated risk for poor psychological health and sexual risk behavior. These efforts are accentuated through parallel programing to support caregivers’ mental health and parenting skills.

Share

Many children in South Africa live outside of parental care due to orphanhood, parental labour migration, unemployment and unstable formal partnerships. Few studies have examined risk factors for parent-to-child physical aggression (PCPA), a term encompassing varying severities of physically aggressive acts, among children residing outside of parental care. In this context prior custody preparation is uncommon, and alternative caregivers have been found to experience high levels of psychological distress and burden. This study examined these risk factors using secondary analysis of baseline cross-sectional survey data drawn from a bereavement support group evaluation.

Share

Preventing HIV among young people is critical to achieving and sustaining global epidemic control. Evidence from Western settings suggests that family-centred prevention interventions may be associated with greater reductions in risk behaviour than standard adolescent-only models. Despite this, family-centred models for adolescent HIV prevention are nearly non-existent in South Africa − home to more people living with HIV than any other country. This paper describes the development and formative evaluation of one such intervention: an evidence-informed, locally relevant, adolescent prevention intervention engaging caregivers as co-participants.

Share

To our knowledge, this is the first study to document correlates of complicated grief among bereaved adolescents in sub-Saharan Africa. Participants included 339 female adolescents in South Africa who experienced the loss of a loved one at least six months prior to the survey; their primary caregivers were also surveyed. One-fifth of adolescents were classified as having complicated grief using the Inventory of Complicated Grief Revised for Children in conjunction with grief-induced functional impairment.

Share