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Bringing HOPE to the people

 

Reports
Reports

REPORTS


Annual Report

April 2008 - March 2009

 

TEMBA COMMUNITY

DEVELOPMENT

SERVICES

 

Welfare Reg.  No. 009 – 986

  Tax Exemption Ref. No.: 9009/087/18/1

 

Annual Report

April 2008 – March 2009

 

FORMAT FOR THE ANNUAL REPORT APRIL 2008 – MARCH 2009

 

1.    Introduction, Report for the Financial year April 2008 – March 2009

2.    Opening Balances, Funds granted & Expenditure

3.    Background: Statement of Need, Vision, Mission, Theories of Change & Target Group

4.    Broad Objectives, Target Group, Programmes, Planned Activities & Indicators

5.    Activities Performed and Results

5.1  Temba’s Contribution to the Millennium Development Goals

6.    Specific Problems encountered

7.    Conclusion

 

 

1. INTRODUCTION:

 

This report serves as an overview on the activities and the progress made by Temba during the year April 2008 to March 2009. This was the third year into the Strategic Plan and the Organisation was working towards the consolidation of the 2006 – 2008 Strategic Plan. During the last six months, there has been a lot of growth, which is also due to the moving to the new Centre/Shelter, the Peace Summit and ‘Men’s March’ held in March 2009 to address Gender Based Violence and the implementation of the Men Circles of Support. With regard to funding, it has been a very challenging time due to Donor fatigue and the economic down-turn.

 

2. OPENING BALANCES, FUNDS GRANTED & EXPENDITURE:

 

Temba had signed an agreement with Primate’s World Relief and Development Fund (PWRDF) for the third year, 2008 – 2009, and the amount agreed upon was 35’000 Canadian Dollars for HIV/AIDS Care and Support Services, including Home Based Care and Gender Awareness-Raising Campaigns/Workshops.  The Care and Support balance which was in the Building account which was transferred during April 2008 Financial year was R95 000.00, and the amount which was transferred from PWRDF in December 2008 according to S.A. Rands was R235 620.00. The total grant received from PWRDF during the period of this Financial year was R330 620.00.  During the beginning of the Financial year, April 2008, an amount of R114 845.47 was brought forward and the total funding which was available for this Financial year is R445 465.47. At the end of March 2009 the total expenditure for the period is R398 922.02, and the bank account balance at the end of March 2009 is R46 543.45.  

 

In 2006, Temba also signed an agreement with Africa Groups of Sweden (AGS) for a grant towards the general purposes of the Organisation for two years, 2006 – 2008.  The amount granted for 2008 – 2009 was SEK 300 000, and Temba received the first tranche of R249 200.00 in June 2008.  The balance of R120 700 was transferred in November 2008.  The total amount which was received from AGS was R369 900, which was added to an amount of R400.29, which was brought forward from March 2008 to April 2008 Financial year.  At the end of March 2009 the total expenditure from this account was R353 530.34, and the bank balance at the end of March 2009 is R16 769.95.  

 

Other donations were received during this period from the following partners; R3 500.00, from Umtata Baptist Church; R5 000.00 from O. R. Tambo Red Ribbon Award of Excellence; R7 800.00 from Mr. Bread; R59 122.00 from the Eastern Cape NGO Coalition/Premier Discretionary Fund Garden for Nutrition Programme; R35 000.00 received from PWRDF from the interest received in the Building account; R160.00 from Mr. Bikitsha; R65 452.50 from Cell C & SABC Mhlobo Wenene; Checkers R3 150.00 and another anonymous donation of R500.00.

At the end of March 2009 the other three bank accounts had the following bank balances; EU/Health – R3 895.41; Main Account – R17 197.57 and PWRDF Building Account R47 286.37.

 

N.B:  At the end of the Financial year, Temba still owed the Building Construction Project Managers an amount of R193 210.53, and that is the reason the Building Account is still open so as to continue to raise funds and pay the balance.  It is also envisaged that as Temba continues to raise funds, the second phase of the construction of the Centre will also commence.

 

3. BACKGROUND:

 

a. PROBLEM STATEMENT/STATISTICS:

 

In June 2007, Statistics S.A. published the report “Mortality and causes of death in S.A.”, which revealed that the annual number of registered deaths rose by a massive 87% between 1997 and 2005.  Among those aged 25 to 49 years, the rise was 169% in the same nine year period.  We could say part of the overall increase is due to population growth, however, this does not explain the rise in deaths among people aged 25 to 49 years.  In 1997, this age group accounted for 30% of all deaths, but in 2005 it accounted for 42%.  

 

It has been reported that death rate among men aged 30 – 39 more than doubled, while among women aged 25 – 34 more than quadrupled.  In their report, Statistics S.A. calls such developments “alarming” and “disturbing”.

 

b. VISION:

 

Temba has a vision of a PEACEFUL community characterized by strong spirit of ‘Ubuntu’; free from poverty and related social ills.

 

c. MISSION STATEMENT:

 

The mission of the Temba Community Development Services is to empower and support Communities who are affected by HIV/AIDS and Gender Related Injustices, mitigate the effects through Gender-sensitive Awareness Raising Workshops & Education, Circles of Support, Provision of Care and Support to Women and Girls; Men and Boys Infected and Affected by the virus and Advocating and Lobbying for policy changes and implementation.  To this end, Temba’s overriding guiding principle is gender sensitivity. The organization primarily targets the most rural areas of the East of the Eastern Cape Province, and secondary Gauteng, for purposes of national lobbying and advocacy.

 

d. THEORIES OF CHANGE:

 

 

Values, Beliefs & Principles informing all Temba Programmes:

 

•   Temba believes that, just like men and boys, women and girls in South Africa are valuable and deserve a chance to live a life of dignity where they can realise their aspirations and potentials.

•   Temba acknowledges and is committed in addressing inequalities based on gender relations, in line with Convention on Elimination of All Forms of Discrimination Against Women (CEDAW), the Right to participate and benefit from rural developmental; the Right to access health care and family planning facilities that provide prevention and treatment of sexual transmitted diseases such as HIV/AIDS and the Right to improve the quality of their lives in a sustainable way.  HIV/AIDS cannot be dealt effectively, unless the Rights of women, girls and children are at the centre of the response, such as the Bill of Rights, CEDAW, Beijing Platform of Action, etc.

In all Temba Programmes, messages do not only focus on HIV Prevention and living positively with the virus, but also on implementing programmes which will go down  the root of the problem which is the ideology of Gender.

 

e. TARGET GROUP:

 

Temba’s target group consists mainly of:

 

« Women and girls

« Men and boys

 

4. OBJECTIVES, PROGRAMMES, PLANNED ACTIVITIES & INDICATORS:

 

4.1 BROAD OBJECTIVES:

 

a) Conducting HIV/AIDS, Human Rights and Gender Awareness Raising Campaigns and Skills Building Workshops.

b) Providing Care and Support to women and men, girls and boys infected and affected by HIV/AIDS, and those affected by Gender Based Violence.

c) Mitigating HIV/AIDS impact and creating an environment that would enhance coping capabilities of women and men, girls and boys infected and affected by HIV/AIDS.

 

4.2 PROGRAMMES:

 

« Priority Area 1: Prevention: Education through Gender-sensitive Awareness-raising Campaigns, Circles of Support and Skills Building Workshops

« Priority Area 2:  Care, Support, Treatment & Nutrition

« Priority Area 3:  Mitigating Impact, through Circles of Support, Lobbying, Advocacy and Human Rights

4.3 PLANNED ACTIVITIES AND INDICATORS

 

4.3.1 EDUCATION THROUGH GENDER-SENSITIVE AWARENESS-RAISING WORKSHOPS & CAMPAIGNS PROGRAMME

 

Goal:  To reduce the rate of new infections by half by 2011, empower with skills both infected and affected, and empower communities to work to stop violence against women and children.

 

Objectives:

 

1. Conducting a monthly day’s Awareness-raising Campaign targeting women and girls, boys and men from five of the KSD (Ward 9, 31, 14, 16, 17) and two of the Nyandeni (Ward 8 & 9) Municipality Wards.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2. Conducting five annual centralized HIV/AIDS Awareness-raising workshops of 5 days each, targeting women and girls, men and boys as an Outreach, from the above cited wards with the aim of empowering them with:

a) Skills, knowledge and available resources that could enhance their protection from being infected with HIV/AIDS, Human Rights, how to live positively, ARV Treatment, Behavioural change and Care for people living with the virus.

b) Skills, to enable Parents communicate and relate better with their children, while engaging on Relationships and Sexuality issues so as to empower both parents and their children as a prevention strategy.

c) Skills and knowledge on Rights, Access to Services, HIV Testing (VCT) and how to reduce Poverty by forming Cooperatives.

d) Skills and knowledge on Gender concepts and relationships between Gender, Sexuality, HIV/AIDS, Human Rights, so as to make sure that people stop violence against women and children.  Also to make sure that Rape Survivors are educated, assisted and are able to have access to places of support.

 

N.B.: During this period of the 3rd year of the Strategic Plan – 2008-2009, 520 women, men and Youth were trained in five (5) Centralised Workshops, 1 every two months.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3. Conducting follow-up Ward-based (7 wards above) workshops aiming to:

 

a) Reach out to those who did not attend the above Workshops

b) Begin a process of setting up Community Based Support Structure (CBSS) for continuous interaction

c) Strengthen knowledge (to assist to liberate minds) and skills acquired from the above-cited Centralised Workshops

d) Provide on-site support, counselling and monitoring

e) Gather and document information, experiences of women and girls; men and boys, including those who are infected and affected by the virus for lobbying and advocacy purposes.

 

N.B.:  459 women and men were trained within the Ward-based Workshops, and Masihlanganeni Network for People Living with HIV/AIDS (MANEPHA).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.3.2 CARE, SUPPORT, TREATMENT AND NUTRITION PROGRAMME

 

Objectives:

a) Ensuring that women and girls, men and boys have equal access to all necessary government services, such as; relevant Treatment and Grants; access to free female condoms at all public places; and are all treated equally, with dignity and respect, for example, volunteer Home Based Caring is not made only women’s responsibility but that of men, meaning that mechanisms to ensure gender balance in Support Structures/Groups and Carers is crucial.

 

With workshop Facilitators, Carers in their day’s monthly campaigns in the wards, would prioritise inclusion of the above-cited issues, and also provide on-going Campaigns focusing on processes and be able to articulate their rights, e.g. Right to access treatment from Health Centres within their communities; Right to play an active role and inclusion in the IDP processes and be included in the Ward Committees – a correct platform to articulate their priority needs, etc.

b) Setting up Community Based Support Groups of women infected by HIV/AIDS with the aim of ensuring that their ‘voices are heard and’, they are given space to discuss their own experiences and issues affecting them as women living with the virus. These Support Groups are linked to the Masihlanganeni Network for People living with HIV or AIDS.

c) Provide on-going care and support to chronically and terminally ill AIDS sufferers at the Shelter, aiming to:

« Ensure that people get full package of Treatment, Care, Nutrition and Support so that they can live longer and healthier lives.

« Prevent Orphan hood by making sure that parents and other Caregivers who are HIV Positive or other sickness get care, treatment, good nutrition and support.

« Afford the dignified care and passing on (death), for example, focusing on issues of Wills including rights of women and girls to estate of the deceased, Foster-caring, etc.

« Empower them with skills and knowledge about Nutrition and Treatment management focusing on women’s and girls’ needs, developments around micro biocides trials, etc.

 

Programme strategy:

Sustainability and effectiveness of this programme depends on:

a) Collaborating with other Temba programmes, for example, hand-in-glove with the Awareness-raising programme, conduct Ward-based Campaigns in the 5 identified Wards of KSD and 3 of the Nyandeni Municipalities aiming to recruit participants to the five, 5 day Workshops.

b) Ensuring that, with women and girls, men and boys from identified Wards, rights of women and girls affected and infected by the virus are upheld, by those in positions of power. E.g. Local Government Councillors and Officials, Government Departments with local offices, e.g. Education, Health, Agriculture, etc.

c) Temba perceives itself as an interim service provider whose core business is to ensure that duty-bearers carry out their mandate therefore the programme should have a strong element of lobbying and advocacy to ensure that the government funds and takes the role of caring and supporting.

 

Programme has the following components:

a) A Drop In Centre has been built to provide a Shelter for the Chronically, Terminally ill clients and Abused/Abandoned clients. In September 2008 the clients were moved into the new Shelter.  It is envisaged that during 2009/2010 Financial year, the Temba Centre will implement the following services; Soup Kitchen and Voluntary Counselling & Testing (VCT) Facility; Kids Club with toys (day service) and Vegetable and Herb Garden.  The second phase will have a Seminar Room for In-house Training (Care; Counselling; Drama & Poetry); Library with Computers and Arts, Crafts & Sewing Room

b) Community Outreach – Home Based Care/Home Visits; Setting and Supporting Circles of Support (CBSS); Awareness-raising Campaigns, emphasis being on rights of women and girls infected and affected by the virus; documenting experiences and stories of women and girls infected and affected by HIV.

 

The Care and Support Programme is being done by 15 Carers, which now includes 12 Fulltime Carers in the Shelter, who also conduct outreach/home visits, while working with 3 Fieldworkers/Carers, the Coordinator, Professional Nurse, Programmes Manager and the Director.  

 

There are five members of the Management Committee/Board who continuously volunteers their services whenever it is possible.  As the five (5) Facilitators conduct Campaigns and Workshops, and Fieldwork they also refer clients to the Shelter and other Health Services.

 

The number of clients who have been supported and cared for from April 2008 to March 2009 is 1 110.  The monthly average of clients who benefitted during this period is 92 per month.  See the Statistical Report below:  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STATISTICAL REPORT:

 

Home Visits/Home Based Care Programme including Shelter:

 

April 2008 – March 2009

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.3.3 LOBBYING, ADVOCACY & HUMAN RIGHTS

 

Goal:  To mitigate and decrease impact, while ensuring that the rights of Women, Children and People living with HIV and/or AIDS, and are treated with respect and dignity.

 

Objectives:

As a strategy, Temba has decided to work with similar-minded Organisations together with the ‘rights-holders’ – women and girls, men, boys infected and affected by the virus to ensure that the identified municipalities deliver on their responsibilities and obligations to enhance lives of women and girls infected and affected.

 

Many people are getting sick while working in big cities, and then when that happens, they are sent home to die.  It has become incumbent upon Temba to lobby Big Corporates, for their involvement in these programmes and to include Outreach Education, Care and Support in their Social Responsibility Programmes.

 

Temba will continue to build additional International, Regional and National Partnerships and Alliances with influential Civil Society Organisations, such as Churches, Traditional, other Women’s organisations, including influential individuals with expertise in the areas identified and who might subscribe to the values of gender justice and equality.

 

Implementation strategy, in order to ensure that all of the above is effective;

a) Work with collaborators, such as MRC, TAC, PWRDF, AGS, PHASO, RTC, ECNGOC, MANEPHA, Temba Partnership Network, etc.  Temba will also outsource work and work with some of the partners, e.g. Medical Research Council (MRC) on relevant empirical research.

b) Temba National Office will be in place strategically so as to collaborate with strategic National and Regional Partners, and also lobby Big Corporates involvement, including fundraising.

c) In collaboration with other Temba programmes, lobbying and advocacy programme is part and parcel of the on-going Capacity Building Programmes intended to empower women and girls infected and affected with the virus on how to articulate their rights, with specific emphasis on women’s rights and gender rights – access and control of resources, etc.

d) Work with men and boys in ongoing Campaigns to lobby and advocate, focusing on processes, strategies to ensure that Rights of Women, Girls, Children, including those who have HIV or AIDS are upheld, and they are able to articulate such rights, e.g. access to treatment from Health Centers.  This includes Campaigns and ‘Peace March’ on Gender Based Violence.

e) Information gathering and documenting focusing specifically on women’s and girls’ needs and experiences is an on-going exercise done by all Temba programmes and staff.

 

Result Areas
Performance Indicators
Activities
Output & Lessons Learnt
Challenges & Remedies
- Awareness around Gender, being a Social Construct, Sexuality, HIV/AIDS and Gender Based Violence has been raised, which has led to putting in place of Men’s Circles of Support.    
- Participants are able to discuss and realise that everyone has Rights, including women and children.   
- People are able to have discussions around gender justice and tradition, and realise that Gender Based Violence is a crime.  
- People are able to talk about sexuality and sex, an area which has always been a taboo in the rural areas.
- Through Councillors are part of the Campaigns, and people are able to communicate their needs directly to their representatives.
- Number of meetings that did take place with local structures and leadership.

- Number of Awareness-raising Campaigns in the identified areas, also as a recruitment strategy for workshops.

- Number of Participants who get information, advice and support, (Women, Girls, Men & Boys).
- Developing entry and exit strategies for the identified communities – communicate with  responsible person for the ward, its size & communication.  - Convene   
leadership meetings for each of the identified wards e.g. ward Councillors & Committees, also with schools & clinics, so as to sell the idea of a partnership, agree on dates, venues, times & the nature of the target group.
- Prepare for the Campaigns-collating materials & programme, including refreshments.
Facilitation of the Campaign.
- On-site counselling, support, advice & information. Recruitment for workshops.  
- Assessment of the intervention, documentation & reporting, including problems facing each ward.
- Off-site / office – based Counselling, support, advice & information.
- Meetings have been held in all 7 wards, which include preparation to exit in 2 of these wards.
In all these Wards, Support Groups have been put in place, linked to 60% of Health Clinics.
- In all the Campaigns Local Government Councillors and Ward Committee members are involved.  
- This enables people to communicate freely about their needs, like grants, food parcels, interim relief, wherever it is necessary & registration of orphans.
- The members of the Men’s Forum assist dialogue and discussions around Gender & Human Rights and GBV.  
- The people trained through Temba are encouraged to take part in the Community Policing Forums.
- There is huge a challenge of the Political factions which are creating negative responses in some areas, as the national political tensions have filtered down to the local level.  
- Substance abuse continues to be a biggest challenge & and we are continuing to include this discussion in our workshops.  - Young People who coming from big cities very sick is still a challenge & some are not able to survive.  
-Discrimination is still a problem, especially with rural communities trying to get serviced in rural clinics.
-The bad service in rural clinics has been brought to the attention of the Youth league branch representatives to assist to intervene with clinic committees as this is a Right issue.
Result Areas     
Performance Indicators
Activities
Output & Lessons Learnt
Challenges & Remedies
- More people who attend the workshops become more confident & able to go for HIV testing.  
- The statistics at Clinics are showing an increase in Voluntary Counselling and Testing, including men.
- Participants are able to apply Positive living strategies and have skills & knowledge to change their lifestyles.
- Participants are able to talk openly about sexuality & sex, which enhances their protection from being infected by HIV and other STIs.  People are able to realize their rights and are in a position to get ARVs, grants for the needy and Orphans & Vulnerable Children.
- Poverty as such is reduced. People who attend workshops have knowledge on how to form Cooperatives  and approach Municipality LED programmes.
- Their capacity is increased to fight GBV.   
- Participants are able to get information on how to form Cooperatives, as such poverty is reduced.  
- They also know how to approach the local municipality LEDs.  
- Their capacity and knowledge is increased to fight GBV.
- The number of Centralised Workshops which were planned was 5 and all of them took place.

- Target group (women, girls, men & boys) who attend the workshops, and 520 participants attended these workshops.

- Material packs were given to each participant in the workshops.

- Evaluation and plans of the participants were collected, and workshop reports, including videos & photographs.
- Agree on workshop dates and recruit participants for the workshop, through Campaigns, radio and word-of-mouth.
Work out each workshop logistics; venue, catering.
- Each workshop preparation – material gathering, reading material/pack production, workshop design and programme design.
- Facilitation of 1st,2nd,3rd,4th, 5th workshop.
- Being the Year 2 of the Strategic Plan, information on Gender concepts and relationship between HIV/AIDS, poverty, gender-based violence and gender, Cooperatives, LEDs/IDPs; Day 4 & 5 Counselling & management of HIV/AIDS.
- Awarding of certificates of attendance.  
- Assessment of the workshop, processes, facilitation, participation, content & evaluation by participants.
-Documentation & reporting.
- Re-planning for the next workshop.
- All 4 Centralised workshops did take place, and each workshop had +-130 participants.  
- 70% of participants are the Youth, most of who are unemployed and out of school.  
- The percentage of men has increased to 30%, which has led to the formation of a Men’s Forum which meets once every week at Temba Centre.  
- There is still a lot of ignorance regarding Gender concepts & we intend to work more with this forum of men in mobilising more men.
- After effects of apartheid, e.g. Migrant labour, men being away from families and as a result it has lead to dysfunctional families.    
- Awareness about HIV/AIDS is continuing to increase and people are able to go for test and those people whose CD4 Count is low are put on ARV Treatment.  
- The fact that the prevalence is not going down is not about people being not aware.  
- Public messages underscore individual behaviour change & the point is more social inequalities which are coming out of people’s stories (both men & women) and inequality itself has become a pathogenic force at the heart of which gender inequality, poverty and Human rights.
- More people are coming from the broader Eastern Cape province to attend the Centralised Workshops, which puts pressure on the budget.
- There is still a challenge of high mobility, people moving from one area to the other makes it difficult to follow up people who have been trained.  
- Public messages have to be adapted to this understanding that Health and Rights are inextricably linked.  
- Promotion and Protection of all Human Rights is thus necessary to reduce vulnerability to HIV.  
- The fact that South Africa still have only 2 regimens of drugs, leading to Multiple Drug Resistant HIV in some cases, and more side-effects in some of the present drugs which is due to Global inequalities.  
- Lobbying and advocacy has to be taken to National, Regional and International level.
- With regard to Gender, a lot of work has to be done and the implementation of Circles of Support is the answer, so as to encourage dialogue at local level.
- It is encouraging to see more Community Based Organisations are taking part in the Centralised workshops, especially since most of them do not have knowledge on Gender concepts.  
Result Areas     
Performance Indicators
Activities
Output & Lessons Learnt
Challenges & Remedies
- Rights of women and other people living with HIV will be realised. - Rights to treatment from Health Centres will be realised. Right to play an active ‘role & inclusion’ in Ward Committees and IDP processes of their respective municipalities. - People who have HIV are able to live positively and able to care and support each other having  Peer Counselling skills.
- Participant’s ability to disclose their status, thereby assisting other.  - Participants affording themselves space to discuss their own experiences and issues.  
-Documentation of stories.  Community Support Groups will be linked to Masihlanganeni Network for PLWHA.  
- More people will be on ARVs.
- Ward-based workshops in the identified wards.

- Participants (women, girls, men and boys) involved in those workshops.

-Material/packs which were used in these workshops.

- Reports of these interventions.

- No of Support Groups in place & how often do they meet.
- Same as above.

-Reinforcement of training (3 days)
Follow-up (M&E) and support and selection of Support Group members, 60% being women representatives, including its roles and responsibilities, training dates for them, etc.
- Centralised dates of CBSS (2days) – in  depth knowledge on counselling, communication, conflict management, documentation, lobbying and advocacy, referrals.
- Support Group supporting each other, strategizing for recognition of women rights.
- On-going site support by Care and Support staff bi-weekly.
-Documentation & reporting on successes and challenges facing them, which may result on quick intervention by trainers.  
- Decentralizing of Gender-sensitive HIV/AIDS Management at community level.
- In Nyandeni and KSD the number of Support Groups has increased to 23, with 958 members, and 350 are men.
- Discussions around Gender Justice, Culture, Tradition and Human Rights are taking place at local level, and there are 53 men who have formed a Men’s Forum who meet weekly at Temba Centre. - A Theater / Drama Group has been formed which is led by a Temba Fieldworker to assist to put the message across about Gender Based Violence and it help to encourage discussion.  
- This has helped to encourage more men to rethink the question relations of power.  
- A group of men is planning a ‘March for Peace’, which will take place during days of activism, and the Men Forum will be launched.
- Four (4) Support Groups who were trained by Temba have grown to a level of CBOs and have registered as legal entities under NPO Act. - Support Group members were successfully trained on Dual Therapy PPTCT Programme.
- The problem of Immune Reconstitution Syndrome is still a problem which is sometimes leading to death for clients who are given ARVs while they are very sick and CD4 Count very low.  
- More training on treatment is needed, and done through Campaigns and Centralised workshops to deal with IRS.
- It is still a challenge of the Health System which does not have enough trained Professionals to assist with the prevention strategy, and medication is still lacking in some local clinics.  
- Temba is lobbying the local ANC Youth League to visit the rural clinics and assist to advocate for better health facilities.
- There are people who are coming back from big cities due to the fact that they are already sick, most of the time they come home in the late stages.  
- Also the high-mobility makes it hard to do follow-up on clients.  
- There is a need to make sure that education at ward-based level is an o-going process, so as to assist to liberate people’s minds.  
Result Areas     
Performance Indicators
Activities
Output & Lessons Learnt
Challenges & Remedies
On-going care and support to chronically ill women, girls, men and boys at their homes.
These people are empowered with knowledge on treatment nutrition management, and as such will be able to recover, and be able to be put on ARV treatment.  Women, girls and children are relieved from the burden of caring, through the Shelter Programme.  Trauma is alleviated from Families and within Communities, and quality of life is improved as more people get help. Death rate is reduced as more people are supported and managed. There are people who have being afforded dignified deaths due to severity of their condition at the time they are brought to the Shelter.  Carers are able to assist with advice on  Wills, including rights of women and children to estate of the deceased, and Foster care of Orphans (OVCs).  Some children are placed in places of safety, and others get Government grants on time.
Number of people (women, girls, men and boys) visited at home.

Home Based Care Reports with kind of support and advice given.
Home Based Care/ Home visits by Carers.

Counselling to the sick and to the family.

Nutrition and treatment management, also sharing this information with the entire family, including the sick.

Referrals and accompanying the sick person to the clinic, doctor, hospital or Temba Shelter.
Admission and provision of sheltering and caring of the chronically and the terminally ill at the Shelter. Counselling and information sharing around treatment and nutrition management.
Provision of treatment and nutritious diet.
Management of the bedridden, cleanliness of the client and offering of spiritual assistance.
Assist the clients to get disability grants from Social Development.
Assist during death with death certificates and bereavement counselling.
Referral of Orphans and Vulnerable children to CINDI and Social Development for placement and foster caring.
Although most people are referred while they are already very sick, the recovery rate has increased to 75%.  What also make this worse are people who are coming back from big cities very sick and mostly When people have recovered and able to go home, they sometimes relapse when they get there due poverty.  This is the reason why we have come to realise that we do not just shelter them, but put in programmes in the new Drop In Centre to assist to ‘educate’ thereby liberate their minds.  The second phase of the Centre will address this; See the plans above, where people will be kept busy with art, sewing, crafts, library, drama, etc. There is a need for us to increase the number of Home Based Carers, to do follow-up.
Transport is a big challenge to do follow up and monitoring.

Recruiting more Carers and providing them not only with stipends, but also travelling allowances will assist, although as previously mentioned, the mobility of people, from one place to the other, could hinder this intervention. Immune Reconstitution Syndrome is becoming a big challenge with people who are being put on ARVs while their CD4 Count is down, below 50, especially for clients who were not properly treated for opportunistic infections. ARVs are not an emergency, since you have to make sure that Opportunistic Infections are treated thoroughly, and nutrition management is done so that their CD 4 Count can go up a little before they get on ARVs.  MDR and XDR TB has been another challenge, and as such most people who are being looked after are either treated or screened thoroughly for TB.   
Months
Total
Female
Male
Youths
April 2008
66
50
16
54
May 2008
84
52
32
71
June 2008
75
51
24
63
July 2008
80
56
29
58
August 2008
103
73
30
72
September 2008
73
46
22
59
October 2008
81
53
28
56
November 2008
87
49
38
65
December 2008
92
58
34
64
January 2009
109
72
37
74
February 2009
133
78
55
91
March 2009
127
81
46
88
TOTAL
1 110
719
391
815
Result Areas     
Performance Indicators
Activities
Output & Lessons Learnt
Challenges & Remedies
- Women and girls who are infected and affected are provided space to be able to articulate their needs.
- These platforms also serve as awareness-raising of challenges facing women and girls infected and affected by HIV/AIDS.
- The research findings done with the Collaborators will enable Temba to be well informed about research results and be in a position to communicate authentic information to communities.
- With a national office in place, there will be more National and Regional partners to address issues with.
- Rights of women and girls, men and boys who are infected and affected when it comes to treatment, grants, and all social security will be realised.  - Gender Based Violence incidents will be more exposed, and eventually be reduced, as more men are becoming involved.    
- Partnerships with relevant stakeholders will be strengthened.  
- There will be more understanding regarding research, as Temba staff and other partners will continued to be  trained and be involved in research.  
- No of meetings held with Strategic, National and other Partners,  and/ or Municipalities.

- No of Campaigns and events that took place.


- No. of radio interviews held.

- No. of workshops attended.

- Summit on Gender Based Violence.
- Peace March
Meetings held every month with different Stakeholders.

6 x Meetings were held for Medical Research Council (MRC) Community Advisory Board.

Awareness – Raising Campaigns on Gender Based Violence, Rape and PEP once every month through the Unitra Community Radio.

Summit with different Stakeholders, including House of Traditional Leaders and Council of Churches was held in March 2009.
A ‘Men’s Peace March’ was held to commemorate Human Rights Day was held on the 20th March 2009.

The Summit resolved to put in place a Temba Partnership Network which is going to meet once every two months.
- Temba attended the MRC Community Advisory Board, which met twice during this period.   
- The Health Promotion Strategy of raising awareness about Post Exposure Prophylaxis (PEP) for victims of rape is done in all Temba workshops, and the Men’s Forum is also involved in this Campaign.
- Once every month Temba is afforded space on both community and national radio.
- Temba is involved in Partnership meetings with TAC which meet monthly, and has been involved in the Xenophobia advocacy meetings which we attended four times.
- Funding is a big challenge at local Government and Provincial level.   
- Conflicts among Political parties did worsen during this year and posed a challenge at the local level, and service delivery is very slow, affecting the programmes.  
- Some Councillors were recalled or fired, and we have to start new relationships with new Councillors.   
- Some national work has begun through attending meetings with TAC through the Temba Office.

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