School Based HIV and GBV Prevention Programme

This program aims to reduce the incidence of HIV infection and violence adolescents. The technical approach utilizes the socio-ecological model in prioritized USAID provinces and districts (7 provinces and 14 districts) across the country working with schools and support staff (SBSTs, SMTs, SGBs, educators), parents, communities and health facilities to ensure access and linkage to quality care, youth friendly health service provision for adolescents. Services offered are aligned to the Integrated School Health Programme (ISHP) and the National Department of Health (NDOH) scale up plan for Pre-Exposure Prophylaxis (PrEP).

Summary

The technical approach utilizes the socio-ecological model (as implemented within the school environment) with a focus on adolescents, particularly adolescent girls and young women (AGYW), in prioritized USAID supported districts to ensure linkage to care and quality, youth friendly health service provision for adolescents and provision of a comprehensive approach to SRH and HIV prevention incl. PrEP provision at community level. We should also note that our primary aim to reinforcing linkages to care and creating referral pathways to psychosocial and health services will be achieved through strengthening the school-based support teams (SBSTs) within DBE and school structures as part of the Integrated School Health Program (ISHP). This mechanism will be complemented by layering with DREAMS partners incl. DSPs, OVC, community and other prevention partners as well as South African Government sectors to ensure capacity building and sustainability. The model supports the approach of a multilevel and multi-sectorial program underpinned by enhanced M&E and adaptive programming. Achieved through a layering of interventions at the district level, whilst enhancing and leveraging the She Conquers platform (i.e. organizations working in unison to ensure comprehensive coverage of interventions) this approach is more likely to sustain prevention efforts over time than any single intervention. Therefore, the interventions will be multi-level to ensure we are addressing risks at the individual level, as well as influencing context – increasing access to youth friendly health services through a community based mobile outreach services.

Primary Outcomes

  • Outcome 1: Increased HIV, SRHR, GBV, life skills and COVID-19 knowledge and awareness among school and community beneficiaries
  • Outcome 2: Increase psychosocial support and linkage to post violence care for adolescents as per the ISHP and emerging needs
  • Outcome 3: Improve access to HIV incl. PrEP, TB and SRHR services for learners (AGYW), educators, school support staff, communities including linkages for clients
  • Outcome 4: Provision of technical assistance (TA) to the Departments of Basic Education and Health improving coordination and implementation adolescent HIV prevention, SRHR, and GBV (prior to and after COVID-19) by supporting policy implementation, strategy development, and national initiatives.

Target population

The program will reach:

  • Female clients 15-29 and Males 15-34
  • 35750 clients with PrEP (PrEP_new)
  • Maintain/ensure continuation of 36 163 on PrEP (PrEP_current)

Investigators

Nicolette Naidoo (Chief of Party),

Motshidisi Ramadi (Programme Manager),

Tapiwa Nykabau (Community Services and Linkage manager),

Zukiswa Fipaza (SI Manager),

Saiqa Mullick (Director: Implementation Science)

Latest Update: 15 February 2021

For more about School Based HIV and GBV Prevention Programme please email rhicomms@wrhi.ac.za