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Annual Report<br />
1 March 2011 – 29 February 2012<br />
HOPE <strong>Cape</strong> <strong>Town</strong> Association<br />
PBO No 18/11/13/4709<br />
NPO No 031-599
Contents<br />
Contents .................................................................................................................................................. 1<br />
1. Address of Mr Roland Herrmann Consul General of the Federal Republic of Germany .............. 3<br />
2. Address by Dr T<strong>here</strong>se Fish/Deputy Dean Faculty of Medicine and Health University of<br />
Stellenbosch .................................................................................................................................. 4<br />
3. 25 Years Deutsche Aids Stiftung ................................................................................................... 5<br />
4. Report Chairperson Dr Monika Esser ........................................................................................... 8<br />
4.1 New projects ................................................................................................................................. 8<br />
4.2 Events and Visits ........................................................................................................................... 9<br />
4.2.1 Ball of <strong>Hope</strong> ..................................................................................................................... 9<br />
4.2.2 World AIDS Awareness Expedition ............................................................................... 10<br />
4.2.3 Visit HOPE & Future ...................................................................................................... 11<br />
4.2.4 Cooperation with University of Applied Sciences Neu-Ulm ......................................... 11<br />
4.2.5 Nissan Livina – Rotary Club Signal Hill........................................................................... 12<br />
4.2.6 HOPE Gala ..................................................................................................................... 12<br />
4.2.7 10 years HOPE <strong>Cape</strong> <strong>Town</strong> ............................................................................................ 13<br />
4.2.8 International AIDS Day .................................................................................................. 14<br />
4.3 Organisational Structure ............................................................................................................. 14<br />
4.4 Thank you to long-term funders ................................................................................................. 14<br />
5. Tygerberg Hospital/Ithemba ward ............................................................................................. 16<br />
5.1 Ithemba Ward Events ................................................................................................................. 16<br />
5.1.1 Easter party ................................................................................................................... 16<br />
5.1.2 Playroom Opening ........................................................................................................ 16<br />
5.1.3 Christmas party ............................................................................................................. 16<br />
5.1.4 Birthday Surprise Parties ............................................................................................... 17<br />
5.2 Our work at Ithemba ward ......................................................................................................... 17<br />
5.2.1 Food parcels from Oostenberg Rotary-Club ................................................................. 18<br />
5.2.2 Mammies for HOPE ....................................................................................................... 19<br />
5.3 Our long-term volunteers for the Ithemba ward ....................................................................... 19<br />
5.3.1 Visitors at the Ithemba Ward ........................................................................................ 20<br />
5.4 Volunteers at HOPE <strong>Cape</strong> <strong>Town</strong> ................................................................................................. 21<br />
6. Report HOPE <strong>Cape</strong> <strong>Town</strong> Doctor ................................................................................................ 21<br />
6.1 Delft clinic ................................................................................................................................... 21<br />
6.2 CD4 Count Study ......................................................................................................................... 22<br />
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6.3 Resistance Testing ...................................................................................................................... 23<br />
6.4 Elective Students Program .......................................................................................................... 23<br />
7. Collaboration with Stellenbosch University and other partners ................................................ 24<br />
7.1 Cooperation with TU Munich: HIV and Sports Programmes ...................................................... 24<br />
7.2 The Sangoma ‘Muti’ Project ....................................................................................................... 24<br />
7.3 Nutrition Students – Hochschule Niederrhein ........................................................................... 25<br />
7.4 E-Learning ................................................................................................................................... 26<br />
8. Work in the communities ........................................................................................................... 26<br />
8.1 Report of Corita Marshall – Community Health Worker ............................................................ 26<br />
8.2 Debriefing Sessions for HCHW’s ................................................................................................. 27<br />
8.3 Christmas Party in Delft .............................................................................................................. 27<br />
8.4 Vegetable Garden in Elsie’s Rivier .............................................................................................. 28<br />
8.5 Community Project Blikkiesdorp sponsored by HOPE & Future e. V. ........................................ 28<br />
8.6 Community Health Workers ....................................................................................................... 28<br />
8.7 Nutrition Project ......................................................................................................................... 29<br />
8.8 Beading Project ........................................................................................................................... 29<br />
8.9 Soup kitchen ............................................................................................................................... 29<br />
8.10 Soccer teams ............................................................................................................................... 29<br />
8.11 Income generating activities....................................................................................................... 29<br />
8.12 Gardening ................................................................................................................................... 30<br />
8.13 After school programme/ Life skills course for teenage girls ..................................................... 30<br />
8.14 Early childhood development centre ......................................................................................... 30<br />
8.15 Manenberg – After School Care ................................................................................................. 30<br />
9. Sponsors, Supporters, Friends of HOPE <strong>Cape</strong> <strong>Town</strong> ................................................................... 31<br />
10. Financial Statements .................................................................................................................. 35<br />
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1. Address of Mr Roland Herrmann<br />
Consul General of the Federal Republic of Germany<br />
When Rev. Fr. Stefan Hippler approached me, would I be willing<br />
to write some kind of foreword for the Annual Report of the<br />
HOPE <strong>Cape</strong> <strong>Town</strong> Trust & Association I had barely spent seven<br />
weeks in South Africa. But I happily accepted, because I had<br />
already learnt so much about the HOPE <strong>Cape</strong> <strong>Town</strong> project,<br />
from many different sources.<br />
HOPE <strong>Cape</strong> <strong>Town</strong> Trust & Association is well known, in South Africa and in Germany, and rightly so.<br />
This great initiative has been a pioneer in taking care of the poorest of the poor, mainly HIV infected<br />
children and adults from poverty stricken town-ships.<br />
HOPE <strong>Cape</strong> <strong>Town</strong> does what others, in particular a government run health service, cannot provide:<br />
individual attention, personal care, and after-care.<br />
I have seen the dedicated service of the HOPE nurses, their patience, and their loving care. And I<br />
have seen the smile in the faces of the sick children, and they know: t<strong>here</strong> is hope for me, because<br />
t<strong>here</strong> is HOPE.<br />
I was glad to learn that t<strong>here</strong> are also people from Germany who work with the sick and the<br />
destitute, and that t<strong>here</strong> are many more people in Germany contributing to the good cause. They<br />
know, it is their support which makes children smile, and their support is needed to make the HOPE<br />
grow.<br />
<strong>Cape</strong> <strong>Town</strong>, 23.08.2012<br />
Roland Hermann<br />
Consul General of the Federal Republic of Germany<br />
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2. Address by Dr T<strong>here</strong>se Fish/Deputy Dean<br />
Faculty of Medicine and Health University of Stellenbosch<br />
The Faculty of Medicine and Health Sciences at the<br />
University of Stellenbosch has a long history of partnership<br />
with the HOPE <strong>Cape</strong> <strong>Town</strong> Association. In the 11 th year of<br />
existence of the Association, we give thanks to the hard<br />
work and commitment that the colleagues within the<br />
project bring to the community of <strong>Cape</strong> <strong>Town</strong> through<br />
their tireless work; the lives of many families have been<br />
improved.<br />
The University of Stellenbosch is committed to ensuring the creation of knowledge that<br />
improves the lives of people in our community. The partnership with HOPE <strong>Cape</strong> <strong>Town</strong><br />
enables this. A number of academics play key roles in leadership positions within the<br />
Association’s governance structure. Through a signed Memorandum of Understanding the<br />
Faculty supports <strong>Hope</strong> <strong>Cape</strong> <strong>Town</strong> in various ways. This includes having the HOPE <strong>Cape</strong><br />
<strong>Town</strong> offices in our building. It provides HOPE <strong>Cape</strong> <strong>Town</strong> as well as the Faculty with the<br />
opportunity to strengthen the academic (through research) and community engagement<br />
components of the University’s mandate.<br />
Dr T<strong>here</strong>se Fish<br />
Deputy Dean: Community Service and -Interaction Faculty of Medicine and Health Sciences<br />
Stellenbosch University<br />
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3. 25 Years Deutsche Aids Stiftung<br />
“We need institutions like the German AIDS-Foundation”<br />
Federal Minister of Health, Mr Daniel Bahr, and Mrs Rita Süssmuth value highly 25 years of<br />
foundation work<br />
The German AIDS-Foundation is the largest AIDS non-profit organisation in Germany which<br />
offers financial support to affected people. Since 25 years, the foundation helps HIV positive<br />
people in need in Germany through direct support and the support of projects, e. g.<br />
residential care home. Furthermore, since 2000 the foundation patronized selected projects<br />
like for AIDS orphans, teenagers, mothers and children, especially in Southern Africa.<br />
On the 6 th of September 2012, the German AIDS Foundation celebrated their 25 th<br />
anniversary of existence and the 25 th anniversary of the executive chairman, Mr Dr Ulrich<br />
Heide, in Bonn. 250 guests followed the invitation, amongst others Federal Minister of<br />
Health, Mr Daniel Bahr, and the honorary chairlady of the German AIDS-Foundation, Mrs<br />
Prof Dr Rita Süssmuth.<br />
“Although nowadays the treatment of AIDS is considerably better, the disease is still not<br />
curable. T<strong>here</strong>fore, it is extremely important to accompany the parties concerned in a way<br />
which will be sometimes difficult. We need institutions such as the German AIDS<br />
Foundation, which strengthen the confidence of those affected and help them to live<br />
responsible, sense fulfilling and social accepted. T<strong>here</strong>fore, the Ministry of Health has<br />
accompanied and encouraged the German AIDS Foundation from the outset of their work”,<br />
said Federal Health Minister Daniel Bahr at the anniversary.<br />
In addition to Minister Bahr and the honorary chairlady, the founder of the foundation, Mr<br />
Rainer Ehlers, belonged to the speakers at this event: “My motivation to establish the<br />
German AIDS Foundation “Positive living” was to give infected people the possibility to<br />
defend them against discrimination and to give them a lobby. Because discrimination always<br />
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is related to poverty, the financial support for affected people was - and remains -<br />
necessary.”<br />
Professor Rolf Rosenbock, chairman of the Paritätischer Wohlfahrtsverband –<br />
Gesamtverband e. V. (Joint Welfare Association - General Association e. V.), spoke about the<br />
German AIDS-policy: “In dealing with HIV and Aids a new and indicatory concept of primary<br />
prevention was accomplished, developed and led to success. This was connected with a<br />
benefit of civic rights and participation. From that, a lot can be learned for the future.”<br />
25 years of continuous commitment for people with HIV/AIDS<br />
25 years ago, Rita Süssmuth played a key role in the national HIV/AIDS policy as Federal<br />
Minister of Health. From the beginning, her name has been connected with the<br />
foundation:” I wish our German AIDS Foundation also for the next 25 years fortune, courage<br />
and particularly support. The work of the Foundation would not be possible without the<br />
support of co-founders and donors.” Trustees chairman, Mr Reinhold Schulte, dignified Dr<br />
Ulrich Heide, who is active for the AIDS-Foundation since 25 years: “25 years of the German<br />
Foundation also stand for 25 years of engagement of a man who shaped the foundation<br />
from the beginning: Dr Ulrich Heide.”, he was the counteracting force against stigmatisation<br />
and discrimination and through his work he was advancing the foundation.<br />
In 2011 more people could be helped than in 2010<br />
Before the reception, the annual report of 2011 was presented at the annual press<br />
conference. The foundation is looking back on a successful year: with revenue of 3.86<br />
Million EURO, far more people in emergency situations could be helped than in 2010.<br />
Especially the benefit-art auction “Artist against Aids”, the increase of the financial<br />
contribution through the Verband der Privaten Krankenversicherung e. V. (association of the<br />
private health insurance e. V.), the support through the ViiV Healthcare and a huge heritage<br />
contributed to this revenue increase.<br />
Number of the HIV-positives nearly twice as high as 15 years ago: End of 2012, 75,000<br />
people with HIV/AIDS will live in Germany<br />
Thanks to the improvement of the health care, the life expectancy of people living with HIV<br />
will be extended; it can be expected that the number of the HIV/Aids infected people in<br />
Germany will reach the mark of 75.000 at the end of the year. According to the Robert Koch-<br />
Institute, at the end of 2011 t<strong>here</strong> were 73.000 infected people with an estimated number<br />
of 2.800 new diagnoses. Today, about twice as many people with HIV/AIDS are living in<br />
Germany than 15 years ago. A significant number of these people are in financial distress<br />
and needs help. Hence, the need of an organisation such as the German AIDS-Foundation is<br />
even 25 years after its launch still given.<br />
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Foto: Paulo dos Santos From the left to the right:<br />
Dr. Christoph Uleer, Chairman<br />
Rainer Ehlers, Chairman advisory board<br />
Dr. Ulrich Heide, Executive chairman<br />
Prof. Dr. Rita Süssmuth, Honorary Chairlady<br />
Daniel Bahr‚ Federal Minister of Health, Member Board of Trustee<br />
Reinhold Schulte, Chairman Board of Trustees<br />
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4. Report Chairperson Dr Monika Esser<br />
The HOPE <strong>Cape</strong> <strong>Town</strong> Annual Report once again promises to<br />
bring to you an update on a variety of innovative projects and<br />
new activities, on sponsorships and on the people that make the<br />
difference in our work.<br />
We are proud of our flexibility to address the changing needs of<br />
our HIV affected communities. At the same time we are<br />
dependent on longstanding loyal sponsors and volunteers to<br />
provide a stable platform for our work. While not all can stay<br />
with us, we are very grateful for the time, energy and finances<br />
which people contribute to HOPE <strong>Cape</strong> <strong>Town</strong> for whatever time<br />
they can.<br />
4.1 New projects<br />
Third line drug sponsorship for selected children that have failed standard government HAART first<br />
and second line treatment regimens is being supported by HOPE <strong>Cape</strong> <strong>Town</strong>. This is instituted after<br />
careful review and merit of each case according to predefined criteria. To support the selection<br />
process of children who are in need of alternative HAART regimens HOPE <strong>Cape</strong> <strong>Town</strong> also started<br />
sponsoring selected HIV viral resistance testing for paediatric HIV patients who are no longer<br />
responding to conventional HAART and for whom this test is not routinely available. These tests are<br />
crucial to be able to direct patients’ further treatment decisions; tragically the numbers of patients<br />
resistant to standard ARVs available in the public sector are on the increase.<br />
Further we are starting to focus increasingly on the parents of our HIV positive patients in line with<br />
the President’s plan to access patients who qualify for HAART treatment such as in the Ithemba<br />
Children’s ward for infectious diseases at Tygerberg Hospital. Even though the parents of our little<br />
patients are often very ill themselves, they are not automatically attended to when their children<br />
have been admitted and they frequently neglect to access healthcare for themselves. Subsequently,<br />
many children are not cared for adequately after being discharged due to one or both parents being<br />
sick or even dying. The company Alere Healthcare generously loaned a novel mobile point of care<br />
CD4 testing unit to HOPE <strong>Cape</strong> <strong>Town</strong>, with which we are able to perform instant CD4 counts for<br />
Ithemba ward parents. With a finger prick and within 20 minutes the results are available.<br />
Depending on the result of the rapid test and with counselling, the patient can then be referred for<br />
further testing and treatment. We hope to lead the way to comprehensive treatment of the whole<br />
family by this and other holistic approaches.<br />
Family at the Ithemba ward<br />
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4.2 Events and Visits<br />
4.2.1 Golf Day<br />
On 1 April 2011 the first HOPE <strong>Cape</strong> <strong>Town</strong> Golf Day was hosted successfully by the HOPE <strong>Cape</strong> <strong>Town</strong><br />
Trust at the Metropolitan Golf Club in Greenpoint, <strong>Cape</strong> <strong>Town</strong> under the patronage of His Excellency,<br />
Mr Dieter Haller, and Ambassador of the Federal Republic of Germany to South Africa.<br />
HOPE Golf day in Greenpoint<br />
4.2.2 Ball of <strong>Hope</strong><br />
On 28 May 2011, the annual Ball of HOPE once again took place at the Westin Grand Hotel <strong>Cape</strong><br />
<strong>Town</strong>. The event under the patronage of the three German-speaking consulates in <strong>Cape</strong> <strong>Town</strong> was a<br />
great success as in previous years. We would like to thank all our guests and sponsors for attending<br />
and supporting our work. A special thank you goes to Anja Tambusso-Ferraz and Petra Reichwein for<br />
their time and effort which went into the organisation of the event. Special thanks also due to HOPE<br />
<strong>Cape</strong> <strong>Town</strong> Board member Prof Bernd Rosenkranz and his wife Monika for sponsoring the beautiful<br />
red dresses for the HOPE community health workers and senior staff.<br />
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Ball of HOPE <strong>Cape</strong> <strong>Town</strong><br />
4.2.3 World AIDS Awareness Expedition<br />
On 4 March 2011, the new World AIDS Awareness Expedition ‘move the world’ led by extreme<br />
sportsman Joachim Franz started officially at the CeBit computer expo in Hannover, Germany. On<br />
April 18, the 14-member team began the 110-day expedition through 50 countries in Vancouver,<br />
Canada. Thus far, the tour through all five continents has turned out to be rather adventurous, as<br />
was to be expected. Various encounters with wild animals, military patrols, corrupt border officials,<br />
stagnant ferries and plenty of other small and big obstacles, have tested the team’s patience and<br />
endurance.<br />
As one of the beneficiaries of the expedition, HOPE <strong>Cape</strong> <strong>Town</strong> had been preparing for the crew’s<br />
welcoming in <strong>Cape</strong> <strong>Town</strong> on June 16. Unfortunately, the Angolan authorities quite literally put a<br />
spoke in the team’s wheels so that the expedition route had to be changed at short notice, and<br />
South Africa was no longer on the map. To honour the team’s initiative and commitment<br />
nonetheless, HOPE <strong>Cape</strong> <strong>Town</strong> hosted a celebration in the community of Manenberg on 17 June.<br />
HOPE <strong>Cape</strong> <strong>Town</strong> board member and Catholic priest Fr. Wim Lindeque and Fr. Stefan Hippler said<br />
prayers and blessings for the expedition crew. Children from the after-school program performed<br />
hip hop choreographies and delighted the audience with their musical talent on the flute and<br />
trumpets. A slideshow of photos taken during the first part of the expedition caused great<br />
amazement and admiration amongst both children and adults alike.<br />
MOVE THE WORLD Expedition Manenberg<br />
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4.2.4 Visit HOPE & Future<br />
In August 2011 the long-term sponsors HOPE & Future e. V. visited HOPE <strong>Cape</strong> <strong>Town</strong>. Gregor Lamers<br />
and Andreas Schröder visited Blikkiesdorp to get an overview of the on-going projects, such as the<br />
beading and the nutrition projects. They met the soccer coach and talked to the community health<br />
workers. Their stay also included a visit to the clinics in Delft, Delft South and Wesbank w<strong>here</strong> they<br />
met the community health workers and our doctor, Dr Sadeeka Williams.<br />
Gregor and Andreas also visited the Ithemba ward and met with Dr Monika Esser and Prof Bernd<br />
Rosenkranz from the Board to discuss plans for future support.<br />
We would like to take this opportunity to thank HOPE &Future e. V. sincerely for the on-going<br />
commitment and long-term support.<br />
Beading project Blikkiesdorp<br />
4.2.5 Cooperation with University of Applied Sciences Neu-Ulm<br />
On 23 September 2011 we had the opportunity to present our e-Learning programme to a<br />
delegation of the University of Applied Sciences Neu-Ulm during their visit to the University of<br />
Stellenbosch. This led to further discussions with Neu-Ulm on how to utilize their expertise in Elearning<br />
and M-learning and their willingness to assist HOPE <strong>Cape</strong> <strong>Town</strong> Association with the further<br />
development of this programme. Prof Ulrike Reisach from Neu-Ulm University, commenced by<br />
having one of her Bachelor students conduct his thesis on entrepreneurial development as a training<br />
topic for the HOPE Community Health Workers. As part of this research, Prof Reisach will also<br />
perform further research in respect of micro financial options within South Africa, existing<br />
entrepreneurial development programmes as well as possible training programme developments<br />
which will be incorporated into the E-learning or M-learning programme.<br />
In February 2012 the Neu-Ulm University delegation under the leadership of Prof Dr Uta Feser<br />
(President of Neu-Ulm University) and Prof Dr Olaf Jacob, (Dean of the Faculty of Information<br />
Management) visited HOPE <strong>Cape</strong> <strong>Town</strong> Association and the University of Western <strong>Cape</strong> again to<br />
finalize the practical implementation of an agreement between the partners.<br />
The agreement entails the placement of 15 Information Management students from Neu-Ulm<br />
University and 6 Information Management students from UWC at HOPE <strong>Cape</strong> <strong>Town</strong> from 21 – 25<br />
May 2012. During this period the students and their respective team leaders / professors will<br />
determine the best training methodology and strategy for HOPE Community Health Workers and<br />
they will develop the training platform and content. During this process Neu-Ulm students will<br />
impart their expertise and knowledge to the UWC students and HOPE <strong>Cape</strong> <strong>Town</strong> Association staff<br />
members to ensure long term technical sustainability of this ambitious project.<br />
HOPE <strong>Cape</strong> <strong>Town</strong> Association as a Non-Profit Organisation believes that all people affected by<br />
HIV/AIDS can enjoy a better quality of life and aims to support, educate and empower communities<br />
in the Western <strong>Cape</strong> that are affected by HIV/AIDS. To achieve this, HOPE <strong>Cape</strong> <strong>Town</strong> Association<br />
recruits and trains community members for training as Health Workers. However many of the<br />
Community Health Workers live far from the HOPE <strong>Cape</strong> <strong>Town</strong> Association training office. Hence it<br />
11
emains difficult to provide continuity in training them and to supply them with updated medical<br />
information. This need directly resulted in the development of an e-Learning program. Such a<br />
programme requires technical expertise and many obstacles must be overcome, such as lack of<br />
resources (computers, training facilities and personnel), lack of technical skills and lack of computer<br />
skills.<br />
HOPE <strong>Cape</strong> <strong>Town</strong> Association is very excited t<strong>here</strong>fore about this partnership as Neu-Ulm University<br />
has extensive experience in E-Learning and M-Learning, as well as in working in African countries.<br />
E-Learning project<br />
4.2.6 Nissan Livina – Rotary Club Signal Hill<br />
On 18 August 2011, the handover of a new car for HOPE <strong>Cape</strong> <strong>Town</strong> took place at the facilities of the<br />
Rotary Club “Signal Hill”. The Nissan Livina Acenta was kindly sponsored by the Rotary Clubs “Signal<br />
Hill”, Gelsenkirchen-Schloss Horst, Chateau Salin Dieuze Morhange, District D1870; District 1790 and<br />
Match from The Rotary Foundation. We would like to express our most heartfelt thanks to all<br />
Rotarians for this generous donation.<br />
Ceremonial hand over<br />
4.2.7 HOPE Gala<br />
On 29 October 2011 - for the sixth consecutive year, Viola Klein of Saxonia Systems AG and for the<br />
second time, the HOPE Kapstadt Stiftung organized a charity gala event in the Dresden<br />
Schauspielhaus for the benefit of HOPE <strong>Cape</strong> <strong>Town</strong>, together with many loyal sponsors and<br />
supporters. As in previous years, excellent entertainment and performances by a range of popular<br />
artists, was guaranteed and the event was again a great fundraising success. Pauline Jooste, our<br />
outreach facilitator, who attended the 2011 HOPE Gala Dresden and wrote:<br />
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“I was blessed to be given the opportunity to attend the HOPE Gala in Dresden in October 2011. My<br />
very first trip abroad! (Besides Robben Island!!)<br />
A big thank you to everybody ,who supported me and HOPE <strong>Cape</strong> <strong>Town</strong> to make this a reality.<br />
It was really unbelievable to see how much time, money, effort and dedication was given by very<br />
special people to make this once again a very successful event.<br />
I wish that more HOPE <strong>Cape</strong> <strong>Town</strong> employees can experience this event – it made me realize how<br />
much respect and trust our sponsors, supporters and donors have for us and the work we are doing.<br />
This experience made me feel more responsible and appreciative towards all our supporters and for<br />
the work that we are doing.<br />
VIELEN DANK, DANKE SCHÖN, THANK YOU, BAIE DANKIE!!“Pauline Jooste<br />
<strong>Hope</strong> Gala Dresden 2011 Pauline Jooste &Rene Kindermann<br />
4.2.8 10 years HOPE <strong>Cape</strong> <strong>Town</strong><br />
In October 2011, HOPE <strong>Cape</strong> <strong>Town</strong> celebrated its first decade of existence. The NGO, which was<br />
officially launched at Tygerberg Academic Health Complex(TAHC) as HOPE – HIV Outreach Program<br />
and Education on the 29 th of October 2001, is looking back on 10 years of providing treatment,<br />
counselling and training for children and adults infected and affected by HIV & AIDS. What started<br />
out as a humble joint venture between the German speaking Catholic Community, the Rotary Club of<br />
Signal Hill, Stellenbosch University (Faculty of Health Sciences) and the Tygerberg Academic Health<br />
Complex supported by the Provincial Government of the Western <strong>Cape</strong>, has grown into a successful<br />
benchmark organization with a number of high profile academic and private partners, both local and<br />
international.<br />
HOPE <strong>Cape</strong> <strong>Town</strong> was instrumental in the founding of the Ithemba Ward for Infectious Diseases (G7)<br />
and started out providing privately funded treatment and assisting tertiary care for HIV positive<br />
children as one of the first initiatives in the country and long before the commencement of the<br />
national ARV rollout. Subsequently, the organization began training and deploying community health<br />
workers in various communities of Tygerberg Hospital drainage area, for better patient follow-up<br />
and recalls. Today, a total of 23 HOPE community health workers work in 19 low-income<br />
communities and primary health care facilities in the northern metropolis.<br />
HOPE <strong>Cape</strong> <strong>Town</strong> also pioneered a project involving traditional healers (Sangomas) in an attempt to<br />
overcome stigma and prejudices between Western medicine and traditional African healing<br />
practices. Grassroot project initiatives for community based income generation are supported by the<br />
organization which also conducts awareness workshops and outreach programmes on request.<br />
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More recent projects include nutritional support for HIV and TB patients, drug interactions between<br />
traditional medicines and ARVs, e-learning and sports activities. HOPE <strong>Cape</strong> <strong>Town</strong> is proudly<br />
partnering with academic institutions such as HS Niederrhein, TU Munich and the Medical Mission<br />
Institute Wuerzburg in Germany. A very popular elective rotation for international medical students<br />
is offered in partnership with KID-CRU (Children's Infectious Diseases Clinical Research Unit) at TAHC.<br />
HOPE <strong>Cape</strong> <strong>Town</strong> expresses sincere gratitude for the continuous support of its local partners<br />
including TAHC, Stellenbosch University (Faculty of Health Sciences) as well as the health<br />
departments of the Provincial Government of the Western <strong>Cape</strong> and the City of <strong>Cape</strong> <strong>Town</strong>.<br />
4.2.9 International AIDS Day<br />
On 1 December 2011, HOPE <strong>Cape</strong> <strong>Town</strong> Association, with the assistance of volunteers, handed out<br />
marketing material to students, personnel and visitors at the Stellenbosch University Medical<br />
Faculty. As HOPE <strong>Cape</strong> <strong>Town</strong> Association offices are located on the 7th floor of the Clinical Building,<br />
we based our efforts this year at the Medical School to raise awareness for HOPE <strong>Cape</strong> <strong>Town</strong><br />
Association and HIV/AIDS on campus.<br />
World AIDS day 2011<br />
4.3 Organisational Structure<br />
In its 10 th year as of February 2011, HOPE <strong>Cape</strong> <strong>Town</strong> has started implementing a restructuring<br />
process due to the organizational expansion with now three formal academic partnerships and the<br />
ever growing scope of work. To manage HOPE <strong>Cape</strong> <strong>Town</strong>’s area of operations in the Western <strong>Cape</strong><br />
Province with a wide variety of initiatives, full-time employees on a senior management level are<br />
now required to assist the voluntary management structure. As part of this, the posts of the Project<br />
Supervisor and Training & Compliance Officer have been changed to Head of Programs and to<br />
Outreach Facilitator. The HOPE <strong>Cape</strong> <strong>Town</strong> Management Committee has been transferred into a<br />
Board with portfolios.<br />
4.4 Thank you to long-term funders<br />
HOPE <strong>Cape</strong> <strong>Town</strong> would not be celebrating 10 years of existence if it was not for the continuous<br />
support and donations from numerous individuals, institutions, associations and companies. A very<br />
heartfelt thank you goes to all our friends and supporters. The German AIDS Foundation and Dr<br />
Ulrich Heide are sincerely congratulated by HOPE <strong>Cape</strong> <strong>Town</strong> Association on their 25 Year Jubilee.<br />
14
The solid and substantial support of this Foundation and Dr Heide personally, have been a major<br />
stability factor for our organization.<br />
A special Thank you goes also to:<br />
Veronica Ferres<br />
Saxonia Systems AG<br />
Process Consulting<br />
Be Your Own Hero e. V.<br />
MELCO Elevators<br />
Brand Engineering<br />
Deutsche AIDS-Stiftung<br />
Fairbrigdes Attorneys<br />
Freudenberg Nonwovens<br />
German-speaking Catholic Community<br />
Highlands Country House<br />
Mediterranean Villa<br />
Men’s Society Milnerton<br />
Rotary Club Signal Hill<br />
SA German Chamber of Commerce<br />
Wings Group Trading<br />
In the last year we have been especially blessed. Mrs Rita Vogelsänger donated bicycles to<br />
underprivileged children and youths in Blikkiesdorp and Belhar. The Richard Wagner Society chaired<br />
by Mr Herbert Glöckner donated the proceeds from the “The Flying Dutchman” at the <strong>Cape</strong> <strong>Town</strong><br />
Opera earlier this year, to HOPE <strong>Cape</strong> <strong>Town</strong>. And we are very pleased to be this year’s beneficiary of<br />
the Roskilde Festival Charity Society grant, which is funded from the proceeds of an annual rock<br />
festival in Denmark.<br />
Bicycles for Blikkiesdorp<br />
A big thank you goes to all international and local sponsors and donors, big and small, our volunteers<br />
and supporters, our Board Members and Trustees and especially to our loyal and competent staff<br />
without, whom the organization’s work of the last decade would not have been possible.<br />
With your support we are looking forward to the next 10 years of HOPE <strong>Cape</strong> <strong>Town</strong> !<br />
Dr Monika Esser<br />
15
5. Tygerberg Hospital/Ithemba ward<br />
5.1 Ithemba Ward Events<br />
5.1.1 Easter party<br />
The annual Easter party for the children, their parents, the nursing sisters and the doctors at the<br />
Ithemba ward took place on 20 April 2011.The children, the mums and the staff of the ward received<br />
sweets, cool drinks and a present. The mothers met in the board room to enjoy some time with each<br />
other whilst our volunteers played with the children.<br />
5.1.2 Playroom Opening<br />
HOPE <strong>Cape</strong> <strong>Town</strong> Association hosted the opening of the new playroom on 10 November 2011 at the<br />
Ithemba ward. With a donation from Montessori-Kinderhaus St. Hubertus, Pfarrei St. Christopherus<br />
in Krefeld we were able to create this playroom for our little patients in the ward. We would like to<br />
take this opportunity to especially thank Laura Fiebig, all the children, their parents and the staff of<br />
the Montessori-Haus sincerely for the kind donation.<br />
Dr Helena Rabie, in charge of Ithemba ward cut the ribbons, declaring the playroom officially<br />
opened. This celebration was attended by various hospital personnel members, such as Dr Nel, Dr<br />
Mukosi, HOPE <strong>Cape</strong> <strong>Town</strong> personnel and most importantly the little patients of G7 and their<br />
mothers.<br />
Playroom Opening<br />
5.1.3 Christmas party<br />
On 7 December 2011 Father Christmas visited Ithemba ward to spoil the children with gifts and food.<br />
The parents of the children also received a warm meal each. HOPE <strong>Cape</strong> <strong>Town</strong> expresses a big thank<br />
you to Esmé Eksteen for donating a “party pack” for each child and to Felicity Nelson and her<br />
colleague from Point of Care, who donated Mac Donalds meals and cold drinks for the children.<br />
Thank you also to all the individuals who donated toys, books, stationary and clothes during the<br />
year. This enabled Sonia Daniels to wrap a special present for each child and to ensure that all<br />
children were nicely dressed for this special occasion.<br />
16
Christmas Party Ithemba ward<br />
5.1.4 Birthday Surprise Parties<br />
If one of our little patients has a birthday whilst in the Ithemba ward, we organise a nice birthday<br />
party and give them a special present. Often it is the first birthday party and the first birthday<br />
present they have had in their life and they cannot believe that it is all just for them!<br />
Birthday Party at ITHEMBA ward<br />
5.2 Our work at Ithemba ward<br />
The HOPE <strong>Cape</strong> <strong>Town</strong> team secretary, Mrs Sonia Daniels, whose office is based within the Infectious<br />
Diseases Ward, physically visits each little patient of the Infectious Diseases Ward every morning.<br />
During these visits Sonia determines the daily basic needs of the child and their parents and how<br />
HOPE <strong>Cape</strong> <strong>Town</strong> can assist with these needs. We however do not only supply donations to the<br />
Infectious Diseases Ward, but also to the other Wards of Tygerberg Children’s Hospital as well as to<br />
the Tygerberg Children’s Hospital School. The Hospital Social Worker also regularly contacts Sonia<br />
for donations which are required for some of her clients and patients of the hospital. We are<br />
t<strong>here</strong>fore always willing to assist with any request for support to the best of our ability.<br />
Many of the children and their parents end up in hospital after being referred from their local clinic<br />
or day hospital and thus they have not had a chance to pack any additional clothing or personal<br />
items. Many of the families are also too poor to buy any products or daily food whilst the children<br />
are in hospital. Once again the donations from HOPE <strong>Cape</strong> <strong>Town</strong> assist these families and children to<br />
cope during their stay in hospital. We mainly provide the parents with sandwiches, fruit and biscuits<br />
on a daily basis and we also provide the children with yogurt and the occasional treat.<br />
HOPE <strong>Cape</strong> <strong>Town</strong> Association trains all their personnel in HIV/AIDS care and counselling and as such<br />
can provide counselling to patients and their parents. A big part of Sonia’s daily tasks include<br />
providing support to the parents and their children. She firstly provides them with an “ear”, giving<br />
them the chance to ventilate their anxiety and concerns. Secondly she provides them with relevant<br />
17
information and guidance, teaching them life skills and coping skills, as well as giving them the<br />
correct information required to cope with their individual situations. The parents value Sonia’s<br />
support services to such an extent that the doctors and nursing staff frequently refer the parents to<br />
her. Sonia is t<strong>here</strong> to hold the hand of a parent whose child might have died and she is also t<strong>here</strong> to<br />
motivate parents to improve their functioning and parental skills. This diverse support service is<br />
invaluable for the patients, their parents and the medical personnel.<br />
The medical personnel, doctors and nursing staff, regularly comment that the presence of HOPE<br />
<strong>Cape</strong> <strong>Town</strong> within the Infectious Diseases Ward makes their work so much easier and that they can<br />
see the difference being made by HOPE <strong>Cape</strong> <strong>Town</strong>. Although we are based at the Infectious<br />
Diseases Ward of the Tygerberg Children’s Hospital , which is our home, we try to assist with all the<br />
wards to make a difference to the whole of Tygerberg Children’s Hospital.<br />
Lastly HOPE <strong>Cape</strong> Association also networks and supports many other departments and services<br />
within the Tygerberg Academic Hospital Complex, such as KIDCRU, Social work services, Tygerberg<br />
Children’s Hospital School and many more. HOPE <strong>Cape</strong> <strong>Town</strong> also liaises with relevant role players<br />
outside of the Tygerberg Hospital, ensuring long term support for the patients and their families via<br />
services rendered by the HOPE <strong>Cape</strong> <strong>Town</strong> Community Health Workers. All of this ensures that the<br />
patients and their families have a better chance toward an improved quality of life, thus making a<br />
difference w<strong>here</strong> it matters most.<br />
Work on ITHEMBA ward<br />
5.2.1 Food parcels from Oostenberg Rotary-Club<br />
Since January 2012 we have been receiving regular food parcels from the Rotary Club Oostenberg<br />
for the mums in our ward. This ensures that the families at least have some food to eat for the first<br />
week upon returning home. Many of the children admitted to Tygerberg Children’s Hospital are<br />
being raised by single mothers. These mothers often stay with their children whilst they are in<br />
hospital, causing them to lose their income during this period. Some however have no employment<br />
and support themselves and their children mainly through a meagre child support grant. We believe<br />
that the food parcels supplied by Rotary Club Oostenberg provide the little patients with a better<br />
chance of longer term recovery, by giving them the sustenance they require in order to get stronger.<br />
A big thank you goes at this point to the Rotary Club Oostenberg and especially to T<strong>here</strong>sa Cupido,<br />
Nigel Cupido and Neil Sobotker. A special thank you also goes to Marchelle Hendricks who put us in<br />
contact with the Rotary Club Oostenberg.<br />
Food parcel for families<br />
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5.2.2 Mammies for HOPE<br />
The project “Mammies for HOPE” 1 was initiated in 2011 by Monika Rosenkranz. The aim of the<br />
project is to provide support from Mammies to Mammies. Monika Rosenkranz is sponsoring<br />
material for book marks, chains and necklaces which the mothers at the Ithemba ward are creating.<br />
They are doing this in support groups under the guidance of Monika Rosenkranz and Sonia Daniels<br />
whilst their children are asleep or playing in the playroom. After completion, the crafts are sent to<br />
Mammies in Germany to sell at Christmas and other markets. Thank you Monika and “Mammies for<br />
HOPE” for the wonderful idea!<br />
Project Mammies for HOPE<br />
5.3 Our long-term volunteers for the Ithemba ward<br />
HOPE <strong>Cape</strong> <strong>Town</strong> is very fortunate to have the continuing and dedicated support of many helping<br />
hands, which regularly provide the little patients and their caregivers in the ward with food,<br />
blankets, toys, sweets, clothes, toiletries and many other goods on a voluntary basis. A big thank you<br />
goes to these individuals, who dedicate so much of their private time, money and energy to make<br />
the Ithemba Children feel better, especially Marchelle Hendricks, Margret Graham, Germaine<br />
Heinen, and RolfGutzler/Villa Surprise.<br />
Since 2003 Marchelle Hendricks has supported HOPE <strong>Cape</strong> <strong>Town</strong> with donations in kind and helps<br />
whenever a hand is needed. Furthermore she spreads the idea of HOPE <strong>Cape</strong> <strong>Town</strong> in South Africa<br />
and w<strong>here</strong> ever she is around the world. She is truly a great ambassador for HOPE <strong>Cape</strong> <strong>Town</strong>. We<br />
would like to take this opportunity to thank her most sincerely for all her support. Thank you<br />
Marchelle!<br />
Marchelle Hendricks Margret Graham<br />
1 Especially in the 1920s in the United States the term “mammy” symbolized a black woman serving as a nurse to white children. These<br />
mammies sat for hours at the bedside of the children and sang with soft and murmuring sounds lullabies to calm down the children.<br />
Crooning – the music style – was created from it and Bing Crosby, Frank Sinatra, Louis Armstrong and others have taken that over.<br />
Currently, Michael Bublé, Tom Gaebel and Helmut Lotti are using that style.<br />
19
5.3.1 Visitors at the Ithemba Ward<br />
Ascherl Peter<br />
Ash Samantha<br />
Barbels Andreas<br />
Barsch Michael<br />
Beckers Christine<br />
Bierman Nicola<br />
Bindeling A.<br />
Büttgen Nina<br />
Böhme Jana<br />
Cloete Beverley<br />
Colewcen Loretta<br />
Corton Judy<br />
Dalbeck Swantje<br />
Daniels Sandra<br />
Denhaaf Andi<br />
Anne Dillenburg<br />
Endres Egon<br />
Falkowska Silvia<br />
Feser Ute M. Dr.<br />
Fischer Uwe<br />
Glöckner Herbert<br />
Goodau Angela<br />
Gutzler Rolf<br />
Gurnell Julie<br />
Hellersgruber Karen<br />
Herrmann Elisa-Christine<br />
Horten Hannah<br />
Horten Steffi<br />
HortenImke<br />
Horten Karl<br />
Hucht Erhard<br />
Koch Daniela<br />
Köhler Antje<br />
Köhler Susanne<br />
Leicht-Scholten Carmen<br />
LothmannPia<br />
Lüders Britta<br />
Mesch Alexandra<br />
Moschner Ruth<br />
Nasson Angela<br />
Perez Jose F.<br />
Rankhimov Bakhodur<br />
Rausch Fridozin<br />
Rausch Martina<br />
Richartz Renate<br />
Richartz Günter<br />
Rincke Martin<br />
Rhiem Anika<br />
Rhiem Verena<br />
Rhiem Christina<br />
Rhiem Ulla<br />
Rhiem Stefan<br />
Ruck Candice<br />
Sauer Mike<br />
Scholten Kajo<br />
Smolen Kinga<br />
Sonnen Gabriele<br />
Sonnen Josef<br />
Stachowitz Diana<br />
Steinebrunn Markus<br />
Stervin Kevin<br />
Theunsson Jane<br />
Toerpsch Cornelia<br />
Toerpsch Katrin<br />
Valentine Jaqui<br />
V.Vokeon Stephanie<br />
Van Wyk Jakoba<br />
Wendt Vaneska<br />
Wilson Cheryl<br />
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5.4 Volunteers at HOPE <strong>Cape</strong> <strong>Town</strong><br />
A big Thank your goes to the following volunteers:<br />
Dillenburg, Anne<br />
Falkowska, Silvia<br />
Fiebig, Laura<br />
Hirschberg, Jutta<br />
Kraus, Kathrin<br />
Price, Stuart<br />
Schnetkamp, Ulla<br />
Scholten, Moritz<br />
Walker, China<br />
Wendt, Vaneska<br />
Silvia und Vaneska Laura Kathrin Moritz<br />
6. Report HOPE <strong>Cape</strong> <strong>Town</strong> Doctor<br />
Dr Sandra Picken took over from Dr Sadeeka Williams in<br />
December 2011, when Sadeeka moved on to work full time in<br />
Paediatrics at Red Cross Hospital. It has been the greatest<br />
pleasure to join an organisation that not only focuses on the<br />
medical needs of patients but provides the holistic support that<br />
communities really need. The team at HOPE <strong>Cape</strong> <strong>Town</strong> really<br />
strives to achieve the very best for the patients and<br />
communities in which they serve and it has been a privilege to<br />
become a part of this. At the time of writing this report I am on<br />
maternity leave but am looking forward to getting back to work<br />
at HOPE <strong>Cape</strong> <strong>Town</strong>.<br />
6.1 Delft clinic<br />
HOPE <strong>Cape</strong> <strong>Town</strong> continues to be very involved with the running of the Paediatric ARV Clinic at Delft<br />
Community Health Centre. The clinic is still held each Friday w<strong>here</strong> 20 – 35 patients are seen. T<strong>here</strong><br />
are approximately 125 children receiving ARV treatment from Delft ARV clinic. This number<br />
fluctuates as new children are being initiated on treatment and patients frequently transfer in and<br />
out of the clinic, most often between the Western and Eastern <strong>Cape</strong>.<br />
The clinic and doctors work closely with the Tygerberg Infectious Diseases Department and this<br />
proves very beneficial as t<strong>here</strong> is continuity of care between the ward and the clinic when children<br />
21
are admitted and discharged. When it comes to complicated medical cases, it is also very valuable to<br />
have the expert opinions of experienced consultants who work at Tygerberg Hospital.<br />
The main challenges that we face at clinic level tend to be social problems rather than medical<br />
complications. However, these tend to be closely interlinked as these social problems inevitably<br />
negatively impact on the medical aspect of care. Many of our patients and their families battle with<br />
problems relating to poverty – poor living standards; food and clothing shortages; transport and<br />
education problems. In addition, sadly many of our children come from broken homes, that are<br />
often a result of parental substance abuse and many have subsequently been placed in foster care.<br />
Together with the social workers, it remains a constant challenge for the doctors and Community<br />
Health Workers to try to improve these situations and empower the parents to help themselves as<br />
much as possible.<br />
Conversely, it remains incredibly rewarding, to see how well the children do on their ARVs and how<br />
committed many of their parents are to their treatment regimens. The HOPE <strong>Cape</strong> <strong>Town</strong> Community<br />
Health Workers play an integral part in facilitating the transfer of knowledge and motivation in order<br />
to achieve this.<br />
Delft Clinic<br />
6.2 CD4 Count Study<br />
In November 2011, HOPE <strong>Cape</strong> <strong>Town</strong> embarked on a research project that looks at the impact of<br />
using the routine Paediatric HIV visits to the clinic/hospital as an opportunity to intervene early in<br />
maternal health care. It involved using a new ‘point-of-care’ prototype finger prick CD4 count<br />
machine that yields results within twenty minutes of performing the test. This machine was on loan<br />
from Alere and is not yet widely available. Together with standard laboratory sample processing,<br />
these results were used to ascertain whether the mothers of these children were eligible for ARVs<br />
and how many of these mothers had ‘missed’ their routine screening at clinic level. Up until the end<br />
of February 2012, the research protocol had been submitted and ethics approval obtained and the<br />
enrolment of patients into the study from Tygerberg hospital was well underway. The preliminary<br />
sub-analysis of the patients enrolled to date, showed that using the paediatric visit as an early<br />
intervention for HIV positive mothers could make a vast impact on maternal health, as, up to almost<br />
a third of mothers enrolled in the study were eligible for ARVS and should have been on treatment<br />
but were not. The study meant that these mothers were referred back to their respective clinics with<br />
their results and a referral letter to streamline their access to ARV treatment. This emphasizes the<br />
positive impact that this study alone has already made to date.<br />
22
6.3 Resistance Testing<br />
In 2011, HOPE <strong>Cape</strong> <strong>Town</strong> together with kind donations from the ” Richard Wagner Society” and<br />
“Die Krähen Krefeld” was able to provide three eligible children with much needed ARV resistance<br />
testing. Resistance Testing is not yet routinely available in the government sector. These tests allow<br />
doctors managing these children to gain critical insight into what resistance patterns they have<br />
developed to their ARV medicines and allows the doctors to make important and lifesaving changes<br />
to their ARV treatment. Two of the children who were able to have Resistance tests done in 2011<br />
have been able to obtain superadded sponsorship for third line ARV treatment not yet provided by<br />
the government and are flourishing on their new treatment. They are attending school and are<br />
happy and clinically healthy at present. Very sadly we have to report that the third child that<br />
accessed the resistance testing passed away peacefully at home in March 2012. Dr Susanne Reuther,<br />
from the WINGSGROUP, very generously sponsored privately supplied ARVs for this boy in an<br />
attempt to salvage his treatment but unfortunately his case was very complicated with multiple<br />
severe pathologies that could not be cured. It is at least heartening to know that we were able to<br />
improve his quality of life and give him a few extra precious months to spend with his family. The<br />
family also has the additional peace of mind knowing that everything possible was done for him.<br />
The opportunities to provide these valuable Resistance Tests are on the rise in 2012 and these allow<br />
HOPE <strong>Cape</strong> <strong>Town</strong> to make a tremendous contribution to bridging the gap between what the<br />
government is able to offer and what is the ideal management.<br />
6.4 Elective Students Program<br />
2011 has been the fourth year for HOPE <strong>Cape</strong> <strong>Town</strong> and KID-CRU (Children's Infectious Diseases<br />
Clinical Research Unit) to offer their joint medical clerkship to international elective students. The<br />
rotation offers four to six weeks of rotation, w<strong>here</strong> half of the time is spent with HOPE <strong>Cape</strong> <strong>Town</strong><br />
and the other half with KID-CRU. The combined clinical and research elective has become very<br />
popular. This year a total number of six students from different parts of the world have completed<br />
this programme. (See chart below).<br />
Thanks to HOPE Doctor Sadeeka Williams and Outreach Facilitator Sr. Pauline Jooste, the students<br />
gained an excellent insight into the management of paediatric HIV patients and the primary health<br />
care system at community level. The participants also got a chance to visit the immunology and<br />
medical virology laboratories at Tygerberg Hospital and Stellenbosch University, respectively.<br />
Our partner Go Ahead!, a student organisation from Germany, has been advertising the HOPE – KID-<br />
CRU Elective Student Programme on their website (www.goahead-organisation.de) for the third year<br />
in a row now, which is greatly appreciated.<br />
23
All applications are processed by the International Student Office at the Faculty of Health Sciences of<br />
Stellenbosch University. A big thank you goes to the friendly and patient ladies at this facility: Rachel<br />
Pullen, Mariska April.<br />
We hope to encourage many of our elective students to become passionate doctors and activists to<br />
support the fight against HIV and AIDS in South Africa, their home countries and all over the world.<br />
HOPE – KID-CRU Elective Students 2011:<br />
Name University<br />
Hans-Henning Muhl Germany<br />
Vona Britz USA<br />
Michelle Wu USA<br />
Jean Park USA<br />
Sven Acker Germany<br />
Florian Kümmel Germany<br />
7. Collaboration with Stellenbosch University and other partners<br />
7.1 Cooperation with TU Munich: HIV and Sports Programmes<br />
(Prof Dr Bernd Rosenkranz)<br />
Together with the Faculty of Sport and Health Science at the<br />
Technical University of Munich (TUM), HOPE <strong>Cape</strong> <strong>Town</strong> has<br />
initiated a project which will focus on aspects of sport that can<br />
play a role in HIV prevention, such as mentorship and the<br />
building of self-confidence. As a first step, Kathrin Walter, a<br />
TUM Bachelor (BSc) student, has developed a questionnaire to<br />
assess the background situation of adolescents in our local<br />
communities.<br />
This project was hosted in Manenberg in close cooperation with Fr. Wim Lindeque, and Kathrin was<br />
awarded her BSc degree for this work in 2011. The next step should be in educating peer-group<br />
mentors for sports activities in deserving communities such as Manenberg. This is expected to result<br />
in the empowerment of young females, and in the teaching of young males about the importance of<br />
responsibility and teamwork.<br />
7.2 The Sangoma ‘Muti’ Project<br />
(Prof Dr Bernd Rosenkranz)<br />
An on-going research project is addressing the potential effect of traditional medicines used by the<br />
traditional health practitioners (Sangomas) on the blood concentrations (pharmacokinetics) of<br />
conventional drugs, including drugs used for the treatment of HIV/AIDS. This information will be<br />
important for the management of HIV patients because traditional health practitioners will often<br />
give these patients herbal medicines for various conditions. This research project is being performed<br />
by Pius Fasinu, a Nigerian doctoral student at the Division of Pharmacology (Stellenbosch University).<br />
Two of the sangomas who cooperate with HOPE <strong>Cape</strong> <strong>Town</strong> have supplied 15 traditional medicines<br />
and provided advice on how they are used by patients in their communities. Pius has presented the<br />
24
first results of this project at the 6th International Conference on Pharmaceutical and<br />
Pharmacological Sciences, Durban, South Africa (25.-27.09.2011), and has also published a review of<br />
the laboratory technologies used in his studies (Curr Drug Metabol 13: 215-224, 2012).<br />
This research project was made possible by the initial support from the HOPE Kapstadt Stiftung via<br />
the German AIDS Foundation.<br />
Sangomasproject<br />
7.3 Nutrition Students – Hochschule Niederrhein<br />
We are now into the third year of student exchange and in February, Vaneska Wendt and Silvia<br />
Falkowska, from Hochschule Niederrhein in Germany, joined HOPE <strong>Cape</strong> <strong>Town</strong> for four weeks.<br />
The students worked in the nutrition project in Blikkiesdorp, educating women about healthy food<br />
and cooking. Vaneska and Silvia encouraged the women to buy healthy products, showed them how<br />
to prepare the food and how to become moneywise.<br />
Vaneska explained that she was surprised to find how many people do not have a basic knowledge<br />
about food. A further surprise was that most people in the townships buy expensive unhealthy food<br />
instead of healthier food which may even be cheaper. The main reason appears to be status. White<br />
bread is seen to be for rich people and brown bread for the poor, since white bread is more<br />
expensive. It is difficult to change this kind of thinking, because of prejudice in the community.<br />
Vaneska and Silvia perceive this mind-set to be the biggest problem. However, the students do hope<br />
that they were able to make a difference. To demonstrate to the women how expensive unhealthy<br />
food is, Vaneska and Silvia demonstrated a practical comparison. With just 40 Rand (4 Euro`s) the<br />
students went into the community to see what products they could buy. The 40 Rand bought a big<br />
bag of vegetables, while with the same amount they could buy only one 2 l bottle of Coca Cola, one<br />
white bread and two bags of crisps. One of the women in the nutrition group then remarked that<br />
she was already implementing some of the advice that Vaneska and Silvia gave her.<br />
The students also lent a helping hand in the soup kitchen in Blikkiesdorp and in the Ithemba ward at<br />
Tygerberg Hospital. They participated in the Community Health Worker training to teach the<br />
Community Health Workers about healthy food and ways to teach this to the community. Vaneska<br />
and Silvia said that they had a great life experience at HOPE.<br />
“HOPE <strong>Cape</strong> <strong>Town</strong> is a great organisation that works at the roots of the HIV/AIDS problem. The<br />
nutrition group is a good example of this.” The students hope that they were able to inspire the<br />
women to start buying healthy products for themselves and their children.<br />
25
Nutrition project<br />
7.4 E-Learning<br />
HOPE <strong>Cape</strong> <strong>Town</strong> Association embarked on an e-Learning programme in 2010, which lead to two e-<br />
Learning modules being developed and placed on a Moodle platform. Four HOPE Community Health<br />
Workers (HCHW) also successfully completed training on these two modules. The reality of training<br />
our HCHW in the communities on e-Learning proved a challenge as many of them are not computer<br />
literate; they do not have access to computers or internet at the clinics w<strong>here</strong> they work or at home<br />
and they thus struggle to successfully access e-Learning modules. Hence e-Learning training took<br />
place at our administrative offices w<strong>here</strong> computer and internet support were provided to the<br />
HCHW. HOPE <strong>Cape</strong> <strong>Town</strong> Association is grateful for the support of Prof Dr August Stich and Dr<br />
Klemens Ochel from the Missionsärztliches Institut, Würzburg, who provided us with technical<br />
knowledge and training and who also host our e-Learning modules on their Moodle platform. We<br />
look forward to a further partnership with Neu-Ulm University which will place 15 of their students<br />
with HOPE <strong>Cape</strong> <strong>Town</strong> Association during May 2012 to assist in further developing this programme.<br />
ELearning<br />
8. Work in the communities<br />
8.1 Report of Corita Marshall – Community Health Worker<br />
My name is Corita Marshall and I started at HOPE <strong>Cape</strong> <strong>Town</strong> in<br />
June 2004. I worked at Mount Pleasant clinic for 2 years and<br />
then I went to Hermanus Hospital to learn more about ARV<br />
treatment and medication. I worked t<strong>here</strong> for 3 months w<strong>here</strong><br />
after I had to return to Mount Pleasant clinic. I am not only <strong>here</strong><br />
at the clinic to do my work; I am <strong>here</strong> for the patients. I start at<br />
7h00 in the morning because t<strong>here</strong> are a lot of patients who<br />
want to talk to me about something.<br />
26
They trust me and I am never in a hurry. I always make time for them to provide counselling and to<br />
listen to their needs and stories. I do a lot of counselling especially with women and girls who have<br />
been sexually abused and raped. I also work with drug addicted children to help them to stop their<br />
addiction and t<strong>here</strong>fore I do follow up visits with them to see how they are doing.<br />
One of my patients was a girl who could not talk for 16 years and her mother had cancer. T<strong>here</strong>fore I<br />
pleaded with the mother to place her girl at the Camphill School because t<strong>here</strong> will be no one else<br />
who could look after the girl should the mother die. The Camphill School is a special school and a<br />
residential care centre for children and adults with disabilities. With the special care and tuition at<br />
that school the girl started talking after 16 years and they found out that apparently this girl was<br />
raped when she was very young and the rapist told her that he would kill her if she talked and as<br />
such she stopped talking.<br />
I also assist patients to complete their disability grant applications and I also assist with specialist<br />
patients that are referred to our clinic from the provincial hospital (50 – 60 patients per month).<br />
Per month we see a total of 850 HIV+ patients (800 adults, 50 children).<br />
I do my work because I love and enjoy it.<br />
Corita Marshall<br />
8.2 Debriefing Sessions for HCHW’s<br />
The 23 HOPE <strong>Cape</strong> <strong>Town</strong> community health workers are confronted with a lot of hardship and<br />
suffering each day when counselling their patients at the clinics and doing home visits in their<br />
communities. In the long run, this can lead to feelings of stress, depression and compassion fatigue.<br />
To reduce any possibility of psychological harm in the health care workers, HOPE <strong>Cape</strong> <strong>Town</strong> has<br />
arranged for debriefing sessions with Tygerberg Hospital social worker Nocawe Frans. In several<br />
group meetings the community health workers could share their experiences and express their<br />
feelings. The debriefing sessions were very well received and will continue on a regular basis.<br />
8.3 Christmas Party in Delft<br />
On 2 December 2011 the second Delft Christmas party took place. Our medical officer, Dr Sadeeka<br />
Williams initiated this party last year for 120 HIV infected children in Delft. The children range in age<br />
from a few months old to 14 years old and come from a range of backgrounds, mostly impoverished,<br />
single-headed households and with many other economic and social challenges. Despite all this, our<br />
children take their medicines twice a day every day and deal with the reality of HIV.<br />
The 2011 Christmas party was again an enormous success with almost 120 children and their parents<br />
participating in a fun-filled day, which hosted jumping castles and provided helium balloons, facepainting,<br />
dancing competitions, lunch, drinks and ice-creams.<br />
For many of these children these luxuries and activities are a “once a year” treat and it was heartwarming<br />
to see the excitement and joy this gave to the children.<br />
We couldn’t have achieved all this without the kind hearted contributions we received. Amongst<br />
these we would like to particularly thank HOPE & Future, Polar Ice Cream and Felicity Nelson at<br />
Alere for their role in making these children’s dream party come true.<br />
27
X-mas party Delft<br />
8.4 Vegetable Garden in Elsie’s Rivier<br />
In November 2011 we handed over the vegetable garden to the clinic in Elsies Rivier. We cultivated a<br />
piece of land (2.5 m x 10 m) at the Elsie’s River clinic after we received a donation from the City of<br />
<strong>Cape</strong> <strong>Town</strong> for a gardening project. This donation was initiated by the Men’s Society in Milnerton. A<br />
special thank you goes to the Men’s Society in Milnerton and to Mr Deacon and Ms September from<br />
the City of <strong>Cape</strong> <strong>Town</strong>.<br />
The garden created a job and an income for an unemployed father of 2 children and it feeds the<br />
soup kitchen on the premises which is run by two elderly volunteer ladies from Monday to Thursday.<br />
Patients, who come for their daily TB treatment to the clinic, get something to eat before they have<br />
to take their medication.<br />
8.5 Community Project Blikkiesdorp sponsored by HOPE & Future e. V.<br />
All the work of HOPE <strong>Cape</strong> <strong>Town</strong> Association in Delft and Blikkiesdorp is funded by HOPE & Future e.<br />
V., Germany, one of our most dedicated and generous sponsors whom we greatly appreciate. With<br />
their financial support we added two more containers to Blikkiesdorp in December and January<br />
2012. These containers will be utilized to expand the service programme. The following projects are<br />
already operational:<br />
New Container Blikkiesdorp<br />
8.6 Community Health Workers<br />
HOPE <strong>Cape</strong> <strong>Town</strong> has placed two community health workers (CHW) in Blikkiesdorp, who are taking<br />
turns in manning the container and doing home visits in the community. Since t<strong>here</strong> is no primary<br />
health care facility in Blikkiesdorp, both community health workers also work at Delft Community<br />
Health Centre and Delft South Clinic, to gain clinical experience under professional medical<br />
supervision on certain days of the week. Blikkiesdorp community leader Gerald Flagg (“Oudie”) is<br />
supervising the CHW when they are not working at the clinics, i.e. he collects their monthly reports<br />
and stats and also assists when visitors come to this community.<br />
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8.7 Nutrition Project<br />
Since the beginning of March 2010, HOPE <strong>Cape</strong> <strong>Town</strong> has been running a nutrition project in<br />
Blikkiesdorp in cooperation with the organisation Abalimi Bezekhaya. Their program “Harvest of<br />
<strong>Hope</strong>” assists local township farmers with the marketing and sales of their organically produced<br />
vegetables. Since the initiation of the cooperation, 10 vegetable bags are delivered to Blikkiesdorp<br />
every Wednesday. In cooking demonstrations, women from the community are taught how to keep<br />
themselves and their families healthy through a balanced nutrition. The women take vegetables<br />
home each week and exchange recipes and cooking methods in the following session. In order to<br />
make the project sustainable, the participants receive basic training in gardening and small-scale<br />
vegetable farming before leaving the program.<br />
Students of human nutrition from the Hochschule Niederrhein, University of Applied Sciences in<br />
Mönchengladbach, Germany, regularly assist with their expertise as well as the monitoring and<br />
evaluation of the project.<br />
8.8 Beading Project<br />
A group of 6 women meets once a week for beading work which is sold as an income for the group<br />
members. Whilst meeting and doing the beading they utilize the time to discuss relevant topics<br />
affecting their lives including HIV and other health related issues and also providing emotional<br />
support to one another. This group plans to expand to include a needle work and sewing project as<br />
well.<br />
8.9 Soup kitchen<br />
Since May 2011, two previous participants of the nutrition project run a soup kitchen for the sick and<br />
the elderly every Thursday. The soup is made from leftovers of Wednesday’s vegetables and<br />
donated food. They cater for about 50 people, many of whom suffer from TB.<br />
8.10 Soccer teams<br />
The Delft/ Blikkiesdorp sponsors <strong>Hope</strong> & Future e.V. have previously supported the local youth<br />
soccer teams (Blikkiesdorp United FC) with gear, balls, registration fees and transport costs, and wish<br />
to continue doing so in the future. The teams are doing well in their respective leagues. The coach is<br />
very committed and his personal goal is to keep the youth away from the streets (i.e. crime and<br />
drugs). His vision could be taken further by training him in HIV & AIDS counselling via UNISA and<br />
enabling him to educate his players about the disease and how to prevent infection.<br />
In the future we would like to expand the above services to also include the following programs:<br />
8.11 Income generating activities<br />
The unemployment rate in Blikkiesdorp is incredibly high (unfortunately, t<strong>here</strong> are no official<br />
statistics but 80% seems to be a realistic estimate). T<strong>here</strong> are no job opportunities in the nearby<br />
vicinity and public transport is scarce and expensive. Most people have no or little formal education<br />
or professional training.<br />
The introduction of income generating activities (IGA) for unemployed community members would<br />
- provide them with some skills<br />
- help them to (re)gain their independence from government grants<br />
- help raise their standard of living<br />
- create a sense of dignity, pride and ownership<br />
- prepare them to (re)enter the formal labour market<br />
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8.12 Gardening<br />
A vegetable garden is planned in front of the containers once a fence is erected. The vegetable<br />
garden, managed by the community, will encourage sharing knowledge skills acquired for further<br />
independent gardens.<br />
8.13 After school programme/ Life skills course for teenage girls<br />
A particularly vulnerable group of residents consists of teenage girls (aged 13 – 18 years), who are at<br />
high risk of HIV & STI infection, unplanned pregnancies and rape. A support group or after school<br />
program focusing on these girls and their specific needs and problems could help abate these risks<br />
through peer-to-peer education and teaching of important life skills. This kind of program could be<br />
co-facilitated by a female HCHW and the social worker in Blikkiesdorp. Later the girls may want to<br />
take up its leadership themselves.<br />
8.14 Early childhood development centre<br />
The youngest and most vulnerable citizens of Blikkiesdorp do not have many places to go to. T<strong>here</strong><br />
are no parks or playgrounds and many parents do not have the skills or motivation to engage in<br />
supervised play with their children. An early childhood development centre could facilitate classes<br />
for parents and their children and/ or operate like a crèche on a half day basis. HOPE <strong>Cape</strong> <strong>Town</strong><br />
frequently gets enquiries from skilled volunteers who want to work with children and it is not always<br />
possible to accommodate them in the Ithemba Ward or the Tygerberg Hospital School. These<br />
volunteers could be used at such a centre and offer stimulating activities for pre-school children.<br />
8.15 Manenberg – After School Care<br />
Michelle Jochems is community health worker in Manenberg since November 2011. A big Thank<br />
your goes to Fam. Möllering from Berlin/Germany who are sponsoring that post.<br />
Michelle is working in the day clinic in Manenberg as well as at the Holy Family Child and Youth<br />
Development Centre an initiative of the catholic community in Manenberg. She holds health talks in<br />
the mornings and prepares the children to be seen by the curative sister by doing their weights and<br />
temperatures. She advise them on home remedies and helps also in the Tuberculosis (TB) room by<br />
admitting clients that need to start Tuberculosis treatment, testing for TB and observing clients<br />
taking their TB medication.<br />
At the Holy Family Child and Youth Development Centre are approximately 150 children from the<br />
ages of 12 months up to 15 years. She gives health information sessions for the children, assessment<br />
for minor ailments and is checking if the health chart is up to date. She also gives them deworming<br />
treatments and Vitamin A. Michelle refers children to the clinic, is doing home visits at the children’s<br />
homes for further assessments. Her challenges: Poor sanitation; some of the children don’t go to<br />
school and parents don’t take the responsibility for their children. Drugs and gangsters are a major<br />
problem in the community.<br />
Her successes: The children gain confidence by sharing and discussing issues that they don’t share<br />
easily with others. Some of the parents are starting to get involved with their children’s activities.<br />
30
9. Sponsors, Supporters, Friends of HOPE <strong>Cape</strong> <strong>Town</strong><br />
Dr Susanne Reuther resigned as Board member and Trustee in November 2011. Dr Reuther served<br />
as a Board member and Trustee for many years and she has also been a private sponsor for ARV<br />
treatment. We thank her for her dedication and all her support work over these years.<br />
Dr Duisberg resigned from HOPE <strong>Cape</strong> <strong>Town</strong> Association and HOPE <strong>Cape</strong> <strong>Town</strong> Trust in November<br />
2011. He supported HOPE <strong>Cape</strong> <strong>Town</strong> Association as a board member and HOPE <strong>Cape</strong> <strong>Town</strong> Trust as<br />
a Trustee. We will miss his business and financial skills and thank him for his support and dedication<br />
over the years.<br />
Another big thank you goes to the German actress Veronica Ferres who has published a book in<br />
German and she included the project HOPE <strong>Cape</strong> <strong>Town</strong> in that book. Furthermore she sponsored the<br />
post for our medical officer for three years. Thank you very much!<br />
We would like to thank Dr Sadeeka Williams for her excellent work as Medical Officer at HOPE <strong>Cape</strong><br />
<strong>Town</strong>. She left the employ of HOPE <strong>Cape</strong> <strong>Town</strong> Association in December 2011 after two-and-a-half<br />
years of service, to start her specialization as a paediatrician soon. She was a very special personnel<br />
member who not only focussed on the medical treatment of her patients but also spent time<br />
assessing and addressing the psycho-social circumstances of each child and family with rare<br />
dedication. We wish her well in her medical career.<br />
At the end of September 2011 after three years of working for HOPE <strong>Cape</strong> <strong>Town</strong>, our dedicated<br />
colleague Yasmin Smith and her family went back to Germany. Our heartfelt thank you goes to her<br />
for her excellent work. It has been a great pleasure to work with you!<br />
Another big thank you goes to Dr Heide, Dr Uleer, Elli Keller and the whole team of the German Aids<br />
Foundation (DAS). You have once again funded several positions at HOPE <strong>Cape</strong> <strong>Town</strong> such as two<br />
Community Health Workers, our Head of Program, our Director as well as our Outreach Facilitator,<br />
and facilitated the sponsorship of two HCHW through the province of North Rhine-Westphalia.<br />
These key positions enable HOPE <strong>Cape</strong> <strong>Town</strong> to be what it is and your contribution makes you a big<br />
part of our project. Thank you!<br />
A big thank also you goes to the Richard Wagner Society chaired by Mr Herbert Glöckner for<br />
donating the proceeds from the staging of “The Flying Dutchman” at the <strong>Cape</strong> <strong>Town</strong> Opera earlier<br />
this year to HOPE <strong>Cape</strong> <strong>Town</strong> for the resistance test project. For this project we received another<br />
donation from the German cabaret “Die Krähen” from Krefeld, a special thank you goes to the<br />
cabaret team and Laura Fiebig.<br />
So many individuals have made a difference through their voluntary work, monetary support or<br />
donations in kind and it is almost impossible to name them all. To name but a few, our sincere<br />
thanks go to Mr Eberhard Kohlberg and the Neumayer Station, for their huge donations in kind every<br />
year.<br />
And not to forget: all Trustees of the HOPE <strong>Cape</strong> <strong>Town</strong> Trust, who do not only watch over our<br />
financial affairs but have become increasingly involved as mentors and advisors for HOPE <strong>Cape</strong><br />
<strong>Town</strong>, whenever the need arises. We welcome Viola Klein, Dr Dirk Brand and Prof Detlev Geiss as<br />
Trustees.<br />
A sincere and heartfelt THANK YOU to the following donors:<br />
31
List of donors in alphabetical order<br />
Aldinger Gert<br />
Anhamm Christoph & Karin<br />
Antachopoulps Georg Dr.<br />
Baden + Forsthoevel<br />
Baumann Mr.<br />
Beranek Christa Dr.<br />
Biesenbach Friedrich<br />
BILD hilft e.V. "Ein Herz für Kinder"<br />
BillensteinJuergen & Simone<br />
Brand Engineering SA (PTY) LTD<br />
Brandt S.<br />
Bressau Ferdi<br />
Brink Monika Dr.<br />
Brodner Maleney<br />
Brueckkarl E.<br />
Bundeszentrale für politische Bildung<br />
Chafe William Prof.<br />
Chatroom<br />
Chory Bea<br />
Dalton Inga Marzahn/TOSA 4 group<br />
Daners Helga & Peter<br />
DAS-Deutsche AIDS<br />
Daube Edith<br />
Debus A.<br />
Degeto Film GMBH Frankfurt<br />
Deumert Peter<br />
Deutscher Ärztebund Berlin<br />
Die Krähen Krefeld e.V.<br />
Duisberg Carl-Heinz Dr.<br />
DUKE University Students<br />
Eberz Volker<br />
Eicher Joseph Pfr.<br />
Ehmann Sabine<br />
Ellmann Dieter<br />
Euroconsulting<br />
Falkenberg / Kakies GMBH<br />
Fall Ummu<br />
Fiebig Hardy<br />
Fiedel Ursula<br />
Fischer Bernhard<br />
Fischer Marco<br />
Fischer Marie Luise<br />
Fischer Anna Kristin<br />
Fischer Jana<br />
Flaig Gregor & Gertrud<br />
Förtsch Siegfried<br />
Franz Maria<br />
Franz-Josef &Magarete<br />
Fränkle Jürgen & Renate<br />
Freudenberg Nonwovens<br />
Frind Micheal / Yvonne<br />
Fomm Jürgen<br />
Gardenier Karl-Josef<br />
Gärtner J.<br />
Greenways<br />
German Consulate General <strong>Cape</strong> <strong>Town</strong><br />
German International School<br />
German-speaking Catholic Community<br />
Grötzinger-Kück Vera Dr.<br />
Grüter Dr. Josef W.&Monik<br />
Grüter Marianne<br />
Guerandi Samantha<br />
Gutenberger Karin<br />
Haas Markus<br />
Hansmann Axel<br />
Hagemeister Dirk Dr.<br />
Harbich Gisela<br />
Harbig Raimund& Gabriele<br />
Hartwig Waltraud Angelika<br />
Heiduk Rosemarie<br />
Helf Reinhard<br />
Hellen Peter Rudolf & Ursula<br />
Hewitt W.<br />
Heyden Helga<br />
Hillenbrand Günther<br />
Hirtenjohann Margit<br />
Hippler Hermine<br />
Hoch Klaus-Dieter<br />
Hommel Peter<br />
Hoogebeen Marcel<br />
HOPE & Future e. v.<br />
Horn Konrad Dr. (Rosa Wittek/Maria Hölzl)<br />
Horten Stefanie<br />
Horteux Christoph & Rosa<br />
Hüttmann Kath.<br />
Hüttmann Ingrid<br />
HW Frehse<br />
Inrich Karl-Heinz<br />
32
Jareb Courtney Kaltenbach Fritz<br />
Kalus Hermann & Wilma<br />
Kalus Peter Dr.<br />
Kath. Auslandssekretäriat<br />
Kath. KirchengemeindeBirresborn<br />
Kath. Kirchengem. St. Johannes der Apostel<br />
Kath. Kirchengem. St. Michael Friedrichsthal<br />
Kath. Pfarramt St. Hubertus<br />
Karow Wulf Jürgen<br />
Katz Gitte<br />
Kalicki Clemens<br />
Keil Edelgard& Gustav<br />
Kellermann Ingrid<br />
Kern Michael<br />
Kessler Sarah Prof. + students semester on sea 2011<br />
Kimmel Anne<br />
Kimmig Marlies<br />
Kirchengem. St. Johann<br />
Kirchenkreis Celle<br />
Kirchenkreisamt Peine<br />
Kirchengem. Lippstadt & Ev. Gymnasium Lippstadt<br />
Klein Josef Friedrich<br />
Klöppel Margret<br />
Klug Hans & Silke<br />
Knechtel Karsten<br />
KorporationBaar-Dorf<br />
Kögeböhn<br />
König Lotte<br />
Kremer Hubertus & Nicola<br />
Krupski- BerdienGerrit<br />
Kümpers Annette Dr.<br />
Lang Bernadette<br />
Langer Thomas<br />
Lauter C.<br />
Linnenbrink Gwendolin<br />
Lurssen shipyards/John Ferrera<br />
Marx Diemo<br />
Mashonga Errol<br />
Mediterranean Villa<br />
MELCO Elevator<br />
Mens Society Milnerton<br />
Möhrlein<br />
Möllering Christoph Dr.<br />
Mönch<br />
Munk Dörthe& Greg<br />
Noll Gertrud<br />
Nübling Hans<br />
Och Andreas<br />
Ogilvy Healthworld<br />
PaulyBeate<br />
Pietrek Horst & Erika<br />
Pilz<br />
Pfadfingergemeinschaft St. Georg Stamm Wiesenbach<br />
Pfr. Joseph Eicher<br />
Pfenning Hans<br />
Process Mangement Consulting GmbH<br />
Puff Aenne<br />
Puschmann Adolf<br />
Rays Realty<br />
Reichel Georg & Erika<br />
Reuter Martin<br />
Rhiem Services GmbH<br />
Richartz<br />
Richter Lisa & Herbert<br />
Röllig<br />
Römer Oliver<br />
Rosenkranz Bernd Prof.& Monika<br />
SA-German Chamber<br />
S Karger AG<br />
Sand Michael<br />
Schmatlz Hildegard<br />
Schmidt Volker, Uwe&Ridd<br />
Schmitt, Robert<br />
Schmittinger Thomas Dr.<br />
Schwarz Susanne & Michael<br />
Seiberts Frank & Andrea<br />
Shoprite/Checkers (Vouchers)<br />
Solbach Ruth<br />
Soule Michaela<br />
Stahl Elke<br />
Staudt<br />
Stiens Gerhard Dr.<br />
StierenWilli<br />
Strässer Michael<br />
Swiss Consulate<br />
SWR4 Rheinland Pfalz<br />
The Richard Wagner Society of South Africa<br />
The Westin Grand Hotel<br />
Thewes Ursula<br />
Thiele GereonDr.<br />
Thurner Franz & Marianne<br />
33
Your Africa Travel Agency<br />
Ziehl Paul & Inge<br />
Zimmerman Wilhelm Johann<br />
Two Ocean Productions<br />
Two-Tone Trade<br />
Thyssen Krupp <strong>Cape</strong> <strong>Town</strong><br />
Ulrich Karl-Heinz<br />
Urschel Gabriele<br />
Valvo Pietro<br />
Villa Surprise Rolf Gutzler<br />
VITANOVA<br />
Vogl Otto & Gisela<br />
Von Rick-Whaley Elke<br />
Wagle Hanns-Harald<br />
Weber Thomas<br />
Werheit Hans<br />
Werner Herbert<br />
Wilde Christina<br />
Wings Group Trading<br />
34
10. Financial Statements<br />
35