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Celebrating African Motherhood - Amref

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SOUTH AFRICA<br />

Orphans and Vulnerable Children Project<br />

HIV and AIDS have had a devastating impact on the wellbeing of children<br />

in South Africa over the last two decades. The South <strong>African</strong> National HIV<br />

Survey, 2008, found the prevalence of infection among children aged<br />

2-14 to be 2.5 per cent. It is estimated that by 2015, 5.6 million children<br />

under the age of 18 will have lost one or both parents to an HIV-related<br />

illness. The process of orphanhood often starts long before the death of the<br />

parent. Children are made vulnerable by the fact that they live with and<br />

are often responsible for the care of terminally ill family members. This<br />

compromises their access to health care, education and social support.<br />

Their vulnerability is compounded by the fact that many communities with<br />

high HIV prevalence also have high rates of poverty.<br />

Women and young girls are especially vulnerable to HIV – 56 per cent of<br />

all infections are in women. They also suff er the extra burden of providing<br />

care, yet their low social and economic status gives them less ways and<br />

means to deal with this role eff ectively. Women have less power to speak<br />

out about the issues that aff ect them and advocate for the resources they<br />

need to cope with the increasing pressures of HIV on their health and wellbeing.<br />

The rapid growth of the HIV epidemic in South Africa has made it necessary<br />

to expand the focus of response activities from prevention and treatment<br />

to a wider, integrated approach which, among other things, addresses the<br />

health, education, welfare and psycho-social needs of children, and how<br />

these can be met within a supportive community setting. In this regard,<br />

AMREF in South Africa, through its Orphans and Vulnerable Children (OVC)<br />

Project, is working with key stakeholders in Sekhukhune District, Limpopo<br />

Province and Umkhanyakude District, KwaZulu Natal Province to provide<br />

an environment in which children can get comprehensive, compassionate<br />

care, support and services. This includes strengthening collaboration<br />

between, and building the capacity of, local service providers, Government<br />

departments and civil society groups to promote the wellbeing and<br />

interests of children. By linking the various players, AMREF helps to<br />

minimise duplication and overlapping of services, and facilitates setting up<br />

of referral channels so that children’s needs are addressed as effi ciently as<br />

possible.<br />

AMREF’s programme also provides support for primary care givers,<br />

including HIV-positive mothers, grandmothers and guardians, through<br />

counselling, teaching them how to take care of sick family members, and<br />

encouraging them to form support groups. In Sekhukhune District, AMREF<br />

works with 4,350 children, aged between 0-18.<br />

FACTS AND FIGURES<br />

• AMREF is working with 13,500 orphans in Limpopo and<br />

KwaZulu Natal Provinces<br />

• 233 community health workers have been trained to work<br />

with orphans and vulnerable children<br />

• 56 per cent of all HIV infections are in women and girls.<br />

• It is estimated that by 2015, 5.6 million children under<br />

the age of 18 will have lost one or both parents to an HIVrelated<br />

illness<br />

DONORS<br />

• PEPFAR<br />

• Department of Social Development of Limpopo Province<br />

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