loveLife’s groundBREAKER and mpintshi programmesDr. Andile Dube & Scott Burnett

18 October 2011

SECTION1: STATE OF THE HIV EPIDEMIC

State of the epidemic: Why target youth?

Half our population is under 25

Main spike of infection is among youth

Source: HSRC National Survey (2008)

It’s about more than just knowledge

Condom use at last sex, by single year age bands for women

-20

-18

-16

-14

-12

-10

-8

-6

-4

-2

0

15 16 17 18 19 20 21 22 23 24

Age

Per

cen

tag

e p

oin

t d

evia

tio

n

fro

m p

eak

con

do

m u

se (

60%

)

Source: Pettifor et al (2004). HIV and sexual behaviour among young South Africans: A national survey of 15-24 year olds 2003., Reproductive Health Research Unit, University of Witwatersrand (secondary analysis)

Young people are showing the way

We can halve incidence... again

Source: Thomas M. Rehle et al. (2010) “A Decline in New HIV Infections in South Africa: Estimating HIV Incidence from Three National HIV Surveys in 2002, 2005 and 2008”, PLoS ONE,1 June 2010, Volume 5, Issue 6, e11094.

SECTION 2: loveLife’s APPROACH

Individual/Behavioural: Address attitudinal and knowledge gaps in schools through massive outreach programmes.

Social change: Sustain media and youth leadership initiatives that entrench positive social norms.

Structural: Deliver youth friendly clinical services, psychosocial support, career guidance, school sport, and so on.

Bio-medical: Create demand for bio-medical prevention technologies while reducing the burden on the primary healthcare system.

How does loveLife fight HIV?

10

A cluster of social & economic factors predict high risk behaviour

loveLife’s Theory of Change

Helplessness in the face of challenges

Individual

• LOW SELF-ESTEEM

• NO SENSE OF FUTURE

• UNCERTAIN IDENTITY

Social

• COERCION

• PEER PRESSURE

• LACK OF PARENTAL COMMUNICATION

• EXPECTATIONS OF WOMANHOOD

• MALE SENSE OF ENTITLEMENT

Perception of scant opportunity

Pressure to conform to negative social norms

HIGH RISK TOLERANCE

Structural• POVERTY• LOW EDUCATION• MARGINALIZATION• INEQUALITY

Sense of constrained choices

SECTION 3: REACH AND METHODOLOGY

Geographic presence

Waterberg / CapricornWaterberg / CapricornWaterberg / CapricornWaterberg / CapricornWaterberg / CapricornWaterberg / CapricornWaterberg / CapricornWaterberg / CapricornWaterberg / CapricornMopaneMopaneMopaneMopaneMopaneMopaneMopaneMopaneMopane

SekhukhuneSekhukhuneSekhukhuneSekhukhuneSekhukhuneSekhukhuneSekhukhuneSekhukhuneSekhukhune

BojanalaBojanalaBojanalaBojanalaBojanalaBojanalaBojanalaBojanalaBojanala

NkangalaNkangalaNkangalaNkangalaNkangalaNkangalaNkangalaNkangalaNkangala

Thabo MofutsanyaneThabo MofutsanyaneThabo MofutsanyaneThabo MofutsanyaneThabo MofutsanyaneThabo MofutsanyaneThabo MofutsanyaneThabo MofutsanyaneThabo Mofutsanyane

LejweleputswaLejweleputswaLejweleputswaLejweleputswaLejweleputswaLejweleputswaLejweleputswaLejweleputswaLejweleputswa

Gert SibandeGert SibandeGert SibandeGert SibandeGert SibandeGert SibandeGert SibandeGert SibandeGert Sibande

SiyandaSiyandaSiyandaSiyandaSiyandaSiyandaSiyandaSiyandaSiyanda

NamakwaNamakwaNamakwaNamakwaNamakwaNamakwaNamakwaNamakwaNamakwa

Boland/KarooBoland/KarooBoland/KarooBoland/KarooBoland/KarooBoland/KarooBoland/KarooBoland/KarooBoland/Karoo

Kruger ParkKruger ParkKruger ParkKruger ParkKruger ParkKruger ParkKruger ParkKruger ParkKruger Park

BizanaBizanaBizanaBizanaBizanaBizanaBizanaBizanaBizana

BophirimaBophirimaBophirimaBophirimaBophirimaBophirimaBophirimaBophirimaBophirima

CentralCentralCentralCentralCentralCentralCentralCentralCentral

Chris HaniChris HaniChris HaniChris HaniChris HaniChris HaniChris HaniChris HaniChris Hani

EhlanzeniEhlanzeniEhlanzeniEhlanzeniEhlanzeniEhlanzeniEhlanzeniEhlanzeniEhlanzeni

EthekwiniEthekwiniEthekwiniEthekwiniEthekwiniEthekwiniEthekwiniEthekwiniEthekwini

IlembeIlembeIlembeIlembeIlembeIlembeIlembeIlembeIlembe

JHB CentralJHB CentralJHB CentralJHB CentralJHB CentralJHB CentralJHB CentralJHB CentralJHB Central

KarooKarooKarooKarooKarooKarooKarooKarooKaroo

MetroMetroMetroMetroMetroMetroMetroMetroMetro

Motheo/XhariepMotheo/XhariepMotheo/XhariepMotheo/XhariepMotheo/XhariepMotheo/XhariepMotheo/XhariepMotheo/XhariepMotheo/Xhariep

SedibengSedibengSedibengSedibengSedibengSedibengSedibengSedibengSedibeng

Southern CapeSouthern CapeSouthern CapeSouthern CapeSouthern CapeSouthern CapeSouthern CapeSouthern CapeSouthern Cape

UmtataUmtataUmtataUmtataUmtataUmtataUmtataUmtataUmtata

UthukelaUthukelaUthukelaUthukelaUthukelaUthukelaUthukelaUthukelaUthukela

VhembeVhembeVhembeVhembeVhembeVhembeVhembeVhembeVhembe

West CoastWest CoastWest CoastWest CoastWest CoastWest CoastWest CoastWest CoastWest Coast

WesternWesternWesternWesternWesternWesternWesternWesternWestern

ZululandZululandZululandZululandZululandZululandZululandZululandZululand

TshwaneTshwaneTshwaneTshwaneTshwaneTshwaneTshwaneTshwaneTshwane

Frances BaartFrances BaartFrances BaartFrances BaartFrances BaartFrances BaartFrances BaartFrances BaartFrances Baart

loveLife Partnership Schools loveLife Implementation Schools loveLife Partnership & Implementation Schools

PPA Sites

loveLife Regions

Kruger National Park

NAFCI ClinicsYouth CentresRegional OfficesFranchises

MAP LEGEND

Holistic Approach and Impact

Sustained Media: Radio, TV, Print, Web, and Mobile

9,452* peer educators*2010: 1,447

groundBREAKERS, 8005 mpintshis

1,500,000 enrolments in educational programmes

Schools: 6,520

Youth Friendly Clinics: 532

NGO Community Partnerships: 330

loveLife Games Teacher Training

loveLife Games

Call Centre

goGogetters: 500

Festivals & Events

760,102 calls to call centre

1,702,621 site event participants

386,986 participants in

loveLife Games

Programme (Interpersonal)

Youth-friendly clinical services.

A multifunctional call centre.

loveLife Games.

Youth leadership programme.

Extracurricular positive lifestyle programmes.

Support to orphans and vulnerable children.

Platforms for intergenerational dialogue.

Bringing it all together at the community hub.

Campaign (Media)

Radio (weekly shows in 11 languages, PSAs)

TV (PSAs and Series)

Billboards

Print (Youth Magazine)

Online (Webpage, Facebook, Twitter)

Mobile (MYMsta – social networking plattform)

Outdoor Broadcasting unit

Combined Programmatic Approach

The Construct

Societal level

Societal level

Individual levelIndividual level

Enable young people to:

• Understand risk

• Develop an incentive to reject risk

• Reduce risk tolerance

Strengthen institutional response

• health• education• social

security • sports• NGOs

Nurture sense of:• Motivation for • Identity with• Belonging to..

an HIV-free future

Get people talking about:

• Confronting HIV/Aids

• Drivers of high risk behavior

• Trigger social change

Strengthen institutional response

• health• education• social

security • sports• NGOs

Get people talking about:

• Confronting HIV/Aids

• Drivers of high risk behavior

• Trigger social changeCAMPAIGNCAMPAIGN PROGRAMMEPROGRAMME

groundBREAKERS

Aged between 18 and 25 1243 caps in 2011 (funder-dependent) loveLife’s programme implementation in communities from

loveLife sites and schools Youth Leadership - Youth Service Capacity building – training

sexual health counselling skills and techniques for effective outreach to other young people

Personal Development Linking youth with opportunities

Beyond the conduit model

• Traditional peer education sees young people as conduits for communication.

(i) (ii)

(iii) (iv)

Peer Educator

TranslationMediationNoise?

CompetenciesRO

LES Community

ActivationTeam Building and Team DevelopmentProgramme Implementation & Events ManagementPersonal Development* CO

MPE

TEN

CIES Leadership

Facilitation SkillsHIV/Aids AwarenessMarketing and AdvocacyEvents Management

Social Impact A study of South African youth (15-24 years old) found that interaction with

loveLife face-to-face was had a 0.61 AOR “protective effect” (Pettifor et al. A national survey of 15-24 year-olds, AIDS 2005)

This means that participating in loveLife programmes makes young men and women around 40% less likely to contract HIV – a remarkable efficacy rate that is exceptionally cost effective.

2,500 temporary employment opportunities1

• Cash transfers to marginalized communities• Skills transfers affect long-term employability

1 goGogetters, groundBREAKERS, IDT Mpintshis, HWSETA learnerships – Monitoring2009 and 20102 VOSESA groundBREAKER Survey, 2007.

SA Youth Average groundBREAKERS before programme

groundBREAKERS after programme2

POST-MATRIC QUALIFICATION 6.1% 8% 47%

EMPLOYMENT 34% 12% 60%

The basis of all of this is the mpintshi programme

Mpintshis and groundBREAKERS

• 1:5• Acceptance into groundBREAKER programme is conditional on completion

of mpintshi programme.• Training and support is similar, though groundBREAKER programme is

more intense.• groundBREAKERS see themselves as mentors, friends, and coaches to

mpintshis – this is evidenced in consistent programme performance.• Thorough evaluation of mpintshi programme has not yet been completed.

The next generation...

• Activate!• Young leaders for public

innovation:• Social capital: bonds,

bridges, and links.• Cash transfers to

communities depends on service.

• The whole ends up far greater than the sum of the parts.

Thank youThe New loveLife Trust

Tel +27 (0)11 523 1000 Fax +27 (0)11 523 100148 wierda rd west wierda valley sandton 2196P O Box 45 parklands 2121 south Africatalk@lovelife.org.zawww.mymsta.mobiwww.lovelife.org.za