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KwaZulu-Natal is one of the provinces hardest hit by HIV/AIDS, with the most recent figures released by the Department of Health estimating a prevalence rate in the province of 36.5%. As the related problems mount up, it is becoming clear that HIV/AIDS is much more than just a health issue. While the immediate needs of those infected with the virus most certainly need attention, the pandemic also has devastating implications socially and economically. The ZCBF's Health and Welfare portfolio recognises this and has therefore, after extensive research and consultation with stakeholders, and thanks to the generosity of local business, established Amangwe Village, an HIV/AIDS intervention that addresses a broad spectrum of HIV/AIDS related problems.

| Ethembeni Care Centre | Orphans and Vulnerable Children | Outreach, Education and Training |

   
 
 
 
 
 

Ethembeni Care Centre, established with the assistance of six local industries in 1999, has for some time been the flagship HIV/AIDS initiative of the ZCBF. However, it became clear early in 2002 that the substantial expansion of the project was required, as its 12 bed capacity had become hopelessly inadequate to meet the pressing needs of a community in crisis.

Simultaneously, Mondi Kraft approached the ZCBF with a veritable dream come true, the offer of Amangwe Village in Kwambonambi, previously used by their contract workers. Mondi envisaged the renovation of the substantial facilities there to be used for a major development initiative, to more holistically meet the needs of adults and children infected and affected by HIV/AIDS.

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A feasibility study was conducted, and extensive consultation with other NGO’s working in field of HIV/AIDS was undertaken, resulting in a project design that aimed to holistically meet the needs of adults and children infected and affected by HIV/AIDS. Amangwe Village would be made up of three core categories of interventions: an expanded Ethembeni Care Centre (in-patient and out-patient care); OVC (Orphans and Vulnerable Children); and Outreach, Education & Training. The project would be a partnership driven initiative, with the goal of uniting the numerous HIV/AIDS related organisations in the area, and co-ordinating their approach to dealing with the virus, making use of the strengths of each in a co-ordinated way to maximise their overall impact.

Characteristically, the local business community rose to the challenge of providing funding for the necessary infrastructural development of the property donated by Mondi Kraft, and the development of Amangwe Village began. Today Ethembeni Care Centre is well established in its all new 45 bed facility at Amangwe Village, which also boasts a training room, administration blocks and 16 renovated cottages which are used for a variety of services, and even income generation for Amangwe Village and its project beneficiaries.

Important working relationships have also been established with amongst others, the Africa Centre for Population Studies and Lifeline Zululand, while extensive networking with other important stakeholders, and government departments is ongoing.

Services available at Amangwe Village:

§   In-patient and out-patient care and counseling for aid and private patients

§   Voluntary counseling and testing (VCT)

§   HIV/AIDS information talks and workshops

§   Peer Educator training

§ Integrated HIV/AIDS in the workplace programmes

§   Access to HIV+ guest speakers

§ Crèche for vulnerable children

§ Toy library providing resources for rural day care facilities

§ Services for OVC (Orphans and Vulnerable Children), including counseling and temporary foster care

§ Amangwe Village also has a fully equipped training facility and on-site accommodation available for rental

 

Ethembeni Care Centre                                                   top

 

Ethembeni was originally established as a result of an initiative by the occupational nursing staff of BHP Billiton Aluminium (Hillside and Bayside Aluminium), RBCT, RBM, Mondi Kraft and the NPA (National Ports Authority) in an effort to address common problems encountered in dealing with HIV/AIDS infected employees. These industries pooled their resources and funded the establishment of Ethembeni Care Centre as on off-site resource for their employees. Through its outreach programmes, Ethembeni soon became an invaluable resource to all community members, providing services not only to HIV/AIDS patients, but also sufferers of other terminal diseases, TB and victims of industrial accidents.

Professional staff at Ethembeni offer rehabilitation, convalescence and terminal care, HIV testing, pre and post-test counseling, family counseling, lifestyle management workshops, and medical consultations as part of their out-patient, in-patient and community care services. The Centre is also registered with the Board of Healthcare Funders (BHF) which affords it the opportunity to generate much needed income by offering services to medical aid patients.

Ethembeni Care Centre is managed by the Dream Centre.

 

Nursing at the Ethembeni Care Centre

 

Serene, tranquil setting for Ethembeni Care Centre

 

Home Based Carers

 

Orphans and Vulnerable Children                                 top

 

The Primary objectives of this arm of Amangwe Village are: the protection of children, their inheritance and property rights; improving the capacity of primary caregivers to meet the basic needs of the children in their care; ensuring the self-reliance of care-givers; and ensuring that traumatised children are dealt with in a professional and holistic manner.

Much of the focus during the first year of operation has been on the building of a database of orphans and vulnerable children in the area. Children who are listed on the database are monitored, and are first in line for assistance when funding, and other donations become available.

The training of peer educators and teachers (crèche, primary and high school) to identify OVC and adequately address their needs, or provide them with information about resources available to them, has been identified as a priority. In addition, monthly meetings are held with community members, local government departments and NGOs, to develop child care committees within various communities charged with assisting child headed households. Two such committees have been successfully established Sokhulu and Slovo informal settlements.

A highlight of the OVC portfolio during the past year has been the establishment of a small RBCT funded crèche at Amangwe Village, for use by vulnerable families. The crèche provides daily care and educational stimulation for 17 underprivileged children from the nearby rural community of Sokhulu, and plans are underway to expand the facility. RBCT also funded the establishment of a Toy Library which is used to conduct workshops and training with rural crèche teachers, and provide them with resources on a loan basis, for use in their rural schools. In this way the portfolio aims to assist community based facilities to themselves provide adequate care and stimulation to children in their care.

Generous funding has also allowed for the renovation of 4 houses to be used as temporary foster care facilities. Two of these are already occupied, with foster parents having been screened in accordance with Department of Social Development requirements. Each foster house can provide temporary care for up to four children at a time. Amangwe Village assists foster parents with applying for child grants to look after the children while plans are being made for their permanent placement. The priority is always to place the child, wherever possible, in their natural environment, either with extended family members, or screened foster parents.

 

Outreach, Education and Training                                top

Through outreach, education and training initiatives, Amangwe Village aims to achieve three main objectives. Firstly, the portfolio provides services to communities outside of the confines of Amangwe Village through its Home Based Care Programme which comprises 25 well trained volunteer carers who daily visit poverty stricken households to assist in caring for critically ill loved ones. During the course of their visits, these dedicated individuals also pay attention to such essential issues as monitoring the progress of pregnant woman, infants and small children – ensuring that, for example, vaccine schedules are adhered to and looking out for signs of malnutrion or any other potential problems. The Home Based Carers are an essential component of the Amangwe Village mix, effectively operating as the eyes and ears of the Amangwe Village in the community.

Activity Scene from a World Aids Day event

held at Amangwe Village

Secondly, this portfolio aims to assist affected families with income generation through skills training and support of community based projects. Initial work in this area has centered primarily around the establishment of rural food gardens to provide produce for a centrally based Rural Health Food Store, which is soon to be opened at Amangwe Village – thanks to funding from RBM. An on-site catering facility has also been established, which is managed by a community member who has been trained for the purpose.

Finally, the third objective of this portfolio is the generation of income for Amangwe Village itself through the delivery of workplace HIV/AIDS programmes to the businesses in the region. To this end a valuable partnership has been developed with Lifeline Zululand, and the two organisations are currently jointly looking at ways that these services can be offered to members of the Zululand Chamber of Business.

Zululand Chamber of Business Foundation 2009