World Vision South Africa Annual Report 2012 Contents Welcome....................................................................................................................................... 2 Acronyms..................................................................................................................................... 3 Overview of FY2012............................................................................................................... 4 World Vision SA’s Summary Report on Child Well-Being ............................. 5 Advocacy....................................................................................................................................... 6 Policy input impacts children............................................................................................ 6 Child Health Now campaign............................................................................................. 7 Parliamentary Advocacy Training................................................................................... 7 Child Protection....................................................................................................................... 8 Citizen Voice and Advocacy............................................................................................... 8 Christian Commitments..................................................................................................... 8 Operations................................................................................................................................... 9 Networks of Hope................................................................................................................... 9 Reports from the field........................................................................................................... 10 Education...................................................................................................................................... 13 Health, HIV/AIDS, Nutrition............................................................................................. 14 Psychotherapy helps depressed youngsters............................................................. 15 Humanitarian Emergency Affairs................................................................................... 16 Financial highlights - 2012................................................................................................... 17 1 Welcome “The one who plants and the one who waters work together with the same purpose. And both will be rewarded for their own hard work.” I Corinthians 3:8 Acronyms ADP................................ Area Development Programme CBO............................... Community Based Organisation CVA................................ Community Voice and Action CWBA.......................... Child Well-Being Aspirations By Paula Barnard, National Director CWBO......................... Child Well-Being Outcomes Welcome to our overview of World Vision South Africa’s activities in the financial year ending 30 September 2012. DOH.............................. Department of Health Whilst the period covered by this report falls outside my sphere of operation as I joined World Vision South Africa as National Director in February 2013, it is certainly not beyond my capacity to recognise the good work that was done, and the milestones that were accomplished by the incumbent team. DOSD........................... Department of Social Development DME............................... Design Monitoring and Evaluation DPA................................ Development Programme Approach World Vision South Africa continued to positively impact the lives of children, closing the year with just over 51 000 registered children in a total of 20 programmes, in six provinces across South Africa. ECD................................ Early Childhood Development A heartfelt thank you must go to the FY2012 Board, which so ably steered the World Vision South Africa vessel through some turbulent waters during the year. Your commitment to the vision and goals of World Vision South Africa, and your unwavering service was valuable and much appreciated. GBV................................ Gender Based Violence Thanks must also go to the staff complement for their hard work and diligence in the many areas of operation of the South African office. FY.................................... Financial Year HEA............................... Humanitarian and Emergency Affairs IPM................................. Integrated Programming Model MRC............................... Medical Research Council While this is not an exhaustive report of all the efforts throughout the year, it does reflect a broad outline of the scale of work that was undertaken, and the impact it had on individual lives, on whole communities, and indeed on policies through advocacy. MVC............................... Most Vulnerable Children We trust you will enjoy going through this report, and that through it you will continue to be ‘Inspired to see no child without’. NO.................................. National Office NGO.............................. Non-Governmental Organisation NSP................................ National Strategy Plan NOH.............................. Networks of Hope OVC............................... Orphaned and Vulnerable Children Paula Barnard PMTCT........................ Prevention of Mother to Child Transmission World Vision South Africa is a Christian humanitarian organisation dedicated to working with children, families, and their communities to reach their full potential by tackling the causes of poverty and justice.World Vision serves all people, regardless of religion, race, ethnicity or gender. RC................................... Registered Child WHO............................ World Health Organisation WVSA.......................... World Vision South Africa 2 3 Overview World Vision SA’s Summary Report on of FY2012 World Vision South Africa areas of operation Eastern Cape Mpofu Nkonkobe Mbhashe Umzimvubu KwaZulu-Natal Ixopo Embo Okhahlamba Kwamaphulumo Umvoti Umzimkulu Limpopo Kodumela Thusalushaka Giyani (Under Assessment) Gauteng Orlando East Orange Farm (Under Assessment) Western Cape Atlantis Mbekweni Free State Thaba Nchu Khauhelo Mangaung Learning Centre During our financial year ending 30 September 2012 – FY2012 – we operated in six provinces with 20 programmes and reached 51 165 registered children We made a commitment that by 2015 we will have contributed to the measurable well-being of 5 million vulnerable children through partnerships that focus on innovative programming, policy influence, and resource mobilisation. We aligned our sectoral focus to that of the Southern Africa Regional Office, which identifies health, HIV/AIDS, nutrition, WASH (water, sanitation and hygiene), education, food security, household income and community resilience, child protection, and spiritual nurture as crucial platforms to pursue the child well-being outcomes and targets. 4 Limpopo KwaZulu-Natal Gauteng Eastern Cape Free State Western Cape Child Well-Being The first WVSA Summary Report on Child Well-Being in 2012 gave the organisation a bird’s eye view of its national office strategy implementation and monitoring progress in order to inform short term and long term planning and impact on CWB. better future for all the children. Issues of poverty are still rife with drastic impacts on women and children, WVSA realises the need for integrated interventions to increase household incomes and improve food security. The report showed a mixed array of results as the organisation tries to strategically prioritise interventions in Health, HIV/ AIDS, Nutrition, WASH, Education, Food Security, Household Income and Community Resilience as well as Child Protection & Spiritual Nurture.While there are positive results in areas of immunisation and PMTCT, great effort is needed in promoting exclusive breast feeding. Improved nutrition for children and their communities through food security and agriculture activities in the ADPs have a positive influence on children reporting increased well-being. The Kodumela bakery project for example indicates that with improved feeding schemes the performance of the children improved drastically both at the school level as well as the national assessment level. Education revealed a number of worrying indicators that need immediate attention, and while investments in the ECD and Grade R sectors through supply of learning resources and improved nutrition are showing positive results in reading, more needs to be done for the intermediate and higher grades in order to secure a Advocacy and justice for children has made inroads in increasing child care and protection however GBV and child abuse is seriously affecting communities with serious connotations on women and child well-being. Advocacy based partnerships such as Yezingane were identified as the most practical way to address GBV and child abuse. ADPs need further training and capacity building for them to influence local policies in education, health and child protection. Measurement of these initiatives also needs to be improved for better reporting. Our programmes are based on the aspiration that empowered communities will be more resilient to poverty, the social nets will cushion communities from harsh external factors, children’s rights will be known and children will be protected, children will be educated, and their future will be secured. Our indicators for nutrition will show improved nutrition due to 7/11 and the food security interventions that we are prioritising; improved literacy and numeracy in education will show as children are capacitated at the foundation phase. WVSA is committed to this cause as indicated in this first report and further progress will be demonstrated in future reports. Strategic objectives For this to materialise, a comprehensive strategy was developed that comprises four strategic objectives each with a number of sub-objectives. These objectives are: 1. Decreased vulnerability of children 2. Increased policy influence and engagement 3. Increased resource acquisition 4. Increased organisational effectiveness This report focuses on strategic objectives 1 and 2 and their subobjectives, identifying areas in which the ADPs have directly or indirectly contributed towards the child well-being outcomes. 5 Advocacy • Strategic objective 2: Increased policy influence and engagement •Sub-objectives: o Increased authoritative voice at all levels driving implementation of policies and practices in health, education and child protection o Increased participation of girls and boys in key decision making platforms o Reduced conflict in communities Steps were taken towards influencing policy formulation and policy implementation that is friendly to the Child Well-Being Aspirations (CWBA) in areas such as health, education and child protection through advocacy-related models such as: • Citizen Voice and Action (CVA) • Child Health Now campaign (CHN) that amplifies the • Channels of Hope Training for Faith Leaders in Gender, Child Protection and Maternal and Child Health • Gender Based Violence (GBV) • Child Protection and Advocacy (CPA) The previous two years saw advocacy initiatives being mainstreamed and integrated in all the ADPs. impacts children Through this initiative World Vision impacted on health aspects of 200 000 children. This platform was also used by the Department of Health for valuable input into the Children’s Act Amendments. 6 Child Health Now launched in 2010 as World Vision’s five-year global advocacy programme that aims to contribute to the reduction in preventable child and maternal deaths and the achievement of Millennium Development Goals 4 and 5 by 2015. The project in South Africa made good progress towards achieving child wellbeing outcomes in 2012 and raised awareness of child health issues at various events and with organisations. Policy input The Advocacy Department made strategic policy input into the review of the National Strategic Plan (NSP) for HIV and AIDS, STIs and TB for 2012-2016. In addition, WVSA used the Yezingane Network where it is chair and part of the Working Group to present submissions to the Department of Health focusing on policy changes in areas or sectors that are dealing with children who are HIV positive in South Africa. It was noted that about 60% of the recommendations from the Yezingane Network are reflected as some of the important changes to the guiding principles, objectives, interventions and targets of the final NSP 2012-2016. Child Health Now campaign The initiative is estimated to have impacted 2 330 000 children (World AIDS Day Report, 2012) making up about 47% of the 5 million target that World Vision SA set in its strategy. World Vision South Africa was also part of the working group of the National Action Committee for Children with AIDS (NACCA) whose secretariat is the Department of Social Development. Through NACCA, World Vision South Africa contributed to the National Action Plan for 2012-2016. • The Millennium Development Goals Summit in Cape Town in May: participation and exhibition of campaign materials, as well as being part of a panel discussion. •The Christian Aids Bureau of South Africa (CABSA) Annual General Meeting in Johannesburg: the team exhibited materials. •UNICEF: meetings which culminated in a partnership with the Limpopo Provincial Department of Health on advocacy and social mobilisation for Vitamin A supplementation following the identification of Vitamin A deficiency in Limpopo and Eastern Cape. Due to capacity constraints, the project centred on interventions in Limpopo which is a growth area for World Vision SA. The ADPs are working with the SA Council of Churches to ensure that Vitamin A supplied by UNICEF is distributed to children through churches, schools, preschools, drop-in centres and other early childhood development centres. •The Free State Provincial Department of Health maternal and child health unit: lobbying and engagement meetings were held, resulting in a working relationship between the Department of Health and the Khauhelo ADP in the Free State on some projects and workshops. • National Department of Health: lobbying and engagement meetings were held which resulted in the establishment of a working relationship with them in all the other provinces. •The Steering Committee of the New Economic Planning and Development (NEPAD): discussions resulted in the involvement of Child Health Now in the Africa Day for Food and Nutrition Security. The successful partnership which has been developed with NEPAD focuses on advocacy for nutrition and food security in South Africa and other southern African countries.World Vision and the CHN team were invited as key stakeholders to the planning of the Africa Day for Food and Nutrition Security held at the NEPAD headquarters in Addis Ababa in Ethiopia on 31 October 2012. • The project worked with Child Protection and Urban Programming as well as partners (Orlando East Crèches Forum, The Nelson Mandela Children’s Fund, and Johannesburg Emergency Services) to host events for the National Child Protection Week. •A Child Health Now integration workshop was held in Mangaung ADP, which assisted the ADP to integrate the campaign into an on-going 7-11 strategy on Health under the HHN and other projects in the ADP. Parliamentary Advocacy Training The team in partnership with the SACC attended a parliamentary training session on public policy-related issues in Cape Town hosted by the Catholic Parliamentary Liaison Office (CPLO) in September 2012.The training aims to help civil society get involved and have their voices heard when it comes to public policy issues, both through parliament at national and provincial levels.The training was significant in that it showed the project team members and stakeholders that there is a need for a policy research unit in WVSA focusing on child and maternal health, child protection, education as well as gender. In 2012, surveys revealed that the average number of households with children that participated in World Vision activities – nutrition, education and sponsorship – was 50% while the number of households that were involved with World Vision was 35%. Children were generally involved with World Vision through the sponsorship programmes run in the ADPs. 7 Child Protection Operations Advocating for child protection through partnerships and community engagement projects completed its first year of the three year project. The goal is to contribute to the protection of all children from all forms of abuse within their families in Ixopo, Umzimkhulu, Giyani and Orlando East by 2014. To this end, the Child Protection and Advocacy (CPA) Model is being implemented in three ADPs at this stage as Giyani was still in its design stage during FY2012. Citizen Voice and Advocacy NK MB At THn Mg Ko Ka Ixo 0% The goal of the Citizen Voice and Action project is to contribute towards improving access to quality child health and education services by 10 % in six ADPs by 2015. Discussions to establish and formalise partnerships with government and other stakeholders engaged in improving child health and education services were initiated, such as with the Centre for Economic Governance and AIDS in Africa; Mangaung Metro Municipality and the Free State HIV&AIDS Coalition. The immediate impact of these relationships is awareness of Budget Monitoring and Expenditure Tracking (BMET) that has been created for Civil Society Organisations (CSOs) from Mangaung Urban Learning Site (ULS), Khauhelo and Thaba Nchu in the Free State. The CSOs are now aware of government budget processes and phases. The Community Based Organisations (CBOs) from Atlantis, Mangaung ULS, Khauhelo and Thaba Nchu ADPs have been trained with the result that trainees are mobilising community structures such as Ward Committees and Clinic Committees to educate them on how they should work together to influence change on issues that undermine the well-being of their children. Atlantis CVA Coordination team members are taking advantage of their community radio station. They advocated for a weekly Monday slot when they educate the community about the need to come together and speak in a unified voice. Christian Commitments World Vision South Africa continued to work on the spiritual development of its staff and began implementing its new National Office strategy from FY12–FY15.To align with this strategy, Christian Commitments will be part of the Advocacy and Justice for Children Department. World Vision South Africa has continued to work with churches to build and strengthen value-based systems at community and family levels. All ADPs either established or strengthened the pastors’ fraternals which have brought together pastors and church leaders from different churches to participate in community development processes.This incorporates gospel values, as well as Ubuntu values which means “People are made people through other people”. All the ADPs have undertaken Christian Commitment activities relevant to their communities by working with pastors and developing pastors’ fraternals; training of Congregational Hope Action Teams (CHATS) in Channels of Hope to care for OVCs; training pastors in CVA and CP; implementing the Reclaiming the Wonder of Sexuality (RWS) model within churches; training in disaster management; engaging pastors in peace building processes within communities; organising prayer events at schools and within communities with pastors; extensive spiritual counselling; training in dealing with drug abuse; and more. 8 Networks of Hope Children report an increased level of well-being 20% 40% 60% South Africa’s high unemployment rates are even higher in rural areas where economic opportunities are limited.World Vision South Africa recorded an average of 58% unemployment when it assessed the 50% number of households that were earning 40% an income; in addition only 57% of the 30% households indicated that they had access 20% to food in the same year. 80% 100% NK MB At THn Mg Ko Ka Ixo Umzimvubu ADP prioritised the linkage of local farmers to markets and conducting of business development training with the aim of increasing household incomes and food security. Atlantis ADP facilitated links between youth and the unemployed with the City of Cape Town’s Proportion Revitalisation programme of children who 10% in which shopping malls, roads and other are functionally literate Child0% well-being is linked to access to food infrastructure was upgraded. More than Nkthe provision Th Umz KOwell as ADPyouths (18-35) were employed, and shelter, as of anMbas 10 000 environment conducive to growth and whichave later materialised into real development. The proportion of children employment opportunities due largely to reporting increased well-being varied, the employability of the community. but on average only 29% of the children reported an increased level of well-being. It is noted that access to income does not The lowest was reported in Atlantis, a necessarily translate into increased access community that experiences high levels to food. And that the availability of food of crime and abuse closely linked to drug does not necessarily translate to increased and alcohol abuse. Nkonkobe recorded child well-being. the highest level of child well-being despite the increasing cases of child abuse in Increased levels of child well-being are that community. In addition only 43% of a combination of a number of factors, the children reported that they felt they interventions and the underlying sociowere being supported within families and cultural conditions of the area. The communities. interaction of various aspects influences the context, which in turn determines Mpofu’s evaluation indicated that the the level of child well-being. Intentional proportion of households that had access integrated solutions are required that to food was 33%, which was closely examine the underlying relationships linked to the number of households that among various factors such as income, practiced backyard food gardening. The food security, attitudes and behaviour as ADP’s interventions in food security well as their unintended consequences, directly impacted access to food with a addressing issues of child well-being. recorded increase in vegetable production and poultry products. Through the Networks of Hope (NOH) programme, community care workers received training in palliative care, homebased care, child protection, HIV and AIDS and prevention programmes. They used their knowledge and skills to care for orphans and vulnerable children (OVC) households and OVCs themselves. Thaba Nchu ADP had about 375 community caregivers whose responsibility included regular home visits and provision of services to over 10 000 OVCs. They also provided services to adult members of OVC households that were either HIV positive or co-infected with TB. School bakery boosts community Metz Junior Primary School near Sekororo Hospital was 54 years old and dilapidated in 2012, which made teaching and learning difficult. Kodumela ADP assessed the school situation and developed a strategy to help improve the situation. The ADP found the school had a seldom-used baking oven and assisted the school administrators with baking ingredients. The bakery was run as an incomegenerating project supplying bread to nearby schools as well as to its teaching staff, and to the leaners through the school feeding scheme. The bakery plays a crucial role in the community and is a major provider of bakery products for any form of gathering in the community. The income from the initiative has been used to buy school stationery and other learning materials, and classroom conditions have been improved. The concentration span of the learners improved since they no longer had empty stomachs and the 2012 school pass rate increased over the year. 9 Reports from the field Here follow summarised reports of a selection of activities within some of the ADPs to highlight the range of work that our ADPs are involved in and how they affect the lives of needy people. Okhahlamba ADP • Programme goal: To achieve a sustained well-being of 152 000 people (including children and their families) of Okhahlamba Municipality by 2015. • Children:The ADP has 4 815 registered children and 3 482 OVCs. •Agricultural projects: 364 household and 37 community gardens. 27 household and 28 community gardens are practicing crop rotation to eliminate soil diseases. 18 youth were trained in agriculture and marketing skills and 67 people were trained in marketing and business skills. 37 farmers are accessing markets. •HIV and AIDS awareness: Through value based life skills education for 1 200 children in Grades 5-7 in primary school and Grades 8-12 in high school. •Health and nutrition: 400 community- based care givers were trained and mentored by 17 CBO/NGO trainers in the Community Integrated Management of Childhood Illnesses (C-IMCI). The care givers will reach 16 800 households in Okhahlamba with prevention, home care, and care-seeking messages and practices over the next two years. • Brainstorming sessions with Trans World Radio (TWR) were held on possible partnerships on child and maternal health as well as media collaboration on child health issues. Through these, TWR is partnering with Okhahlamba ADP in airing community conversations on Health, HIV/ AIDS and Nutrition (HHN). •Spiritual nurture: The Okhahlamba Christian Council was formed with local pastors and is attending to the community’s spiritual nurturing needs and issues affecting children. Nkonkobe ADP •Programme goal: To improve the wellbeing of 5 000 children and family members of Nkonkobe by 2025. • Registered children: The ADP has registered 3 516 children, making Nkonkobe a viable partner for sponsors. •Partnerships: The ADP strengthened partnerships with the community and relevant government departments such as Department of Social Development (DOSD), Department of Health (DOH), Department of Education (DOE), Department of Home Affairs, and the Department of Agriculture (DOA). • The Nkonkobe Municipality experienced gale-force wind that destroyed 239 houses. The ADP contributed 200 blankets to affected households. The ADP is part of the Provincial Disaster Management Advisory Forum. •The ADP approached the DOH for user-friendly clinics and facilitated health sessions to encourage community members to attend clinic. The result is that children attend the clinic for immunisation and health-related issues. •The ADP, Umthiza and the DOA collaborated in the development of 19 poultry and vegetable gardening community projects (involving 180 households). 1 100 children benefited from the produce and income generated by the projects. Mbhashe ADP • Programme goal: To improve the quality of life of 5 000 children and their families in Mbhashe Local Municipality by 2025. •Primary projects: Sponsorship and local economic development through agriculture. • Workers: Five development workers in 22 villages. •Sponsored children: 2 205 sponsored children (1 103 boys, 1 102 girls). • Spiritual nurture:The ADP distributed 2 78 bibles to 11 schools which are used for morning devotions. •Health: Working together with the DOH, 289 children were vaccinated •Children’s rights: In partnership with the local police, the DOSD and the SA Social Security Agency, children’s rights campaigns were conducted with 256 children. 10 • Income generation: Training was conducted in partnership with the DOA to encourage backyard gardens and crop, poultry and livestock farming. We have 12 poultry projects and three vegetable projects. 80 households are involved with 130 children benefiting. •Mbhashe ADP is a member of the Provincial Disaster Management Centre task team and was involved in the drafting of the local Community Disaster Preparedness Plan (CDPP). Family helped after fire Nobanzi Zide is grandmother to twoyear-old Siyamthanda, Ahlume aged five, and Athule aged nine. Their home burnt down on 8 August and their clothes and belongings were destroyed leaving them with the school uniforms they were wearing. Apparently the children had been playing with matches when they accidentally set the home on fire. The ADP responded immediately and organised groceries for the family and additional school uniforms for the two older children who are registered with us. The ADP, the Community Development Worker and Social Development arranged for replacement birth certificates and ID documents for the family to ensure they remained on the government database for continued access to their child and old age grants. The community also helped with emotional support and second-hand clothes for the children. Through this intervention the ADP restored some dignity to the family and ensured that the well-being of the children was guaranteed. Thusalushaka ADP •Programme goal: To contribute to the well-being of children including registered children in Thusalushaka ADP’s 24 communities by 2024. • Registered children: 4 036 • Projects: WASH, Health, Education and Sponsorship projects were integrated. The ADP facilitated health and hygiene training with the departments of water affairs and health to four CBOs, reaching 22 500 people in the communities. The WASH team also reached 1 600 boys and 2 400 girls in primary schools and facilitated the establishment of seven children WASH teams that have reached 1 500 other children. •80 people were trained in latrine construction following the Department of Human Settlement standards. •Seven boreholes were constructed to facilitate access to safe drinking water to the targeted communities. 3 100 people (including 1 100 youth and children) benefited. • Disabled: 3% of people reached by the ADP were disabled. • Child Protection: An educational awareness on child protection was conducted in partnership with police, Social Workers, parents, and teachers – and 5 000 children were reached. •Income generation: 44 RC households were given start-up packages for chicken farming and parents were encouraged to work with the children to ensure sustainability. A group of 30 RC households were given 30 female goats in 15 villages under the operating jurisdictions of Thusalushaka ADP to start a goat farming project. Nine baby goats were born from these. 34 RCs attended training on how to handle their chickens and goats. Umzimvubu ADP • Programme goal: To contribute towards the improved well-being of 30 000 community members in Mabenyeng Kingdom by 2017. •Direct participants: 8 588 men and women, boys and girls (including 5 814 sponsorship funded and 2 702 grant funded OVCs) •HIV and AIDS: The ADP worked with secondary schools and clinics on HIV prevention and reached more than 1 285 community members, contributing to a 26% decrease in HIV prevalence in the area. • Spiritual nurture: The ADP conducted a Sunday Schools competition for 2 500 registered and non-registered children. •School sports: The ADP ran a school sports competition. 4 000 children from 42 schools participated in various sporting codes including volleyball, soccer, netball, athletics, and softball. • Cultural day: This was held on 24 September in partnership with local youth minders for a total of 700 children. •Income generation: More than 70 OVCs were given a sheep each to raise and establish a herd to help fund their futures. 630 vegetable seeds were distributed to 32 community villages of to improve healthy eating.Three vegetable projects have been supported with water pumps to enable planting of crops throughout the year. 20 people from the vegetable projects were trained in financial management, and a further 10 people were trained in basic book keeping, organisational financial management, planning and how to grow funds even from low income levels. Umzimkhulu ADP • Programme goal: To contribute towards a sustained well-being of boys and girls between the ages of 0-18 years in our area by 2015. •Direct participants: 10 660 men and women, boys and girls. •Education: The ADP supported two schools (Grades 2 and 3) with learning aids to assist in the improvement of reading, writing and numeracy skills. • Three homework clubs were established in one secondary school. •Sports: The ADP organised a sports tournament for 867 boys and girls from 27 high schools. •Child protection: 20 ADP staff and CBO members were trained in child protection and 35 traditional leaders attended a presentation on children’s rights. •Income generation: 22 community members were trained in vegetable production techniques, benefiting 164 individuals including 119 children. Ixopo ADP •Programme goal: To improve the wellbeing of children in 3 853 families of Ixopo ADP community by 2015. • Sponsored children: 3 279 • Education: 209 children from 19 primary schools participated in the Maths and Science Olympiad which has been held annually since FY09. Another 754 children from 19 primary schools participated in the Readathon Competition held during READ Week in September. The ADP was congratulated on these activities by the educators. • Homework Clubs established and functional in 19 primary schools. •Sports: The ADP’s sports tournament brought together 420 children from primary and high schools who participated in soccer, netball, and volley ball competitions. • Child protection: 30 parents participated in Child Protection Advocacy training. •HIV and AIDS: Good progress is reported in implementing Community IMCI pilot, coordinated by a task team comprised of World Vision, Woza Moya 11 Project, DOH, Edzimkulu Project and TB HIV Care. Pregnant women are now visiting the clinic regularly and children under the age of 24 months have been weighed at least once a month. 48 CCGs trained in Infant & Young Child feeding in FY2011 this year reached a total of 272 women. •Nutrition: A refresher course was conducted for 30 home based caregivers and 18 ECD were trained in nutrition. Kodumela ADP • Programme goals: By 2015 in Kodumela ADP to improve the well-being of children and the communities; to increase economic development income and food security for 35 000 people; to contribute to the transformation of 4 100 registered children, their families, communities and sponsors; and to improve the health and hygiene standards of 5 000 households. • Registered children: 4 838. •Food parcels: The ADP provided food parcels to five drop in centres benefiting 758 OVC, as well as one disabled centre and one old age centre not yet funded by government. •Nutrition: The ADP identified and monitored malnourished children, and supplied food for 25 children who were found to be malnourished during Clinical Nutrition Assessment. • Infectious diseases:The project provided 1 785 people with information on waterborne infectious diseases through the Cholera Prevention Campaigns, information on health and hygiene, and cholera training to caregivers. • Income generation: Through partnering with IDT, the ADP secured a second term contract for 350 people to be paid for doing daily chores at their projects which include poultry, piggery and beadwork. 20 gardens were established and a target of 10 tonnes of produce, mainly tomatoes and onions, was achieved. 100 farmers were trained on how to use agrarian methods of farming. • Child protection: 1 160 parents and care givers were educated in child protection in 10 villages. •HIV and AIDS: Through the HIV and AIDS project, home based caregivers provided care and support to 1 098 chronically ill clients in their homes. •An intervention focusing on care and support of OVCs was carried out. The NOH site supports over 8 500 vulnerable children from about 2 834 households. 12 Mangaung Urban Programme •Programme core mandate: To focus on the marginalised communities in Mangaung especially OVCs, people living with disability, and women and children in the informal settlement areas on the outskirts of Mangaung. • Programme goal: To contribute towards improved responsiveness and accountability in the delivery of child protection services as well as health, nutrition and HIV and AIDS services in Mangaung metro municipality. •Forum: The programme facilitated the establishment of the Mangaung Forum which brought together 12 CBOs for the purpose of planning and engaging on child well-being issues and introduced the forum to the premier’s office. • Mangaung forum members are part of the CPA and CVA teams they have been all trained in understanding policy and policy engagements. • Workshop: A workshop on the Sexual Offences Act was coordinated with the NPA and brought together the DOSD, the DOH, victim empowerment centres, SAPS, and court preparation officers. 11 CBOs from Mangaung and others from Khauhelo and Thaba Nchu ADPs attended. •Christian Commitment: Through the Child Health Now campaign, the programme sent two pastors from the Mangaung Forum to a national summit on maternal and child health to sensitise faith communities to respond to maternal and child health. Mbekweni ADP • Programme goal: To improve the economic, social, health and nutrition and HIV status of the communities in Mbekweni, Fairyland and the Farm area by 2018. • Registered children: 3 570. • Nutrition: The ADP trained 84 mothers of children 0-59 months and 68 preschool teachers and soup kitchen staff in basic nutrition training and preventable diseases. The ADP established 10 soup kitchens providing nutrition to 2 412 children. •Hygiene: Children were trained in the basic art of hand washing which has led to a reduction of absenteeism of children from school due to illness. For six months only 39 of the 4 119 children between 0-59 months were diagnosed with diarrhoea. •Health: In collaboration with the DOH, the ADP visited 35 preschools and 239 children were immunised, de-wormed and given micro nutrient supplementation. • Disabled: The ADP enabled 89 disabled people to attend an 18-month skills development training programme, funded by the National Skills Fund. • HIV and AIDS: The ADP supported 546 PLWHA with nutritional supplements. 5 118 PLWHA, 1 612 PLWHIV, and 360 TB patients received home base care. A roof over their heads A family of three (two children and their mother) were living in a semi-completed shack and when strong winds and heavy rain blew off their roof. They took shelter with a neighbour but couldn’t stay long as the home was already accommodating six people. The mother was forced to send her children out of the area to stay with a relative. The ADP traced the mother and learned of the plight the family found themselves in. The ADP held meetings with the area councillor and assessment was done. The ADP bought building material and the local municipality provided nails, door, windows and community members who volunteered to assist. The shack was put up by community members in one day and the children came back to their mother and a proper shelter. Education Aiming to promote quality age appropriate education for children Approximately ‘9 million South Africans, including 4.7 million children, are functionally illiterate … this figure alone amounts to almost 20% of the national population.’ The report an increased Department Children of Basic Education indicates that the majority of Grade 3 and 6 ofGrade well-being learners cannot read or count properly. NK level MB WhenAtWorld Vision SA measured the THn proportion of children who were functionally Mg literateKoin five ADPs, an average literacy rate Ka of 37% Ixowas recorded which is close to the national average performance in literacy 20% 40% 60% of 35%.0% The national figure for numeracy was 28%. The graph indicates literacy rates among the implementing programmes and benchmarks them against the national average in literacy. 80% 100% NK MB At THn Mg Ko Ka Ixo Umvoti case study 50% 40% 30% 20% 10% 0% Proportion of children who are functionally literate KO Nk Th Umz Mbas ADP ave In Umvoti ADP where an ECD project is being implemented, 87 children between 3-5 years of age were exposed to psychomotor education, which is a holistic programme that prepares the child physically, emotionally, socially, and cognitively for the learning process. In FY2012, the ADP found that more children were attending pre-school and that school attendance increased. The improvement was attributed to the level of participation due to instant interest among children.The ADP also states that parents and guardians have reported a drastic change in the behaviour of children, stating that children are now able to teach other children not to fight and hurt themselves. One parent commented that “children have also learned to be patient with one another during play time; they have also become responsible and are able to control their emotions, resolving conflicts through negotiation not fighting.” (Umvoti, 2012). Atlantis Atlantis reported a 79.9% participation in ECD centres and that 52.9% of children in ECDs accessed health and nutrition interventions. This was accompanied by an “increased access to learning resource materials in ECD centres” a process that would bear fruit in the coming years. 13 Health, HIV/AIDS, Nutrition Through its HIV awareness programme, WVSA conducts HIV Counselling and Testing campaigns in partnership with DOH and other stakeholders, offering free counselling and testing to the communities. Four ADPs were assessed in FY12 on the levels of HIV and AIDS awareness among youth and adults. On average 81% of the youth and 75% of adults were fully aware of HIV/AIDS. However, the percentage of women who reported that they were offered and accepted counselling and testing for HIV and TB during their most recent pregnancies and received their test was 56%, which is low in contrast to the awareness levels that were recorded in the assessments. More needs to be done to effectively contribute towards increased access to prevention of mother-to-child transmission (PMTCT) programme in the ADPs. Ironically, despite high rates of PMTCT, the rate of exclusive breastfeeding up to six months of age for babies in South Africa is only 8% – cited to be one of the lowest in the world. The WHO has recommended that exclusive breastfeeding for babies up to six months is optimal and the SA government has recommended that parents practice it from birth. In the assessments conducted in four of the ADPs, the average percentage of children aged 0-5 months exclusively breast fed in the last six months was 70% for the four ADPs, a percentage far higher than the national average of 8%. World Vision health interventions such as the 7/11 model promote education and awareness on exclusive breastfeeding. The organisation intentionally promotes exclusive breastfeeding as an intervention for child growth and well-being and has ensured that the 7/11 campaigns are intensified particularly among young mothers to ensure the health of their newborns. Umzimkulu In Umzimkulu ADP inroads were made towards health and well-being of children with the increased partnership with the Decreased spread of infectious diseases among children 0-5 years 14 local NGOs and CBOs also involved in health. The ADP Lead Development Facilitator said: “the communities [were] responding to voluntary testing campaigns that [helped] change attitudes and behaviours which are key contributors towards the prevention of transmission of HIV from pregnant mothers to children.” Umvoti Umvoti ADP mentioned “there was an increase in the number of PLWHIV that [were] now accessing home care and psychosocial support services”. The NOH programme adopted a familycentred approach in which 67 community care workers worked with 1 372 HIV positive and TB co-infected adults, providing them with palliative care and support. Effort was made to support adults mainly in OVC households that were either HIV positive or co-infected with TB. Essential vaccines According to the Department of Health, 96% of South African children receive all necessary vaccinations; however the World Health Organisation (WHO) says that only 64% of the children actually receive all vaccinations. In Okhahlamba ADP the percentage of children that received age appropriate immunisation was 75%, a figure close to the 64% used by WHO and UNICEF. Immunisation of children between 0-59 months is a national government responsibility executed through the Department of Health’s Expanded Programme on Immunisation (EPI). While emphasis on immunisation has been imminent in the ADPs it was also noticeable in FY12 that improved nutrition would contribute to decreased vulnerability among 0-59-month children. For the 1 200 households that were assisted with fencing for instance in Umvoti, the ADP immediately noted that they started backyard gardens in which they grew vegetables throughout the year. Psychotherapy helps depressed youngsters The high number of children in South Africa who have lost one or both parents to AIDS means that parental illness and death have had a profound effect on the emotional and psychological wellbeing of the affected youngsters. However, little has been done to document programmes that may address the mental health of affected children. In 2012, a USAID-funded initiative was conducted in conjunction with Tulane University in New Orleans, and World Vision South Africa to contribute to the evidence base on psychological support programming. The initiative provided a detailed case study of WVSA’s Interpersonal Psychotherapy for Groups (IPT-G) intervention for vulnerable adolescents in the Eastern Cape. IPT-G is a mental health treatment that uses interpersonal psychotherapy techniques, such as self-reflection, talking about experiences and feelings, and self-directed problem solving, in a peer support setting guided by a trained facilitator. World Vision South Africa began implementing IPT-G for vulnerable adolescents in Limpopo and Free State provinces in 2011 and in the Eastern Cape in 2012. The focal site of this case study was the Eastern Cape, where World Vision South Africa implemented IPT-G for 685 adolescents through two of their programme sites in 2012. Facilitators were recruited and trained locally to provide IPT-G to groups of seven to 15 adolescents, aged 14 to 17 years, who were segregated by gender. The facilitators were trained in psychotherapy and communication techniques to prepare them for working with the youth. The model was adapted for the local context, incorporating words and descriptions in the local language to adequately depict depression and IPT-G in a sensitive, culturally appropriate, non-stigmatising way. Eligible participants were invited to attend IPT-G, which involved a once a week 60 to 90 minute group psychotherapy session for a total of 16 weeks. The intervention was successful at reaching youth in under-served areas where mental health services were otherwise not available. In addition to providing direct therapy, IPT-G served as a gateway from which youth were referred to other services, and helped to incubate sustainable peer support networks among group members. The inclusion of caregivers through individual and group meetings was important in securing their approval for adolescents’ participation in the intervention, and further provided an opportunity for interested caregivers to receive psychological support themselves. Through IPT-G, World Vision has brought a scalable and accessible mental health intervention into communities where this would otherwise be unavailable. One of IPT-G’s most notable successes was that it provided an opportunity for youth to talk about emotional problems in a culture that does not traditionally encourage young peoples’ individual expression. Indeed, many of the groups decided to form social clubs and continue meeting after the 16 IPT-G sessions were completed. 15 Humanitarian Emergency Affairs highlights Xenophobia in Thaba Nchu On Sunday 1 July 2012, Thaba Nchu in the Free State, east of Bloemfontein, riots broke out and foreign-owned shops were looted. These attacks on foreign nationals were perpetrated by criminal and xenophobic elements and resulted in the compromised safety of the community and the displacement of foreign nationals. On 2 July, the attacks spread into the Central Business District where shops were vandalised and stock from the shops stolen. Given the situation, the police imposed an undeclared curfew resulting in the shutdown of the town. 2011 World Vision International R 0106 088 148 R 0105 522 237 Local fundraising income R 0 010 392 016 R 0006 500 049 Total Revenue R 116 480 164 Operating expenses The ADP provided daily status updates to the National Office and profiled Registered Children to make sure that they were not involved or affected by the situation. By Thursday afternoon the situation began to normalise. The ADP determined to review and amend its CDPP to ensure that it includes xenophobia and insurrections as one of the potential risks in the area requiring response. The ADP aimed to engage with communities on peace building initiatives so as to prevent this from happening again. The ADP also determined to host a security training workshop for staff and key partners. Revenue sources 2012 R 112 022 286 ADP staff were briefed about the security situation and were required to make a call log with the ADP Manager to indicate their whereabouts and to determine if it was safe to come to the office. A total of 90 foreign nationals of Bangladeshi descent were affected in Thaba Nchu. The ADP engaged with the Disaster Coordinator from the Mangaung Municipality to determine areas of intervention. After conducting a thorough analysis and ensuring that there was no duplication of intervention, the ADP provided provisions for breakfast for three days.The ADP continued to monitor the situation and respond with guidance from the National Office’s Security Advisor and the HEA Advisor. 2012 Financial 2012 ProgrammesR 0090 130 118 R 0086 080 037 FundraisingR 0001 250 899 R 0001 495 549 Management & general R 0023 496 434 R 0025 400 480 Total operating expenses R 114 877 451 R 112 976 066 RevenueRevenue SourcesSources World VisionWorld International Vision International Local fundraising Localincome fundraising income 6% 2011 6% Operating Operating Expenses Expenses ProgrammesProgrammes Fundraising Fundraising ManagementManagement & general & general 23% 23% 1% 94% 94% 1% 76% 76% In 2012, 77% of World Vision’s total operating expenses was used for development programmes that benefit children, families and communities in need. While 2012 was a challenging financial year for World Vision South Africa, we give thanks for donations that exceeded R 112 million and ministry impact grew strongly. Total revenue in fiscal 2012 declined by 4% in total, mostly due to a 60% decline in local revenue funding sources in a difficult economic environment for NGOs. An operational restructure brought about savings and a decline of 2% in operating expenses, despite a 16% increase in fundraising expenses. View our complete consolidated financial statements online at www.worldvision.co.za 16 Inspired to see NO CHILD WITHOUT World Vision South Africa Tel: +27 11 285 1700, 268 Kent Avenue, Randburg, Johannesburg www.worldvision.co.za WorldVisionSA WorldVisionSA