South Africa: Our Impact

Two websites supported by Management Sciences for Health (MSH) have increased usage and reach as of March 2011. These tools are important HIV resources for the global health community to help build capacity and share best practices.

The Letlhabile Community Health Center in Madibeng sub-district, North West Province, South Africa more than doubled polymerase chain reaction (PCR) testing of HIV exposed babies at six weeks in six months. By August 2010, the community health center tested 89% of babies, up from 42% in March 2010.

The rural Eastern Cape communities in South Africa face a common set of problems when caring for people living with HIV & AIDS – the huge distance to hospital facilities and the large patient load at these facilities.

Through the well-established Integrated Primary Health Care (IPHC) Project, MSH introduced an innovative performance-based grants program in March 2006 to support the expansion of community-based services for at least 15,000 orphans and vulnerable children (OVC). By providing grants to community-based organizations that were already helping children but often struggled for adequate resources, MSH envisioned a rapid scale-up of services for some of South Africa’s most vulnerable victims of the AIDS epidemic.

CAMBRIDGE, MA — The Integrated Primary Health Care (IPHC) Project in South Africa has been awarded a $6 million cost extension by USAID, extending the program through December 30, 2010. Dr.

Promoting HIV prevention and reproductive healthAlthough HIV prevalence is declining in sub-Saharan Africa, recent estimates show that 13.7 percent of South African youth under age 20 are HIV positive. In the fight to contain this public health crisis, a critical challenge emerges: what is an effective way to reach the country's young people with relevant and appropriate information on HIV & AIDS and other reproductive health issues?The Integrated Primary Health Care (IPHC) Project initiated an innovative peer mentoring program that promises positive impact and sustainability.

World AIDS Day 2006: Stop AIDS. Keep the Promise. In commemoration of World AIDS Day 2006, the following story provides insight into one of the many ways that MSH is working to mitigate the burden of HIV/AIDS in the developing world. With grants provided by MSH’s Integrated Primary Health Care (IPHC) Project and funded by PEPFAR, Khanyiselani Development Trust (KDT) in Kwa Zulu Natal, South Africa uses ecotherapy (or “nature therapy”) to provide orphans and vulnerable children with vital and high-quality psychosocial support.

South Africa is home to the largest number of HIV-positive people in the world. Approximately 3.5 million new HIV infections occurred in sub-Saharan Africa in 2002, with youth and women most infected. To protect their community’s younger generation from the scourge of AIDS and help prevent new infections, some village leaders in South Africa’s impoverished Eastern Cape Province are promoting abstinence.With support from the U.S.

Sub-Saharan Africa has one of the highest maternal mortality rates in the world. In South Africa, women are more likely to die of tuberculosis, HIV/AIDS, or other infectious disease than are men. Between 2000 and 2005, the United Nations estimates that half of the deaths of children below the age of five will be due to AIDS.Across South Africa, those involved in health care are struggling to improve health services for women and children and prevent these needless deaths.

The Disease with No NameOn October 25, 2002, 26-year old Zanele Mavana is slowly dying in her home in a rural village of the Eastern Cape Province, South Africa. Her three children, ages 10, 8, and 4, watch as their mother's bones become more visible. She no longer has the strength to get out of bed; her diarrhea has stained the sheets as she waits helplessly for someone to clean her. To reach the nearest hospital, she would have to walk for hours, first through the open, hilly field surrounding her home, followed by mud roads, then gravel roads, and finally a tarred road.

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