Annual Report 2016 - Philani · 2018-05-04 · CHWs, mentor mothers, community leaders, teachers...

22
Annual Report 2016

Transcript of Annual Report 2016 - Philani · 2018-05-04 · CHWs, mentor mothers, community leaders, teachers...

Page 1: Annual Report 2016 - Philani · 2018-05-04 · CHWs, mentor mothers, community leaders, teachers and nurses. with 2,227 stable adult clients make use of this service which enable

Annual

Report

2016

Page 2: Annual Report 2016 - Philani · 2018-05-04 · CHWs, mentor mothers, community leaders, teachers and nurses. with 2,227 stable adult clients make use of this service which enable
Page 3: Annual Report 2016 - Philani · 2018-05-04 · CHWs, mentor mothers, community leaders, teachers and nurses. with 2,227 stable adult clients make use of this service which enable

Letter from the Chairperson – Letter from the Director – The Mentor Mother Programme -A Mentor Mother’s Story – The Training Unit – The Income Generation Programme – The

Integrated Nutrition Programme – The Educare Programme – The Expansion and Consolidation Programme – Catch and Match – Story from the Field – Research Studies ––

Funders and Board of Trustees

Page 4: Annual Report 2016 - Philani · 2018-05-04 · CHWs, mentor mothers, community leaders, teachers and nurses. with 2,227 stable adult clients make use of this service which enable
Page 5: Annual Report 2016 - Philani · 2018-05-04 · CHWs, mentor mothers, community leaders, teachers and nurses. with 2,227 stable adult clients make use of this service which enable

Philani’s commitment to improvingcommunity health remains unwavering– and another successful year, helpingpoor and vulnerable families, istestimony to this. Working towardsgood health for all, providing educationand ending poverty are among theUnited Nations SustainableDevelopment goals – and have beenfocus points for Philani for severaldecades.

Our Training and Research Centre in theZithulele region of the Eastern Capeofficially opened in November – and thiswas momentous for Philani. The supportwe received showed our welcomedintegration into a very poor and ruralcommunity. New studies are alreadyunderway and we have no doubt of thecentre being a first-class training andresearch facility.

In 2016 we were able to successfullytrain other organisations and NGOs inmaternal and child health care, usingour comprehensive training packagedeveloped from the Mentor MotherProgramme. We have worked hand inhand with the Department of Health ona number of innovative projects – andlook forward to continue doing so in theyear to come.

Along with impacting upon thehealthcare of mothers and childrenthrough our Mentor Motherintervention, our Income Generationand Educare programmes are providinghigh-quality education to pre-schoolchildren and changing the lives ofimpoverished women and their families.

South Africa has a long way to go toreach its goals of improving poor childand maternal health, poverty andinequality. Positively impacting thecommunities that are most affected bythese issues is the foundation on whichthe programmes at Philani were started- and continue on today. Thanks to thededication from Philani employees,commitment from our funders andsupport from the public, we cancontinue to provide these supportingprogrammes – and strive towardsimproving the lives of women, childrenand families in the communities weserve.

Letter from the Chairperson

“We have worked hand in hand with the Department of Health

on a number of innovative projects – and look forward to

continue doing so in the year to come.”

Professor Annette Seegers

Page 6: Annual Report 2016 - Philani · 2018-05-04 · CHWs, mentor mothers, community leaders, teachers and nurses. with 2,227 stable adult clients make use of this service which enable

We have continued to consolidate andexpand the Mentor MotherProgrammes, in both Swaziland andEthiopia, with training and technicalsupport visits.

Discussions are taking place at presentwith regards to providing mentormother training to an additional 40Community Health Workers, who areemployed by the DoH in the EasternCape and linked to eight clinics.

partnership with both DoH – trainingCHWs in the Eastern Cape - and thosefrom other NGOs funded by the DoH inthe Western Cape.

During the year, we provided refreshertraining to more than 160 Philanimentor mothers and DoHs CHWs onvarious topics, including maternal andchild health and nutrition, EarlyChildhood Development (ECD), home-based care and mental health.Supervisor training was added to ourtraining package and offered to morethan 20 Philani, Enable and DoHsupervisors from the Western andEastern Cape.

The Training Unit trained and equippedalmost 150 mentor mothers across theWestern Cape, Eastern Cape andSwaziland during 2016. We havecontinued to work in

The “Catch and Match” initiative - aPhilani and Western CapeDoH partnership - a comprehensivemodel of community based servicesbased on the Mentor Mother Model, hascreated much interest within and outsideof the Department. The aim of thisinitiative is to improve access to care bystrengthening screening and referral ofat-risk clients. Much work has been putinto developing an advanced mobilehealth tool, created by Mobenzi , for useby mentor mothers and their supervisors.

Workers (CHWs) and they started in thefield in August. Philani conducted its firsttechnical support visit in November,assessing progress and the need forfurther support and training. A newgroup of Enable mentor mothers will betrained by Philani and deployed in theNyandeni community during 2017.

The Mentor Mother Programme hasexpanded its reach in other ways. Oneto One Children’s Fund - a Uk-basedNon-Governmental Organisation (NGO)- is Philani’s first social franchise partner.They have established a Mentor MotherProgramme ,“Enable,” in Nyandeni, ORTambo District of the Eastern Cape. InJune-July, Philani recruited and trainedEnable’s first 15 mentor motherstogether with 17 Department of Health(DoH) Community Health

During 2016 Philani expanded thereach of its flagship Mentor MotherProgramme in the Eastern and WesternCape by recruiting and training newmentor mothers, who have sincemoved into new geographical areas. Atthe end of the year, 200 mentormothers had visited and supportedthousands of mothers, children andfamilies in the Eastern and WesternCape.

Letter from The

Medical Director

Page 7: Annual Report 2016 - Philani · 2018-05-04 · CHWs, mentor mothers, community leaders, teachers and nurses. with 2,227 stable adult clients make use of this service which enable

We look forward to 2017 and to ourcontinued work on current and futureprojects, keeping the Philani vision inmind - a South Africa where pregnancyis safe for all and every child can growup healthy.

Our two research programmes, ZiMBAand ZiBFUS are ongoing, with an articleon immunisation published in the SouthAfrican Medical Journal in 2016 andothers being prepared for publication.Philani, University College Los Angelesand Stellenbosch University have beengranted a new National Institute ofHealth research grant, to investigatethe role of supervision and support inthe field for successful CHWprogrammes.

Twenty mentor mothers - five eachfrom Ethiopia, Swaziland, the Easternand the Western Cape, participated in amentor mother conference at theTraining and Research Centre inNovember. It was a valued opportunityfor mentor mothers to shareexperiences and learn from each other.

On November 17th, we officially openedthe Philani Training and Research Centrein partnership with Zithulele DistrictHospital in the Eastern Cape. Theopening was attended by dignitariesfrom National, Provincial and DistrictDepartments of Health, Deans ofMedical Schools, academics, mayors,chiefs, headmen, hospital staff,researchers and mentor mothers. Awell attended symposium on “Strivingfor Excellence in Rural Health” washeld at the Training Centre whichprovides space for ongoing ruralhealth research - and for training ofCHWs, mentor mothers, communityleaders, teachers and nurses.

with 2,227 stable adult clients makeuse of this service which enable easyaccess ARVs and monitors treatmentadherence.

Another support to the Mentor MotherProgramme is Anti-Retroviral (ARV)clubs. By the end of 2016 Philani, hadestablished 79 community-based clubs

Our Educare and IncomeGeneration Programmes continue tocompliment our Mentor Motherintervention, through the education ofpre-school children and improvinghousehold financial stability for motherswith social problems or children at-risk.All 11 ECD classes in the Western Capehave assistant teachers and a local ECDcoordinator for 17 playgroups in CoffeeBay and Zithulele has been employed. Afunding proposal was submitted toNational Lottery for fully equipped ECDclassrooms. Philani was granted 6complete sets of classrooms, offices,kitchens and playground equipment -four for Eastern Cape and two forWestern Cape, which will be installedduring 2017.

Dr Ingrid le Roux

Our partnership with StanfordUniversity has continued, whereby 22mentor mothers have been equippedwith tablets and are using educationalvideos during their home visits.

Philani was selected – with the supportof Mothers2Mothers – to bid for aWestern Cape DoH tender for SocialImpact Bonds. This three-year pilot isan innovative way of financing healthcare with many stakeholders andinvestors involved.

Page 8: Annual Report 2016 - Philani · 2018-05-04 · CHWs, mentor mothers, community leaders, teachers and nurses. with 2,227 stable adult clients make use of this service which enable
Page 9: Annual Report 2016 - Philani · 2018-05-04 · CHWs, mentor mothers, community leaders, teachers and nurses. with 2,227 stable adult clients make use of this service which enable

endorse the supervisors trainingmanual. This workshop informed us ofmany things we can do to improve thequality of the intervention we aredelivering and also improve the waywe hold each other accountable. Itgave the team time to reflect on theirwork and share expertise as well ascreated the opportunity for learningfrom both the organisation and theemployees.

The Philani Mentor MotherProgramme continues to grow and isbeing strengthened yearly. We areproud of the work that is being donein the field. Sometimes we are unableto share all the joys this programmebrings both in our lives and the lives ofour clients.

StaffingAt the beginning of 2016 the WesternCape DoH (Mitchells Plain/Klipfontein)handed over 33 CHWs, a nursecoordinator and non-professionalcoordinator from a NGO struggling toreach its targets.

This group increased our numbers to140 mentor mothers, 10 supervisorsand four professional nurses.

We have also employed a newprogramme manager NomzamoMatodlana.

In the Eastern Cape we have a team of70 mentor mothers with 9 supervisors.This teams has also increased with theappointment of three senior mentormothers.

Presentations this yearThe Mentor Mother Programme waspresented in the following platforms;Stellenbosch University Department ofEconomics, Insight Symposium in theEastern Cape, the 7th Child HealthPriorities Conference in Cape Townand a round table discussion held withour funders, and Philani staffmembers.

We have had many visitors fromSweden and other countries that gotthe opportunity to get ourpresentations too.

TrainingSupervisor workshop in Cape townwas a great success, its aim was to

The Mentor Mother

Programme

“The main aim of thepresentations is toshare the model andat the same timelearn from otherstakeholders on howwe can improve ourintervention.”

Page 10: Annual Report 2016 - Philani · 2018-05-04 · CHWs, mentor mothers, community leaders, teachers and nurses. with 2,227 stable adult clients make use of this service which enable

In addition a formal supervisor’straining was conducted in the EasternCape which was also a great success. Itwas a good team building session forour supervisors. It gave them insightinto their contribution to the biggervision of the organisation as well as intheir own country. They mostlyenjoyed the goal setting session whichenabled them to shape their owngoals in their personal lives.

HighlightsCatch and Match programme wasborn out of the Mentor Mother Modelwith adaptations that we welcomeand hope will influence theeffectiveness of a mentor mothers inthe field.

A mentor mother conference was ahighlight 2016. Five mentor mothersfrom each Eastern Cape, Ethiopia,Swaziland and Western Cape spentthree days and nights togetherdiscussing important subjects affectingwomen in their different countries.They also shared lots of their joys -the conference was full of love andcompassion.

We had a wonderful heritage daywhere all our mentor mothers in theWestern Cape dressed to kill in theirtraditional attires.

The year end party as usual was awonderful day where all the Philanistaff felt equal and valued.Management received compliments.from the staff for this day, mostly forthe work that has been done throughthe year.

We are also thrilled to report thatseven of our eight students funded bythe CHOSA fund have successfullyfinished their staff nurse trainingcourse.

“We will definitely carry on working hard

on this project not forgetting the love and care as that is part of our values.” Nokwanele Mbewu

Senior Programme Manager

Page 11: Annual Report 2016 - Philani · 2018-05-04 · CHWs, mentor mothers, community leaders, teachers and nurses. with 2,227 stable adult clients make use of this service which enable

We learned that she has a skulldeformity and requires an operation –which is what impacted her speechabilities. In the mean time, our OVCworker at Philani was helping me toascertain a birth certificate and a ChildSupport Grant. Our ProgrammeManager became involved andpersisted with getting Zee removedfrom her father’s home. Eventually,social workers were able to do exactlythis: remove Zee to a safer, healthierenvironment. She is now living withfoster parents. She is still a littleunderweight but doing so muchbetter. Her immunisations are up todate. Her ENT check was healthy. Shecan stand. She can walk. She is eventalking and attending creche, playingwith other children. We hope that shewill continue to improve and thrive inher new home. It was a collectiveeffort – but so important that she wasremoved from that neglectfulenvironment. If you look at how muchbetter she is already – where she isnow, compared to where she was….that is already a miracle.”

I was doing my house to house visits,as normal. I came across a young childwho was being looked after by herneighbour. The little girl - she couldnot stand. She could not walk orspeak. She could only maneuverherself using chairs and it was clearshe had a physical deformity of somesort. I asked the lady caring for her forsome more information and learnedthat the child’s mother had passedaway last year. The little girl – Zee –was left with her father. “When hegoes to work, he leaves her with me –but always without food and drink!”the lady told me. I asked her when thefather would return and decided tofollow-up later. I went back to thehouse that evening and managed tospeak to the father and assess thechild.

Zee was severely underweight, not upto date with immunisations and hadno clinic card. I explained to her fatherwhat the Mentor Mother Programmeis – who we are, what we do and howwe can help. He agreed for hisdaughter to be taken on as a client. Ilearned that the child had no birthcertificate – and that it would be along journey to get one.

A Mentor Mother’s Story from the Field

NovangeliMentor Mother at Philani

“I explained to her father what the Mentor Mother Programme is – who we are, what we do and

how we can help.”

At the time, the little girl was sickconstantly – myself and the neighbourhad attended clinic visits with her butshe was growing tired of assisting allthe time. The father’s girlfriendstarted to look after Zee but did nothave her best interests at heart. It wasdifficult to see this little girl suffering –but encouraged me even more to helpher as best as I could. Zee waseventually referred to Tygerberghospital, where she had several testsdone for genetic diseases andabnormalities.

Page 12: Annual Report 2016 - Philani · 2018-05-04 · CHWs, mentor mothers, community leaders, teachers and nurses. with 2,227 stable adult clients make use of this service which enable

Philani is proud to have trained andequipped more than 140 mentormothers and CHWs in 2016, includingregions of the Eastern Cape, WesternCape and Swaziland.

In the Western Cape, a training tenderwas awarded to Philani for the secondyear running by the Western Cape DoH.

The tender was to provide to 50 CHWsand their supervisors from four Non-Profit Organisations (NPOs) in the CapeTown Metropole, with initial mentormother, supervisor and refreshertraining – as well as equipment for alltrainees. This training will continue into2017 and we look forward to applying

In the OR Tambo District in rural EasternCape, initial mentor mother training wasprovided to 26 DoH CHWs, 22 Enablementor mothers (funded by One to OneChildren’s Fund, which is Philani’s first

In Swaziland, 24 mentor mothers fromSiphilile were trained and are nowworking in a new geographical area.Refresher and supervisor training aswell as support visits are planned for2017.

Social Franchise), as well as 11 potentialPhilani recruits. Supervisors fromPhilani, Enable and the DoH were alsotrained.

for future tenders with the DepartmentOther training included providing 60WCDoH funded CHWs from variousNPOs with maternal, child health andnutrition training.

A group of 30 CHWs has subsequentlybeen handed over to Philani to supportand manage as part of an ongoingintegration process. We believe this is animportant contribution to theDepartment’s strategy to re-engineerprimary health care in South Africa -and create a more holistic cadre ofCHWs who are able to serve entirefamilies.

“We believe this is an important contribution to the Department’s strategy

to re-engineer primary health care…”

“Philani’s footprint in the Eastern Cape continues to

grow - and the Training Unit is excited to be involved in

spreading the Mentor Mother Model in rural

areas…"

The Training

Unit

Nicola EleyTraining Unit Manager

We look forward to new trainingopportunities across South Africa andbeyond in the year to come.

Page 13: Annual Report 2016 - Philani · 2018-05-04 · CHWs, mentor mothers, community leaders, teachers and nurses. with 2,227 stable adult clients make use of this service which enable

The Income Generation Programme atPhilani has had yet another successfulyear. Our Mentor Mother Programmecontinues to facilitate the recruitment ofthe new mothers to the project –identifying women-in-need within ourcommunities who can benefit fromlearning to weave, print and more.

We had the opportunity this year ofenrolling 6 new printing and eightweaving mothers onto the programme.They were successfully trained andstarted to make beautiful products toadd to our shop.

We installed a coffee machine and

seated area in the shop, where our

visitors can relax and view short films

that explain the Mentor Mother

Programme at Philani. Orders from the

youth wing of the Church of Sweden

kept mothers busy in the quieter winter

months – including an order of 2000

printed bags, 450 aprons and 400 sets of

oven mittens.

We would like to take this opportunity to

thank the Philani staff, funders and the

public for their continued support to the

employment project.

In line with the United NationsSustainable Development Goal numberfive, Philani believes that “genderequality is not only a fundamentalhuman right, but a necessaryfoundation for a peaceful, prosperousand sustainable world.” We willcontinue to empower women byproviding education and work throughthis Philani initiative.

This programme provides theopportunity to learn invaluable,income-generating skills for womenthat are often in very poor andvulnerable positions. Gender equalityremains and issue in South Africa and,while we have progressed further thanother African countries, women andgirls still face significant setbacks in oursociety because of gender.

“..Philani believes that “gender equality is not

only a fundamental human right, but a

necessary foundation for a peaceful, prosperous and sustainable world.”

We also received smaller orders onseveral occasions throughout the year,especially from our Swedish friends.

The Income Generation Programme

Ronika MutemaShop Administrator

Page 14: Annual Report 2016 - Philani · 2018-05-04 · CHWs, mentor mothers, community leaders, teachers and nurses. with 2,227 stable adult clients make use of this service which enable

The Integrated Nutrition

Programme

The Integrated Nutrition Programme atPhilani consists of five nutrition clinicswhich are centre-based and three home-based flexi-clinics. The aim of thisprogramme is to reduce malnutrition, acommon cause of morbidity andmortality among children in South Africa.We target pregnant mothers and childrenunder the age of five – the periods withinthe life cycle where nutrition has themost influential role in health anddevelopment.

Mentor mothers visiting homes continueto identify the most severelymalnourished children for referral to theclosest Philani home-based clinic ornutrition centre.

Children are weighed and assessed atevery clinic visit, offered medical advice,nutritional support and counselling byeither a Medical Doctor or RegisteredDietitian. The aim of home-based clinicsis to support our clients who cannotreach one of the nutrition centres, due todistance or financial constraints. Childrenor pregnant mothers found to beunderweight, or failing to thrive, are givenspecialised nutritional products and theirprogress is monitored closely.

We receive referrals from governmentclinics or hospitals and often refer clientsto the nearest health facility if they are inneed of further medical assistance. During2016, 180 new children were admittedonto the nutrition programme, with arehabilitation rate of 45%. By the end ofthe year we had a total of 304 clients onthe programme.

Our Breastfeeding Programmeencourages mothers to begin this practisefrom birth. Based at Maternity ObstetricsUnits (MOUs) and hospitals,Breastfeeding Peer Counsellors (BFPCs)provide essential ante and post-nataleducation within the governmentfacilities in Khayelitsha. They assist newmothers and expecting mothers to ensuresuccessful breastfeeding practices, givedaily talks and offer one-on-onecounselling. One of our BFPCs started anisiXhosa Facebook group, where she givesmothers advice and the opportunityshare experiences and encourage eachother. The group is still growing andcurrently has over 1500 members. In2016, we assisted over 3000 motherswith individual counselling sessions, over1000 with early initiation of breastfeedingand over 5000 with maintainingsuccessful post-natal breastfeeding. Weare very proud of the high breastfeedingrates from the MOUs, where more than90% of mothers being counselled by aBFPC are breastfeeding upon beingdischarged. We look forward to anotheryear of supporting the women andchildren of the communities we serve.

“We are very proud of the high breastfeeding rates at

our centres, where more than 90% of mothers are

breastfeeding upon being discharged.”

Keren Gird, Dietitian

Page 15: Annual Report 2016 - Philani · 2018-05-04 · CHWs, mentor mothers, community leaders, teachers and nurses. with 2,227 stable adult clients make use of this service which enable
Page 16: Annual Report 2016 - Philani · 2018-05-04 · CHWs, mentor mothers, community leaders, teachers and nurses. with 2,227 stable adult clients make use of this service which enable

The Educare

Programme

Our Educare Programme has had agreat year of growth. This year hasfocused on strengthening support forour teachers, so they are able to createand facilitate stimulating activities forthe children. We appointed five newmembers to the Educare Programme,bringing our staff compliment to 21people, including; teachers, assistantteachers, cooks and a coordinator. Weare pleased to have maintained a figureof 272 children across 11 classes.

Four of our Educare centres areregistered with the Department ofSocial Development and the pre- GradeR and Grade R classes with the WesternCape Education Department. We areproud to share that our Grade Rteacher, Lindiwe Bomvana, continues toact as lead teacher in the ECD clustersof the Western Cape EducationDepartment, assisting with training ofother Grade R teachers.

The “Happy Wednesday” team hascontinued to visit three of our centres,providing additional reading forchildren and Eric, the Marimba teacher,has continued to add diversity to ourprogramme through teaching musicclasses three times per week.

As the year drew to an end, we saw 48Grade-R learners graduate in thepresence of their families. It was ajoyous celebration where parentslaughed, cried, prayed and danced. Theceremony was moving – and we trulybelieve that parents who attended felt abright future ahead for their children.We also ran a successful Christmascampaign and, thanks to everyone whodonated, we are thrilled to say we wereable to provide all 272 children with ashoe-box gift, putting a smile on everychild’s face.

On behalf of the Educare team, I wouldlike to thank everyone who hascontributed to making 2016 a successfulyear. We are grateful for the continuedsupport we receive - with special thanksto the United Church of Rondebosch,who supported 30 children with tuitionfees, the Small Foundation and thePhilani Fund USA

“...we saw 48 Grade-R learners graduate in the

presence of their families. It was a joyous celebration

where parents laughed, cried, prayed and danced.”

Cindy Mkaza SibotoEducare Co-ordinator

Page 17: Annual Report 2016 - Philani · 2018-05-04 · CHWs, mentor mothers, community leaders, teachers and nurses. with 2,227 stable adult clients make use of this service which enable

The Consolidation and ExpansionProgramme at Philani had a busy year,continuing to support our pilot MentorMother programmes and exploring newopportunities for expansion.

The support Philani offered to the teamsin Swaziland and Ethiopia has beengiven both on site and at Philaniheadquarters, where we haveconducted new and refresher training.The Siphilile management team visitedCape Town from Swaziland inSeptember, where together we assessedthe developments at Siphilile, discussedchallenges and compared how theMentor Mother model is interpretedand implemented between bothcountries. Shortly after this, Philanitrained a new group of 25 mentor

mothers in Swaziland as part ofSiphilile’s expansion into the Lubomboregion. We have continued tocorrespond with both organisationsregarding financial, organisational,managerial and programme issues.

In September, Philani took part in andpresented at the conference for theNetwork for SRHR and Theology inStellenbosch – along withrepresentatives from the Ethiopian andSwazi Mentor Mother projects. We werethrilled to hold our very own MentorMother Conference at our new Trainingand Research Centre in Zithulele,Eastern Cape, in November. Theconference was a unique initiative whichbrought together 20 Mentor Mothersfrom Ethiopia, Swaziland, the Easternand Western Cape provinces in SouthAfrica.

With emphasis on participation, MentorMothers were given a platform todiscuss, compare, assess and giverecommendations to their peersregarding the management of eachproject.

Philani was able to explore the potentialfor developing successful maternal andchild health interventions across Africa.Earlier in the year, we invited our mainpartners and donors to a ‘Round TableDiscussion,’ which focused on possibleroutes for replication of the MentorMother model, in both African countriesand other South African provinces.

Philani was invited to complete a pre-assessment for intervention in Namibiaand had discussions about modelreplication with partners in Tanzania,Egypt and Gaza. We look forward toexploring these exciting opportunitiesfurther in the coming year – and hopeto be able to provide other countriesand organisations with support in childand maternal health interventionsthrough our expansion andconsolidation programme.

The Expansion andConsolidation Programme

“We were thrilled to hold our very own Mentor

Mother Conference at our new Training and Research

Centre in Zithulele….”

Herman HallonstenProgramme Manager

Page 18: Annual Report 2016 - Philani · 2018-05-04 · CHWs, mentor mothers, community leaders, teachers and nurses. with 2,227 stable adult clients make use of this service which enable
Page 19: Annual Report 2016 - Philani · 2018-05-04 · CHWs, mentor mothers, community leaders, teachers and nurses. with 2,227 stable adult clients make use of this service which enable

Catch and Match was funded by TireloBosha for 18 months and ended inSeptember 2016. The Department willcontinue funding the project until theend of March 2017, with long termsustainability being discussed by theMetro District. The project waspresented to Minister Mbombo and isdue to be presented to the ProvincialCabinet in early 2017. It has been aninteresting collaborative project towork on - and encouraging to see otherCHWs adopting the Philani model andbeing inspired to improve the lives ofmothers and children.

Catch and Match is a model ofcomprehensive services, delivered byCHWs, being piloted by the WesternCape DoH. Philani was appointed in2015 as an implementing partner, withour integrated model of care and focuson maternal and child health being inline with the Department’s First 1000Days campaign.

Home-based services are offered forantenatal and post-natal care, care forchildren under the age of five years,Home - based care, adherence supportand wellness promotion. CHWs also dohome pregnancy tests and administermissed doses of Vitamin A.

Three pilot sites were chosen(Khayelitsha, Delft and Nyanga), eachwith a team of 10 CHWs and oneCoordinator. Philani, Touching Nationsand St John are the three participatingNPOs. Each CHW is allocated an area of250 households and conductssystematic screening of householdmembers.

An electronic referral loop is now inoperation, where CHWs refer clients tohealth facilities and receive anotification when their client has been‘encountered’ at a facility. The referralsystem is the first of its kind in theprovince and is entirely automatic -requiring no additional input fromhealth facilities.

All pregnant women, children underfive years and clients requiringHome - based care are entered intoindividual folders - and followed upmore regularly. An innovative mobilehealth application has also beendeveloped which includes householdand client screening, more detailedscreening for HIV and TB, monthlystatistics and referrals.

“The referral system is the first of its kind in the

province and is entirely automatic - requiring no

additional input from health facilities.”

Catch and

Match

Dr. Claudine BillCatch and Match Coordinator

Page 20: Annual Report 2016 - Philani · 2018-05-04 · CHWs, mentor mothers, community leaders, teachers and nurses. with 2,227 stable adult clients make use of this service which enable

Philani, in collaboration with ZithuleleHospital and Stellenbosch University, hasbeen involved in two research projectsin the areas surrounding ZithuleleHospital since 2013. Two studies arecurrently underway, the Zithulele BirthsFollow up study (ZiBFUS) and theZithulele Mothers-to-be-Assessment(ZiBMA). The newly built Training andResearch Centre in Zithulele will serve asinnovative research hub for rural healthstudies like these, as well as communitytraining.

Follow ups include weighing and

measuring the children, developmental

tests, and an extensive interview with the

mother or caregiver covering health,

nutrition, health care seeking, amongst

others. Our ZiBFUS children all turned

three years old between January and

April 2016 and we managed to follow up

and interview 82.2% of participants.

ZiMBA evaluates the Mentor MotherProgramme for which we recruitedapproximately 1300 mothers andchildren. The study looks at healthoutcomes such as weight, breastfeedingpractices, immunisation coverage, healthcare seeking and developmentalmilestones for mothers and children inan intervention area - where mentormothers are active - compared to acontrol area, with no mentor mothers.

Participants were recruited while

pregnant and are interviewed at birth, six

and 12 months. Follow ups include

weighing and measuring the children,

developmental tests, and an extensive

interview with the mother.

The first article published from the

ZiBFUS was finalised towards the end of

2016 and published in the South

African Medical Journal in January

2017, titled: “Immunisation coverage in

the rural Eastern Cape – are we getting

the basics of primary care right? Results

from a longitudinal prospective cohort

study.” We are currently working on

several other articles from the ZiBFUS

data and are starting to analyse the

ZiMBA data. A new cluster randomized

controlled trial (RCT) is currently being

planned for the Zithulele area in 2017,

which will look at the importance of

supervision for CHWs - with special

focus on HIV related interventions.

ZiBFUS is a longitudinal prospectivecohort study in which 470 mother-infantpairs were recruited just after birth.During the first year they were followedup and interviewed every three months,after which they were followed upannually.

Linnea StanstertResearch Coordinator

“Follow ups include weighing

and measuring the children,

developmental tests, and an

extensive interview with the

mother.”

Research Studies

in Zithulele

Page 21: Annual Report 2016 - Philani · 2018-05-04 · CHWs, mentor mothers, community leaders, teachers and nurses. with 2,227 stable adult clients make use of this service which enable

“We are ever grateful for all the support we receive. Without

consistency – whether this be in funding, partnership or advice – we would not be able to achieve all that

we do as an organisation.”

FUNDERS

BOARD of TRUSTEES

Western Cape Department of Health – Elma Philanthropies – The Church of Sweden – DG Murray Trust – Discovery Fund – Department of Social Development – City of Cape Town –

Philani Fund USA – National Lotteries Commission – Western Cape Department of

Education

Annette Seegers – Colin Moses – Pumla Mawisa – Anna Genu – Ingrid le Roux –

Nokwanele Mbewu

Page 22: Annual Report 2016 - Philani · 2018-05-04 · CHWs, mentor mothers, community leaders, teachers and nurses. with 2,227 stable adult clients make use of this service which enable

Philani Maternal, Child Health and Nutrition Trust

Registered as Philani Nutrition Centres Trust

Street Address: Phaphani Street, Site C, Khayelitsha

Postal Address: PO BOX 40188, Elonwabeni, Cape Town, South Africa,

7791

Tel: +27(0)21 387 5124Fax: +27(0)21 387 5107

[email protected]

www.philani.org.za

NPO Reg. Number:042-402-NPO