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Financing innovative HIV prevention measures for young people

Psychosocial Support Forum1 – 3 September 2015Victoria Falls

German Financial Cooperation with South Africa

Marius Glitz

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1 KfW in South Africa – Facts & Figures

2 Some Data on the HIV Epidemic in South Africa

3 KfW’s approach to HIV prevention

4 Project examples

5 Conclusion

Overview

South Africa – Areas of Cooperation

GOVERNANCE & ADMINISTRATION

HIV and AIDS

ENERGY & CLIMATE (Green Economy)

•Violence Prevention in Townships•Urban Upgrading

•HIV and AIDS Prevention •Orphans, Vulnerable Children and Youth

•Renewable Energy•Energy Efficiency•Climate and Mitigation Measures•Green Jobs

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KfW Development Bank in numbers

29%

10%€ 891 Mil-

lion

€ 45 Million € 35 Million

Green Economy

HIV/ AIDS

Violence Prevention

€ 32 Million

€ 2 Million

€ 12 Million

„Technical Assistance“

€ 123 Million

€ 263 Mil-lion€ 585 Mil-

lion

Grants

Development Loans

Promotional Loans

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Some Data on the HIV Epidemic in South Africa

Key risk populations

› Young black women, men older than 25, MSM

› particularly in urban informal settlements

› concentrated in certain geographic micro epidemics, especially in the eastern provinces of South Africa

Social drivers of HIV infection

› Risky sexual behaviour

› Alcohol & drug abuse

› Prostitution

› Sexual violence

› (Self)stigmatisation and discrimination as barriers to testing, treatment and support

Challenge

› HIV prevalence in total population: 12,2%

› 6,4 Mio and about 20% of all HIV positives worldwide

› about 470.000 new infections every year (women twice as much as men!)

National Strategic Plan on HIV, STIs and TB 2012-2016 (NSP)

KfW supports the NSP to

› Reduce new HIV infections by at least 50%

› Reduce TB infections and deaths by 50%

› Reduce self-reported stigma and discrimination by 50%

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Behavioural Change

› Sexual education, activation and personality development for young adults, presenting role models, strengthening identity/ self-esteem

› Violence prevention

› Social Marketing, Sensitization, incentive programme

Classical Prevention Strategies

› Construction and Rehabilitation of public medical infrastructure

› Innovative HIV Counselling & Testing (HCT) measures, including mobile testing & private sector models

Total Volume - grant in implementation: planned:

EUR 44.9 million EUR 17 million

Prevention and linkage to treatmentDevelopment of a comprehensive approach

Economic opportunities

› Care and training programmes for orphans, other vulnerable children and youth

› Improving access to vocational and further training programmes

› Social networks which create access to the job market

Geographical areas of FC and HIV Prevalence

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+ nationwide activities: Activate! (DG Murray Trust) Conditional rewards/ incentives programme (loveLife)

Northern Cape

Limpopo

KwaZulu-Natal

North West

Eastern Cape

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Internet usage

› 12.3 million internet users in South Africa

› over 70% of users access via their mobile phones

› 40% of users are between the ages of 15 and 24

› majority are black people living on less than R1,500 a month

Reasons for going online

1. To get information

2. To socialise (3 out of 4 in social networks)

3. For study purposes

4. For business

5. To look for a job

The so called „mobis“ (mobile only users)

iloveLife mobi site (EUR 2 million grant)Rewarding positive HIV risk behaviour and a healthy lifestyle

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iloveLife mobi site (EUR 2 million grant)Rewarding positive HIV risk behaviour and a healthy lifestyle

http://ilovelife.mobi

Approach

› Cell phone optimized digital platform adressing young people (10-24 years)

› learning portal raises risk awareness towards HIV

› conditional cash transfers reward healthy lifestyle

Impact

› Reduction in new HIV infections

› Promoting a healthy lifestyle

› Communicating behavioural change, raising self-esteem and a sense of responsibility

Partners:

› South African National Department of Health (grant recipient)

› South African youth development NGO loveLife (project implementer)

Register via SMS

*120*2121#

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Activate! Leadership incubator (EUR 5 million grant )Behavioural change through Peer Education

Approach

› Nationwide young leadership network focussing on a common goal of public innovation, to influence and change society for the better

› training a ‘critical mass’ of 5,000 Peer Educators in the age group of 20 – 30 in a three year training programme across different modules

› Building a mind-set of innovation able to place problems in context and use ideas to solve them

› Creating opportunity for personal growth and development for participants, which can serve as a precedent for other young people

Impact

› Reducing the tolerance of destructive risk of young people through Peer Educator training

› Contributing to the reduction of new HIV infections among the youth

› Creating a common identity to increase social cohesion and stability

Partners:

› South African National Department of Health (grant recipient)

› DG Murray Trust (project implementer)

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Activate! – Project Examples –Creating active citizenry

www.activateleadership.co.za

Dress Jozi CampaignPaperboy – Postboxes for Everyone

Township Roots (Nyanga)After school life skills activitiesfor children aged 12 – 16

‘Outspoken Youth Initiative’Connecting youthto their dreamsthrough realrole models

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Support to Orphans, Vulnerable Children and YouthCreating a better future through youth adequate services and psychosocial support

Approach

› Construction of 16 Community Care Centres + equipment in North West, Limpopo and KwaZulu-Natal provinces

› Providing youth adequate services: skills development and psychosocial support for OVCY (particularly for child-headed households)

Impact

› Reduction of new HIV infections in OVCY

› Improving living conditions and quality of life

› Increasing school attendance rate

› Lowering malnutrition rate

› Raising household income

Total Volume

› EUR 9.9 Million grant from the German Government

Partner:

› South African National Department of Social Development (grant recipient and implementer)

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Support to Orphans, Vulnerable Children and Youth

Financing innovative solutions for development

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Our impact on development

› Combating societal tolerance of negative risk

› Creating opportunities for young people

› Improving quality of life

› Planning with the communities affected and empowering people to take ownership

› Encouraging government to upscale successfully implemented development solutions

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Thank you for your attention

Online: www.kfw-entwicklungsbank.dewww.kfw.de/microsites/Microsite/transparenz.kfw.de/en/index.html