Home Based Care
The project is currently funded by Sasol in Gert Sibande district (Embalenhle, Kinross,
Charl Cilliers and Leandra) of Mpumalanga.
Through this project, PSASA care supporters assess clients and provide
clinical, psychological, social, spiritual and prevention
services to clients and family members. Possible TB and HIV-infected clients
are referred to health care facilities for further
counseling, TB screening and HIV testing, CD4 count, management of
opportunistic infections and to access ARV treatment
if needed. The care supporters ensure that the TB clients adhere and comply
to prescribed medication
through Directly Observed Treatments Short- Course (DOTS) and ongoing
The care supporters provide ongoing adherence support to monitor clients to
comply with ARV and TB treatment.
For clinical or physical care, care supporters provide ongoing assessment,
counseling and support for the possible
TB and HIV-infected clients such as bathing, wound dressing, massaging, oral
care and hygiene, and feeding for those
who cannot feed themselves. Each Home Based Care project has a drop-in-
center for Orphan and Vulnerable Children (OVC)
where the children come to eat and get helped with their school work.
Prevention in High
PSASA is an experienced organization in running peer education among Most at
Risk Population (sex workers) since 1998.
The project spans Gert Sibande, Enkangala and Ehlanzeni in Mpumalanga. The
process starts with identifying high
transmission areas where vulnerable groups are found in transmission of HIV
and STI’s. Mapping is done and peer educators
(sex workers) are recruited and trained on HIV/AIDS and STI’s. They are
further mentored on how to reach other sex workers
and their clients who are at risk for HIV and STI transmission such as
engaging in casual sexual encounters, engaging in sex
in exchange of money or favors, having sex with an HIV-positive partner or
whose status is unknown at various hot spots
like bars, tavern and truck stops. The peer educators (sex workers) engage
in health talk, community outreach, distribute
condoms and make referrals i.e. STI, HCT, ARV, and TB. The referral
mechanism is in two ways: firstly, the peer educators
refer the possible and confirmed TB and HIV/AIDS clients to the
clinic/hospital for screening and for management.
Secondly, the clinic refers all the confirmed TB and HIV/AIDS clients to the
workers for basic care and support to be cared
for at home.
The Amaqhawe project is a prevention programme targeted at sex workers
working from taverns in Gert Sibande District.
The project is the joint effort of PSASA as sub partner and Health and
Development Africa (HDA) as prime partner.
The project aims to reduce the risk of HIV infections among sex workers who
are identified as Most at Risk Population.
The slogan of the project is “Sitholulwazi ukuze sizivikele” in Zulu meaning
we have got knowledge to protect ourselves.
Some of the project activities include a risk reduction training, peer
education training, support visit, systems
strengthening, quarterly magazine addressing various issues faced by SWs,
outreach campaign-one on one and
group interventions with sex workers, condom and lubricant distribution.