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Siyakha Nentsha-Enhancing the Economic, Health and Social Capabilities of Young Women and Men in KwaZulu-Natal, South Africa
 

Siyakha Nentsha-Enhancing the Economic, Health and Social Capabilities of Young Women and Men in KwaZulu-Natal, South Africa

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Siyakha Nentsha. A randomized experiment in KwaZulu-Natal, South Africa to examine how HIV/AIDS education supplemented with financial education and social support impacts upon young women's and young ...

Siyakha Nentsha. A randomized experiment in KwaZulu-Natal, South Africa to examine how HIV/AIDS education supplemented with financial education and social support impacts upon young women's and young men's economic, health and social capabilities

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    Siyakha Nentsha-Enhancing the Economic, Health and Social Capabilities of Young Women and Men in KwaZulu-Natal, South Africa Siyakha Nentsha-Enhancing the Economic, Health and Social Capabilities of Young Women and Men in KwaZulu-Natal, South Africa Presentation Transcript

    • “Siyakha Nentsha”Enhancing the Economic, Health, and Social Capabilities of Highly Vulnerable Youth
      by Kelly Hallman, Kasthuri Govender,
      Eva Roca, Emmanuel Mbatha and Mike Rogan
      Population Council
      Isihlangu Health and Development Agency
      University of KwaZulu-Natal
      KwaZulu-Natal, Department of Education
    • Thank you
      Our funders
      The William and Flora Hewlett Foundation
      Economic and Social Research Council
      DFID via the ABBA RPC
      KwaZulu-Natal Department of Education
      MS. NOMALI MAGWAZA & STAFF (UMBUMBULU)
      MR. N. CELE, DISTRICT MANAGER (UMBUMBULU)
      Additional team members
      Nombango Anna Sibeko / ThabileShozi / Mboneni Genesis Thwala / Nduduzo Blessing Msomi
      Pretty ThandaniCele / Nontobeko Charlotte Cele / Sabelo Emmanuel Mkhize
      Banele Precious Ngcobo / Njabulo Freedom Ndlovu / Noxolo Peaceful Makhanya
      NokulungaDorahShange / Suprise Patience Mseleku /Sithembile Pretty Gumede
      Mbali Pretty Mseleku / Bongekile Carol Shozi / AyandaMthabela / Siphiwe Cyril Mbava
    • Purpose
      Improve functional capabilities and well-being adolescents at high risk for
      HIV and STIs
      teenage pregnancy
      school dropout
      non-receipt of social benefits
      actual or potential loss of one or both parents
    • Project team
    • Formative research: Adolescent HIV risk behaviors influenced by
      Relative wealth
      Social capital
      Being an orphan
    • Durban Program Scan
      Few adolescent SRH or HIV programs address social, economic, and cultural underpinnings of risk behaviors
      Few livelihood programs make conceptual link to health risk behaviors
      Not context-, age-, culture- or gender-specific
      Design not evidenced based
      Delivery weak
      Little monitoring or evaluation
    • Project content
      Longitudinal survey
      In learners households
      GPS coordinates
      Government-accredited multi-session intervention
      10th & 11th graders during school hours
      Participatory reflective learning
      Role-plays/drama
      Workbooks/portfolios and diaries
      Community mapping
      Focus group with participants, parents, and mentors
    • Curriculum
      Government-accredited multi-session intervention
      Increase knowledge and skills for pregnancy and HIV prevention and AIDS mitigation; accessing preventive, treatment and care services
      Develop skills to manage personal and familial resources; access existing social benefits, education and training opportunities; plan and aspire for the future; build savings/assets over time
      Build and strengthen social networks and support
    • Participants
      • Secondary learners
      • Least selective sample
      • Scalable
      • Bundled package
      • Females and males
      • Resounding community feedback
      • Male knowledge and behaviors
      • Gender attitudes
    • Program implementation
      Recent matriculants in local community selected and receive training to serve as facilitators/mentors
      Classroom based intervention during school hours led by a pair young adult facilitator/mentors
      2-3 hours per week of exposure for 2 academic years
    • Research design
      Randomized to secondary school classrooms (grades 10-11) in seven schools
      Three study arms
      SRH/HIV, Social Support, Financial Education
      SRH/HIV, Social Support
      Delayed Intervention
    • Outcomes
      SRH and HIV/AIDS : knowledge, skills and behaviors, including adoption of safer sexual behaviors and service use
      Economic skills: ability to plan and manage personal and familial finances; identify and access available social benefits; articulate a plan for pursuing future livelihood-enhancing opportunities
      Social networks and support: access to friends, adult role models and individuals/groups who can assist with crisis management and provide links to opportunities
    • Sample
    • Sample
    • Sample
    • Participant views of financial education
      “We learnt about budgeting and saving and all those things, before we when we get money we spent it. This program was like an eye-opener to us, because, we know now when we get some money, we have to save something…”
      - male participant
    • “It’s different, in school we learn mathematics and biology but here we learn things that we can use in the future.”
      - female participant
    • Participant views of health education
      “….. I didn’t understand about HIV and AIDS before
      but now I do. I didn’t learn that in school.”
      –female participant
      “It changed my attitude, because I know how to use a condom and I know how to trust my partner and I know how to advise my partner, when we are sitting together and talking about, how to have sexual intercourse and I know even to advise the community as a whole about HIV/AIDS…”–male participant
    • Baseline associations
      Factors associated with protective behaviors
      Relative wealth
      Social support (friends, role models)
      Belonging to a community organization
      Having tried to start an income-generating activity
      Factors associated with higher-risk behaviors
      Having no hope for the future
      Orphanhood
      Personal luxury items
    • Communications
      Engage policymakers and programmers in dialogues to raise profile of issue
      Communicate the research process
      Utilize products in addition to policy briefs, reports, academic articles and website
      Facebook, Brochures, Postcards, Multimedia, Video
      Non-traditional public events
      Frontline Club, London
    • Multimedia
      Lindiwe’s Story
      (see pdf)
    • REFERENCES
      Hallman, K. “Social exclusion: The gendering of adolescent HIV risks in KwaZulu-Natal, South Africa,” in J. Klot and V. Nguyen eds., (in press), The Fourth Wave: An Assault on Women - Gender, Culture and HIV in the 21st Century. 2009. Social Science Research Council and UNESCO.
      Grant, M and Hallman, K. “Pregnancy-related School Dropout and Prior School Performance in South Africa,” Studies in Family Planning, 2008. 39(4): 369-382.
      Hallman, K. “Researching the determinants of vulnerability to HIV amongst adolescents,” IDS Bulletin, 2008. 39(5): 36-44.
      Bruce, J. and Hallman K. “Reaching the girls left behind,” Gender & Development,2008. 16(2): 227-245.
      Hallman, K. “Nonconsensual sex, school enrollment and educational outcomes in South Africa,” Africa Insight (special issue on Youth in Africa), 2008. 37(3): 454-472.
      "Orphanhood Type and Sexual Debut: A panel study from KwaZulu-Natal, South Africa," (under review).
      Kenworthy, N., Hallman, K. et al. “Geographies of Violence: Participatory Mapping with South African Adolescents to Understand Dimensions of Social Exclusion,” (under review).
    • POPULATION COUNCIL POLICY BRIEFS
      “Identifying sources of adolescent exclusion due to violence: Participatory mapping in South Africa,” Promoting Healthy, Safe, and Productive Transitions to Adulthood Brief no. 30. 2008. New York: Population Council. http://www.popcouncil.org/gfd/TA_Briefs_List.html
      "Enhancing financial literacy, HIV/AIDS skills, and safe social spaces among vulnerable South African youth," Promoting Healthy, Safe, and Productive Transitions to Adulthood Brief no. 4. 2007. New York: Population Council. http://www.popcouncil.org/gfd/TA_Briefs_List.html
      "Reducing the social exclusion of girls," Promoting Healthy, Safe, and Productive Transitions to AdulthoodBrief no. 27. 2007. New York: Population Council. http://www.popcouncil.org/gfd/TA_Briefs_List.html
    • http://www.facebook.com/pages/ABBA-RPC-Addressing-the-Balance-of-Burden-in-AIDS/184906411290