“Siyakha Nentsha”Enhancing the Economic, Health, and Social Capabilities of Highly Vulnerable Youth<br />by Kelly Hallman,...
Thank you<br />Our funders<br />The William and Flora Hewlett Foundation<br />Economic and Social Research Council<br />DF...
Purpose<br />Improve functional capabilities and well-being adolescents at high risk for<br />HIV and STIs<br />teenage pr...
Project team<br />
Formative research: Adolescent HIV risk behaviors influenced by<br />Relative wealth<br />Social capital<br />Being an orp...
Durban Program Scan<br />Few adolescent SRH or HIV programs address social, economic, and cultural underpinnings of risk b...
Project content<br />Longitudinal survey<br />In learners households<br />GPS coordinates<br />Government-accredited multi...
Curriculum<br />Government-accredited multi-session intervention<br />Increase knowledge and skills for pregnancy and HIV ...
Participants<br /><ul><li>Secondary learners
Least selective sample
Scalable
Bundled package
Females and males
Resounding community  feedback
Male knowledge and behaviors
Gender attitudes</li></li></ul><li>Program implementation<br />Recent matriculants in local community selected and receive...
Research design<br />Randomized to secondary school classrooms (grades 10-11) in seven schools<br />Three study arms<br />...
Outcomes<br />SRH and HIV/AIDS : knowledge, skills                            and behaviors, including adoption of        ...
Sample<br />
Sample<br />
Sample<br />
Participant views of financial education<br />“We learnt about budgeting and saving and all those things, before we when w...
“It’s different, in school we learn mathematics and biology but here we learn things that we can use in the future.”<br />...
Participant views of health education<br />“….. I didn’t understand about HIV and AIDS before <br />but now I do. I didn’t...
Baseline associations<br />Factors associated with protective behaviors<br />Relative wealth<br />Social support (friends,...
Communications<br />Engage policymakers and programmers in dialogues to raise profile of issue <br />Communicate the resea...
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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 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

  1. 1. “Siyakha Nentsha”Enhancing the Economic, Health, and Social Capabilities of Highly Vulnerable Youth<br />by Kelly Hallman, Kasthuri Govender, <br />Eva Roca, Emmanuel Mbatha and Mike Rogan<br />Population Council<br />Isihlangu Health and Development Agency<br />University of KwaZulu-Natal<br />KwaZulu-Natal, Department of Education<br />
  2. 2. Thank you<br />Our funders<br />The William and Flora Hewlett Foundation<br />Economic and Social Research Council<br />DFID via the ABBA RPC<br />KwaZulu-Natal Department of Education<br />MS. NOMALI MAGWAZA & STAFF (UMBUMBULU) <br />MR. N. CELE, DISTRICT MANAGER (UMBUMBULU) <br />Additional team members<br />Nombango Anna Sibeko / ThabileShozi / Mboneni Genesis Thwala / Nduduzo Blessing Msomi<br />Pretty ThandaniCele / Nontobeko Charlotte Cele / Sabelo Emmanuel Mkhize<br />Banele Precious Ngcobo / Njabulo Freedom Ndlovu / Noxolo Peaceful Makhanya<br />NokulungaDorahShange / Suprise Patience Mseleku /Sithembile Pretty Gumede<br />Mbali Pretty Mseleku / Bongekile Carol Shozi / AyandaMthabela / Siphiwe Cyril Mbava<br />
  3. 3. Purpose<br />Improve functional capabilities and well-being adolescents at high risk for<br />HIV and STIs<br />teenage pregnancy<br />school dropout<br />non-receipt of social benefits<br />actual or potential loss of one or both parents<br />
  4. 4. Project team<br />
  5. 5. Formative research: Adolescent HIV risk behaviors influenced by<br />Relative wealth<br />Social capital<br />Being an orphan<br />
  6. 6. Durban Program Scan<br />Few adolescent SRH or HIV programs address social, economic, and cultural underpinnings of risk behaviors<br />Few livelihood programs make conceptual link to health risk behaviors<br />Not context-, age-, culture- or gender-specific<br />Design not evidenced based <br />Delivery weak<br />Little monitoring or evaluation<br />
  7. 7. Project content<br />Longitudinal survey<br />In learners households<br />GPS coordinates<br />Government-accredited multi-session intervention<br />10th & 11th graders during school hours<br />Participatory reflective learning<br />Role-plays/drama<br />Workbooks/portfolios and diaries<br />Community mapping<br />Focus group with participants, parents, and mentors<br />
  8. 8. Curriculum<br />Government-accredited multi-session intervention<br />Increase knowledge and skills for pregnancy and HIV prevention and AIDS mitigation; accessing preventive, treatment and care services<br />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<br />Build and strengthen social networks and support<br />
  9. 9. Participants<br /><ul><li>Secondary learners
  10. 10. Least selective sample
  11. 11. Scalable
  12. 12. Bundled package
  13. 13. Females and males
  14. 14. Resounding community feedback
  15. 15. Male knowledge and behaviors
  16. 16. Gender attitudes</li></li></ul><li>Program implementation<br />Recent matriculants in local community selected and receive training to serve as facilitators/mentors<br />Classroom based intervention during school hours led by a pair young adult facilitator/mentors<br />2-3 hours per week of exposure for 2 academic years<br />
  17. 17.
  18. 18. Research design<br />Randomized to secondary school classrooms (grades 10-11) in seven schools<br />Three study arms<br />SRH/HIV, Social Support, Financial Education<br />SRH/HIV, Social Support<br />Delayed Intervention<br />
  19. 19. Outcomes<br />SRH and HIV/AIDS : knowledge, skills and behaviors, including adoption of safer sexual behaviors and service use<br />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<br />Social networks and support: access to friends, adult role models and individuals/groups who can assist with crisis management and provide links to opportunities<br />
  20. 20. Sample<br />
  21. 21. Sample<br />
  22. 22. Sample<br />
  23. 23.
  24. 24. Participant views of financial education<br />“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…”<br /> - male participant<br />
  25. 25. “It’s different, in school we learn mathematics and biology but here we learn things that we can use in the future.”<br />- female participant<br />
  26. 26. Participant views of health education<br />“….. I didn’t understand about HIV and AIDS before <br />but now I do. I didn’t learn that in school.” <br />–female participant<br />“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<br />
  27. 27. Baseline associations<br />Factors associated with protective behaviors<br />Relative wealth<br />Social support (friends, role models)<br />Belonging to a community organization<br />Having tried to start an income-generating activity<br />Factors associated with higher-risk behaviors <br />Having no hope for the future<br />Orphanhood<br />Personal luxury items<br />
  28. 28. Communications<br />Engage policymakers and programmers in dialogues to raise profile of issue <br />Communicate the research process<br />Utilize products in addition to policy briefs, reports, academic articles and website<br />Facebook, Brochures, Postcards, Multimedia, Video<br />Non-traditional public events<br />Frontline Club, London<br />
  29. 29.
  30. 30.
  31. 31.
  32. 32. Multimedia <br />Lindiwe’s Story<br />(see pdf)<br />
  33. 33. REFERENCES<br />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.<br />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.<br />Hallman, K. “Researching the determinants of vulnerability to HIV amongst adolescents,” IDS Bulletin, 2008. 39(5): 36-44.<br />Bruce, J. and Hallman K. “Reaching the girls left behind,” Gender & Development,2008. 16(2): 227-245.<br />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.<br />&quot;Orphanhood Type and Sexual Debut: A panel study from KwaZulu-Natal, South Africa,&quot; (under review).<br />Kenworthy, N., Hallman, K. et al. “Geographies of Violence: Participatory Mapping with South African Adolescents to Understand Dimensions of Social Exclusion,” (under review).<br />
  34. 34. POPULATION COUNCIL POLICY BRIEFS<br />“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<br />&quot;Enhancing financial literacy, HIV/AIDS skills, and safe social spaces among vulnerable South African youth,&quot; 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<br />&quot;Reducing the social exclusion of girls,&quot; Promoting Healthy, Safe, and Productive Transitions to AdulthoodBrief no. 27. 2007. New York: Population Council. http://www.popcouncil.org/gfd/TA_Briefs_List.html<br />
  35. 35. http://www.facebook.com/pages/ABBA-RPC-Addressing-the-Balance-of-Burden-in-AIDS/184906411290<br />

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