1. I n t e g r a t i n g S e r v i c e s ,
S t r e n g t h e n i n g F a m i l i e s
Between 2011 and
2016, the USAID-
fundedTsela Kgopo
OVC and Gender
Project used the
Comprehensive
Family Care
approach to better
pinpoint the types of
interventions that
strengthen the well
being of orphans and
vulnerable children
and their families
while increasing
the participation of
communities to use
available resources to
address their needs.
In some ways, Mosokotso has been forgotten. Although the village of 400 people
is located just over five kilometers from neighboring city Molepolole, it falls under
the sub-district administered byThamaga, some 50 kilometers south, a substantial
distance to travel for those living on the edge of Botswana’s Kalahari Desert.
More than 50 families are scattered across the desert scrubland and rely on rain-fed
agriculture systems to grow beans, sorghum and maize. Mosokotso lacks basic infras-
tructure like a reliable source of water and access to health and education services. In
a settlement like Mosokotso, HIVprevalence is
higher than the national average of 16.8%.
In addition, many of the families in Mosokotso
are fragmented. Single mothers have lost hus-
bands to AIDS or were abandoned.When there
are no rains, unemployment is pervasive, which
leads to high rates of domestic abuse, alcoho-
lism and teen pregnancy. Children under the age
of six spend the days alone or in the presence of
just their caregiver.
In 2011,Tsela Kgopo OVC and Gender Project
local implementing partner HopeWorldwide
Botswana identified Mosokotso village through
referrals and used its Comprehensive Family
Care (CFC) approach to deliver on in-depth
assessments of at-risk populations and bring
Segompe Rathaga (center)
has 6 children and 19
grandchildren in Mosokotso.
“The approach is premised
on strengthening families
with low or no access to re-
sources in order to increase
the quality of care for their
children. CFC helps family
members identify their
own challenges and take
responsibility for
their needs.”
Tsige Teferi.
Tsela Kgopo Chief of Party
C O M P R E H E N S I V E
FA M I LY C A R E
Innovative Service Delivery Redefines Life as a Family
How a comprehensive outreach strategy identifies and addresses systemic factors
that increase poverty and the spread of HIV/AIDS among orphans and vulnerable
children, families and underserved communities

2. TRACK4
INTERVENE
COMPREHENSIVE
FAMILYCARE
METHODOLOGY
The Comprehensive Family
Care assessment tool is
the entry point into service
provision for marginalized
women and children.
IDENTIFY
After services are provided
for one year,Tsela Kgopo
completes a second
assessment to gauge the
family’s progress using the
same assessment tools.
Depending on the results,
families could no longer be
considered vulnerable.
From the assessment,
Tsela Kgopo develops an
intervention plan outlining
how these needs can be
met.When possible, the
program directly provides
services—e.g. counseling,
life skills, early childhood
development and ART
adherence support—and
links beneficiaries to
providers through a referral
network for other services.
Tsela Kgopo and its network
of partners identify clients
through a referral system
in partnership with schools,
clinics and the community.
Tsela Kgopo carries
out in-depth individual
assessments of target
families rating each
person’s vulnerability using
a child status index tool.
The assessment provides
program officers with each
person’s needs in terms of
health education, shelter
and care, food and nutrition,
socio-economic position and
HIV/AIDS, among others.
2 ASSESS
3
10 PARTNERS
TRAINEDONCFCAPPROACH
ANDINDIVIDUALASSESSMENT
16 SITES
THROUGHOUTBOTSWANA
tailored services that improve the lives of the vulnerable.
Tsela Kgopo—or winding road in Setswana—trained HopeWorldwide’s community
mobilizers on the Comprehensive Family Care approach in a series of workshops and
practical experience. Over the next year, PCI-trained-mobilizers like Busie Ngwaga
carried out over 300 individual assessements of more than 50 Mosokotso families.
Based on the assessments, she worked with the community to implement structured
play-groups for the village’s youngest children, trained women to run a successful
savings and loan group, created support groups for teens and adolescents and incor-
porated gender-equality and HIV-prevention, care and support into every activity.
“Mosokotso is disconnected from society. We saw a need to show them how im-
portant family is,” explains Busie Ngwaga. “In places where we can’t deliver services
through our group interventions and home visits, we link beneficiaries to a referral
network allowing them to access services in the city.”
The innovative approach provides vulnerable families the opportunity to interact with
their community, build rapport and share ideas. A stronger community increases a
child’s chance to increase self-esteem, access nutritious food, stay in school and even-
tually find employment and reduce the chances for teen pregnancy and HIV/AIDS.
Since 2012,Tsela Kgopo and ten partners have carried out over 30,000 unique as-
sessments at over 16 sites around Botswana. At every site,Tsela Kgopo partners get
buy-in from community leaders, which strengthens the overall resilience of families
30,300+
INDIVIDUALS REACHED
USINGTHE CFC APPROACH
6,310+
HOUSEHOLDS
OFVULNERABLECHILDREN&FAMILIES

3. PCI BOTSWANA
Tholo Park 50369 Fairgrounds
Gaborone, Botswana
+267.319.0198
INTERNATIONAL HEADQUARTERS
5151 Murphy Canyon Rd, Suite 320
San Diego, California 92123
T: +1.858.279.9690
F: +1.858.694.0294
Toll Free: 1-877-PCI-HOPE
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1140 Connecticut Avenue, NW, Suite 900
Washington, DC 20036
T: +1 .202.223.0088
F: +1.202.662.8995
WWW.PCIGLOBAL.ORG
In September 2015, Banyana
Monageng’s daughter was
brutally beaten to dea-
th by her husband, who
then killed himself.The
event rocked the village of
Mosokotso where people had
never faced the mental anguish associa-
ted with a murder-suicide. Monageng’s
speech impaired granddaughter was only
six years old at the time.
“Tsela Kgopo counselors visited and
helped my family cope with the tragedy,
and especially my granddaughter who
cannot speak,” explains Banyana Mo-
Twenty years ago,
Gomotsegang Sesu-
po’s children’s needs
were not a priority for
a young mother like
her. She typically sent
her sons to school with
no food. In 2012, she
began volunteering her
time as a caregiver for
the Mosokotso’s twi-
ce-weekly playgroup,
created as part of the
Comprehensive Family Care approach.
Here, the village gathers more than 20
children ages 2 to 6 to provide stimula-
tion and structured learning before they
start their first year of primary school.
The CFC approach also inspired mothers
of Mosokotso to set up a weekly Kids
Club for children 6-13 years old in which
mentors deliver activities focused on
life skills, HIVprevention and building
self-esteem.
Community mobilizer Busie Ngwaga set
up a Familiy Day for a Mosokotso family
in early 2016 in which the extended family
members had the opportunity to talk
through issues affecting the individual
and the family.Women and men from
three generations used the counselling
session to improve communication and
air gripes and grudges.
“We realized that to reinforce the con-
Home Visits Bring Outside Support
WE ARE AT EVERY STAGE OF A CHILD’S LIFE
Levels of Service Delivery
“My daughter is proof of positive chan-
ge. She participated in the play groups
for the last three years and went to
primary school this year,” explains
Gomotsegang. “I can see the difference
in how she performs in school.”
Every morning, her daughter runs the
six kilometers from Mosokotso to
primary school, she says.
cept of family, we need to place an
emphasis on living together as family
in peace,” she explains.
The CFC provides a platform to work
with families to identify their needs and
abilities to address their own needs.
“The CFC approach gives us the tools to
better target individuals with services
and educate families about services
available in their area.”
nageng. Program officers regularly
visited Monageng and her family and
used its CFC referral network to find a
school for children with disabilities for
her granddaughter.
“Before the intervention, Mosokotso
was not a healthy community, espe-
cially in the way people communica-
ted, husband to wife and mother to
child,” she explains.
Monageng is also a founding member
of the Mosokotso village and savings
group, where village mothers saved
enough to purchase school uniforms
for their children.
July, 2016
ABOUTPCI
PCI is a global development
organization that drives
innovation from the ground
up to enhance health, end
hunger, and overcome
hardship—resulting in
meaningful and measureable
change in people’s lives. With
programs in 15 countries,
PCI helped transform the
lives of more than 19 million
individuals last year.
ABOUTTSELA KGOPO
With support from the
President’s Emergency Plan
for AIDS Relief (PEPFAR)
through USAID and other
initiatives,Tsela Kgopo OVC
and Gender Project supports
the government of Botswana
to improve the quality of
life and self-sufficiency
of orphans and vulnerable
children and gender relations
in Botswana.