Respond To The Challenge

Challenge

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This information is by no means exhaustive. If you have anything to add to the list, or if you have solutions for the challenges, let us know so that we can share these with others. Contact us by emailing This e-mail address is being protected from spambots. You need JavaScript enabled to view it


Mapping your Future | Success Stories

An individual level: These are actions you can take in your personal life to prevent becoming infected with HIV, to manage your health if you are living with HIV, or support someone living with HIV or AIDS. For example, you could go for HIV counselling and testing so that you know your HIV status.

A family level: These are actions you can take as a member of a family. For example, you can provide a relative who is living with HIV with love and care or speak to family members about situations that may put them at risk of contracting HIV disease.

A community level: These are actions you can take as a member or leader of a community. For example, you can get involved in local HIV prevention campaigns in schools, churches or sports organisations. You can also volunteer to help local non-profit organisations that are working with people infected and affected by HIV and AIDS, including orphans and children.

An organisational or institutional level: These are actions you can take as an employee of a company or public sector department. For example, you can volunteer your time to assist in the development of an HIV workplace policy and programme.

A macro level: These are actions you can take if you work at a policy level for the government, a donor programme, or a national institution. For example, you can work collaboratively with other institutions and organisations so that planning is co-ordinated and adequate resources are available to implement policy decisions.

Individual

These are actions you can take in your personal life to prevent becoming infected with HIV, to manage your health if you are living with HIV, or support someone living with HIV or AIDS. For example, you can go for HIV counselling and testing so that you know your HIV status.

At the individual level, we are challenging you as an individual to review the actions you take in your personal life to:

In many ways, this is the first stepping stone to action as it requires us to acknowledge that HIV is possibly in our home, community or workplace.

Family

These are actions you can take as a member of a family. For example, you can provide a relative who is living with HIV with support and care or speak to a family member about situations that may put them at risk of becoming HIV positive.

At the family level, we are challenging you as a member of a family to respond to the HIV and AIDS epidemic to help:-

Family includes both the immediate family (parents, children and grandparents) and the extended family of aunts, uncles and cousins. It is important for all of us to find ways, which are culturally sensitive and appropriate, to talk openly about HIV disease within our family groups.

Community

These are actions you can take as a member or leader in a community. For example, you can volunteer for a non-profit organisation or community group that is providing HIV prevention campaigns at schools, churches, youth groups and sports clubs.

At a community level, we are challenging you as a member or leader of a community, through your involvement in community groups to review the actions you can take as a group to ensure that those in your community can:

Working as a community group can be challenging, especially in resource-poor areas. It is important to collaborate with other groups, non-profit organisations and government departments to increase your effectiveness and avoid unnecessary and wasteful duplication of services.

Organisation

These are actions you can take as a company or public sector employee. For example, you can volunteer your time to assist in the development of a workplace policy and programme.

At an organisational or institutional level, we are challenging you as a programme director, manager or employee to review the actions you can take in your work or professional life to manage HIV and AIDS to:

It is important to work collaboratively with other businesses and public sector departments to share knowledge and experience so that effective workplace programmes can be implemented.

Macro Level

These are actions you can take if you work at a policy level for government, a donor programme, or a national institution. For example, you can work collaboratively with other institutions and organisations to ensure adequate resources are available at all levels so that policies can be effectively implemented.

At the macro level, we are challenging you to review the actions you can take at a policy level to provide programme leadership in:

Working collaboratively with other national and international role players is essential to ensure that co-ordinated and sustainable policies and programmes are developed, communicated and implemented to reduce the HIV epidemic and mitigate its devastating medical, psychological, social and economic effects.

Map your future

Containing the HIV and AIDS epidemic is not just a health problem to be managed by healthcare providers. It is an issue that should concern each and every one of us, irrespective of who we are. To achieve a Summer for All People in South Africa we need ‘Leadership by all at all levels’. Everyone can play an important part in making the Summer for All a reality.

To make a real difference we need concerted, integrated and co-ordinated efforts by individuals, groups and organisations across the country. We believe that you can play a role in areas where you have influence - in your family, social and work life.

How do you move from the current scenario to your preferred scenario?

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Step 1 - Situational and Needs Analysis 
Step 2 -
Identifying Issues, Exploring Options and Possibilities
Step 3 -
Making Strategic Choices
Step 4 -
Developing Objectives and Activities
Step 5 -
Taking Action or Implementing Activities
Step 6 -
Monitoring and Evaluation
Conclusion

STEP 1: Situational and Needs Analysis
This step in the planning cycle involves doing a Situational and Needs Analysis. This initial step asks you to consider the following questions:

  • What do you know and what have you witnessed about HIV and AIDS within your community or organisation
  • What are people doing in your community to address HIV and AIDS – who is involved and what are they doing
  • What needs are emerging that appear not to be addressed
  • Where are you now? In answering this question, you may want to do a SWOT analysis to identify your Strengths and Weaknesses and recognise the Opportunities and Threats


Table 1. SWOT Analysis Template

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Once you have answered these questions, review the four scenarios described in the Live the Future model. What scenario do you think you are operating in. Perhaps you are moving between two different scenarios. Mark your current scenario with a dot as in Figure 5.

Figure 5. Current Versus Preferred Scenario

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STEP 2: Identifying Issues, Exploring Options and Possibilities
This step of the planning cycle is Identifying Issues, Exploring Options and Possibilities. In Step 1, you probably identified yourself somewhere between Winter, Autumn or Spring. In this Step, it is important that you recognise and have a good understanding of the issues facing your community or organisation. There are many tools available to help you understand problems or challenges and we encourage you to use these tools to properly understand the root of the problems in your community as well as the inter-relationship between these problems and challenges. A good problem analysis exercise will help you identify the focal problems and think strategically as you go into the next phase of identifying solutions.

In identifying solutions it is important to focus on:

  • Your preferred scenario – Winter, Autumn, Spring or Summer. Mark your preference on the Live the Future matrix with a cross (x) as in Figure 5

  • What is your vision

  • What are the options or possibilities that exist to achieve this vision

This can be done by restating the issues you identified above into positive, desirable and realistic conditions. Summer is probably your preferred scenario and there is a lot of information in this document and in the Live the Future information pack to help you visualise and understand what a Summer for All People means.

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STEP 3: Making Strategic Choices
This step, Making Strategic Choices, recognises that you cannot solve all problems at once. In developing plans you need to consider the different options available as well as the most practical strategies to eliminate or reduce the problem. If you revisit Step 2, carefully review the strategies that emerged and ask yourself:

  • Are there sufficient resources available to implement the strategy

  • What will be the extent and level at which these strategies will have an effect on the problem? Will this help solve the problem

  • Are there leaders or champions to drive and support these particular strategies

  • Which strategies address the perceived priorities and needs of your community or organisation

  • How do these strategies tie in with the national HIV and AIDS plan

  • Who else is working in these areas that can support or complement your work

  • Is the strategy appropriate for your group to address

  • How sustainable is the strategy

These questions should help eliminate those strategies that are unrealistic, not within your field of expertise or capability, or those already being tackled by an existing programme, organisation or institution in your area. Once a strategic option has been chosen, it is necessary to break down the strategy into measurable and realistic steps that can develop into a workable programme to mitigate the effects of HIV and AIDS. You can now embark on Step 4.

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STEP 4: Developing Objectives and Activities
This step is about Developing Objectives and Activities, as well as identifying your target audience, setting time frames, identifying resources needed and allocating responsibilities that will enable you to achieve your preferred goal or scenario. Again, there are many planning tools that can help you conceptualise all the processes that need to be followed to achieve your vision.

Below is a template of a simple project plan for you to get a sense of how plans can be arranged to share information simply and clearly.

Table 2. Project Planning Template – an example of a project plan or programme

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Project plans, such as the one outlined above, should be reviewed every 6 – 9 months and then amended to ensure they reflect progress made and any change in strategy.

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STEP 5: Taking Action or Implementing Activities
This step is about Taking Action or Implementing Activities as set out in your project plan above. It is axiomatic that without action, goals cannot be achieved.

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STEP 6: Monitoring and Evaluation
Finally, ask yourself how will you know that you have been successful? This is the last step in the planning process, Monitoring and Evaluation. Think about your preferred scenario and consider your plan of action. Does your plan of action enable you to achieve your overall goal / vision / dream.

Figure 6: Newspaper Headlines Exercise

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What if you get to 2025 and the newspaper headline is very different? Can you afford to wait until 2025 to start evaluating your hard work? No, you need to be monitoring your progress along the way. As part of the planning process, it is important to collect information along the way that can tell you whether you have been effective, efficient with your resources, and whether you are providing a quality service. Take time to evaluate if you have met or exceeded your targets as in Table 2.

Bear in mind that projects do not always work out as planned for various reasons. It is therefore important to be flexible and prepared to adjust your plans accordingly to make sure you can get back on track to achieving your stated goals. After reviewing your progress, you will need to go back to Step 1 again and repeat the planning cycle.

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Conclusion

At this point you will have a good understanding of what the Summer for All People aims to achieve. You will have also realised that you have the potential make a difference, and that you have the tools to understand the key aspects required in planning a concerted effort to address HIV and AIDS.

We challenge you to choose to be part of the Summer for All People, to set your targets and examine what you need to do differently, starting now! We have developed some ideas for action (see part B of this document), but this is by no means exhaustive. The list also outlines some of the challenges you could face. If you have anything to add to the list or if you have solutions for the challenges, let us know so that we can share these with others. Contact us by emailing your comments to This e-mail address is being protected from spambots. You need JavaScript enabled to view it

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Success Stories

Success stories or ways to overcome challenges

altMany inspirational success stories can be read on AIDSbuzz under the Champions Section, which features stories about people and organisations throughout South Africa who are overcoming challenges and making a difference to the lives of those infected and affected by HIV and AIDS, including orphans and vulnerable children.

The following examples describe some of the ways in which organisations and people have addressed the challenges of the HIV epidemic.

  • Rewards to incentivise healthy behaviour. Recent research has clearly demonstrated the value of incentivising people to make healthy choices. For instance research has shown that paying teenagers in Africa small sums to remain free of sexually transmitted infections could help cut the rate of HIV infection. A study of 2,399 teenagers in rural Tanzania who were paid around R150 every four months if they tested negative for a series of diseases cut infections by one quarter. More impressively a second study that paid 3,796 Malawian girls R30-R75 a month if they remained in school – rather than dropping out for reasons including pregnancy – cut HIV infections by 60% over 18 months to 1.2%, compared with 3%in those not paid. The Broccoli Project in South Africa is a novel, award-winning programme which incentivises health-promoting actions within disadvantaged communities, such as medical screening for HIV, TB, hypertension and diabetes, by providing vouches for food, clothing and building materials. The Project uses biometric technology - a finger print reader backed up by a central database – to keep track of its members. This avoids duplication of records and prevents wasteful repeat testing. One of the first organisations to benefit from this technology is the Desmond Tutu HIV Foundation, which uses it in its mobile medical screening facilities.
  • Programmes that target HIV affected and infected groups. Thousands of non-profit organisations around the country direct services to these groups including: home-based care; food security; help with accessing social grants; counselling and support groups; gender-based programmes; help with capacity building; peer education programmes; life skills and education; support for orphans and vulnerable children; and income-generation programmes. More information about these organisations can be found on the AIDSbuzz General Directory.
  • Cell phone technology to motivate and inform. Over 80% of the South African population has direct access to a cell phone. This method of communicating therefore has the potential to reach almost everyone in the country and can be used to provide critical health information in hard-to-reach areas. The Metropolitan Foundation has developed a comprehensive booklet about HIV and AIDS which can be downloaded to a cell phone in one of four different languages - English, Afrikaans, isiZulu and Sesotho - for the cost of one rand and in less time than it takes to download a ring tone. People then have a permanent reference book about HIV and AIDS to refer to whenever the need for information arises. For more information on this project go to Red Ribbon. In another application of cell phone technology several successful pilot studies have shown that it is possible to promote adherence to TB and ARV treatment by sending an SMS to each patient at the same time every day to remind them to take their medication. For more information about the potential of cell phone technology to promote healthy behaviour go to the Cell-Life, a non-profit organisation whose vision is to improve the lives of people infected and affected by HIV in South Africa through the appropriate use of mobile technology.

We invite you to contribute your challenges and share your success stories with us by This e-mail address is being protected from spambots. You need JavaScript enabled to view it

 

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