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COUNTRIES

South Africa

Outreach and Preventative Treatment Program

Activity Dates

2006 – ongoing 

Activity Summary

Mothusimpilo is a community intervention program in the Carletonville mining area that aims to reduce the community prevalence of sexually transmitted infections (STIs) and the incidence of HIV infection and sustain these reductions through enhanced information, education and counseling activities and effective STI services.

In November 2005 USAID funded the STI Reference Centre (STIRC) at the South African National Institute of Communicable Diseases (NICD) to undertake a pilot project to introduce HIV voluntary testing and counseling to marginalized women at high risk in the Carletonville mining area. The pilot took place from November 2005 to September 2006. Provision of VCT to women at high risk in the high transmission areas resulted in a demand for accessible VCT and comprehensive HIV services. The current Mothusimpilo program aims to provide VCT and ARV services to men and women in informal settlements in the high transmission areas surrounding the mines and farming communities.

Objectives

  • Promote and reinforce awareness of HIV/STI risk and risk reduction strategies
  • Establish accessible and quality HIV testing and counseling
  • Ensure accessible STI diagnosis and treatment
  • Strengthen program management capacity including monitoring and evaluation

Implementation

  • Mobile VCT services
  • VCT and ARV outreach in marginalized areas
  • Quality management and periodic presumptive treatment (PPT) for STIs
  • Condom promotion and distribution. Mothusimpilo uses a unique strategy for condom promotion in which they teach clients how to use condoms before distributing, and then follow-up in a week to see how they felt about their condom use experience.
  • Peer education using peer support group model and drama, picture codes, and other interactive methodologies
  • Education in hostels, taverns, bars, workplace programs, other settings
  • Job training for woman at high risk

Audiences

Men and women living in the Carletonville mining area

Partners

CADRE, ABC Ulwazi, Academy for Educational Development (AED)

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