1. loveLife’s groundBREAKER and mpintshi programmes Dr. Andile Dube & Scott Burnett 18 October 2011

2. SECTION1: STATE OF THE HIV EPIDEMIC

3. State of the epidemic: Why target youth?  Half our population is under 25

4. Main spike of infection is among youth Source: HSRC National Survey (2008)

5. It’s about more than just knowledge Source: Pettifor et al (2004). HIV and sexual behaviour among young South Africans: A national survey of 15-24 year olds 2003., Reproductive Health Research Unit, University of Witwatersrand (secondary analysis)

6. Young people are showing the way

7. We can halve incidence... again Source: Thomas M. Rehle et al. (2010) “A Decline in New HIV Infections in South Africa: Estimating HIV Incidence from Three National HIV Surveys in 2002, 2005 and 2008”, PLoS ONE,1 June 2010, Volume 5, Issue 6, e11094.

8. SECTION 2: loveLife’s APPROACH

9.  Individual/Behavioural: Address attitudinal and knowledge gaps in schools through massive outreach programmes.  Social change: Sustain media and youth leadership initiatives that entrench positive social norms.  Structural: Deliver youth friendly clinical services, psychosocial support, career guidance, school sport, and so on.  Bio-medical: Create demand for bio-medical prevention technologies while reducing the burden on the primary healthcare system. How does loveLife fight HIV?

10. 10 A cluster of social & economic factors predict high risk behaviour loveLife’s Theory of Change Helplessness in the face of challenges Individual LOW SELF-ESTEEM NO SENSE OF FUTURE UNCERTAIN IDENTITY Individual LOW SELF-ESTEEM NO SENSE OF FUTURE UNCERTAIN IDENTITY Social COERCION PEER PRESSURE LACK OF PARENTAL COMMUNICATION EXPECTATIONS OF WOMANHOOD MALE SENSE OF ENTITLEMENT Social COERCION PEER PRESSURE LACK OF PARENTAL COMMUNICATION EXPECTATIONS OF WOMANHOOD MALE SENSE OF ENTITLEMENT Perception of scant opportunity Pressure to conform to negative social norms HIGH RISK TOLERANCE Structural POVERTY LOW EDUCATION MARGINALIZATION INEQUALITY Structural POVERTY LOW EDUCATION MARGINALIZATION INEQUALITY Sense of constrained choices

11. SECTION 3: REACH AND METHODOLOGY

12. Geographic presence

13. Holistic Approach and Impact Sustained Media: Radio, TV, Print, Web, and Mobile 9,452* peer educators *2010: 1,447 groundBREAKERS, 8005 mpintshis 9,452* peer educators *2010: 1,447 groundBREAKERS, 8005 mpintshis 1,500,000 enrolments in educational programmes Schools: 6,520 Youth Friendly Clinics: 532 NGO Community Partnerships: 330 loveLife Games Teacher Training loveLife Games Call Centre goGogetters: 500 Festivals & Events 760,102 calls to call centre 1,702,621 site event participants 386,986 participants in loveLife Games

14. Programme (Interpersonal) Youth-friendly clinical services.A multifunctional call centre.loveLife Games.Youth leadership programme.Extracurricular positive lifestyle programmes.Support to orphans and vulnerable children.Platforms for intergenerational dialogue.Bringing it all together at the community hub. Campaign (Media) Radio (weekly shows in 11 languages, PSAs)TV (PSAs and Series)BillboardsPrint (Youth Magazine)Online (Webpage, Facebook, Twitter)Mobile (MYMsta – social networking plattform)Outdoor Broadcasting unit Combined Programmatic Approach

15. The Construct Societal level Individual level Enable young people to: Understand risk Develop an incentive to reject risk Reduce risk tolerance Strengthen institutional response health education social security sports NGOs Nurture sense of: Motivation for Identity with Belonging to.. an HIV-free future Get people talking about : Confronting HIV/Aids Drivers of high risk behavior Trigger social change Strengthen institutional response health education social security sports NGOs Get people talking about : Confronting HIV/Aids Drivers of high risk behavior Trigger social change CAMPAIGN PROGRAMME

16. groundBREAKERS  Aged between 18 and 25  1243 caps in 2011 (funder-dependent)  loveLife’s programme implementation in communities from loveLife sites and schools  Youth Leadership - Youth Service  Capacity building – training  sexual health counselling skills and techniques for effective outreach to other young people  Personal Development  Linking youth with opportunities

17. Beyond the conduit model Traditional peer education sees young people as conduits for communication. (i)(ii) (iii)(iv) Peer Educator Translation Mediation Noise?

18. Competencies ROLES Community Activation Team Building and Team Development Programme Implementation & Events Management Personal Development* COMPETENCIES Leadership Facilitation Skills HIV/Aids Awareness Marketing and Advocacy Events Management

19. Social Impact  A study of South African youth (15-24 years old) found that interaction with loveLife face-to-face was had a 0.61 AOR “protective effect” (Pettifor et al. A national survey of 15-24 year-olds, AIDS 2005)  This means that participating in loveLife programmes makes young men and women around 40% less likely to contract HIV – a remarkable efficacy rate that is exceptionally cost effective.  2,500 temporary employment opportunities 1 Cash transfers to marginalized communities Skills transfers affect long-term employability 1 goGogetters, groundBREAKERS, IDT Mpintshis, HWSETA learnerships – Monitoring2009 and 2010 2 VOSESA groundBREAKER Survey, 2007. SA Youth Average groundBREAKERS before programme groundBREAKERS after programme 2 POST-MATRIC QUALIFICATION 6.1%8%47% EMPLOYMENT34%12%60%

20. The basis of all of this is the mpintshi programme

21. Mpintshis and groundBREAKERS 1:5 Acceptance into groundBREAKER programme is conditional on completion of mpintshi programme. Training and support is similar, though groundBREAKER programme is more intense. groundBREAKERS see themselves as mentors, friends, and coaches to mpintshis – this is evidenced in consistent programme performance. Thorough evaluation of mpintshi programme has not yet been completed.

22. The next generation... Activate! Young leaders for public innovation: Social capital: bonds, bridges, and links. Cash transfers to communities depends on service. The whole ends up far greater than the sum of the parts.

23. Thank you The New loveLife Trust Tel +27 (0)11 523 1000 Fax +27 (0)11 523 1001 48 wierda rd west wierda valley sandton 2196 P O Box 45 parklands 2121 south Africa talk@lovelife.org.za www.mymsta.mobi www.lovelife.org.za