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ANNUAL REPORT 2011
Table of Contents Operations: •Spiritual •Volunteers •Teams Ministries: •Living Care •Living Grace •Living Right •Living Way Financials
Living Hope Board of Trustees J V Thomas (Chairman) R Amansure K Begg T Gray G Haddad R P Jackson J Koeries E du Preez B Robertson H van Niekerk G Williams
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From Our Chairman “Another great year has passed. At times, it was hard not to be overwhelmed. The needs in the communities around us are enormous, we faced our own financial challenges but by the grace of God we were able to expand to meet huge needs around us. I am constantly amazed by the goodness of God – He has provided in so many ways and through so many wonderful people. And we, through our wonderful staff team have been able to make some significant differences in people’s lives. We have faced many challenges and giants this year as a Trust. Our finances have been stretched and General Managers have become experts in managing tight budgets; yet the ministry has continued to grow to meet the needs. At the end of the financial year we can only praise God that every ministry reached the end of the year having expanded in some way yet not exceeding the budget. In the faithfulness of God, each ministry ended the year with a small surplus. While we face challenges of finances, meeting set targets, dealing with property issues and the challenges of running a sizable Non-profit, we always seek to be connected to the need around us. This year we adopted a tag line for Living Hope: Bringing Hope, Breaking Despair. In situations of poverty, sickness, addiction, lack of hope for a future, we seek to bring the hope of Jesus hand in hand with practical help. We are reminded on a daily basis of the hopelessness in our communities. We hear reports back from our staff of the situations our client’s face, like the child who took his sandwich home from children’s club in order to feed the whole family. What tragedy, what despair, what opportunity to bring hope. Along with the challenges there have been some new developments within the Living Hope family and each ministry has expanded in some exciting way. Living Grace has the Addiction Recovery Programme, with support from the Department of Social Development. Living Right has introduced the Legacy Programme offering a one year internship with the Life Skills department. Living Way has become a hive of activity with its Five Loaves bakery and a bumper first crop of cucumbers and tomatoes from the agri-business. Living Care expanded its Community Based Care to pediatrics and children in need of health care. There are still giants ahead of us to face and nearly overwhelming needs in the communities around us. However, we serve an awesome God so with His help and your support we will carry on. I trust that as you read these reports you as a friend, donor, partner, volunteer or staff member will rejoice in what God is doing through you. Thank-you for all that you are doing – together we are Bringing Hope and Breaking Despair.”
John V Thomas Chairperson of Living Hope Trust [3]
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Dedicated to Bring the Hope
“Transformation of lives with a message of HOPE, (Bringing Hope and Breaking Despair) has always been at the core of Living Hope. We have been privileged to see the lives of many changed by this message. We remain so grateful to all those who have helped Living Hope reach 30 606 clients this past year in the South Peninsula of Cape Town, South Africa – well over triple the number 5 years ago. This has not been without its challenges, but with these challenges has come great courage from the Living Hope team to respond to the cry of the communities we serve. This year is the first that our Life Skills programme received no funding from government grants and we are so thankful at the generosity of the DAD donors who have stepped into this gap. Our faith journey this year with these partners has proved that together much can be achieved.“
35000 30606 17500 12614 0
15163
18702
7916
2007 2008 2009 Clients served throughout Living Hope [4]
2010
2011
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“We have 188 dedicated staff members, which together
250
In Patient Unit
with the commitment of sacrificing volunteers faithfully
125
bring the message of HOPE. I remain extremely overwhelmed by their commitment to see transformation
182 Clients
challenges themselves. The task of community transformation can never be
0
83
in the lives of those we serve, while facing huge
HIV +
Home Based Care
900
accomplished by one organization and so Living Hope continues partnerships with like-minded entities and churches to ensure that the impact of HOPE can be realized in the lives of those we serve. We value these partnerships and are thankful that we can serve together in seeing transformed communities. Financially this has been a stretching year and our cash
450
862
0
242 Clients
HIV+
HIV Testing and Counseling 18000
flow has been tight, yet all our programmes remain fully funded. We still use 88% of each Rand to benefit the people we serve, continuing to look for ways to further
9000 16712
increase efficiencies. (For a more detailed Financial Report see Audited Financial Statements; Appendix A) To all Living Hope’s staff, volunteers, trustees, partners and
Clients
0
2035 HIV+
Life Skills Education
12000
donors thank you does not seem adequate enough, but THANK YOU! I know our joy is in the lives that are transformed and we continue to celebrate God’s goodness in allowing us to be part of TRANSFORMED COMMUNITIES.”
6000 10690
Clients
01 HIV+
0
Support Group
2250 1125
2170
Clients
528 HIV+
0
Social Work
250 125
238
Peter Hawksley General Manager of Operations
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Clients
01
0
HIV+ Page 5
How are we doing Spiritually?
“The Spiritual Life at Living Hope over the past year has developed substantially, and we praise the Lord for all He is doing in the lives of many of the staff, clients and beneficiaries. During the past year we have been through a cycle of spiritual focus which has enabled us to monitor more closely what is happening spiritually in the life of Living Hope. The outcomes of this have enabled us to evaluate the level of the Spiritual Temperature of Living Hope from March 2010 which was 47° C to 62° C in March 2011. I am encouraged more and more to see how our staff are really embracing the focal point of what we stand for and what we are here to do as the no 1 objective of Living Hope: ‘To spread the Gospel of Jesus Christ in a life changing way and to encourage people to follow Him.’”
73 %
78 %
68 %
60 %
59 % 36 %
2010 2011 Regular Spiritual Activities
2010 2011 Believers on Staff
64 %
44 %
40 %
24 % 2010
2011
2010 2011 Staff Local Church Involvement
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Staff being adequately trained to minister
2010
2011
Staff actively reaching out Page 6
Living Hope Spiritual Temperature 100% 83%
2.
department consolidated their spiritual activities/objectives in the form of a 5T
65%
47% 2010
62%
(Task, Team, Time, Training and Transfer)
48%
document which helped helped them to document each of the spiritual programs
30%
their departments were undertaking.
2011
Spiritual Quality Improvement Program
June 2010 saw the next step, in that each
3.
September 2010 saw this process develop
(SQIP) cycle
into an evaluation tool of how effectively
To clearly explain this cycle and the
their each department’s spiritual objectives
foundation of it, I have to take you back
were being implemented.
to March 2010. The cycle can be broken down into the following stages:
4.
The new term for this monitoring tool and the application thereof became “SQUIP”
1. March 2010 saw the first attempt of a
which stands for Spiritual Quality
Spiritual Evaluation of the organization
Improvement Program. Currently this
was undertaken – this was coined as
monitoring is undertaken on a monthly
the “Spiritual Temperature”. This
basis whereby all department heads or
process started by each level of
representation thereof get together and
leadership within the respective
discuss the “ Spiritual Temperature of Living
departments evaluating the spiritual
Hope and the impact that each of their
influence of their departments based
departments plays in contributing to that”.
on the following: 5.
Now that this monitoring tool is in every
a)The Spiritual activities taking
department in Living Hope, we (SQUIP
place on a regular basis within their
meeting participants) have started to
departments.
evaluate what impact complying to our objectives has had on the staff, clients and
b)The % of staff within their
beneficiaries of the organization.
department who were committed, born again Christians.
6.
We have recently put measures in place which we hope - in time to come - will give
c)The equipping they felt the
us a good indication of how the Lord is
members of their staff needed to
using the ministries of Living Hope to impact
proactively share the Gospel and
the spiritual lives of the communities we
minister to the community folk on
serve.
an individual and group basis.
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Relationships with Local ministry leaders The establishment of relationships with local Church Leaders and Pastors is one of the most important areas of the ministry of Living Hope. We are not a local church, but many of the people within the ministries of Living Hope come to know the Lord through various programmes, at this point our most important link is into the local churches where these new converts can be spiritually fed on an ongoing basis. These relationships will continue to be part of my role in the year ahead; the local churches are the most important link in the discipleship of new believers. It has been wonderful to see the role that some of the local pastors have played in the ministry of Living Hope assisting us with leading devotions and services in many of our branches. The partnership and relationship with the local church is invaluable to the communities which we serve.
number of community pastors and ministry leaders have benefitted tremendously from this input. The Chaplaincy in the Health Care Centre During the past year there have been a few changes to the chaplaincy and pastoral care to the Health Care Centre. Pastor Noloyiso is currently ministering into the Health Care Centre, and has refocused the ministry in this facility to be in line with our Spiritual policy. She has also had the assistance of a number of pastors and student pastors whom have assisted her in this very important and time consuming ministry. Some of her duties include: Spiritual Assessments of all Patients, one on one ministry to patients and their families, conducting weekly services and bible studies in the centre as well as co-ordinating the community pastors who come and lead services over the weekends. Pastor Nolo also screens all people wanting to minister in the Health Care Centre, making sure they believe and minister in line with our statement of faith.
EQUIP’s Ministry We have had the privilege this year to be the receivers of some good solid and sound, biblically based leadership training which has been provided to us by John Maxwell’s EQUIP ministry. Tom Atema has been our key note speaker at two conferences so far and we look forward to the teaching of Dr James Walker in October, who will be teaching us Notebook 2 of EQUIP’s Million Leader Mandate material. By the end of next year we will have completed, Lord willing, all six books of this outstanding material. Various Living Hope staff as well as a
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Testimonies “Vuyani Fotoyi he was admitted in the
has accepted the Lord. After few days she died.
Health Care Centre for a long time and he
We thank God that she knows the Lord and her
came to know the Lord while he
family was there when she was baptized to give
was still our patient and now is a committed
testimony. We had a blessed time with the
member in Khayelistsha it has just
Health Counselors as we shared devotion with
happened that He goes to a church that I
them, we prayed together.”
am a member in. He attended the beginners’ class, last week He was baptized
Conclusion
and I was the one who baptized him. I really
It has truly been an absolute privilege to serve
thank God for his life and the work that God
the Lord through the ministry of Living Hope over
has place in the ministry of Living Hope.”
the past year and a half. It has been an excellent experience to be part of such a gifted
“After the first day of our volunteer
team. I look forward to all the Lord has in mind
spending time with the patients, she made
for the next year, and the prayer of my heart is
such an impression on the patients that the
that we would know God’s leading on a daily
patient wanted this Jesus that she had
basis in understanding His heartbeat for the
shared with him. Five patients have come to
Living Hope family of ministries.
know the Lord in this past month in the IPU and 1 of the IPU staff members has also given their life to the Lord, in the past month.” “Gentleman came in extremely ill and not ready to give Jesus a chance in his life. He attended hospital regularly for treatments he became extremely sick and sleepy over a 4 days period. He came to the realization that he needs the Lord in his life. Since he has accepted Jesus in his life he never became severely sick again and his body has been handling the treatment well. He was discharged approximately 2 weeks later and placed with a church in his area.” “Neziwe, one of our patients, was baptized (in the bath in the Health Care Centre) after she has accepted the Lord and after few days she died. We thank God that she
Graham Haddad Senior Chaplain “ Now to Him who is able to do immeasurably more than all we ask or imagine, according to His power that is at work within us, to Him be glory in the Church and in Christ Jesus throughout all generations, forever and ever amen.” Ephesians 3:20 [9]
knows the Lord and her family was there Page 9
Living Hope Volunteers
We have enjoyed a vibrant year of volunteers, in which we again saw growth in number from the previous year. We had 128 total volunteers in reporting period 2010-2011, up from 90 volunteers in the previous year. What is amazing is that this growth continues amidst very little active marketing. Praise the Lord for sending all of these people! What a privilege it is to see His provisions go beyond our staff. There was a near-even split between local (66) and foreign (62) volunteers. Local volunteers commit from 1 week to several months, and they come and go as they have time availability. Of the 62 foreign volunteers, their tenure is easier to track and breaks down as follows:
10
13 39 [10]
Short-term ( < 6 months) Long-term (7-18 months) Missionary (> 18 months) Page 10
Updates from the Volunteer Department The reporting period saw improvements
maximize flexibility and minimize potential
that focused on the application process
disappointment. Foreign volunteers’
as well as managing volunteers’
expectations are usually different than what
expectations.
they experience. While unmet expectations are unavoidable, we can help prepare the
The department views its role as providing
incoming volunteer prior to arrival by providing
the volunteer with a meaningful service
more information about how they may be
experience whilst holding fast to the vision
serving (with a more detailed initial “job
and mission of Living Hope without
description” for long-term volunteers and
compromise. The quality of character and
missionaries) as well as contextual/ cultural
spiritual grounding for each individual is
information and a missions-minded devotional.
critical to this. Therefore, efforts have
Ultimately we aim to equip the future volunteer
focused on improving the screening
with what (s)he needs to know to add value to
process for applicants. For example, all
Living Hope whilst leaving room for him/her to
foreign candidates are “interviewed” via
have his/her own experience.
online video phone call as part of the application process. In this way, we get to
Case in point, we must be better prepared
know more than just the written content in
during our winter months (June – August) when
the application form and character
many young people from the U.S. and Europe
references. This practice is not only
flock to Living Hope to serve during their summer
beneficial to Living Hope, but also to the
break. Oftentimes it has become chaotic and
candidate, who gets the chance to
cumbersome to organize placement for so
engage and ask questions he or she may
many short-term roles. This can lead to
not ask in an email. On both sides, an
miscommunications and setbacks that leave
interview helps to eliminate assumptions
both Living Hope and the volunteer feeling
and makes the application process a
negative about the experience. For this
more informative tool for candidate
reporting period, we received 26 short-term
selection. Likewise, all local volunteer
foreign volunteers between June and August,
applicants are now required to produce a
and the average time commitment was just
pastoral reference letter. In this way, Living
under 6 weeks. We look forward to the results of
Hope can confirm whether the candidate
a trial run of marketing a short-term “summer
is part of a solid church foundation, and
project” this year with two sets of fixed arrival
can determine the level of service
and departure dates from which applicants can
involvement in the church itself.
choose. In this, coupled with the aforementioned improved application process,
Another area of improvement is
we hope to achieve a positive impact on both
managing volunteers’ expectations to
the volunteer [11]
and Living Hope.
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Finally, as we look ahead to the next year, we look forward to implementing an online, userfriendly application process that will enable the prospective foreign applicant to easily and seamlessly submit his/her information. Currently, incoming email enquiries can become burdensome to answer and manage. The online system will enable the department to track progress of applications more effectively. The future of volunteers at Living Hope is bright, with all thanks to the Lord. They continue to come to us, and we will strive to be best prepared to prayerfully receive, select, and place them so that they can benefit Living Hope and take away a lasting and encouraging experience.
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Teams Update
Visiting teams continue to be so essential to the work we do in each of the communities we serve. People often ask: “Is it worth all the money it takes to get the teams here to serve with Living Hope. Why don’t you just ask them to send the money?” Living Hope does not spend any money or resources on recruiting teams - these teams come to us. So we truly see it as a God-sent blessing. The reality is not only do these teams bring encouragement, excitement, skills, hands and feet that are so desperately needed, but we also see their lives transformed in the process. We recognize that not only do we need them to help us accomplish short-term goals and projects that we don’t have the money and resources to accomplish, but we truly believe that God hand-picks each person who comes on these teams. God chooses them to allow us the resources of their talents, gifts and abilities - but He also brings them here to do a mighty work in them. Living Hope is not only grateful for all of the teams, but we feel honoured and privileged that God would choose us as the vehicle through which He reaches their hearts.
32 =
The number of teams between April 2010 to March 2011
10 = Person-per-team average 11 = Days average stay [13]
Tim Hoffman Volunteer Coordinator Page 13
Leigh Snyman General Manager
‘Encourage the timid, help the weak, be patient with everyone. Always try to be kind to each other and everyone else.’ 1 Thessalonians 5: 14-15 Living Hope strives daily to bring hope and break the cycle of despair within the communities we work. Living Care is dedicated to the same but our emphasis is aimed at breaking the cycle of despair brought about by disease and illness. Chronic diseases, diseases related to advanced age and diseases where curative treatment is no longer an option and the main focus has shifted to quality of life and managing of symptoms’ ensuring that the dying process is dignified. We also aim to ensure that every person we come into contact with hears about the love of Jesus and hears the message of salvation to ensure that they have the opportunity to invite the Lord into their lives if they so choose. The goals of palliative care feeds directly into the Living Hope tagline as palliative care is fundamentally aimed at ‘bringing hope and breaking despair’.
“Palliative Care aims to relieve suffering and improve the quality of both the living and the dying” CAPC Manual Definition of Palliative Care [14]
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DEVELOPMENTS WITHIN LIVING CARE IN THE LAST 12 MONTHS: The last year has been a year of great leaps for the volunteer function within the Living Care department. Last year we had a few volunteers who made a huge impact on the work of the ministry and the living care team
Carers in our Health Care Centre
are grateful. We saw our first fully licensed American professional nurse who worked a shift in the Health Care Centre for a couple of months
In May 2010 we attained a 3-star status from
and she assisted in relationship building with
HPCA during a pre COHSASA (Council of
partners and reaching of clients outside of
Health Services Accreditation of Southern
Living Hope. An Australian doctor, Roslyn
Africa) survey. This was upgraded to a 4-star
Doyle worked at one of our referring
status during a focus survey in November
Hospitals and her presence as an
2010.
ambassador of Living Hope has lead to an increase in the referrals from that Hospital as
Training and development:
well as a visit from the hospital team in an
A member of the cleaning staff successfully
attempt to build a strong working
applied for an administrative position in the
relationship.
Health Care Centre. He continues to do well and we are proud to be part of the process
2010 saw us appointing a pastoral care
of staff development.
giver. This went a long way in ensuring daily spiritual support of patients and their families. Staff received training on numerous topics The chaplaincy team continued to care for throughout the year, both in-service training the patients and their spiritual needs. The
and training by external training providers.
Living Care team met quarterly at a pastoral Topics covered TB, HIV, chronic conditions, palliative care and adherence support. meeting for fellowship and worship.
Health Care Centre Bed Occupancy 80% 60% 40% 20% 0% Apr.10 May.10 Jun.10
Jul.10 Aug.10 Sep.10 Oct.10 Nov.10 Dec.10 Jan.11 Feb.11 Mar.11 [15]
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Health Care Centre Stats 150
189
186
182
120 90 60 30 0 2009
2010
2011
50 47
40 30 35
32
20 10 0 2009
2010
2011
Living Care Updates: Health Care Centre
Home Base care:
Sandy Lovick took over the position of Health Care Centre manager from Rene Bates. Sandyâ&#x20AC;&#x2122;s quiet, gentle ways helped to make this a smooth transition for all.
Resignations in the Home Base care services lead to some structural changes but by the grace of our Lord, the team has just grown stronger despite facing some challenges.
The Health Care Centre had 159 new admissions for the year. We have managed to reach more than 75% of what we set as our target for the year. We have had an average bed occupancy of 56% which has been quite a challenge. Numerous efforts were made to increase the number of referrals and we are hoping that more clients will be reached in the New Year.
Nazeema De Villiers, now in addition to managing the Home-Based Care team, also coordinates the Masiphumelele branch. The services provided still consist of home based basic nursing care, health maintenance of folk suffering from chronic diseases, a dressing clinic, patient advocacy, school health promotion and medication adherence support.
150 139
120 136
131
90 60 30 0 2009
2010
2011
Patient Deaths
One step at a time...
Discharges
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Home-Based Care Stats
500
Number of Clients
400 300
464
200
415 308
269
310
100
Masiphumelele
140
118
98
Muizenberg
137
0
Ocean View 20000
Number of Patient Visits
16000 12000
18550
8000 12761
11432 8543
2009
12545
4000
7190
5807
Masiphumelele
11922
11229
0
Muizenberg [18] 2010
Ocean View
2011 Page 18
FINAL THOUGHTS: Developments in palliative care in the country - the buzz word within the palliative care community is ‘strategic partnership’ as this is thought to be the way forward in sustaining ‘levels of care’ within the organisations that provide palliative care as per an article written by Liz Gwytter the CEO of HPCA, in the Hospice Palliative Care Association (HPCA) News Letter dated August 2010. In the same news article, she also made mention of this year’s World Hospice & Palliative Care Day (9th October 2010) theme, Sharing the Care, and HPCA has taken this theme to heart in developing Memoranda of Agreement with other national NGOs and with the Dept of Defence. This agreement with government adds to the memorandum’s of understanding with Provincial Departments of Health and with the Department of Correctional Services. I have to end with a word of thanks to a team who strived in all they did this year to ‘encourage the timid, help the weak and be patient with everyone. Leigh Snyman General Manager Living Care
Challenges: Staff safety remains an issue in all areas. The bed occupancy rate in the health Care centre does pose a challenge. [19]
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Peter Lovick General Manager
The Stats: 15 332 Meals served 720 Devotions 230 Clients counseled 32 Blankets issued 18 Clients off the streets
“Rescue the perishing, care for the dying, Jesus is merciful, Jesus will save.” Rescue the perishing, care for the dying, Snatch them in pity from sin and the grave; Weep o’er the erring one, lift up the fallen, Tell them of Jesus, the mighty to save. Rescue the perishing, care for the dying, Jesus is merciful, Jesus will save. Down in the human heart, crushed by the tempter, Feelings lie buried that grace can restore; Touched by a loving heart, wakened by kindness, Chords that were broken will vibrate once more. Rescue the perishing, duty demands it; Strength for thy labor the Lord will provide; Back to the narrow way patiently win them; Tell the poor wand’rer a Savior has died. The song penned by Fanny Crosby many years ago describes the privilege of ministry for Living Grace, we are humbled to report that God has blessed this ministry in the period under review. We are deeply grateful to God for another year of “bringing hope and breaking despair”! [20]
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DEVELOPMENTS WITHIN LIVING GRACE IN THE LAST 12 MONTHS: Homeless Programme. From the very young to the aged, Living Grace provides two meals per day, blankets, clothing, ablution and laundry facilities together with daily devotions, Bible study, discipleship classes and support groups continue. Destitution does not
A Place of Refuge for Many
discriminate and we are blessed to reach-out to those in desperate circumstances client faces may change but the message of redemption through Jesus Christ continues. More and more clients do
MID Project (Muizenberg Improvement
voluntary work at the centre and from these
District)
volunteers, people are invited to apply for
The street cleaning project continues to be
other employment opportunities like street
a valuable programme at Living Grace. It
cleaning.
affords the opportunity to conduct
We are very grateful to the donors of food,
personal development with cleaners as well
clothing, furniture and blankets that make this as valuable spiritual discipleship. Many ministry possible. (See donor list at end of the have grown and have been re-united with family and local churches. The 6 cleaners
report.)
and 1 supervisor clean 40 streets and Living Food Share Programme.
Grace has received many calls of thanks
The Food Share programme continues to
from the public for this service. A word of
support people in Capricorn and
appreciation is expressed to MID for their
Masiphumelele who are unable to get to
continued support and indication that this
Muizenberg for a meal. Where we have
service may be expanded in the year
additional food supplies it is distributed by
ahead.
the home-based care workers and support
Male Clients = 12 747 Female Clients = 2 209 Children u 6 yrs = 376
14% 2%
group facilitators in the above-mentioned areas. This assists the Living Hope staff in their care of TB and HIV patients who need improved nutrition for recovery from ill health. In this way the integrated ministry model is being worked out and expanded as per our strategic planning focus for the future.
83% [21]
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Programmes Offered • Awareness Programmes • Information Programmes to local communities and business • Training Programmes • Parent Counseling • Addiction evaluation and assessment • Referral to treatment • Community Based Treatment Programme (Out-patient based) • Aftercare programmes
The Numbers 6 = Current Client Group 467 = Family Support 27 = Family Reunification Programmes
12 = Decisions for Christ 8 = Completed the Programme 15 = Drop-out of Programme 4 = Referral to in-patient treatment
4 = Unsuitable for treatment 9 = Waitlisted for next intake
Recovery Programme We are delighted to report that Living Grace now offers a Community Based Treatment Programme. Supported by the The Dept of Social Development, the programme opened in Nov 2010. The programme is focused at the addicted indigent persons male and female from the age of 18 years. The Recovery Programme, consists of two phases. The first phase is over an 8 week process, whereby clients are exposed to addiction literature, life stories, practical examples, the opportunity to self-reflect and express themselves, by means of writing and other creative arts, within a dynamic group, with peers from vast backgrounds. Treatment groups, in itself, are therapeutic and are founded on psycho-education principles, to guide treatment lectures, and inform group discussions. The second phase is conducted once a week, also within a group context, however, less structured, and discussions are guided by the immediate need expressed by group members. Most of the content dealt with in this phase are relapse prevention and becoming responsible and productive citizens. Current Processes There is one group in the first phase, which started with 10 members, of which 2 dropped out, 1 was referred for inpatient treatment, with 7 remaining. In the second phase, there are members of 2 previous treatment processes, on average, 5 clients per weeks attend these sessions. In both processes, treatment is proving to go well, with random drug tests being conducted once every two weeks, for which all tests came out negative. It has been decided that drug tests will also be conducted on those in the second phase, which has not been done in the past, as to ascertain the success rate. It is our view that testing clients in this phase could perhaps shed light on claims of relapse by prophets of doom, which can only serve to strengthen the second phase of the recovery programme. Needs and challenges This recovery programme promotes a view that, for their successful recovery, there needs to be growth in three elements of their recovery life. Firstly, spiritual growth, secondly, attending and completing the Living Grace recovery programme, and thirdly, attending (NA/AA) Support Groups meetings, and utilizing the help and assistance of a sponsor. In both phases, it has been identified that sponsors are either ill equipped, or not always available to give support and advice to people in recovery. [23]
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Needs/Challenges (Continued) We have also identified that more work must be done in the field of relapse prevention (tools), as a number of people in the second phase, had “slip-ups” (relapsed), however, they were counseled, and advised accordingly. Support from family members has proved to be one of the major challenges in particular the first phase. Relationships had been severely damaged, due to clients’ addict behavior (in the past) and seemingly will be taking longer to repair than anticipated. The Living Grace staff, will continue to address this issue of family involvement, however challenging, we are of the view that [supported by addiction literature] recovery is unsustainable, difficult, and at times, impossible, if there are no support from family, or loved ones. We try to address this issue in the family meetings, which occurs twice in the first phase, and when there are family members to participate. Volunteers Volunteers in large and smaller groups have had very positive impact on the programmes and clients. This would appear to be a win, win programme as the volunteers frequently share of the blessing they receive from their periods of ministry at Living Grace as well as our clients benefitting from their ministry and outreach. Volunteers have got involved in cleaning, maintenance, conducting of devotions, guitar lessons and individual counseling of clients. Their outreach has made a difference in many lives.
Peter Lovick General Manager Living Grace
Sincere and heartfelt appreciation is expressed to donors and sponsors: King of Kings Baptist Church Burger Strandhuis Meredith Harrington Muizenberg Improvement District Department Social Development
Pick n Pay – Plumstead & Longbeach Mall Checkers - Muizenberg Spar - Lakeside Sostanza Bakery [24]
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Avril Thomas General Manager
“We are so grateful to the Lord for His faithfulness throughout this year” The Lord has brought together a great team in the Living Right ministry and I am deeply appreciative of each of them and for the way in which they tackle the vital roles that they play. During this past year we had a few co-ordinator changes: Chantel Delcarme continues to be the Living Right administrator but instead of co-ordinating the Life Skills Department, she co-ordinates the Support Group department. Lynne Johannes coordinates the Health Counselling Department and Natalie Watlington co-ordinates the Life Skills Department. We are also deeply grateful to the Lord for His faithfulness over the year and for the privilege of seeing many of our clients accepting Jesus into their lives during this past year. It has also been a year of developing many new networking relationships. Some of the organizations that we have networked with include : Department of Health, City of Cape Town, Mothers2Mothers, Soil For Life, Upward Soccer, a Christian Brazilian team, Samaritans Feet, Fusion, YWAM, All Nations, Call 2 All, Hope2 Africa, Ubabalo Sport, Small Paul, Life Exchange, Mercy Network, the Two Oceans ministers fraternal, the Good Hope ministers fraternal, King of Kings Baptist Church, Valley Christian Church, St Margaret’s Anglican Church, Meadowridge Baptist Church, Capricorn Community Church, other local churches, Inclusive Education Western Cape, Cornerstone Institute, AIS students (Medical Knowledge Institute), and we have been actively involved in MSAT, the NGO Counsellors Quarterly Forum meeting, and in facilitating the Red Hill and Masiphumelele NGO forum meetings.
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LIFE SKILLS EDUCATION: This programme receives no set funding and is entirely dependent on the sacrificial giving of
Kleinberg, Marine, Ukhanyo, St James, Simon’s Town, Zerilda Park, Redham and Christian David
private people to the D.A.D. programme. To all
and in the Valyland Private High School. From
our D.A.D.’s: THANK-YOU so much – thank-you for
time to time we have also provided special
giving to the Lord and enabling us to make a
programmes in Kommetjie Primary and Fish Hoek
difference in the lives of children in our
Primary schools.
communities. Without your financial support we
Our Afternoon Children and Teen clubs have
would not have been able to reach a total of
continued in each of the areas in which we work
10690 children with the love of Jesus during this past year.
and we have witnessed significant growth and spiritual development in the teens who have
The Life Skills team has worked with 3625 children
attended.
in Afternoon Clubs, 1145 teens in the Teens Clubs, 654 children in pre-schools and 2204 through the school ministry. 249 girls have been supported
We have had over 20 international and 30 local volunteers working with the life skills team during the year. Some of the international volunteers
with feminine hygiene products from the Eve project, 13 children have been referred for social intervention, 95 have been assisted with school
who left during the year had been long-term volunteers and we have sorely missed their input and involvement in recent months. As a department we are deeply grateful to volunteers
uniforms, stationery and food, and 54 have received home visits. At our annual “Wait 4 Me” event in July 2010, 51 teens responded for
for their energy, enthusiasm, insight and commitment to work alongside our staff in
counseling and prayer in the following areas:
ministry.
salvation, abuse, rape, family issues and
When volunteer Kendra Crabtree left, there was
repentance.
a gap in the music development ministry but the
The Pre-school ministry, Parenting workshops,
Lord has provided volunteer Brenda Feltmann, a
Schools ministry, Afternoon Club, Holiday Club
music teacher in the Fish Hoek Valley, who will continue this ministry of music development.
and Teen Club programmes are all Biblically
based and have a spiritual component, as well as address the lifestyle and social challenges that The year 2011 has seen the launch of the they face daily. Our clients are actively involved “Legacy Programme” with 6 young people (5 of in the learning process and in praying at these meetings, as well as leading in singing or bringing
them men) from the communities in which we work participating. It is a one-year commitment
a word of testimony or challenge.
to working as a Life Skill educator, during which
We have worked with 10 unofficial pres-schools in Masiphumelele over the year – providing Life Skill lessons to the children once per week and providing curriculum guidance to the “Mama’s”
opportunity while receiving some pocket money. I am extremely excited about the development of this programme and look forward to it bearing much fruit in equipping and empowering young
running the pre-schools on a weekly basis. An
leaders in our local churches, as well as strong,
ECD (Early Childhood Development) forum has now been formed in Masiphumelele and we are participating in this as a key role player with other unofficial pre-schools in the area.
they will receive training and practical ministry
Biblically based community leaders in the future. It also provides a platform to work with some of our local Pastors more closely as we partner with them in equipping their young people.
We continue to provide regular Life Orientation lessons in the following primary schools :
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LIFE SKILLS EDUCATION (CONT.):
One of the highlights of the past year was the World Cup Soccer in South Africa. During the extended holidays the Living Hope Life Skill educators provided the following activities : 1. 3 weeks of Holiday Clubs in the morning (Monday – Thursday), 2. Soccer and netball practises and matches for 3 weeks on a Monday and Wednesday afternoon and Friday morning 3. 1 week of Upward Soccer and Netball clinics – both morning and afternoons, with a visiting group of Christian Brazilian soccer players, who formed part of the Samaritan’s Feet outreach ministry 4. Once during the holiday programme the Samaritan’s Feet team graciously ministered to each child on a very personal level by explaining the servanthood of Jesus to the children in a group and then washing each child’s feet, praying for the child’s specific needs and then fitting on a new pair of shoes 5. 1 Thursday afternoon in each area we had a community festival in partnership with Fusion (an Australian Christian organisation). These were extremely well received and enjoyed by the whole family 6. It all culminated in a one day Soccer Cup festival on 9 July at Fish Hoek High School when over 800 children from all the areas enjoyed playing soccer, netball, fusion games and participating in a Gospel chalk demonstration, drama’s, and Gospel tricks. As each child left they were handed a Soccer 2010 booklet containing testimonies of Christian international soccer players and the way of salvation clearly explained. No child would have left this fun Festival without hearing the Gospel in a way that they could understand. Every Friday continues to be filled with training for our Life Skill Educators. The training has consisted of curriculum and presentation skills workshops led by our beloved and very capable volunteer curriculum developer Danielle Schneider, Leadership Development, time management and planning with gifted and highly efficient volunteer Melanie Dill and Meagan Daniels , teaching and discipling children with Bonnie Doughtie, “Classroom procedure and discipline” with Polly Saul from Masi Corp, the abstinence based programme “No Apologies” with Denise Boltmann of Focus on the Family, Substance Abuse awareness by Peter Lovick, Women’s Health by Pregnancy Help Centre, several workshops looking at different relationships with social worker, Michelle Roux, Evangelism of children with Hope for Kids, the Work Life course run by Living Way which also included the Alpha course, HIV training by our Health Counsellors, and in January 2011 we began the one year Rosebank Bible survey course which has been facilitated by Tracey Soko and taught by a number of Pastors from local churches for which we are most grateful. 4500
Number in attendance
3000
3672
3625 3062
2605
1500 2204
1711
1145 4404 Afternoon Clubs
1755 Holiday Clubs
2009
3242 Schools [29]
2010
0
70 1 Teens Club
2011 Page 29
SUPPORT GROUPS: The support group facilitators have worked extremely hard this past year and served a total of 2170 clients. They are continually and creatively seeking how best to support and educate our clients with chronic diseases and special needs. During this past year, 1437 clients have attended CDL support groups and 528 clients have attended our HIV exclusive support groups. After some research and surveying, we started a new brand of support group this year with mothers who have recently given birth. During this year, 205 different mothers have attended the mothers groups. Although our area runs a successful PMTCT (pregnant mother to child transmission) programme we have over time received many reports of babies who were born HIV negative testing HIV+ at 6 or 9 months. During this year, we have had 2 volunteer mothers who have put together a practical programme for mothers of very young children and we seek to invite mothers to a safe place where they ask their questions, share their experiences and learn from each other and thereby support each other in the community. We have developed a strong working relationship with the NGO, Inclusive Education, which works with children with special needs at our Capricorn centre. They have developed a toy library at the centre which has become a care-givers weekly support group. Living Hope support groups have piloted the CDU medication distribution via 3 of its support groups. This has worked very well and we look forward to being able to distribute medication to all our support groups in the coming year. On the 20 November 2010 the support group facilitators arranged a 5km Diabetes Awareness Walk from Fish Hoek beach to the Living Hope Capri campus. Despite the wet weather this was a great and fun event and inspired people with chronic diseases to exercise more.
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SUPPORT GROUPS (CONT.): The support group facilitators have enjoyed working with many visiting teams to Living Hope
-
on door to door visits, TB blitz and other disease informing campaigns, as well as special outreach events into the community. Health outreaches are always a high point and of particular mention was the outreach with the Brentwood Baptist Church team who conducted eye screening alongside other health screening tests with the support group facilitators. This passionate group of facilitators is committed to help heal their community in every way. The support group facilitators are a vibrant, outgoing group who have made the most of their opportunities to share the good news of Jesus with their clients and have had the privilege of praying with many of their clients as they accepted Jesus into their lives for the first time. Some of the tools that they have found effective include the A,B,C and D of the Gospel and the colours of the SA flag. Every first Friday morning of the month is training
2500
time for the support group facilitators and their training sessions have covered presentation skills, HIV, TB, Blood pressure, Nutrition, Infection
CDL SG
HIV+ SG
2060
Control, Domestic Violence, effective use of cell phone technology on connecting with your group members and administrative skills, and
1250
1437
1287
record keeping. This has proved very beneficial and is always a time of fun and laughter. 251 2009
In preparation for the Department of Healths changes to integrated Community Care workers
341 2010
528
0
2011
Living Hope has started upskilling the support group facilitators. They did a 2-week Homebased care course and a 1-week First Aid course with St Johnâ&#x20AC;&#x2122;s in Feb and will be doing the next level course shortly which will assist with the health screening of clients at the monthly medicine distribution groups as well as prepare them for the new post as per the DoH.
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HEALTH COUNSELORS:
continues to do extremely well in reaching more
Our strong team of dedicated listening and teaching counsellors has really soared to greater heights this year. The full team (including our
men than the average clinic facility. Living Hope counsellors serve in 2 local hospitals
mobile team) has tested a total of 14 542 clients
(False Bay Hospital and DP Marais Hospital), 5
during the past year, 849 were tested HIV+. The
clinic facilities (Fish Hoek, Ocean View,
mobile team on its own tested a total of 2959
Masiphumelele, Muizenberg and Seawinds Clinic),
clients of which 2.8% tested HIV+. During the
2 satellite clinics (Simon’s Town and Red Hill), as
year 1756 clients started ARV treatment and were counselled by our Adherence Counsellors in clinic
well as in our mobile team who have travelled across the whole Metropole providing HCT, TB
settings.
screening, BMI’s, blood pressure and blood sugar
Number or ARV Counseling Clients (C1)
testing.
2500
Except for the mobile team Living Hope
1875
counsellors serve in a set clinic on a daily basis and attend a monthly mentoring session which is
1250 1710
2024
837 2009
out-sourced and a monthly team meeting with
625
the co-ordinator and General Manager. The counsellors have an extremely emotionally
0 2010
draining job and have coped amazingly with the
2011
psycho-social needs of their clients in some very desperate situations.
Targets were set for the HCT campaign (a national campaign called for by the Minister of
During community health campaigns, such as the
Health) for each clinic to reach by end of June
measles and diarrhoea campaign, most of our
2011. The Ocean View clinic exceeded its target
counsellors and support group facilitators
in November 2010, and all clinics had reached their targets by the end of March 2011. Our mobile site has also exceeded its targets and
become involved in working with the clinic staff [32]and in so doing strengthen the health service provided to our community. Page 32
HEALTH COUNSELORS (CONT.) There was a change of terminology from VCT (Voluntary Counselling and Testing) to HCT (HIV Counselling and Testing) due to the HIV testing campaign where every client was encouraged to have an HIV test. During the year, the ACTS model (Advise, Consent, Test and Support) was accepted as the new counselling model in the Western Cape and has been rolled out at our facilities. Our counsellors all successfully completed the finger prick test training at the beginning of December but unfortunately they cannot do the finger prick test on the job until the DoH authorises such. In order to assist and work out the rollout of ACTS and the integration of TB counselling in each clinic the co-ordinator and team leaders, together with the General Manager, have sought to meet with each DoH team in the clinics on a monthly basis. This has greatly improved communication between Living Hope and the facility manager and other staff and has given an opportunity for us to assess the â&#x20AC;&#x153;gapsâ&#x20AC;? in each facility and helps us to formulate how we can work together in being more effective in preventing the spread of HIV and Aids and TB and treating and caring for those who are infected and affected. Training is ongoing in this department and is mostly offered by ATICC (Aids Training Information Counselling Centre). Our staff have also attended some training facilitated by Phillipi Trust, Desmond Tutu HIV foundation and Desmond Tutu TB Centre. There have been many administrative changes during the year and our Team Leaders, Pumla Madliva and Hilary Adonis, have excelled in attending the necessary training and mentoring their teams into the correct procedures to follow. The job description of counsellors is currently being re-assessed to bring it into line with the new DoH plans and requirements. Depending on the final model, this could have impact on the Counsellor ministry of Living Hope in the future.
15000 12000 9000 14542
6501
6000 3000
5259
Number of Clients
2009
855
1306
Confirmed HIV+
2010
0
835
2011
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Ocean View Avril Thomas General Manager Living Right
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Richard Lundie General Manager
Living Way has three strategic themes: To equip people with the thinking tools to live productive lives To empower and train small business owners to be sustainable in providing for themselves and others To increase employment through guidance, referrals and access to training Figures for Living Way: Direct programme recipients = 136 Indirect recipients – those that have received services on the Living Way campus (non LW programmes) = 123
Spiritual strategy At the heart of Living Way is the desire to reach people for Jesus. This year has proven to be one of sharpening our spiritual strategy, utilizing a variety of methods and tools to share the Gospel with learners in our programmes. In every intervention, programme, workshop or activity, we share Biblical truth. This may be in the form of a devotion, or the presentation of the Alpha course. We give God glory for his work in this arena, as we have seen more spiritual fruit this year than any before! [34]
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THINKING TOOLS:
BUSINESS OWNERS:
Worker readiness training
Business Basics
The worker readiness training has rolled out
During this financial year, we held two
following the pilot in April 2010. This was
courses of business basics. The goal is to
followed by refining the curriculum and
equip people to start their own business
adding new components. A second set of
through giving them the relevant information
training was held in August 2010. In early
and skills training to do so. This programme
2011, another two groups were taken
has proven to be effective in reaching
through the material, including the Living
people with the entry level skills needed to
Right Life Skill Educators. This course has
launch their ideas into practice.
proven to be an integral part of the Living Way ministry. It will be accredited with the
Business workshops
Services SETA in 2011 and allow for a formal
Following feedback from business basics
qualification to be issued to successful
training, Living Way started a different
learners.
intervention in reaching business owners. Through fortnightly meetings, business owners
STEPS to Excellence
are brought together to discuss relevant
In early 2010, Living Way, in partnership with
issues facing their business. This programme
Grassroots Development Trust, prepared
values collaboration between businesses
learners for a learnership in the retail sector.
and sharing of information. Rather than
Living Wayâ&#x20AC;&#x2122;s role was to train and mentor a
teaching and lecturing, Living Way facilitates
group of learners from the South Peninsula.
the discussions. The pilot for this programme
The learners joined the learnership in
was held with Masiphumelele business
October 2010 and will complete it in October owners and will be expanded during 2011. 2011. The primary reason for the SETAâ&#x20AC;&#x2122;s funding this intervention is that STEPS to
Five Loaves Bakery
Excellence has shown itself to be a powerful
In September 2010, Five Loaves Bakery was
tool in the retention of learners throughout a
launched. This bakery has two goals: to train
learnership. Previously a retention rate of
people for jobs in the baking industry and to
50% was considered normal. The Grassroots
create employment for bakers within the
learners have over 90% retention rate.
areas in which we work. On both fronts, this bakery is doing well. The bakers are currently supplying baked goods to a variety of sources, including some of the Living Right life skills programmes. The future will see the bakery exploring more contracts, selling directly to the public and the establishment of a franchise manual so that future spin-off [35]
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bakeries will have a structured plan to grow their businesses. Agribusiness In the end of 2010, Living Way purchased two greenhouses from a farmer in Kommetjie. They were installed and in the first week of February 2011, cucumber and tomatoes were planted. This programme is part of a larger strategy of developing people in the farming businesses. This academy will involve teaching various farming methodologies, work ethic, business basics and detailed farming topics. The goal is to build up farmers to run their own farms like businesses.
GUIDANCE/REFERRALS: Basic skills training During this year, a new strategy was tabled to provide basic skills training under the Living Way banner. This strategy is still in its infancy and much research needs to be compiled before the programmes will be implemented. Partners on the Living Way campus Evangeline Ministries has continued to provide sewing and computer classes, with many of the students coming from the Living Care Health Care Centre. Life Exchange continues to work with at-risk youth from Ocean View. Drive More Safely is a new partner, the only non-profit driver training school in the country. Hope2Africa have been a blessing to the Masi youth through their art and drama classes. Ikamva Labantu, serving the elderly of Masiphumelele, have joined us on the campus. Noordhoek Valley Educare is doing well, with over 60 children getting quality preschool education. [36]
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Babysafe In February and March 2011, Living Way delivered a combination of training courses for Babysafe, a non-profit working with single or vulnerable mothers. The selected group of ladies raised money for the courses by selling various goods within the community. They attended the Worker Readiness School, STEPS to Excellence and a select few attend the entrepreneur training. Final thoughts We are so grateful to the Lord for all he has done in and through Living Way. We give him the honour and the glory and dedicate the next year again into His hands. â&#x20AC;&#x153;Give thanks to the LORD, call on his name; make known among the nations what he has done. Sing to him, sing praise to him; tell of all his wonderful acts.â&#x20AC;? Psalm 105:1-2
Richard Lundie General Manager Living Way
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