1
TABLE OF
CONTENTS
2
OVERVIEW OF LIVING HOPE OUR MISSION CHAIRPERSON’S REPORT PROGRAMME DIRECTOR REPORT CHAPLAINCY REPORT RECOVERY PROGRAMME LIFE SKILLS PROGRAMME HEALTH CARE CENTRE COMMUNITY BASED SERVICES HIV, AIDS, STD AND TB COMMUNITY NETWORKING HARVEST TRAINING INITIATIVE TEAMS VOLUNTEERS FINANCIAL REPORT HUMAN RESOURCES REPORT MONITORING AND EVALUATION STATS AT A GLANCE ACKNOWLEDGMENTS
OVERVIEW
2 2 3 4 5 6 9 12 13 15 16 18 20 21 22 25 27 28 29
Living Hope programmes seek to impact the Western and Eastern Cape, South Africa, through a holistic approach that supports and empowers those affected and impacted by poverty and disease.
MISSION
To spread the good news of Jesus Christ in a life changing way and to encourage people to follow Him. To play a vital role in the prevention, care, treatment and support of people infected and affected by HIV and AIDS and other chronic illnesses. To undertake community development, inter alia through education, social and health related programmes.
CHAIRPERSON’S report doubt our most valuable asset. We are blessed to have each one of them who by business standards are poorly paid but their call over their life motivates them to go the extra mile for the poor and the needy and in doing so, live out our Mission of Bringing the Hope of Jesus and Breaking the Despair of Poverty and Disease. Not only did our numbers of people reached increase significantly but our buildings on our Capri Campus expanded with the opening of the Farm Training Centre and Farm Barn. We are deeply grateful to our donors of these buildings who are listed in the Harvest Training Initiative report. We also welcomed ‘Extreme Response’ onto our Capri Campus who have been a partner of ours since the very early days of Living Hope.
“Not to us, Lord, not to us but to your name be the glory, because of your love and faithfulness. Psalm 115:1”
As an organisation, we have so much to be grateful for and we need to honour the Lord for all that He has done. While we have an incredible team involved in making all of Living Hope possible, it is ultimately the Lord who has enabled this great work to be done. I have been amazed to see what has been achieved through an amazing team of staff, volunteers, trustees, funders and donors who have been empowered to carry out this great work. While numbers are not by any standard the measure of what has been achieved, it is worth noting that in our 2012 five year strategic plan we planned to reach 80,000 people by 2017 and we were able to do just that – in fact we reached 81,129 people. In Cape Town we serve the Southern Peninsula, which includes the areas of Overcome Heights, Capricorn, Muizenberg, Kalk Bay, Lakeside, Fish Hoek, Masiphumelele, Ocean View, Red Hill and Simon’s Town. We also served the areas of Kraaifontein and Mfuleni in Cape Town. In the Eastern Cape we have been able to serve the people of Gonubie and Mzamomhle. We have a wonderful staff team who serve extremely faithfully often under very difficult circumstances. Our staff don’t just have a job – they live out their calling and life’s purpose of working with some of South Africa’s most disadvantaged people. Our staff are without
Avril and I have visited the USA 3 times and the UK on Living Hope fundraising tours. Living Hope has now officially been registered as a Charity in the United Kingdom. Fundraising is extremely challenging in these times but I do believe that in the long term we are developing some excellent relationships, which will impact very positively on our finances. There has been amazing support in every way from our Board of Trustees, staff, volunteers, teams, donors, funders, grantees, trusts, churches, businesses, corporates who sacrificially gave of themselves, their time, their money, their input, their wisdom and their dedication. Thank-you to each of you for being part of the great team, which makes up Living Hope. This report is a testimony of what God has done in the lives of individuals: the many children who have been shown the love of Jesus, the patients who have been cared for with dignity in both the Health Care Centre and in their homes, the patients who have been counseled and supported, the people who have received training in agriculture and business, as well as those who have been helped in their search for a job, those who have been walked alongside in their road to recovery from addiction. So many individuals and families have been significantly impacted. This report does not tell any of the wonderful individual stories which we hear weekly from our patients and clients. It is my privilege to serve with you all in some way. John V Thomas Chairperson: Living Hope Trust 3
PROGRAMME DIRECTOR’S report managers to share more in depth about their programmes and also to share their struggles and be encouraged. This has also resulted in the different departments providing integrated proposal development and programmatic support and input to each other, and in so doing strengthening the integration of our programmes as an organisation, which in turn provides more holistic assistance to our clients. A more relevant referral system has been developed both between the programmes and with outside service providers, (NGOs, Churches, Government Departments etc) resulting in more effective care and support of our clients. We are presently in the process of developing an integrated, specifically designed database which all our programmes will be able to use and for us to more efficiently provide needed services to families in the community. It will also enhance our report writing and our monitoring, evaluation and decision making around our programming. A lot has been achieved during this past year, and special thanks goes to ALL the staff, whatever their post or position - everyone has played It has been my great privilege to be the Living a significant part in this God-focused team! We Hope Programme Director for the past 6 months. also want to thank our donors and funders, prayer It has been challenging and stretching, and also partners and friends – without your help and very rewarding to see how much more can be support we would not be able to achieve what accomplished when we work together. we believe God has called us to do. To God be the glory for all that has taken place and all that has Living Hope has an amazing, committed and been accomplished!! dedicated leadership team who seek to live out the vision and mission of Living Hope on a daily Avril Thomas basis. It is an incredibly exciting place to work and Programme Director serve our Lord with others who have the same sense of call. We have been privileged to see a great improvement in the trust and working relationships of each department and the genuine love and support given to each other. We have a monthly Programme Managers meeting which has given opportunity for all the 4
CHAPLAINCY report Our Chaplaincy department seeks to take care of the spiritual needs of our patients and staff and equip our staff to minster in Jesus name. As an organisation we encourage our staff to share the Good News of Jesus Christ as they go about their daily duties. Our staff are often reminded that this is our main focus as an organisation.
volunteers at the moment who are doing a wonderful job and bringing much joy and friendship to our patients. We have had the privilege of seeking to care for the spiritual needs of our patients who came into our Health Care Centre. We thank God too for the good relationships that we make with the patient’s families. Some families who do not have a church, with which they are linked, have asked us to conduct the Memorial service for their loved ones who have passed away. We have had the privilege of holding 4 such memorial services this year.
As we serve our clients with love and compassion, we build relationships with them and our staff are able to share their faith with confidence, as a result of the Evangelism training. This past year we trained 35 staff on how to share their faith. We thank God for the many clients who have come to know Christ as Saviour during this year as Our Chaplaincy Department also receives referrals well as seeing how our staff have grown in their from the community on a regular basis and visits relationship with the Lord. clients and patients in their homes. We have quarterly prayer meetings where the Noloyiso Mzizana, Chaplain needs of all Living Hope departments are shared. It is wonderful to see the commitment of our staff to pray for each other and to see how God answers our prayer for our staff, clients and communities. Every branch starts the day with devotions where we praise, pray and sing together. Throughout the year we have been working our way through the Impact Bible. We are thankful to see our staff actively living out our tagline “Bringing Hope, Breaking Despair.” HEALTH CARE CENTRE MINISTRY Each day our patients in the Health Care Centre are visited and prayed with, if they so desire and receive personal encouragement from the Word of God. Every Sunday, a Church service is run by different Churches and volunteers for our patients and staff. We thank God for the Pastors and the Christian leaders from the churches of the greater Fish Hoek Valley who have committed themselves to encourage and bless our staff and patients on a Sunday. During the week our Chaplain arranges an additional service in the Health Care Centre which is greatly appreciated. We also thank God for the increasing numbers of spiritual workers who come and visit our patients during the day. We have 3 5
RECOVERY PROGRAMME report We all know the adage “time heals all wounds” but it is simply not true in the world of addiction. In substance abuse addiction, time only extends the pain, if the problem isn’t dealt with. ‘Celebrate Recovery’ is not only a component of the Living Hope Recovery Programme - it is the absolute essence of the programme as we truly celebrate new lives and new beginnings in Christ. Many clients stumble into our centre feeling like failures, ridden with shame and guilt, seeking help, hope and healing for their many hurts, habits and hang-ups and it is wonderful and so heart-warming to celebrate their recovery as they find new life and a hope in Jesus. The Recovery Programme reaches out to people impacted by substance abuse and provides a structured programme of Recovery as well as Awareness and Prevention Programmes with ‘After Care’ Support Groups for clients and their families. The programme is divided into three components namely, Phase 1 (Admission), Phase 2 (Treatment) and Phase 3 (Re-integration). To run this programme we rely very heavily on a small salaried staff, but are blessed to have international and local volunteer support. Without the volunteers it would be exceedingly difficult to provide the scope and quality of this programme. PHASE 1 We are delighted to report that our admissions to the programme have increased over last year. Female
6
admissions have shown an upward trend, and we seem to have gained the reputation as the programme of choice for females seeking treatment. However female clients continue to face special challenges with responsibilities for young children and home responsibilities. Our Recovery Programme Phase 1 is a place where relationships are built with clients and issues of ambivalence and denial are dealt with. It is most gratifying to see how clients bond with the programme in this phase and gain motivation for treatment in Phase 2 and lifelong recovery. Many clients report that at their Graduation that they become encouraged and motivated to persevere with treatment by the example and the shared encouragement of other clients graduating. The element of service adds to their motivation – showing responsibility for various tasks assigned to them. PHASE 2 This is the formal structured treatment phase of the programme. In the mornings we have in-depth lectures together with weekly individual counselling. The afternoon activities are either Arts & Crafts, or DVD’s followed by group discussions, or structured games and recreation with a specific focus on physical, mental and emotional recovery. Here our volunteers have played a significant role in the programme. During the programme, clients are involved in focus groups and these have been very effective. The groups are Gender Groups, Parenting Groups and Non Parent Groups. These groups are beneficial as the majority of
our clients do not have any role models in their lives, particularly father figures. The clients appreciate guidance and mentoring in these focus groups as it is a safe place to ask meaningful questions. Regular positive feedback is received from clients after a focus group. The bi-monthly Family Day programme is well received and affords an opportunity for families, friends and client supporters to get to understand the nature of addiction, co-dependency and the importance of ongoing support. 231 family members have attended the Family Day programmes. PHASE 3 Treatment without ongoing support offers a limited prognosis for sustained recovery. Spiritual, emotional and physical support are vital components of recovery. Clients are taught that their recovery rests on three legs namely: Spiritual growth, Support group attendance and a good relationship with a Sponsor. We are most grateful that an increased number of churches have understood these principles and provide these services to clients who have graduated the programme. RETREAT RECOVERY PROGRAMME Living Hope Recovery Programme in Retreat continues to provide a valuable service to clients and members of the community in partnership with Lakeview Community Church. They offer a weekly programme comprising, Family Programme (Mondays) Addiction Insight Classes (Tuesday) Exercise (Wednesday) Bible study (Thursday)
Recreation (Friday) Community outreach (Saturday) Worship Services (Sunday). The community feeding scheme run from the church on Wednesdays provides clients with an opportunity to serve and “give back� to the community. Living Hope supports this ministry with food donations. MUIZENBERG RECOVERY PROGRAMME Surfers Church continue to be loyal partners with the Recovery Programme and provide Support Group meetings on Thursday afternoons/evenings in Muizenberg. This has proved to be very popular and greatly beneficial to clients that attend. They also run an annual holiday programme and this has meant that the Recovery Programme does not close over the December holiday period. OCEAN VIEW RECOVERY PROGRAMME A further expansion to our programme was made possible by the funding of a programme in Ocean View by the City of Cape Town. City Councillor Simon LeillCock has been very supportive and we have opened a help desk for people impacted by Substance Abuse as well as Support Groups and family programmes for the Ocean View Community. We were delighted to be informed that due to the success achieved, further funding has been made available for services to Ocean View. INFORMATION AND AWARENESS PROGRAMME The Recovery Programme has been kept busy with 7
many requests for information and training regarding substance abuse and recovery. Although we are not funded in any way for this service we feel it crucial to the ongoing dissemination of information regarding substance abuse and the hope of healing and recovery. Requests for help come from a wide variety of organisations. FOOD SHARE PROGRAMME The number of food donors to the programme has reduced with some larger grocers linking up with Food Bank. We remain very grateful for the remaining donors who have enabled us to continue to provide nutritious meals to our clients and to support other community feeding programmes, which include Lakeview Community Church soup kitchen and Springwood Baptist Church soup kitchen. STATISTICS: The Muizenberg Recovery programme has had 231 clients join the programme during this past year. 40 clients have graduated while another 11 clients were referred to another programme. 104 people were reached through Drug and Alcohol Awareness Programmes. 1130 drug tests were carried out at outreaches and on clients throughout the year. 83 clients attended our Family Days and 148 of their family and friends (73 of them children) were reached. The Retreat Recovery programme had 87 clients in their aftercare programme and had 147 clients attend their support groups with 112 family members attending the support groups together with the clients. In Retreat 44 people were reached through the drug and alcohol awareness programme. It has been encouraging to see clients growing in their relationship with Jesus and some of them being baptised. In the Ocean View programme we had 57 clients attend the aftercare programme, and 40 clients attended the support group together with 30 family members. Living Hope Recovery Programme Needs and Challenges: • Funding remains a major challenge, and we remain constantly alert to possible funding opportunities. Without funding our programme and all that is achieved could simply not exist. • With the many female clients that we have seen, it is abundantly clear that there is a very urgent need for childcare for clients in the Recovery programme. This is a challenge that could be a wonderful opportunity for a Church youth ministry. A Monday to Friday “Sunday School” would be most beneficial to the children of our clients as most would not have had any Christian teaching or training. • A Phase 3 Employment Reintegration 8
programme is desperately needed. Many clients successfully complete the Recovery programme but find employment very difficult to obtain and to retain as they do not have the skills required, having been out of the work place for long periods of time.
In Conclusion A sincere word of appreciation must go to our funders which are the Western Cape Department of Social Development and to the ‘Hidden Treasure’ Shop in Simon’s Town for their excellent loyal support over the past year. Their contribution is greatly valued and our prayer is that these wonderful partnerships continue. We ‘Celebrate Recovery’ for another year and look forward to more amazing miracles of recovery in the future and as we celebrate we give God all the Glory for the truly great things He has done. Peter Lovick: Recovery Programme Manager
LIFE SKILLS PROGRAMME report
The Life Skills programme is extremely grateful to the Lord for His faithfulness to us as a team. There have been changes and challenges throughout the year in all divisions and programmes. It has been extremely rewarding and humbling to work alongside a dedicated, committed and faithful staff team that have constantly and consistently worked together to meet the needs and challenges that have come our way. Challenges were turned into opportunities and it was really humbling to see teams and individuals rise throughout this year. Stepping into this new position in October 2016 was not an easy step up for me. Avril Thomas who nurtured and grew this department left a legacy of success and memories. With her mentoring and input I’ve been able to come along side the staff and continue the vision of Bringing Hope and Breaking Despair. LIFE SKILL EDUCATORS I want to start by thanking our very wonderful donors: those giving through the DAD (Dollar-A-Day)
programme and those churches and businesses, both local and International, who send donations from time to time. With this support we were able to continue to be the foot soldiers in the community, rolling out our Biblically based interventions. With our strong focus on God’s plan for families we are able to impact and encourage most spheres of family life, thus bringing hope to both parents and their children. We are extremely grateful to Orphans Heart who continue to cover the costs of a healthy snack at our Afternoon and Holiday clubs. The Department of Social Development currently partly funds the costs of our parenting workshops and other psycho-social programmes. The ‘Valley Development Project’ refers many parents to us and so we were able to reach more broken families, again allowing us to bring hope in Jesus name. This year we were blessed again to receive funding from The Aurum Institute. This enabled us to continue to provide a comprehensive and holistic family strengthening programme to the Orphans and Vulnerable Children whom we serve as well as focussing more intentionally reaching families in their 9
homes, bringing them hope. As a Life Skills team we are motivated every day by young people who rise to the challenges of their situation and choose to follow Jesus and His choice of lifestyle. Over the years we have sought to develop strategic interventions that will help young people break the cycle of disease, poverty, unemployment, gangsterism and crime, which is rampant in the areas we work and which negatively impacts the young people we work with. We seek to support and enable these young people to lead a transformed life in Christ and thus impact their community. Our Afternoon and Holiday clubs have always been and remain our flagship programmes, attracting children and youth from 5 communities. Doing ministry has its challenges as they too face gang violence, protests and taxi violence in their communities. Despite all the challenges, our staff remain committed to serving those in need. Being more relational and intentional they encourage the children to share their feelings and what is going on in their lives. When a situation or incident is highlighted during discussions with the Life Skill Educators it is flagged and referred to someone who is more adequately equipped to deal with the situation and bring healing in Jesus name.
In the last year the children reached through our Afternoon & Holiday Club, the Orphans & Vulnerable Children Programme, the Eve Project and Schools
7923
Afternoon & Holiday Clubs
4093
Orphans & Vulnerable Children Parents completed our parenting course
149
Moms graduated from Moms & Babies groups
73
Way to Work : Training Courses hosted
4
Clients received help from the Job Centre
10
1573 Children, 710 Heads of Households
497
People living with HIV completed the Support Group course
53
Children completed all 10 Grief Support sessions
90
Early Childhood Development (ECD) training in Matatiele, Eastern Cape
20 ECD leaders from 10 ECD Centres participated in our training.
Family Strengthening
642 Families received food parcels and 294 clients were referred to services outside of Living Hope.
In the last year we were able to reach people through: • Parenting talks in public spaces – we reached 4 171 people • First 1000 Days talks in public spaces reached 4789 people As a Life Skills programme we would like to express our thanks and appreciation for all the teams and volunteers that have joined us over this year. We are grateful for your support and sacrifice in coming to work alongside us. We pray that God will bless you richly. We have to make special mention of Danielle Schneider, Gail Wingreen and Michelle Wanless who have mentored, debriefed and facilitated spiritual and programme development courses with our staff on a regular basis. Their input is really appreciated and contributes to the Life Skills programme in a significant way. In closing we are very grateful for all the amazing support we have had from donors, funders, teams and volunteers who gave in whatever shape or form. Above all, we acknowledge that God is the catalyst that has brought this all together. He compels us to do what we do and to serve the people with whom we come into contact, bringing hope and breaking despair. THANK-YOU so much for giving to the Lord and enabling us to make a difference in the lives of children and their families in our communities. Without the Lord’s leading and your financial support we would not have been able to reach those we serve with the love of Jesus during this past year. Nathan Panti : Lifeskills Programme Manager
HEALTH CARE CENTRE report Another good year has come to an end for the Health Care Centre. We were able to care for 239 patients and celebrate all that has been accomplished, and look forward to the coming year ahead. At the Health Care Centre, “doing it better” is always both the aim and the challenge. We desire for our clients to be able to trust that their care will be delivered “on time, to standard, and with joy.” As a team, we continue to refine our service delivery, each year moving the goal post further, so that each patient, patient’s family member and staff member involved in the patient’s care get the best outcome possible. Why? We want our clients to be able to see the difference that Christ makes in our lives and in the way we care, and desire a relationship with Him for themselves. Our Interdisciplinary Team is the key to how we give personalized care to each client. Made up of Care Workers, Doctor, Chaplain, Social Worker, Registered Nurses, an Occupational Therapist and a Physiotherapist; this team continues to grow and strengthen in their patient management skills. I’m so proud of the transforming work that they accomplish! We often find that patients who are sent to us labelled as “difficult, can’t be motivated, will not recover” do indeed recover and do indeed find motivation for their own
wellness! We can physically measure and visibly see the difference a great care team makes. Since we began measuring more than 5 years ago, we have achieved zero hospital-acquired infections and zero hospital-acquired bedsores. These important indicators objectively confirm to our donors, partners and clients that we can be trusted to utilize time, money and effort towards long-term, impactful achievements. Working as team teaches us that no one person can do it alone. Thus we continue to rely on our broader community to collaborate with us in achieving better health for all South Africans. From corporate sponsors that cover our bloodwork costs, to generous private donors that allow our environment to have a homely feel, and ongoing education initiatives from our volunteer trainer, we are blessed with many friends. We would like to thank our existing partners for their support and welcome new partners to join us! Although there will always be health challenges to overcome, Living Hope Health Care Centre continues to shine a beacon of hope, overcoming the despair of poverty and illness. We invite you to come and see for yourself! Amy Aaron: Health Care Centre Manager
11
COMMUNITY HEALTH report Often visitors come to our main Capri site and see all the wonderful buildings that God has so graciously provided, and see all the new developments and think that this is a great organisation! Yes, Living Hope is a great organisation but where the rubber really hits the road is in the community when you are dealing skin to skin with clients and their families in the familiarity of their homes. Our Community Based Services programme does just this and has 3 different divisions: Home Based Care, Chronic Disease Lifestyle Support Groups and Adherence Care Workers. Together this team has touched 4 577 clients in Community Based Health Care Services and reached a further 5683 people. During this past year our communities have experienced a lot more civil and gang related unrest than in previous years and this of course impacts the work on the ground as well as needing to give support to our staff in these challenging situations. HOME BASED CARE Despite some staff turnover the Home Based Care programme has continued to provide a meaningful service to 993 clients with 10 656 in-home visits. Carers nurse the sick, dress wounds, monitor patient health and offer advice on healthier eating and lifestyle changes. They also offer support to the families of patients and give medical and social referrals as required. We run a successful wound dressing clinic in the Living Hope Masiphumelele offices 3 days per week and have served 632 clients with varying wound issues until they are healed. The patients are usually referred from various hospitals and clinics while others are self-referrals. Our Ocean View branch also started a dressing service for clients who find it difficult to attend the clinic. In-service training is given weekly to develop and keep staff updated on medical issues. An updated 12
curriculum is presented by a volunteer and the site coordinators. We have 3 lovely caring Nurses who oversee the Carers in each community and do the initial assessments and draw up the care plans for the clients. During this past year we have once again been blessed by students and visitors from abroad who have shadowed some of our staff and assisted us on outreaches in the community. It is always a most welcome relief to have the students work alongside our staff and encourage and pray for them. CHRONIC DISEASE LIFESTYLE SUPPORT GROUPS The Support Group staff provide Chronic Disease Education and medication adherence support to the community. During this year they have been actively involved in the distribution of chronic medication to 1293 patients who have been referred by local clinics and False Bay Hospital. This not only provides a more time efficient and accessible service for the clients but also reduces the patient load in these facilities. During the past year we have had 635 regular clients at the monthly Support Group gatherings. They are given health education, have their blood pressure checked, are weighed and blood sugar monitored. If any abnormality is detected they are referred back to a clinic to be seen by the doctor. Together with the Home Based Carers and the Adherence Care Workers, the Support Group facilitators have quarterly outreaches where they invite the community at large to receive health screening and education on how to stay well. Visiting teams often assist with these outreaches for which we are extremely grateful. ADHERENCE CARE WORKERS
The objective of the Adherence Care Worker is to deliver HIV and TB Treatment Adherence support as well as prevention of further illnesses to clients referred from the HIV and TB clinics. Our staff service clients from Military Road south, to Cape Point, and work very closely with the local Clinics in the referral and follow-up of the clients. During this past year, the Adherence Care Workers have provided adherence care and support to 1 024 clients. Weekly meetings are held with the Adherence Care Workers and the local Clinic staff so that all gaps can be closed and every client is given the best support and opportunity to become completely well again. The Adherence Care Workers mainly do home visits, count pills, provide education to the client and their family and participate in community awareness and education initiatives.
- - - - -
World TB day World Hand washing day Going Turquoise for the elderly day Nurses day Mother’s day
During these campaigns we were able to reach 5683 people. We are grateful for the wonderful partnerships we have in the communities with the local Clinics and False Bay Hospital – without these partnerships we would not be able to effectively serve our communities with Christian compassion and care.
CAMPAIGNS We follow the World Health Organisation calendar and took part in all main campaigns in all our service areas:
We are grateful to the Lord for the wonderful Community Based Service team of Home Based Carers, Support Group Facilitators and Adherence Care Workers who in difficult and sometimes dangerous situations serve and share the love of Christ by Bringing Hope and seeking to Break the Despair of poverty and disease through care and health education.
- -
Joy Truter Community Based Services Programme Manager
World Diabetes day World Aids day
13
HAST REPORT
HIV, AIDS, SEXUALLY TRANSMITTED INFECTIONS & TB Health Counselors Our dedicated and professional Living Hope Counselors serve in 2 local hospitals (False Bay Hospital and DP Marais Hospital), 5 Clinic facilities (Fish Hoek, Ocean View, Masiphumelele, Muizenberg and Seawinds Clinic), and in 2 satellite Clinics (Simon’s Town and Red Hill). They provide an excellent and much needed service in these facilities by offering HIV counseling and testing, Medication Adherence counseling for TB and HIV+ clients and education on chronic diseases, STI’s and TB. During the last year they presented over 2 289 talks in the Clinics reaching approximately 54 451 people. They have provided HIV testing for 23 223 new clients, 779 of whom were HIV+. They have provided follow-up counseling to 13 124 HIV+ clients and have facilitated Anti Retroviral (ARV) Adherence clubs, serving 1 720 clients. These clubs serve to de-congest the Clinics by providing a service that allows HIV+ clients that are adherent to be monitored, weighed and collect their medication without a lengthy visit in the clinic waiting room. The 1 720 members of these clubs are split into support groups of 20-30 clients and gain encouragement and strength from each other’s shared experiences at the club meetings.
Drug-Resistant Tuberculosis This form of Tuberculosis is unfortunately on the increase and therefore needs targeted interventions to stop its spread. One of the drawbacks of the treatment is the sheer number of the pills needing to be swallowed on a daily basis, the accompanying unpleasant side effects and the duration of treatment, which is anything between 18 and 36 months. As a result of this, clients need great encouragement and support to keep adhering to their treatment. We were blessed to have additional funding for 9 months for the Drug Resistant TB programme which enabled us to employ a Professional Nurse and an additional Counselor. They worked closely with the City of Cape Town Health Department to strengthen the Drug-Resistant TB programme. They were able to start Drug-Resistant TB Support Groups where clients are provided a safe space to share their experiences, be further educated on their disease, pray with one another and enjoy a nutritious snack and hygiene gift packs as we are able to source these. The team was also able to organise a couple of beach outings which the clients thoroughly enjoyed. The Drug-Resistant TB team have counseled and visited 90 Drug-Resistant TB clients and have been privileged to see 8 people complete their treatment and be declared cured. They have recalled a number of treatment defaulters to the clinics and have screened 127 Drug-Resistant TB contacts. The team also managed to procure a bungalow for one of our treatment failure clients who needed to live in isolation and get others in desperate need of intervention, admitted into Brooklyn Chest Hospital. Looking to the future we are excited about a shorter 9-month treatment regimen which will greatly enhance the likelihood of clients completing the Drug-Resistant TB treatment journey. Sue Schoultz : HAST Co-ordinator
14
COMMUNITY NETWORKING outreach To God be the Glory for all that has been accomplished this past year. As mentioned in the previous Prevention Annual report the formally known Living Right ministry was divided into 3 divisions Life Skills, HAST (HIV, Aids, STI’s and TB) and Community Development Outreach. It’s with great enthusiasm that we can report back on what has happened in the past year with the Community Development Outreach Programmes. The Community Development Outreach team focused on the following programmes: Eastern Cape, Kraaifontein and Mfuleni Mobile Clinics, HIV Testing Services for Orphan and Vulnerable Children and Private Health Screening and Testing. EASTERN CAPE During this past year the Eastern Cape team has reached 9232 people and been able to physically touch 2887 clients.
There were a number of networking meetings with various partners in the Mzamomhle / Gonubie Programme. The Eastern Cape team joined us for our annual Christmas party and were able to visit the different communities and programmes that are being run in Cape Town, so that they too can get exposed to the other services we offer. The programme in Eastern Cape continues to be led by Pumla Madliwa who has led the team to make a great impact in the community of Mzamomhle. The Living Hope team present Health Education talks in the clinic, run Support Groups for clients who are HIV+ or who have a chronic disease, run a Moms and Babies Support Group, facilitate Life Skills programmes in the schools, run Afternoon Children’s Clubs and all day Children Holiday Clubs during the holidays. During this past year the children and teen Life Skills programme has touched 1414 children and
15
tested HIV+). The teams educated and impacted many lives as they offered Health Screening Services (HIV counselling and testing, TB screening, BMI’s, Pregnancy testing, Blood Pressure and Blood Sugar testing) at community events, church events, businesses and wherever these teams could find a place to do Mobile Screening. The model of basic Community Based Health screening and provision of basic services is the way to go in order to improve community wellness and be effective in providing preventative health interventions. The Mobile Wellness teams also provide a means of targeting specific groups such as youth and men who normally do not access the health services offered in a traditional Clinic.
teens. Health talks were presented at the local Mzamomhle and Gonubie Clinics reaching 9232 people, 585 clients were tested for HIV and 752 clients defaulting treatment clients were recalled to the Clinic. The Support Group for mothers has continued to flourish and 23 moms with their babies attended these weekly sessions, 71 clients attended the Chronic Disease Support Groups while 42 HIV+ clients completed the I-ACT Support Groups. We are indebted to the Chets Creek Church, Jacksonville, who is the primary funder of this entire branch and Gonubie Baptist Church for their support to this ministry. Orphans Heart has generously contributed all the food for the clients of this branch. We are truly grateful to the Lord for His opening of doors and opportunities to serve in Mzamomhle and look to Him for more exciting opportunities in the year ahead, especially with the local Government Departments in the area. KRAAIFONTEIN AND MFULENI MOBILE TEAMS Our mobile teams in these areas were closed down due to their funding cycles coming to an end on 30th September 2016. During the 6 months that they were open the Mfuleni and Kraaifontein teams tested 3947 clients (159 16
HIV TESTING SERVICES FOR ORPHANS AND VULNERABLE CHILDREN During this past year we had the great opportunity of signing a one year contract with AURUM to provide the HIV Testing Services for our ‘Orphans and Vulnerable Children’ programme. The project was aimed at testing children together with their Head of Households in a community setting. We tested 2 568 clients - 40 of them tested HIV+. We have been able to offer the necessary referral, support and care to all the newly diagnosed children and their Head of Households. PRIVATE HEALTH SCREENING AND TESTING Due to the closure of our Mobile Wellness teams we took the initiative of offering private health screening and testing to a number of partners. Our aim is to educate and impact many lives in the workplace with our Private Health Screening Services (HIV Testing Services, TB Screening, BMI, Blood Pressure, Blood Sugar testing and group educational health talks). This initiative has got off to a slow start : our target was to test 240 clients during the year and we were able to test 202 clients - 3 tested HIV+. We are grateful to God for the past year He has blessed us with and we are amazed at how many people’s lives have been reached, touched and impacted in the communities in which we serve. Chantel Delcarme Community Networking Co-ordinator
HARVEST TRAINING INITIATIVE report The Harvest Training Initiative is our farm training programme which seeks to prepare farmers to be fully equipped as a farm manager or farming entrepreneurs. PROGRAMME The Agriculture and Business Training programme is a 4 phase, holistic training programme for individuals who have a passion for farming and business. Throughout this 18 month course, classroom study and practical experience in tunnel farming are synergized to equip students with the skills necessary to begin their own farming venture. Phase 1 is the Foundation of Agri-business which lasts 2 months and is a very hands on practical experience. Phase 2 lasts 4 months and during this phase students are trained intensively in business and farming. Greater responsibility is given to them as they manage their own rows of vegetables in the hydroponic tunnels. In Phase 3 the Students begin mentoring new Phase 1 students and present their business plans
to investors who have the opportunity to finance start-up costs for their own business in Phase 4. Phase 4 is the longest phase, lasting 9 months and it’s focus is Entrepreneurial Development. This phase focuses largely on the experience of running their own business as students manage their own tunnel on our farm and sell their vegetables to various outlets. During the past year one of our Phase 4 Students Yandisa Langa from Masiphumelele, who had worked as a security guard for 5 years before joining this programme, entered a competition to find South Africa’s best Entrepreneur. After several rounds he was placed the 4th best entrepreneur in South Africa and was up against MBA graduates and people who had funding from major corporates in South Africa. He is in the process of leasing a portion of Living Hope’s ground to establish his own tunnel and run his own business. He has found a major grocer to whom he will be selling his vegetables. He is unashamed of his personal faith in Christ and gives the glory to God for all that has happened in his life. We are thrilled to have been
17
able to been part of shaping and skilling this Harvester as he leaps ahead in life and business. FARM TRAINING BUILDINGS AND BARN In July we opened a custom designed training building and barn which is being used to full capacity. These buildings were donated by a number of donors including Phil and Ruth Wiegand, an Anonymous Trust, Shades Mountain Baptist Church, Birmingham, Alabama and Power Construction who built these buildings at virtual cost and handed over amazingly well built buildings. Our deepest thanks to each of these donors for their incredible generosity. Their generosity was exceptional which has really enabled us to equip many more students to be great farmers and to have a wonderful farm barn in which to process our vegetables. Scott Drennan, a volunteer from the USA gave up two and a half years of his life to come and plan with our architect Doug Jennings, develop and oversee the building process. Scott together with Tony Butler who once again led the relationship between ourselves and Power Construction did an amazing job. We are deeply grateful to these men for all they did to ensure we have these wonderful buildings.
HARVEST TRAINING INITIATIVE
EXPANDED FARMING AND EXPANDED TRAINING By way of expanding our farming curriculum we have introduced students into goat farming, which includes milking and making cheese, raising piglets, incubating chicken and duck eggs and a vegetable processing class where they cook Jams, Chutneys, Curried Cabbage, Ratatouille, Pickled peppers, Pickled onions, etc STUDENTS We established a Memorandum of Understanding with Lovedale College in the Eastern Cape to have their Farming Management students do their practical studies through our programme. We had four intakes of students during this year making a total of 26 students in the programme and 7 in small business training, called ‘Wholesale to Retail’. SPIRITUAL LIFE Our programme is clear about developing people’s faith in Christ. Many of our students have grown in their faith and 9 received Jesus Christ as their Saviour. Through holistic teaching and transformation they are better equipped as individuals, who are prepared to bear lasting fruit. All 26 of the stu18
dents went through the ALPHA course and 16 of the students are attending ‘Live School’ which is a missions training programme. STAFF AND VOLUNTEERS Buzelwa Mandla is our Programme Coordinator; Samuel Sithole is the Farm Manager, responsible for the farm work and manages the students and two assistants in the tunnels. Asavela Gxakuma is an Intern. We also want to thank our volunteer facilitators who do a great job in our programme: Alan Burrow, Dirk Steenkamp, Neil Parmenter, Beth Parmenter, Brad Stafford, Lize Ressouw, Declan Tempany and Clifton Eva. Gerrit Kleynhans Harvest Training Initiative Manager
TEAMS report Short term missions teams play an important role at Living Hope, not only do they bring with them encouragement for our staff members, they also bring skills, resources and funding for specific jobs we need. In the last year we saw 15 teams serve at Living Hope with 200 team members coming. We hosted both Local and International teams and involved them in programmes like Home Based Care, farm work, building maintenance, staff team building and soccer outreaches.
We are grateful for the partnership with churches, schools, universities, business and other groups who give of themselves to join our staff at a grass roots level in serving our clients and communities in Bringing Hope and Breaking Despair. Our staff enjoy hosting teams and serving alongside them, as they learn from one another. Karen Peiser - Teams Coordinator
19
VOLUNTEERS VOLUNTEERS report report Wow, what an exciting year it has been at Living Hope watching the volunteer department develop, grow and take new shape. One of the biggest changes that we have witnessed is the exponential growth of local volunteers and interns. In the course of the last year we have had the opportunity to host over 110 local volunteers serving in various capacities and have we have mentored 80 volunteer interns throughout various programmes and departments. One of the great joys of this change is the ability to employ these local volunteers after they have shown commitment to their position and the vision/mission of Living Hope especially through community based service like Home Based Care. Another exciting transition that has taken place complimentary to this change is that the volunteer department is now officially within
20
the human resources umbrella. While we are so excited about this we are equally excited and thankful for the dedication of our International volunteers and their commitments as individuals and families! In the last year we have had 15 wonderful International volunteers serving with Living Hope. With a few volunteers completing their terms and returning home and others welcoming new babies into the world (Congratulations Aaron and Porter family!) it is evident that there are many key opportunities that we would love to see new International volunteers step into for long term commitments. Please reach out to us if you are interested in exploring volunteer opportunities with Living Hope! volunteer@livinghope.co.za Kenny Kneezle : Volunteer HR Co-ordinator
FINANCIAL report In the 2016-2017 budget year Living Hope received R20 561 724 in income and spent R19 450 077 on our Programmes which include Chaplaincy, Health Care Programmes, Prevention Programmes, Recovery Programmes, Harvest Training Initiative, Gonubie Project and General Services. We spent a further R571 673 to complete the construction of the barn and offices and build student accommodation for the Harvest Training Initiative at our Capri branch, and to purchase a new vehicle for the programmes. This accounted for a surplus after depreciation and adjustments of R571 310. The income funding decreased by 15% from the previous year as we’d received donations for the capital expansion of the farm buildings. Expenses increased by 8% largely due to inflationary increases and an increased staff complement from additionally funded programmes. Staff continue to pursue their ministries with zeal, making the most out of every cent we receive.
They truly shine the light of Jesus to those in need. The following graphs depict the income and the expenses of each ministry area and show in which category these funds were received and expended. This year 16c in every Rand or Dollar of funding went to cover administration costs, which means that 84c in every Rand or Dollar was directed back into our various ministry programmes and projects to impact the communities (For a more detailed Financial Report see Audited Financial Statements 2017) Thank-you to all those who support our ministries with prayer and giving. We can continue to Bring Hope and Break Despair because of your partnership and we are truly grateful. Jessica Bennett, Financial Manager
21
22
23
HUMAN RESOURCES report
24
We have a wonderful staff team who serve people very faithfully. As the needs of the various communities that Living Hope serves grow from year to year, so does the need to expand our various programmes in order to reach more people, to meet not only their physical needs but also their spiritual needs. Typically, growth in any organisation is the measure of its success. The reality though for Living Hope, is that growth within the programmes, particularly when it comes to employing more staff is often limited by the funding received to provide the services that
are desperately needed in the communities we serve.
We have worked hard to support government initiatives such as B-BBEE (Broad-based Black Economic Empowerment) in which we were awarded the highest status level attainable Level 1 and our B-BBEE Procurement recognition level is 135%. This government initiative was
launched in 2003 as a racially selective programme to empower previously disadvantages groups and enhance economy.
But God has been so faithful in providing what we need at the time when it is needed. At the end of 2015 financial year our permanent employee complement (without volunteers) stood at 171. At the end of 2016, it had increased to 186 and then to 210 by end March 2017. The bulk of our growth has been in our Health Care category which in HR language is our Service Workers. This category is also consistently the bulk of our work force.
Living Hope is fully compliant with the Employment Equity Act. The purpose of the Employment Equity Act, No 55 of 1998 is to achieve equity in the workplace by promoting equal opportunity and fair treatment in employment through elimination of unfair discrimination and implementing affirmative action measures to redress the disadvantages in employment experienced by designated groups, in order to ensure equitable representation in all occupational categories and levels in the workforce. We submit an annual Employment Equity report to the Department of Labour.
and Living Hope provides continuous training that is job related. This is all achieved by careful planning in the form of an Annual Training Plan for all the various programmes and is monitored and recorded on a monthly basis. For the period reported we provided our Community Based Services and Health Care Centre staff in-house training covering 26 Health related topics and our Health Counsellors were trained on 17 work related topics. The organisation as a whole also provided TB, HIV, Health & Safety, Fire and First Aid training as well as our bi-annual Evangelism Training.
Skills development also forms part of the EE Act,
Kerry-ann Ives – HR Manager
25
MONITORING and evaluation During the 2016 - 2017 year, by God’s grace, we had a number of successes in our pursuit to excel for God in everything we do to Bring Hope and Break the Despair of poverty and disease. Through all our programmes we served a total number of 48 320 individual people, whose lives were touched through being seen on an ongoing basis and at least 81 129 people, whose lives were reached through broad approach interventions like educational talks, awareness campaigns and events. To ensure becoming better at serving our clients wholistically, our Quality Improvement initiative, which we are now calling “Excellence for God”, facilitated the setting, tracking and evaluation of 37 goals across Living Hope programmes and service departments. During our monthly meetings, we encouraged a team approach to problem solving so as to help each other to attain the Quality Improvement goals. We sought to adapt to changing needs of our donors, funders and departments. Our evaluations show that we improved in: retention to care of clients, compliance to service level agreements, accurate documentation of the work that we do and the monitoring of effective reporting. There were more than double the number of HIV + people who received follow up counselling compared to the number of people tested HIV+. Out of the 23 223 people who were tested for HIV, an average of 65 clients per month tested HIV+ and an average of 178 HIV+ people received HIV+ follow up counselling. We also saw an increase in the retention at the Harvest Training Initiative programme (HTI) phase 1 students from 60% in April 2016 to 100% in March 2017. Phase 2, 3 and 4 had an annual student retention of 83%, 80% and 100% respectively. Our Recovery programme met and exceeded the goal to admit 200 clients during the year and had an increase of retention of phase 2 clients from 63% in November 2016 to 100% in March 2017.. It is a Living Hope policy to review our policies every two years. Our Governance department met the goal of monitoring Board policies by reviewing a total of 62 policies. This is a great achievement in ensuring the organisations relevance with meeting client’s needs. Programmes governance introduced reporting numbers of people touched and number of people reached, so as to include the number of people seen through broad interventions, which we had not reported on in the past. 26
As a result the organisation has reinforced unity of direction, is better informed to make good decisions, has a clearer picture of how resources are consumed and can more accurately communicate resource needs. The Monitoring and Evaluation Department, Life Skills and Community Based Services programmes, through team work, introduced automated data collection and reporting templates that reduced work for Life Skills Education Afternoon clubs and supported Community Based Services programmes to align to the Department of Health. Our Health Care Centre attained an average of 71% on improved nursing documentation and intervention strategies that are aimed at improving wholistic patient care. The Procurement department set a new goal for the tracking of assets which makes it possible to know all the assets we have and the condition they are in via updated registers and monthly reports. An annual average of 72% was attained through monitoring the completion of weekly vehicle maintenance checklists by our Transport and Maintenance department. Our HR department set and met an ongoing goal of auditing employee files which was set to make sure all employees have files with current and correct documentation. International and Local volunteers have been a great help to Living Hope. The Volunteer department attained an ongoing goal of updating volunteer files and set a new goal in January 2017 that resulted in the engagement of over 110 Local volunteers. The Marketing department attained an ongoing goal of the preparation and distribution of Living Hope’s monthly newsletter to all our stakeholders and 100% for post teams follow up. We have also seen a great improvement in the percentage of debtors paying accounts within 30 days to our Finance department. In our previous financial year we touched 56003 – this dropped to 48 320 people this year due to the ending of funding in 2016, for the Mfuleni, Capricorn and Kraaifontein Mobile Health screening sites. Tawanda Mutsigwa Monitoring, Evaluation and Reporting Manager.
STATISTICS at a glance TOUCHED Meaning we have the client’s name and address, and have seen the client on a one to one basis
TOTAL PEOPLE COMMUNITY HEALTH HARVEST TRAINING INITIATIVE HEALTH CARE CENTRE LIFE SKILLS HAST ( HIV, AIDS, SEXUALLY TRANSMITTED INFECTIONS AND TB) COMMUNITY NETWORKING RECOVERY INTERNS MARKETING (Through events on our Capri Campus)
REACHED
Meaning we have not had a one-on-one encounter with the client and we do not necessarily have their name or contact details.
48320
81129
4577
5683
33 239 7923
8960
25160
54671
9604
9232
704
1035
80
1548 27
ACKNOWLEDGEMENTS We wish to acknowledge that all our programmes are made possible through the generous support of: Jodie & Nancy Martin
Bronner Burgess Memorial Fund Phil & Ruth Wiegand
Peter & Nancy Brown
and the many numerous other generous individual donors.
and all of our other sponsors who contribute into our programmes. The Board of Trustees, Management and Staff of Living Hope wish to thank everyone for their contribution and would like to advise everyone that the content of our programmes are the responsibility of Living Hope and do not necessarily reflect the views of our donors.
TRUSTEES John Thomas (Chairman) Gavin Williams (Deputy Chair) Julie Buissinne (Treasurer) Tracey Soko (Secretary) Devon Rietief Michelle Wanless
Neil Smith Ramos Uganja Sizulu Moyo Stan Turketti Wendy van Schalkwyk
CONTACT LIVING HOPE
28
SOUTH AFRICA
UNITED STATES
UNITED KINGDOM
Living Hope P.O. Box 1700 Sun Valley, 7985 South Africa
Living Hope Community Center, Inc, USA P.O. Box 1140 Grayson, GA 30017-1140
Living Hope International 33 Cecil Road Hertford, SG138HR
Tel: +27 21 784 2800
Tel: +1 770 879 8411
Tel: +44 7858 277427