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RFHA

RFHD Programme Summary

South Africa 2017

ROTARY FAMILY HEALTH DAYS (RFHD) PROGRAMME SUMMARY SOUTH AFRICA 2017 Sue Paget, RFHA Programme Director, Southern Africa

30 November 2017


RFHA

RFHD Programme Summary

South Africa 2017

Highlights 

New partners: SANAC, Gift of the Givers Foundation, Bristol-Myers Squibb Foundation, The Social Collective, University of Johannesburg, TB/HIV Care, Project Last Mile

Re-commitment of all Partners and Funders

Launch site was at Thulamahashe New Stadium, Bushbuckridge, Ehlanzeni District, Mpumalanga Province

Piloted state of the art audiology testing at 3 sites in 3 provinces – over 600 tests conducted

HCV and HBV screening and referrals at 4 ring-fenced test sites

95,000 IEC materials were created for the national campaign

95 Health Day sites across 9 provinces

95 Rotary clubs

1000’s of Rotarians, Department of Health workers and Partners

1000’s of food parcels were provided by The Gift of the Givers Foundation

36,585 clients visited the sites

135,217 health services provided in total

7,322 HIV tests

228 Diabetes screenings

6,863 eye tests

10,347 TB screenings

16,717 Blood Pressure test

Over 626 full diagnostic audiology tests in 3 Provinces in 3 days by The Gift of the Givers Foundation

4,095 referrals – a number of which were emergency referrals


Table of Contents 1. Highlights ......................................................................................................................................... 2 2. Positive Impact ................................................................................................................................ 4 .................................................................................................................................. 5 3. Background ...................................................................................................................................... 7 Rotarians for Family Health and AIDS Prevention Inc. (RFHA) ................................................................. 7 Rotary Family Health Days: A Public Private Partnership ......................................................................... 8 4. RFHD Programme Model South Africa ............................................................................................ 9 5. Planning and Implementation of the Rotary Family Health Days ................................................. 10 Determining the Dates........................................................................................................................... 10 Selecting the Sites .................................................................................................................................. 10 Mapping the Sites ................................................................................................................................... 11 6. The Launch..................................................................................................................................... 13 7. 2017 Pilot Focus Area .................................................................................................................... 15 HEPATITIS B (HBV) AND HEPATITIS C (HCV) ........................................................................................... 15 8. Engaging with Primary Partners and Funders ............................................................................... 19 9. Media Strategy and Plan ............................................................................................................... 21 10. Monitoring and Evaluation ............................................................................................................ 25 The Overall Summary ............................................................................................................................. 25 Registrations by Rotary District .............................................................................................................. 26 Registrations by South African Province ................................................................................................ 26 Core RFHD Services Provided ................................................................................................................. 27 Rotary Add-on Services Provided ........................................................................................................... 29 Service Referrals Provided ...................................................................................................................... 31 11. Challenges and Recommendations ............................................................................................... 33 12. Conclusion ..................................................................................................................................... 35 13. Acronyms ....................................................................................................................................... 36 Contact Us ............................................................................................................................................ 43


Positive Impact I congratulate Rotarians for Family Health and Aids Prevention and its partners on this initiative Dr. Aaron Motsoaledi | South African Minister on Health Thank you for the inclusion of CDC in the monumental Rotary Family Health Days. What RFHA is accomplishing through this initiative is impressive and the CDC is happy to partner with you. Dr. Amy Herman-Roloff | Country Director Centres for Disease Control and Prevention Who says the Rainbow Nation cannot work together? Okay, so it takes quite an effort and there are miscommunications along the way. But goodness, it is worth it! Today the family of that elderly man whose blood pressure tested so high, they still have a father. Today that mother whose sugar was so high she was on the verge of coma, she is preparing supper for her four children. Thank you Rotary Family Health Days! PDG Hennie de Bruin | Steering Committee Head District 9370 East I visited South Africa in October to attend the opening of the Rotary Family Health Days. The work done by Rotarians, the government and other NGOs provide an excellent example of co-operative enterprise throughout this country‌ This initiative is the flag ship programme of Rotary for Family Health and Aids Prevention. Paul Netzel |The Rotary International Foundation Trustee Chair 2016/2017 We saw both the kindness of Rotarians, corporate partners and government representative as well as the smiles on the faces of the clients - both young and old - as they walked through the various stations of the centres. TRF TC Paul's presence at the official kick off with South African Minister of Health Dr. Aaron Motsoaledi was a statement that Rotary International and the Rotary Foundation are active partners with South Africa in "Making a Difference" in our region. PDG Patrick G Coleman, PhD | Rotary Club of Luanshya Another successful Rotary Family Health Days - reaffirming the impact that Rotary has in the improvement of people’s lives. Catherine MacMillan | Steering Committee Head District 9370 West If people cannot get to healthcare, healthcare should get to the people. Dr. Imtiaz Sooliman | Founder Gift of the Givers Foundation Having all the service providers in one place meant I was checked for things I would never normally go to a clinic for. It was like one of those full service garages! Boyi Moss |Community member Serving in Masiphumelele at the Health Days was the highlight of my life! Sandra McKersey | Rotarian from New Zealand


All partners and funders in the Programme were committed to the achievement of the goals. All partners and funders in the

36,585 People 137, 068 Services

Programme

In 9 Provinces

have

defined

roles

and

responsibilities and work together to achieve this final objective. The success of

Over 3 Days

the program is heavily dependent upon the strength

The aim of the Rotary Family Health Days Partnership Programme (RFHD’s) is to bring free, comprehensive and holistic health care services to people in disadvantaged communities in both a rural and urban context outside of normal government health care facilities. Services included HIV counselling and testing, TB screening, cholesterol, blood pressure and diabetes screening, immunizations and Vitamin A drops, condom distribution, eye testing, dentistry, cancer screening, MMC,

of

community

stakeholder

engagement and the development of relationships of all partners at site level. Significant progress has been made to strengthen and improve upon the corporate partnerships campaign,

with and

is

each

subsequent

evident

in

the

recommitment of partners for 2018.

information for Young Girls and Women and more.

New Partners 2017

What Does It Take? Planning through

18 MONTH PROCESS

MANPOWER HOURS

execution timeline Thousands of hours are needed with nearly all donated Thousands of tools

1

1

MOBILIZATION TOOLS

from print marketing to loud hailers on site

COMMUNICATION PLATFORMS

Website, social media, radio, TV, print and Word of Mouth campaigning

Breakdown by Rotary District D9350 34 Sites |32 Clubs | 55,707 services D9370 East 17 Sites | 15 Clubs | 22,395 services D9370 West 13 Sites | 19 Clubs | 20,731 services

This year (2017) thousands of local and international Rotarians; National, provincial and district Department of Health staff ;

Development

Partners; Non-Governmental Organisations (NGOs); Service Providers, Media Houses and most importantly the Communities worked tirelessly together to deliver this Programme.

D9400 17 Sites | 22 Clubs | 31,529 services RFHA 14 Sites | 3 Clubs | 6,696 services


The launch took place on 3rd of October 2017, where it

attracted

2,200

community members. This launch was a kick start of nationwide activities which took

place

provinces.

at Having

all

9

been

held over 3 days, RFHD attracted 36,585 people within Rotary districts. To execute the RFHD in South Africa it is vital to have a firm structure in place

for

the

implementation of such an Approx. 2500 Young women are infected with HIV each week in South Africa

immense programme. In the graph below you can

see the organisations, partners, funders and their relationships. The highlighted stakeholders are crucial to the success of the programme at grassroots level. Recommendations going forward will include the strengthening of communication and relationships at this level.

6


RFHA

RFHD Programme Summary

South Africa 2017

Background Rotarians for Family Health and AIDS Prevention Inc. (RFHA) Rotarians for Family Health & AIDS Prevention (RFHA)

education. This is done through the mobilization of

is a global Rotarian Action Group and mobilizing

Rotarians, national and global partners. RFHA’s direct

partner of Rotary International. RFHA creates the

impact is the strengthening of infrastructure on health

design, obtains the resources and has overall

care delivery systems worldwide.

management responsibility for Rotary-led disease prevention and treatment programmes such as the Rotary Family Health Days. RFHA’s mission is to save and improve the lives of children and families who do not have access to preventative health care and

RFHA’s role in the South African RFHD programme is to act as the lynchpin organisation to initiate the programme, obtain buy-in from partner organisations and funding sources and to co-ordinate the work with all implementing partners leading up to and over the three-day event. RFHA further provides mechanisms, tools, platforms and training to assist the three Rotary Districts and clubs in the roll out of the RFHD’s as well as developing a comprehensive Media and Communications strategy delivered through a dedicated Media team.

7


RFHA

RFHD Programme Summary

South Africa 2017

Rotary Family Health Days: A Public Private Partnership The Rotary Family Health Days is the signature

(NDP) Vision for 2030, aligning to the United Nations

programme of the Rotarian Action Group and

Sustainable Millennium Goals, aligning with the

Rotarians for Family Health & AIDS Prevention (RFHA).

National Strategic Plan (NSP) for HIV, TB and STI’s 2017-

This three-day annual programme provides holistic,

2022

comprehensive and preventative health screenings

addressing the crippling quadruple burden of disease:

(both for communicable and non-communicable

HIV

diseases) by way of leveraging and inspiring a massive

and

and most importantly assisting the DoH in

force of humanitarian-driven Rotarians and Partners. Through this Public /Private Partnership programme, tens of thousands of people are served in underprivileged communities in 8 countries in Africa and India. The

services

include

free

lifelong

immunizations to children, such as polio and measles vaccines; comprehensive life-saving annual health screens, counselling, testing and referrals for further management of HIV/AIDS, TB, diabetes, hypertension, malaria, MMC, cancer and more. In South Africa, the programme is led by Rotary and its partners, namely: - Department of Health (DoH), South Africa National AIDS Council (SANAC), Gilead Sciences, the US Mission through the PEPFAR AIDS

funded agencies of the Centres for Disease Control and Prevention and USAID, three Rotary Districts and the

and

SABC Foundation and Caxton as primary media

Child Mortality; Non-Communicable Diseases or

partners and other support partners and funders.

Lifestyle Diseases; Injury, Violence and trauma.

The value of the Rotary Family Health Day programme

Together the partners are leaving a legacy of shared responsibility to serve the disadvantaged communities within South Africa. The South African Rotary Family Health Days play an important role in the Prevention Revolution.

includes but is not limited to assisting the DoH to achieve better health outcomes, strengthening of health systems by taking services closer to the people who need them the most, contributing towards

TB;

Maternal

and

achieving the goals of the National Development Plan

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RFHA

RFHD Programme Summary

South Africa 2017

RFHD Programme Model South Africa

Primary Partners and Funders   

    

Rotarians for Family Health and Aids Prevention (RFHA) – a Rotary International Action Group Rotarians in South Africa encompassing three Rotary Districts (D9350; D9370 and D9400) The South African National Department of Health (NDoH), 9 Provincial Departments of Health and District Departments of Health SANAC (The South African National AIDS Council) Gilead Sciences, Inc. The USG through PEPFAR supported agencies – CDC and USAID The South African Broadcasting Corporation Foundation (SABC Foundation) Caxton Newspapers

Media Support Partners  

Implementing and Support Partners      

Paprika Studios Gift of the Givers Foundation Alere TB/ HIV Care The Social Collective Project Last Mile

Contributing Media Partners     

Primedia Independent Newspapers – Cape Community Newspapers YFM National Community Radio Forum University of Johannesburg

Sesego Cares Afstereo

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RFHA

RFHD Programme Summary

South Africa 2017

Planning and Implementation of the Rotary Family Health Days Determining the Dates The planning of the RFHD is done through consultation with the National Department of Health. In 2017, the NDoH and Rotary District Leadership agreed to hold the event in 3 days i.e. 3rd -5th October. This was aligned to the key programmes of the NDoH i.e. “She Conquers Campaign” to be in line with school holidays. Of remarkable achievement, the RFHD will be included in the Health Calendar for 2018. This shows the endorsement of the programme by Minister of Health.

Selecting the Sites Following on from the 2016 RFHD’s,

Rotary

Leadership

Province

Rotary District

Identified Sites

Actual Sites

Western Cape

D9350

38

34

Free State

D9370 West

2

4

North West (split)

D970 West

2

1

Eastern Cape

D9370 West

8

7

Northern Cape

D9370 West

2

1

Rotary Districts. 112 sites were

Kwazulu-Natal

D9370 East

20

17

originally identified by Rotary

Mpumalanga

D9400

5

5

Steering Committee Heads and

Gauteng

D9400

11

9

clubs. However, due to lack of

North West (split)

D9400

1

1

Limpopo

D9400

6

2

17

14

estimated that approximately 40 sites per Rotary District could be managed in the 2017 campaign. 95 sites were operational in the final roll out phase of the campaign in 9 Provinces and all 3

Rotary

club

participation,

insufficient capacity of partners, Rotary footprint and security

Gauteng-RFHA

issues, the sites were reduced as seen on the table. The sites were selected using the criteria below:Criteria identified for the site selection included the following:  Rotary footprint  Evidenced based areas with a high burden of disease in an urban and rural context

 Key populations as identified in conjunction with the NDoH  Both formal and informal areas

 Under-serviced areas

 Areas with basic infrastructure.

 Resources available

 Alignment with She Conquers objectives within the Department of Health Structures

10


RFHA

RFHD Programme Summary

South Africa 2017

The Minister of Health Dr. Aaron Motsoaledi encourages members of the public to attend the Rotary Family Health Days campaign because it brings integrated health services closer to the communities as part of the Department’s accelerated health programme.

Mapping the Sites

conclude the relevance of the Health Day sites, and

In collaboration with NDoH and partners, RFHA was

Health Days.

able to identify the areas within the country where

Family Health Day Sites for 2017 and their distribution

there was a high prevalence of HIV and TB, Diabetes

throughout the country. The second image is over-laid

and Hypertension cases and ART, and pinpoint the

with the HIV prevalence.

provide insight into further planning for the 2018 The first image indicates the Rotary

presence of RFHD sites (the yellow markings) - to RFHD 2017 Sites Distribution

Source Data: Project Last Mile/ NDoH

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RFHA

RFHD Programme Summary

South Africa 2017

RFHD 2017 Sites Distribution with HIV Prevalence

Source Data: Project Last Mile/ NDoH

Authorities from both the Rotary and DoH worked

valuable, attendees were trained, collective feedback

together to select relevant and pertinent sites in their

was received and the big picture was communicated.

areas of operation taking into account the above criteria and DoH knowledge and expertise.

In addition, Gauteng DoH identified 14 sites that could not be serviced by Rotary. RFHA engaged the services

2017 saw a diversion from the normal Provincial

of the Social Collective (see partner profiles) who were

Roadshow approach. The Rotary Steering Committee

mandated with collecting the data at these sites. The

Heads and Provincial DoH colleagues were brought to

sites were serviced by DoH with core services but no

NDoH in Pretoria where a collective Roadshow meeting

additional Rotary add on services.

was held. Despite not all DoH Provinces being

Ambassadors from the Rotary E Club District 9400 were

represented it was acknowledged the exercise is

appointed to visit the sites each day to offer support to

Roving Rotary

the Social Collective teams.

“The campaign gives impetus to the Department’s efforts to ensure integrated mass health screenings in a bid to promote healthy lifestyles” said the Minister of Health Dr. Aaron Motsoaledi

12


RFHA

RFHD Programme Summary

South Africa 2017

The Launch The 2017 RFHD Launch was held at Mpumalanga province, Ehlanzeni District, Thulamahashe in Bushbuckridge on the 3 October 2017. The event was attended by among others, Minister of Health, Dr. Aaron Motsoaledi, MEC for Health, Mpumalanga Province, Mr. G Mashego and Rotary International Foundation Trustee Chair, Mr. Paul Netzel. During the launch partners provided services onsite and 2200 client were seen at the site. The morning event was well represented by all Partners and included but was not limited to the following dignitaries: · · · · · · · · · · · · · · · ·

South African National AIDS Council, Rev Z Nevhutalu Mayor of Bushbuckridge and Chairperson of the Local AIDS Council, Cllr CS Nxumalo CEO and President of RFHA Inc., Alicia Michael Country Director, Centres for Disease Control and Prevention, Dr. Amy Herman-Roloff Founder of Gift of the Givers Foundation, Dr. Imtiaz Sooliman Director Gift of the Givers Foundation, Mr. Badr Kazi, Deputy Chairperson SANAC, Mr. Steve Letsike MMC for Health, Cllr K Mokwena Mayor of Ehlanzeni District Municipality, Cllr J Sidell Local Thulamahashe Business Chamber, Mr. Mgwena Rotary District Governor, D9400 Mr. Jankees Sligcher Rotary District Governor elect, D9400 Mr. Charles Deiner RFHA Inc. Directors Mr Anton Meerkotter and Mrs Sue Paget RFHA Media Liaison and Sesego Cares CEO, Mrs Annemarie Mostert Mpumalanga Provincial Leaders National Department of Health RFHD leaders · Rotarians of the White River and Nelspruit Clubs · Thulamahashe Community Leaders and Community RFHA would like to acknowledge and thank PHILA, SANAC, the Rotary Site Coordinators, Rotary volunteers from the Rotary Clubs of White River and Nelspruit, National DoH, the Mpumalanga Provincial Department of Health, the Ehlanzeni and Thulamahashe District Department of Health, Community, Partners and Service Providers for working together over many months to ensure that the launch was such a success. A debriefing was held in October and constructive feedback was received from all.

13


RFHA

RFHD Programme Summary

South Africa 2017

.

14


RFHA

RFHD Programme Summary

South Africa 2017

2017 Pilot Focus Area HEPATITIS B (HBV) AND HEPATITIS C (HCV) The WHO is urging countries to take rapid action to

and post counselling, a referral system and treatment

improve knowledge about hepatitis, and to increase

for those found positive

access to testing and treatment services. Today, only 1 in 20 people with viral hepatitis know they have it. And just 1 in 100 with the disease is being treated. "The world has ignored hepatitis at its peril. It is time to mobilize a global response to hepatitis on the scale similar to that generated to fight other communicable diseases like HIV/AIDS and tuberculosis,” Dr Margaret Chan WHO Around the world 400 million people are infected with hepatitis B and C, more than 10 times the number of people living with HIV. An estimated 1.45 million people died of the disease in 2013 – up from less than a million in 1990.

The four sites were identified as strong sites by Rotary leadership in three major metropoles and the Launch Site: 

Khayelitsha, Cape Town, Western Cape

Thulamahashe,

Ehlanzeni

District,

Bushbuckridge Mpumalanga 

Motherwell, Port Elizabeth Eastern Cape

Albert Street, Johannesburg, Gauteng Technical

training

and

referral support for health workers at each site as well as for the clients testing positive was secured from the Hepatology Clinics at Groote Schuur Hospital in Cape Town, Rob Ferreira Hospital

in

Nelspruit,

The 2017 RFHD Programme

Charlotte

together with Partners saw

Gauteng

the inclusion of 4 ring

Hospital in Port Elizabeth.

fenced sites that tested for HBV and HCV. TB/HIV Care was the driver of this initiative

within

the

Programme in consultation with RFHA, NDoH, Alere, BMSF, 4 major hospitals and hepatic consultants, local DoH co-ordinators and Rotary site co-ordinators. Criteria around selection of these sites included the assurance of training of service providers by Alere, pre

Maxeke and

in

Livingston

For the second year, Alere contributed as a support partner to donate 2 000 testing kits for both HBV and

HCV

as

well

as

providing expert training on the administration of these tests to health workers on site. The HBV test was a rapid finger prick blood sample whilst the HCV test required a venous blood 15


RFHA

RFHD Programme Summary

South Africa 2017

sample that needed needles, syringes and blood tubes.

information booklets which were printed by NDoH and

Both tests required an average of 15 minutes to read

couriered to each site by PHILA.

results.

+ Example of educational posters and booklets printed

IEC was made available at all RFHD sites throughout the

for each RFHD site are below. Booklets were printed in

country.

English, Xhosa, Tsonga and Zulu.

TB/HIV supplied educational posters and

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RFHA

RFHD Programme Summary

South Africa 2017

Table of Figures: Summary of Four Ring Fenced Sites SITE

ROTARY

Khayelitsha

Thulamahashe

Motherwell

Albert Street

Cape Town

Ehlanzeni

Port Elizabeth

Johannesburg

Western Cape

Mpumalanga

June Webber

Erik Howland

CONTACT CLINICIAN

Catherine

Prof Wendy Spearman

Dr Bilal Bobat

Dr John Black

COUNSELLING, TEST ADMINISTRATION

Dr Bilal Bobat

Dr Lia Boretti

Department of

Department of

Department of

Department of

Hepatology:

Gastroenterology:

Infectious Diseases,

Gastroenterology:

Groote Schuur Hospital,

Charlotte Maxeke

Livingston Hospital,

Charlotte Maxeke

Cape Town

Hospital,

Port Elizabeth

Hospital,

Johannesburg TRAINING,

Paul Kasango

Mac Millan

Prof Mark Sonderup FACILITY

Gauteng

Johannesburg

Methodology training of

Methodology training

Methodology

Methodology

two test given by Alere

of two test given by

training of two test

training of two test

Alere

given by Alere

given by Alere

information around on

Clinical staff gave

Clinical staff gave

Clinical staff gave

Hepatitis, consent,

information around

information around

information around

testing and reporting

on Hepatitis, consent,

on Hepatitis,

on Hepatitis,

gave additional tutorials

testing and reporting

consent, testing and

consent, testing and

on Hepatitis, consent,

gave additional

reporting

reporting

testing and reporting

tutorials on Hepatitis,

Clinical staff gave

consent, testing and reporting TEST KITS PER

300 HCV

2 100 HCV

300 HCV

300 HCV

300 HBV

2 100 HBV

300 HBV

300 HBV

ADDITIONAL

Needles and syringes to

Needles and syringes

Needles and

Needles and syringes

EQUIPMENT

be supplied by DoH

to be supplied by DoH

syringes to be

to be supplied by

supplied by DoH

DoH

SITE

REQUIRED DATA

Provision for testing

Provision for testing

Provision for testing

Provision for testing

COLLECTION

recording made on

recording made on

recording made on

recording made on

Services Data recordings

Services Data

Services Data

Services Data

recordings

recordings

recordings 17


RFHA VACCINATIONS

RFHD Programme Summary

South Africa 2017

59

HBV TEST HBV TOTAL

365

TEST HBV +

18

TOTAL TEST HCV TOTAL

290

TEST HCV +

1

TOTAL REFERRING

Groote Schuur

Rob Ferreira

Livingstone Hospital

Charlotte Maxeke

Tests arrived on day 2 of

Test kits arrived on

Ran out of buffers

Tests arrived on day

FACILITY CHALLENGES

rd

campaign

day 2 of campaign

on 3 day

2 of campaign

HBV and capillary tubes

HBV and capillary

Need for blood

Delivery of IEC

and buffers not delivered

tubes and buffers not

draw prevented this

Material by PHILA

No Private space for

delivered

service from being

appropriate counselling

Delivery of IEC

offered as campaign

Limited number of

Material by PHILA

used community

people at the event on

health workers

day 1

Many of the rapid

Need for blood draw

test result forms did

limited number people

not include the start

consenting

or end times of the

Delivery of IEC Material

blood test

by PHILA

Delivery of IEC Material by PHILA

It was noted there is a need for a dedicated HCV/HBV

The Test sites were further compromised in some

Liaison person to manage logistics and organisational

instances by lack of attendance by the community –

structure of the ring fenced intervention as it was very

especially in the Khayelitsha site.

time consuming for the TB HIV Care Consultant to micro manage this process. This resulted in lack of coordination and timeous follow ups to make sure that the material was received in time and in the correct quantities for the Health Days which in turn impacted on the outcome.

The participation by the Partners in this intervention is greatly appreciated and acknowledged.

It is still

strongly felt that this intervention is an important component and that it should be refined for better planning and delivery in 2018

18


RFHA

RFHD Programme Summary

South Africa 2017

Engaging with Primary Partners and Funders campaign. RFHD community articles appeared in the

SA Department of Health

newspapers as well as on the Caxton electronic media

2017 saw the alignment of the Rotary Family Health

platforms.

Day Campaign with the continuation of the NDoH

function working with Caxton head office, Paprika

PHILA Initiative (Power of Knowing and a brand that

Studio and Rotary Steering Committee media

stands for good life and good health in South Africa) as

representatives

The RFHA Media Team facilitated this

well as the SHE CONQUERS Campaign which is the programme for adolescent young women and girls to reduce the burden of disease and poverty. An important diversion in the 2017 RFHA program was the facilitation by the NDOH and RFHA where local Steering Committee Heads met with their Provincial and District level colleagues in order to solicit knowledge, buy-in and strengthen relationships between the two entities. A national collective roadshow was held in Pretoria, where Steering Committee Heads and their Provincial Department of Health counterparts attended a one day training and information session. DoH in all Provinces and Districts were asked to provide a core set of services at each identified site In addition, the NDoH worked closely with RFHA to further refine and improve a campaign specific set of data collection tools (see notes on M&E) that were used at each site by Rotary, the DoH and their implementing partners. The

RFHA Media

team

engaged

with

NDoH

connecting

Communications team around media strategy, media

into clubs to support all sites. The RFHA website was

plans and implementation.

used as an interactive tool to achieve this.

Caxton

Centres for Disease Control and Prevention (CDC) The CDC has worked closely with RFHA over many years

As the primary print partner Caxton Community

as a consulting and advisory body in the USA as well as

newspapers placed advertisements and articles in all

the implementing and support partner for the RFHD’s

relevant publications for three weeks before the

in Africa, South Africa and India. 19


RFHA

RFHD Programme Summary

South Africa 2017

RFHA and the RFHD Campaign continues to receive

The South African Broadcasting Corporation

outstanding support from the CDC for the Programme.

Foundation

RFHA engaged the expertise of a professional analyst

The SABC through the SABC Foundation as the primary

over the past three years who worked closely with representatives from the CDC, the NDoH and RFHA to redesign and refine the Data Collection tools for the RFHD campaign. (See Monitoring and Evaluation report) Further, the CDC engaged with their partners to timeously print, collate and distribute the Campaign tools to all Rotary Family Health Day sites throughout the country.

Gilead Sciences, Inc. The 2017 RFHD programme was primarily supported by grant funding from Gilead Sciences, Inc. Gilead Sciences, Inc. has had no input into the development or content of these materials.

Rotary The leadership in all 3 Rotary Districts in South Africa worked with RFHA early in the campaign to establish

media partner flighted the RFHD TV advertisement

dates, identify and appoint 4 Steering Committee

updated by YFM on its television stations.

Heads (SCH) and their teams whose responsibility it

Radio advertisements were recorded in 11 languages

was to Project Manage the Programme in each Rotary

by YFM and the University of Johannesburg Rotaract

District. MOU’s were signed. Through the structures

Students. This year the SABC Foundation contributed

set up, the Steering Committees were responsible for

an unprecedented amount of pro bono airtime to the

overall oversight of the programme.

campaign. RFHA worked closely with SABC colleagues around planning of schedules and the implementation. Interviews and television coverage was limited this year as the pro bono extended only to radio.

20


RFHA

RFHD Programme Summary

South Africa 2017

Media Strategy and Plan Since inception of the Rotary Family Health Days in

In order to achieve this objective, a dedicated RFHA

South Africa, it has been clear that it is vital to develop

RFHD Media Team made up of a core of Rotary

and strengthen a National Media and PR policy,

volunteers with media and public relations skills, was

strategy and campaign to achieve the following

appointed and an MOU was signed between the RFHA

objectives highlighting and exposing the RFHD

Media Liaison Head and the RFHA CEO and Programme

Programme and Public/Private Partnerships

Director. In addition, the Media Team were grateful to

Supporting the mobilization efforts of Rotary District and clubs in getting communities to attend the RFHD’s. Not only is it necessary to invest time and money in PR, Media and Communications, but also it is crucial to understand that communication is the key enabler in achieving the above vision and goal. A dedicated media team was therefore required to work closely with the Programme Director to implement and drive the media strategy.

PR

and

Communications

were

have been supported by a sponsored Intern in 2018 from the University of Johannesburg. The Media team’s mandate was to update the media policy, strategy and campaign to assist in social mobilization in collaboration with the Department of Health and partners as well as to build on existing formalised

RFHA

Media

partner

relationships

developed over the last 6 years.

the

Relationships were strengthened with existing primary

responsibility of the Programme Director driven by a

and support media partners. The NDoH, Gift of the

dedicated RFHA Media Team and identified PR

Givers, USG through the CDC, Rotary Districts and

members in each Rotary district. Without a project or

Clubs, and other partners should be commended for

country manager it will not be possible to have an

their social media mentions which raised further

integrated PR, Media and Communication approach

awareness. It is important to note that all media/PR

and therefore realizing the vision would be very

coverage was negotiated by RFHA and was either

difficult.

sponsored or donated:

1. Website:  The interactive Rotary Family Health Day South Africa website was updated and maintained as a primary communications and information platform (www.rfhdsouthafrica.org)  Source of information and reference included: o Background information on RFHA, Partners, genesis and background of the programme and board members o Comprehensive media schedule and media data base

o o

o o o o o

List of programme spokespeople and contact details Rotary Family Health Day Rotary district and site coordinators contact details Rotary Family Health Day 2017 final sites Downloadable photos from the programme Press releases Healthy lifestyle messaging Additional general information of interest 21


RFHA

RFHD Programme Summary

2. Social Media Platforms: Social Media was leveraged through the platforms of Facebook and Twitter throughout the months prior to the campaign. Content included details to encourage mobilizing community for attendance and volunteers. The reach through Twitter was thousands for the Minister’s speech at the Launch Site, and thousands more through the main hashtags highlighted below: ADD #TAG 3. National Aids Helpline:  The National AIDS Helpline (an NDoH sponsored initiative) run by LifeLine was trained on the Rotary Family Health Day site locations.  The helpline number appeared on all collateral as the link to finding out where sites were active and what services would be available  The Helpline reported great activity in the days leading up to the Health Days. 4. SABC Foundation: 

South Africa 2017

For the third year, the NCRF supported the RFHD’s through their network of 220 community radio stations around South Africa with live reads from a script provided  Rotary Clubs were encouraged to use the partnership opportunity to advertise their activities with these community stations  CEO RFHA Inc. Alicia Michael was interviewed on Hope Radio  NDoH amplified the NCRF offering at the launch site  Event specific and She Conquers ads were translated and flighted in 13 local community radio stations in English and Tsonga. These started flighting on the 29th of September 2017 7. Launch Site Media, Communications and PR Coordination.  Direct broadcast from the site included Mungana Lonene FM & Community FM Local Radio Station

Advertisements in all 11 official languages on all Radio stations were flighted for three weeks leading up to the Rotary Family Health Days

RFHA and the SABC Foundation are in their second year of a second 3 year MOU supporting the Rotary Family Health Days.  A successful radio advertisement campaign was well executed and supported  Morning Live interview was conducted on the launch day of the Health Days (facilitated by the NDoH) 5. Primedia: For the 5th year, Primedia partnered with RFHA to run pro bono PSA’s and interviews on all its radio stations. Due to timing conflict not all PSA’s were able to be executed. 6. National Community Radio Forum:

22


RFHA

RFHD Programme Summary

Bushbuckridge radio station brought an OB van to the event and linked with other 13 local community radio stations  The Minister and the Head of Rotary were interviewed were secured and conducted at the actual event  RFHA Media team supplied banners, gazebos, 150 branded t shirts, 40 printed bibs, press kits in support of the launch site 8. YFM:  Radio advertisements were recorded pro bono in the YFM Studios in 11 languages by UJ Rotaract students  RFHA Media team awaiting schedules of flighting of radio ads on YFM 9. Posters, leaflets, templates and advertisements:  Advertise in relevant newspapers to cover specific sites not covered by CAXTON (Part of Western Cape)

South Africa 2017

Posters, leaflets and advertisements were created to support the Awareness campaign and mobilization efforts at site level. Details included dates, Services, Partners and Health Tips.  Available in all 11 languages for use in a particular community. All were downloadable from the website for Rotary club access. Space was available on the poster to add the name and detail of each of the sites.  95000 She Conquers Road Maps  95000 She Conquers  Book markers  95000 A5 Hepatitis Booklets, printed into four languages(English, Xhosa, Zulu and Tsonga) 10. Independent Newspapers 

Advertisement placed 3x in the papers. Articles were also placed in the newspapers 11. Caxton papers:

23


RFHA

RFHD Programme Summary

For the 5th year Caxton support the RFHD’s as the primary print partner  Pro bono advertisements were placed in all community newspapers for 3 weeks prior the programme 12. Local clubs reported on local content and activities during and post the programme 13. Rotary Africa Magazine:  4 advertorials appeared for the 2017 Programme.  Coverage included: Awareness, a call to action, announcement of the launch site and highlighting new and existing partner, reporting after the programme (visuals). 14. Afstereo:

South Africa 2017

A detailed breakdown of where the Rotary adverts were placed in a particular ad-breaks  Brand Search: A detailed report of all the adverts for Rotary and Advertiser Exposure: The number of placements per radio station. 15. Rotary International Media:  Support is received from Rotary International Media 16. Paprika Studios  For the sixth year, Paprika Studios designed and produced all the collateral for the Rotary Family Health Days pro bono. These included poster, flyers, advertisements and artwork for branding materials in all 11 languages.

Key Highlights 1. RFHA thanks the NDoH and PHILA for their amplification of the Media Platforms for the 2017 Campaign as well as for the added support on below the line tools for the launch site. 2. Social media platforms were utilized effectively. (FB have 1700 followers apart from the various pages managed by clubs and the 3 districts. Throughout the programme success stories were shared online. 3. Radio, Television and Print media pro bono support amounted to R3 .4 million for the 2017 campaign.

24


RFHA

RFHD Programme Summary

South Africa 2017

Monitoring and Evaluation The 2017 Data Collection tools used at each RFHD site were further refined from 2016 feedback in joint consultation with a RFHA appointed analyst, RFHA and NDoH representatives. In general the tools were well received by Rotarians.

The Overall Summary •

On-site (paper) data collection process remained the same as past 2 years – with familiarity came improved quality

New on-line (Internet-based) site data submission process, meant central control of all site data submitted.

Strict data validation ensures data submitted makes sense and is consistent and aligned.

New automatic aggregation of data meant no transfer of data between templates, reducing opportunity for errors.

Real-time central monitoring of data capturing meant

quicker

identification

of

process was simpler and faster for most

issues,

people.

proactive resolution, and improved ability to support site data capturers.

Feedback indicates that the data submission

A full dataset down to site level is available for analysis.

25


RFHA

RFHD Programme Summary

South Africa 2017

Registrations by Rotary District DISTRICT D9350 D9370 East D9370 West D9400 RFHA Grand Total

Total People 13,887 7,684 3,803 9,231 1,980 36,585 100.00%

Gender Male Female 0-11mths 12-59 mths 4,334 9,553 278 1,519 2,427 5,257 319 694 1,420 2,383 58 176 3,063 6,168 288 1,195 776 1,204 102 198 12,020 24,565 1,045 3,782 32.85% 67.15% 2.86% 10.34%

Age 5-14 yrs 15-24 yrs 25-49 yrs 2,251 1,842 4,673 909 1,406 2,805 1,150 351 836 1,497 1,137 3,258 181 386 801 5,988 5,122 12,373 16.37% 14.00% 33.82%

50+ yrs 3,324 1,551 1,232 1,856 312 8,275 22.62%

Registrations by South African Province PROVINCE Eastern Cape Free State Gauteng KwaZulu-Natal Limpopo Mpumalanga North West Northern Cape Western Cape Grand Total

Total People 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%

Gender Male Female 0-11mths 12-59 mths 32.51% 67.49% 2.41% 4.29% 33.64% 66.36% 0.00% 2.06% 37.20% 62.80% 4.11% 14.15% 31.59% 68.41% 4.15% 9.03% 37.64% 62.36% 2.00% 2.00% 29.60% 70.40% 2.62% 11.59% 42.08% 57.92% 2.39% 11.06% 33.96% 66.04% 3.77% 1.26% 31.21% 68.79% 2.00% 10.94% 32.85% 67.15% 2.86% 10.34%

Age 5-14 yrs 15-24 yrs 25-49 yrs 15.15% 8.30% 24.94% 12.36% 18.99% 34.78% 14.72% 14.64% 37.20% 11.83% 18.30% 36.50% 4.90% 4.57% 64.48% 16.48% 13.73% 29.36% 46.18% 10.86% 21.97% 8.18% 10.69% 15.09% 16.21% 13.26% 33.65% 16.37% 14.00% 33.82%

50+ yrs 44.91% 31.81% 15.17% 20.18% 22.05% 26.22% 7.55% 61.01% 23.94% 22.62%

26


RFHA

RFHD Programme Summary

South Africa 2017

Core RFHD Services Provided

27


RFHA

RFHD Programme Summary

South Africa 2017

28


RFHA

RFHD Programme Summary

South Africa 2017

Rotary Add-on Services Provided

29


RFHA

RFHD Programme Summary

South Africa 2017

30


RFHA

RFHD Programme Summary

South Africa 2017

Service Referrals Provided

31


RFHA

RFHD Programme Summary

South Africa 2017

32


RFHA

RFHD Programme Summary

South Africa 2017

Challenges and Recommendations A Public Private Partnership Programme of this

responsible for disseminating information to

magnitude has its pros and cons. Each year is

their teams at the site which did not always

unique and brings similar challenges that

happen. At both district and site level the

partners endeavor to improve upon and move

communication

forward positively.

partners, Rotarians and volunteers also created

There were 3 common themes in the feedback provided from partners who worked on the campaign in 2017.

between

the

government,

issues where locations may have moved, or planning and timing goals were not met due to lack of follow through. It was evident in the sites which indicated a strengthening of their

Communication

relationship with the NDoH, their leadership had

To effectively execute the national campaign, communication consistency and effectiveness is a must for all the various relationships. Training is executed at a

been thorough and strong communication amounted to enthusiastic attitudes and more positive experiences Community Involvement Rotarians provided feedback of hesitation to enter certain areas, and low turnout due to conflicting occasions such as the SASSA payout. Mobilization of attendance cannot happen without community buy-in; even assurances of safety or assistance would be better met with respected community leaders working hand in hand with the Rotarians leading up to the event. Planning & Initiation Late planning, and more importantly the inability to meet deadlines created a rushed program for some partners. Planning earlier and committing to firm deadlines will assist in site selection, partner engagement and community mobilization. Where there is noticeably a delay in working with government agencies, there is

national

still

opportunity

to

move

forward

with

level, but the campaign is delivered at grassroots

promotion and volunteer engagement to ensure

level. The individuals caught in the middle are

attendance on the day. Earlier planning would 33


RFHA

RFHD Programme Summary

South Africa 2017

inevitably increase partners’ add-on services

of this magnitude has on the people in South

which are a major factor in mobilizing.

Africa. After receiving feedback in 2016, there

The

feedback

was a refining of M& E tools and the completion of Organisation Manuals to assist in execution of the Health Days. Data Collection There was an overwhelming agreement that the improved M&E tools made the tracking and capturing of patient data much easier and quicker for volunteers. All were pleased with the improvements in the system. Relationships As we close out the 5th consecutive year of Health Days in South Africa, the relationship with the NDoH and partners is always strengthening. More so than ever their commitment to future

Health

Days

has

been

communicated, and the feedback from site level was a positive average of 8/10 to rate their experience in dealing with the NDoH on site. Again, the leadership at these sites have shown to be a valuable asset in ensuring a positive experience with partners at site level. The site coordinators at most locations have now volunteered at multiple events and are improving their knowledge and aptitude for getting the job done. Their contribution is commendable and the key to reaching more overall

people as their enthusiasm and experience helps

was very positive with enthusiasm for the

maintain positive partner relationships at the

success of the Health Days and most partners

site.

understanding the immense impact a campaign

34


Conclusion The Rotary Family Health Days 2017 have had a significant and meaningful impact on the lives of thousands of people living in South Africa. Once again, the willingness of all Partners and individuals to work positively together to find solutions to challenges has been overwhelming in this common Call to Action throughout our Country. The Rotary Family Health Days have most assuredly created awareness around the Rotary brand and should impact positively on growing the membership of the organisation. All three Rotary District Leadership have indicated a positive response in going forward into the 2018 Campaign to build on lessons learned again this year to expand the Programme. Thank you to District 9370 East, District 9370 West, District 9350 Steering Committees and the District 9400 District Governor, the Department of Health and Partners for their feedback which assisted in compiling this report. In this year, it has been noted that the RFHD Programme is becoming better known and followed with interest across many sectors of South Africa. We thank all our Partners and Funders – both public and private - for their leadership, collaborative attitude and commitment that has certainly made the Rotary Family Health Days another wonderful success! We can achieve so much more together to make a difference in the lives of those less fortunate than ourselves.

We applaud you!

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Acronyms AGYW AIDS ART CBO CDC CHW EPI HBV HCT HCV HIV HIVDR HTS IEC M&E MMC NCD NDOH NDP NGO OVC PCA PEPFAR PIP SANAC STI TB UNAIDS USAID USG UTT VCT WHO

Adolescent Girls And Young Women Acquired Immune Deficiency Syndrome Antiretroviral Therapy Community Based Organisation Centres For Disease Control And Prevention Community Health Worker Expanded Programme On Immunization Hepatitis B Virus HIV Counselling And Testing Hepatitis C Virus Human Immunodeficiency Virus HIV Drug Resistance HIV Testing Services Information, Education And Communication Monitoring And Evaluation Medical Male Circumcision Non Communicable Diseases National Department Of Health National Development Plan – Vision 2030 Non-Governmental Organisation Orphaned And Vulnerable Children Provincial Council On AIDS United States Presidential Emergency Fund For AIDS Relief Provincial Implementation Plan South African National Aids Council Sexually Transmitted Diseases Tuberculosis Joint United Nations Programme On HIV/AIDS United States Agency For International Development United States Government Universal Test And Treat Voluntary Counselling And Testing World Health Organisation

36


Rotary International Rotary brings together a global network of volunteer leaders who dedicate their time and talent to tackle the world’s most pressing humanitarian challenges. Rotary connects 1.2 million members from more than 200 countries and geographical areas. Their work impacts lives at both the local and international levels, from helping families in need in their own communities to working toward a polio- free world in the spirit of the Rotary motto of “Service Above Self”. Rotary International’s Six Areas of Focus include:  Peace and conflict prevention/resolution;  Disease prevention and treatment;  Water and sanitation;  Maternal and child health;  Basic education and literacy; and  Economic and community development The RFHD Programme falls under 3 of the above – Disease Prevention and Treatment, Maternal and Child Health, and Peace and Conflict Prevention/Resolution. In South Africa, all three Rotary Districts are engaged on the RFHD Programme – including 95 clubs in all 9 Provinces and over 5 000 Rotary volunteers to support, facilitate, manage, mobilize and support partners at site level. Learn More: www.rotary.org

South African National Department of Health The NDoH’s mission is to improve the health status of all South African citizens through the prevention of illnesses and the promotion of healthy lifestyles and to consistently improve the healthcare delivery systems by focusing on access, equity, efficiency, quality and sustainability. As the Primary Healthcare partner in the RFHD’s, the NDoH committed to providing free core medical services by bringing components of their existing Health Counselling and Testing (HCT), and Expanded Programme on Immunisation (EPI) and prevention of Non- Communicable disease campaigns to each of the sites over the three days. Learn More: http://www.health.gov.za/

Gilead Sciences Gilead Sciences, Inc. is a research-based biopharmaceutical company that discovers, develops and commercializes innovative medicines in areas of unmet medical need. They strive to transform and simplify care for people with lifethreatening illnesses around the world. Gilead's portfolio of products and 37


pipeline of investigational drugs includes treatments for HIV/AIDS, liver diseases, cancer, inflammatory and respiratory diseases, and cardiovascular conditions. Learn more: www.gilead.com

U.S. President's Emergency Plan for AIDS Relief (PEPFAR) South Africa, with support from the United States, through the U.S. President's Emergency Plan for AIDS Relief (PEPFAR), provides more than 3 million South Africans with antiretroviral treatment (ART) - saving countless lives, keeping families together, and increasing South Africa's overall economic productivity. Since 2004, PEPFAR has invested more than $5 billion in South Africa's HIV and TB response, helping to support an unprecedented expansion of prevention, treatment and care services. Learn more: www.pepfar.gov

South African Broadcasting Corporation Foundation (SABC Foundation) The SABC, as the national broadcaster in South Africa through the SABC Foundation, has signed a second 3 year MoU with RFHA to broadcast the Public Service Announcements (PSAs) across their various TV and radio platforms, as well as conduct interviews with key players in the rollout of the RFHDs. This partnership forms part of their vision and mission to serve the interests of SA citizens from all walks of life. As a good corporate citizen, the SABC Foundation is actively involved in a range of developmental and social projects across the country. Learn more: www.sabc.co.za

Caxton Community Newspapers Founded in 1980, Caxton & CTP Publishers and Printers Limited is an unconventional business success story. Doing things differently and better for more than 25 years, the group has grown from small beginnings into one of the largest publishers and printers of books, magazines, newspapers and commercial print in South Africa. Through its ownership or partnership with 130 urban and regional newspapers, covering most of the country, Caxton is the ideal partner to help spread the Rotary Family Health Day word far and wide. With a total weekly distribution of more than two million, all newspapers have close ties with their respective communities. In fact, many staff members actively participate in service organisations like Rotary and fully appreciate the importance of the project. Learn more: www.caxton.co.za

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Alere Alere delivers reliable and actionable health information through rapid diagnostic tests, resulting in better clinical and economic healthcare outcomes globally. Our high-performance diagnostics for infectious disease, cardio metabolic disease and toxicology are designed to meet the growing global demand for accurate, easy-touse and cost-effective near-patient tests. Learn more: www.alere.com

Paprika Graphic and Communication Studios Paprika Graphics is an established, dynamic design studio that has a proven track record in developing creative visual solutions. Whether developing corporate identities, turnkey projects or fully-fledged campaigns, the Paprika team is committed to excellence in design and delivery. Our client base is as diverse as our expertise and includes foreign entities, corporates, government institutions and small businesses. Learn more: www.paprika.com

Sesego Cares SeĹĄego Cares, a South African registered Section 21 Company / NPO with 18A status was established in 2005 by volunteers to make a sustainable difference in the lives of vulnerable people in Southern Africa. The ethos of SeĹĄego Cares is hinged on the spirit of ubuntu to bring together people willing to offer their time, skills and donations to help various socially significant projects in communities across Southern Africa. Learn more: www.sesegocares.org

Gift of the Givers Gift of the Givers is the largest disaster response NGO of African origin on the African continent. Innovating the world's first and only containerised mobile hospital comprising 28 units, innovating the world's first containerised primary health care unit, innovating the world's first groundnut-soya high energy and protein supplement in the use of severe Malnutrition, HIV/AIDS, TB, Cancer and other debilitating conditions, and establishing Africa's largest Open Source Computer Lab has earned us 114 individual and organisational accolades and awards including 4 Presidential awards. Thus far we have disbursed R2.1 billion in aid to needy individuals and communities in our 25 year history Learn more: www.giftofthegivers.org

39


SANAC The South African National AIDS Council (SANAC) is a voluntary association of institutions established by the national cabinet of the South African Government to build consensus across government, civil society and all other stakeholders to drive an enhanced country response to HIV, TB and STIs. Learn more: http://sanac.org.za/

She Conquers Campaign She conquers is a national campaign aimed to protect and promote the rights of adolescent girls and young women across South Africa. This campaign is a collective response that aims to unite government, civil society, NGOs, communities, and business to address the challenges facing adolescent girls and young women. Learn more: http://sheconquerssa.co.za/

Phila Phila is an initiative by the Department of Health. It is a government departments’ and its partners’ brand aimed at inspiring people to make the 'right moves' when it comes to their health and lifestyle choices. It provides people with knowledge about their health and directing them to health and wellness facilities available to them. Phila is a movement that encourages knowing one’s health status, increased physical activity, healthier eating, adherence to treatment, good sexual health and a safe, nonviolent society. Phila aims to contribute to reduce the impacts of Non-Communicable Diseases, HIV and AIDS, TB, Violence Injury and Trauma, Mother-Child-Woman Health epidemics. Learn more: www.phila.org.za

TB/HIV Care TB/HIV Care Association is a registered non-profit organisation that puts integrated care at the heart of responding to TB, HIV and other major diseases. We work to prevent, find and treat TB and HIV in South Africa, as well as targeting our interventions to address the needs of populations at risk, such as inmates, sex workers and people who inject drugs. In 2016, TB/HIV Care launched an initiative to test for viral hepatitis and learn more about the prevalence of hepatitis B and C. The initiative is funded by the Bristol-Myers Squibb Foundation (BMSF) and is implemented in partnership with

40


the University of Cape Town, the National Institute for Communicable Diseases (NICD), Anova Health, and OUT Well-being. Learn More: www.tbhivcare.org

The Social Collective The Social Collective acts as the digital connector between people, NGOs/businesses and companies, and provides a unique service to corporations looking to monitor and evaluate their initiatives - which involve people and impact. No matter who you are, there is a place for you in our movement to change the structure of community engagement. Let us unite all our efforts and move our generation forward. The Social Collective’s core platform offering is innovative and exceptional because it operates on multiple levels. Learn More: https://app.thesocialcollective.co/

Project Last Mile Project Last Mile, launched in 2010, is a collaboration among The Coca-Cola Company, The Coca-Cola Africa Foundation, The Global Fund, USAID and The Bill & Melinda Gates Foundation. This initiative applies the Coca-Cola system’s logistic, supply chain and marketing expertise to help strengthen health systems across Africa. Through Project Last Mile efforts, government agencies learn about CocaCola’s business model, and through these learnings, are able to more efficiently deliver critical vaccines, medicines and medical supplies; market the availability of these supplies thus creating demand; and maintain coolers to ensure the medicines and vaccines are stored at the correct temperatures. http://www.coca-colacompany.com/project-last-mile

University of Johannesburg University Of Johannesburg Community Engagement The focus of community engagement is on the promotion of health and wellbeing, the values of caring and compassion, respect for diversity and human dignity, community participation, community empowerment, good citizenship and social justice Community engagement, in the form of organized outreach, is an important component of the University’s vision statement and one of its strategic goals, namely to be an engaged institution. Organized outreach, however, is not a core academic function of the University, but may be assessed for compliance with the UJ conditions of service https://www.uj.ac.za/ 41


The Following South African Rotary Clubs were integral to our success: D9350

D9370East

D9370West

D9400

RFHA

Bellville

Amanzimtoti

Algoa Bay

Bedfordview

E-Club D9400

Blouberg

Chatsworth

Aliwal North

Edenvale

Cape of Good Hope

Chatsworth High Noon

Arcadia

Haenertsburg

Cape Town

Dundee

Bloemfontein Thabure

Johannesburg New Dawn

Constantia

Durban Clairwood Park

Bonza Bay

Johannesburg South 101

Durbanville

Durban Merewent

East London

Knights Pendragon

George

Estcourt

Ficksburg

Kyalami

Goodwood

Hibiscus Coast (Margate and Uvongo)

Ficksburg Imperani

Middelburg

Gordon's Bay

Hilton

Flamingo Welkom

Middelburg Cycad

Helderberg

Howick

Gately

Morningside

Helderberg Sunrise

Kwa Dakuza

Grahamstown Sunset

Nelspruit

Hermanus

Zimbali

Kimberley

Pietersburg 100

Hout Bay

Majuba Newcastle

Kimberley South

Polokwane

Am Kap

Pietermaritzburg

Klerksdorp

Riverside

Kleinmond

Pietermaritzburg Azalea

Ladybrand

Rustenburg

Kromboom

Scottburgh

Lukhanji Sunset

Rustenburg Kloof

Melkbos

Shelly Beach

Orkney

Soweto

Mossel Bay

Queenstown

Vandebijlpark

Newlands

Uitenhage South

Vereeniging

Oostenberg

White River

Oudtshoorn

Witbank

Paarl

Randgate

Pinelands

Roodeport Monument

Sea Point

Tiro Shoari

Signal Hill Stanford Stellenbosch Swellendam Tygerberg Waterfront Worcester Wynberg

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Contact Us RFHD SA Website: www.rfhdsouthafrica.org

Facebook: @RotaryFamilyHealthDays

RFHA Inc. Website: www.rfha.org

Instagram: @RotaryFamilyHeathDaysSA

Sue Paget

Alicia Michael

Southern African Programme Director

RFHA Inc CEO (Atlanta, Georgia, USA)

Rotary Family Health Days

Rotarians for Family Health and AIDS Prevention

spaget@rfha.org

alicia@rfha.org

A special thanks to Kristal Hangana for her assistance in compiling the report.

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Rotary Family Health Day Programme Report 2017  

Rotary Family Health Day Programme Report 2017 for South Africa.

Rotary Family Health Day Programme Report 2017  

Rotary Family Health Day Programme Report 2017 for South Africa.

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