Health

NICDAM designs, develops and executes projects in response to the social needs of society and communities in the following areas: victim empowerment, gender-based violence (GBV), psycho-social support to victims, post violence care, trauma management, debriefing, human trafficking, child and youth care, orphaned and vulnerable children, migrant children in vulnerable positions, care of older persons, volunteerism and restoration and healing.

  • Improving life expectancy
  • Combating HIV & AIDS
  • Reducing the burden of disease from TB
  • Strengthening of the health system effectiveness.

Our projects focus on:

Expanding coverage of areas with high HIV prevalence and high TB burden aimed to reach the 90, 90, 90 targets and deal with:

  • HIV testing service and referral to health facilities
  • Treatment adherence support and monitoring
  • NCDs and TB screening and referral to health facilities
  • MMC services and mobilisation.
  • Promoting the health of women and children through addressing
  • Reproductive health
  • IMCI
  • Hand-washing campaigns
  • Preventing water-borne diseases
  • Preventing NCDs and promoting screening and referral to health services
  • Behaviour Change Communication: targeted interventions with hard-to-reach groups and communities at higher risk of HIV infection; voluntary counselling and testing as well as community dialogue, workshops and trainings as well as support groups which serves to help communities to recognise, discuss and respond to the ways in which cultural practices affect health behaviours, as well as mental and physical well-being.
  • Interventions that serve to bring HIV counselling, testing and treatment, condom distribution as well as other relevant health services to households.

NICDAM presents qualifications in community health work on levels 1 to 4, and offers skills programmes extracted from these qualifications.

Partnership with the NDOH: NPO DIRECTORATE

NICDAM has been funded by the NDOH: NPO Directorate since 2006. The NDOH programme is one of NICDAMs flagship endeavours.

2016/2017: NICDAM was contracted by NDOH to continue with activities that generate demand, focusing on referral to HIV testing services (HTS) and other HIV services in the continuum of care with the purpose of achieving the 90-90-90 goal in the country. NICDAM continues to work in partnership with existing organisations where these organisations are efficient and achieve the set targets. In some areas, such as Thabo Mofutsanyane District, services are rendered directly by NICDAM. The activities include training community health workers in home-based testing in a community setting.

2014 to 2016: The National Department of Health (NDOH) contracted NICDAM for 17 months with the following objective: To equip and support the participating organisation to intensify social mobilisation to generate demand for HCT, TB screening, condom use, MMC and to create awareness and generate demand for screening for diabetes and high blood pressure at community level in 3 provinces:

  • Limpopo Province (Vhembe district),
  • Free State Province (Thabo Mofutsanyane district) and
  • KZN Province (Amajuba district).

The district Department of Health officials identified three organisations per province, in total 9 organisations, to partner with NICDAM for project implementation. Fifty four (54) CCW were part of the project implementation and received training on how to conduct community dialogues and social mobilisation; including one to one discussions.

2012/2013: The NDOH contracted NICDAM in September 2012 to conduct community conversations to mitigate HIV stigma in three provinces:

  • KZN (Amajuba District),
  • Free State (Thabo Mofutsanyane District) and
  • Limpopo (Waterberg District).

Two community facilitators from each organisation were appointed and trained by NICDAM in the methodology and on stigma mitigation. All the organisations managed to achieve their target of 18 community dialogues per province, with 200 people attending each dialogue with a total of 54 dialogues.

2011/2012:The National Department of Health contracted NICDAM to train, conduct prevention activities, to undertake organizational development and mentoring to nine organisations in three provinces. The project started on February 2011 up until February 2012. Nine members of each organisation were involved. The total number of the three organisational members per province was 27; totalling 81 people for the 3 provinces.

NICDAM administered stipends to the organisations and was responsible for equipping organisations and members with the knowledge and skills to execute interventions that will raise awareness about HIV, TB, HCT, PMTCT and treatment. Two week long trainings were presented. The learning programme was aligned to the following unit standards:

  • US ID 14656: Demonstrate an understanding of sexuality and sexual transmitted infections including HIV and AIDS
  • US 117017: Provide information about TB and DOTS.

2010/2011: NDOH GOVERNANCE AND LEADERSHIP PROGRAMME

The National Department of Health (NDOH) and NICDAM entered into an agreement to build the management capacity of 38 Non-profit organisations from three provinces i.e. Limpopo (14), KwaZulu Natal (14) and North West (10). The following management focal areas had to be addressed:

  • Governance and Leadership
  • Human Resource Management
  • Financial Management
  • Resource Mobilisation

The programme was terminated at the end of June 2010 because the priorities of the Department had changed from capacity building of management to prevention of HIV/AIDS and health seeking behaviour. All the training was done by that time except for the Financial Management and Resource Mobilisation of the KZN.

OTHER PROJECTS:

TRAINING IN COMMUNITY HEALTH WORK AND RELATED QUALIFICATIONS

A total number of 3 282 learners achieved full qualifications through NICDAM.

Project Qualifications Date of endorsement by HWSETA Number of learners endorsed
EU Ancillary Health Care – Level 1 49606 Nov 07 609
DSD Limpopo – GETC Ancillary Health Care – Level 1 49606 Jun 08 179
DSD Limpopo (Mopani) – GETC Ancillary Health Care – Level 1 49606 4 Dec 09 98
DSD Limpopo (Waterberg) – GETC Ancillary Health Care – Level 1 49606 7 May 10 287
CompreCare – GETC Ancillary Health Care – Level 1 49606 7 May 10 132
CompreCare – GETC Ancillary Health Care – Level 1 49606 15 Nov 10 175
Waterberg – GETC Ancillary Health Care- Level 1 49606 24 Feb 12 248
DSD Limpopo (Mopani )-NC Ancillary Health Care – Level 2 49085 4 Dec 09 42
DSD Limpopo (Waterberg)–NC Fundamental Ancillary Health Care – Level 2 49085 7 May 10 181
Waterberg – NC Fundamental Ancillary Health Care – Level 2 49085 24 Feb 12 251
Westcol – NC Community Health Work – Level 2 64749 04-Jun-14 36
Westcol – NC Community Health Work- Level 3 64769 04-Jun-14 33
Gauteng -Community Health Work – Level 3 49128 Aug 08 358
HCBC Northern Cape – Community Health Work – Level 3 49128 Dec 08 30
NYDA – Community Health Work – Level 3 49128 23 Jul 09 179
Gauteng Health – Community Health Work -Level 3 49128 15 Nov 10 236
Waterberg – Community Health Work – Level 3 49128 24 Feb 12 193
Weenen Project – FETC-Community Development HIV/AIDS Support – Level 4 58396 15 Nov 10 15
TOTAL 3 282

HIV/AIDS TRAINING, INCLUDING COUNSELLING

NICDAM designed curricula and developed the learning material for numerous learning programmes for HIV & AIDS and related training courses, i.e. STIs, treatment, TB, counselling, peer education, etc.

Here are some examples of accredited learning programmes. Please note that some of the courses were a collection of unit standards that were put together to meet the needs of the target audience before the advent of skills programmes which require that unit standards for a skills programme should be drawn from one qualification).

Unit standard(s) / Skills Programme Organisation Number of learners achieving credits Province(s) Date
Counselling skills Comprecare 302 Gauteng/KZN/Free State Oct 2011–March 2012
Unit standards from Community Health Work SAQA ID 64749, Level 2: 119567, 117017, 260697, 260499, 260497, 119560, 254221, 117493, 119463, 9009,7480, 119454, 1244, 119455, 7469, 9007, 119456, 260598. Modules trained: Henneman 102 Free State 2012
The training conducted for Hennenman was not full qualification but was 3 Modules from Community health work level 2 on qualification 64749. They did some of the modules as a build up to qualification due to not having enough funds and hope they will get other funding to complete all the modules for the qualification. They were also RPLed on the fundamentals. The modules conducted was Home based care/Community needs and health promotion/HIV & AIDS/STI and TB. The other unit standards that you needed clarity I don’t have an idea about them Henneman??
US 114491: Educate and work closely with the community with regard to STIs including HIV and AIDS – US 13203: Counsel workgroup members in respect of HIV/AIDS Lifeline in Mafikeng 20 North West 2013
US 114478: Conduct basic lay counselling in a structured environment Gauteng Department of Health: various sites 18 and 49 Gauteng 2008 and 2009
US 252512: Counsel an individual in a structured environment Gauteng Department of Health: various sites 56 Gauteng 2009

Training educators of the Gauteng Department of Education in HIV & AIDS, TB, STIs, Risk Behaviour and Counselling and Support

2014/2015: NICDAM was contracted by Westcol College in October 2014 to train 1600 educators from the Gauteng Department of Education in the Skills programme: HIV/AIDS Support and Life skills Training for Secondary School Educators (HW/SP/1601045) consisting of 3 unit standards from the FETC: Public Awareness and Promotion of Dread Disease HIV/AIDS ID 74410 (Level 4), covering the following topics: Risk behaviour, STIs, including HIV & AIDS and Counselling and Support. TB and social issues connected with risk behavior, like teenage pregnancy and alcohol and drug abuse were included. A section on peer education in schools was also added.

The training was conducted in two blocks, during afternoons after 14h00 and Saturdays to accommodate school hours. Block 1 was conducted from October-November 2014. Block 2 was conducted from February – March 2015. 980 educators were assessed and achieved credits for the learning programme.

2016: NICDAM was contracted by the Matthew Goniwe School of Leadership and Governance to present the same skills programme as above (HW/SP/1601045) to secondary school teachers. The following additional non-accredited topics were added: Tolerance for diversity and preventing xenophobia, Harmful religious and traditional practices, Gender and Child abuse.

A total of 469 educators were trained. 445 attended all the sessions in October and November 2016, completed the theoretical and practical assessments and achieved competency.

Catholic Health Care Association (CATHCA)

NICDAM was approached by CATHCA in 2008 to train the Catholic Health Care Association’s home-based care workers. 332 home based care workers from Gauteng, Free State, Mpumalanga, Limpopo and North West received training aligned to the Unit Standard 9827: Assess the client’s situation and assist and support both client and family to manage home based health care.

The programme was extended in 2009 and 179 learners were trained: Limpopo 31 learners, Free State 28 learners, Gauteng 42 learners and North West 75 learners. The training was presented in 3 clusters consisting of HAST, Palliative care and two weeks Home Based Care which was aligned to Unit Standard 9827: Assess the client’s situation and assist and support both client and family to manage home based health care.

The programme was again extended in 2010 to train home-based care workers in Peer Education. Fifty (50) Peer Educators were trained on the Unit Standard 114491: Educate and work closely with the community with regard to sexually transmitted infections (STI’s) including Human Immune Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS). Learners were from Limpopo, Free State, Gauteng, Eastern Cape and KZN and were trained respectively Gauteng and KZN. 48 out of the 50 learners were declared competent.

In 2013 NICDAM continued to train for CATCHA:

  • 25 CHWs were trained on Home Based Care.
  • Gauteng and North-West Province. 56 learners were trained in the following Unit Standards:
  • US 117017: Provide information about tuberculosis and directly observed treatment (DOTS)
  • US 119560: Provide awareness of Sexually Transmitted Infections (STI’s) in the community
  • US 117493: Provide information about HIV and AIDS and treatment options in the community care and support situations
  • US 260463: Assist the client and significant others to manage home based health care
  • US 260598: Provide support relating to home based care
  • US 260499: Manage the care of the acute and chronic wounds
  • US 254221: Prevent musculoskeletal injuries to self during

Henneman

NICDAM trained 100 Community Health Workers for a period of four weeks on the following modules:

  • Module 1: HIV and AIDS, STI’s and TB
  • Module 2: Community needs and Health Promotion
  • Module 3: First Aid
  • Module 4: Home Based Care

Peer education / counselling training for the SA Reserve Bank

NICDAM was appointed in July 2008 to present training on HIV & AIDS peer education and peer counselling to be implemented in all the branches as part of the Reserve Bank’s HIV programme. NICDAM was requested to align learning material to the following two unit standards:

US 13203: Counsel workgroup members in respect of HIV/AIDS (Level 5)

US 114491: Educate and work closely with the community (in this case the workplace) with regard to sexually transmitted infections (STIs) including HIV/AIDS (Level 4)

  • 69 staff members selected as peer educators were trained at 8 different sites from August 2008 to February 2009. The training took place over two non-consecutive weeks. All learner results were endorsed respectively by the HWSETA and MERSETA (NICDAM received learning programme approval by means of a MOU between the HWSETA and the MERSETA).
  • 17 managers attended the same training over a period of 5 days.

HOME-BASED CARE (HBC) TRAINING

NICDAM has extensive experience in and understanding of HBC training. NICDAM trained the 59-days HBC training programme that was instituted by the DOH in the early days of HIV care. In 2006 the organisation was contracted by the HWSETA to undertake a nationwide skills audit of home-based caregivers, followed up by a RPL assessment of qualifying individuals.

The following are examples of HBC training that has been provided over the years:

Unit standard(s)/Skills Programmes Organisation Number of learners achieving credits Province(s) Date
US 260463: Assist the client and significant others to manage home based health care (Level 2-12 credits). This training included the DSD norms & standards for HBC. These learners were all provided by a starter HBC kit. The content of which was sourced and assembled by NICDAM. Thabiso NGO – Kimberley 180 Northern Cape (6 districts) 2013
US 260463: Assist the client and significant others to manage home based health care (Level 2-12 credits). This training included the DSD norms & standards for HBC. Starfish 86 Limpopo- Mpumalanga-Free State and North West 2014
US 260463: Assist the client and significance others to manage home based care. Bana Pele-Hertzogville 25 Free State 2012
Lesedi Hospice-Viljoenskroon 23 Free State 2012
Department of Social Development 25 Eastern Cape Province 2014
US Embassy grantee: Fatlhologang Youth Forum 11 Limpopo 2012
HIV & AIDS Treatment and Home Based Care (HW/SP/16001295) NC: Community Health Work SAQA ID 64749 (level 2) 4 unit standards in TB HIV/AIDS and Treatment-STIs and HBC-Methodist church of Southern Africa 41 Benoni 2016
SACBC 15 Sebokeng 2016
TOTAL 406

PARTNERSHIP WITH SOUL CITY

SOUL CITY TRAINING PROJECT

NICDAM operated as a preferred training provider for Soul City from 2004 to 2010. Training in HIV/AIDS, TB and related topics were presented to groups all over the country on behalf of Soul City.

During 2009/2010 NICDAM undertook 6 community dialogues in Gauteng, KZN and Waterberg, following the “One love training” training course of 6 days. 860 people were reached through the community dialogues and 110 people attended the training course.


NICDAM is currently establishing a community HIV TESTING SERVICE (HST) SITE IN PHUTHADITJHABA, FREE STATE. This site will also serve as a ‘hub’ for care and support outreach initiatives for PLHIV, i.e. treatment support. This innovative project is being documented as a case study in expanding HST services in under serviced communities.

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MORE THAN 800 NGO MANAGERS HAVE BEEN TRAINED IN 9 PROVINCES...
...contributing to the institutional strength of civil society