NICDAM strives to support the Department of Health in strengthening service delivery in four priority areas as outlined in the Negotiated Service Delivery Agreement (NSDA):
- 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
- 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.
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 (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.
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|
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|
|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 Catholic 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
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|
PARTNERSHIP WITH SOUL CITY
SOUL CITY TRAINING PROJECT
NICDAM operated as a preferred training provider for Soul City from 2004 to 2010. During 2009/2010 NICDAM undertook 6 community dialogues in Gauteng, KZN and Waterberg, followed the “One love training” training course of 6 days. 860 people were reached through the community dialogues and 110 people attended the training course.