School Health Programme
Funding Cycle: March 2014 -September 2016
This is an Integrated School Health Programme implemented in ILembe district with the aims of: Preventing new HIV, STI’s, TB and unintended pregnancies among high school learners through education, testing and referral; increasing uptake of health services by learners; and strengthening community support and inter-sectoral collaboration that would improve referral pathways, the delivery of adolescent-friendly HIV and reproductive health services.
4 high schools (Nombika, Mashiyamahle, Hloniphani and Mzingezwi High Schools) in Ndwedwe district of ILembe district.
This cycle of the project involved the scaling of the program to 4 high- schools reaching 3 306 learners for the period September 2015 to October 2016 .The cumulative uptake of services for this cohort. increased from 44% at the beginning of this cycle and reached 81% at the end of this cycle. The Kheth’Impilo SRH&R school team established referral pathways for learners from the school to a primary health facility offering youth-friendly SRH&R services and where necessary referred them to social and welfare services.
The total headcount of SRH&R visits for the period October 1 2015 to September 2016 was 3491. and of these 1891(54%) were new visits. The uptake of the school-based services was largely driven through self-referral(94%) and 1632 (46%) were referred to a youth-friendly clinic.
The total Voluntary Male Medical Circumcision (VMMC) was 199 and the cumulative uptake was 30%.
Counselling services have been initiated both for individuals and groups with a total of 1891 new cases of counselling sessions offered for HCT, STI and contraception. A total of 1602 learners were referred for HCT year and 1120 opted for HCT. 57 learners disclosed their HIV status and 36 reported to be on ART. A total of 350 sought contraception services
A SRH&R, Health and Welfare Jamboree was implemented for the learners, households and the broader community. We reached a head count 1356 of service utilization in 9 hours, which comprised of adults (n=614), children<5years (n=395) and adolescents. Children <5years accessed services comprising of growth, nutrition support, immunization (43.7%), social-protection (30.6%) and documentation (14%). Adult accessed services to include TB screening (14%), minor-ailments (32.7%), hypertension/diabetes (22%). 67.2% of 177 BMI screening were adults. Amongst youth (1164), 29.8% accessed SRH&R services (n=347), comprising of family planning (25.7%) HCT (22%), VMMC (n=42), pap-smears (n=5) and 6% were referred for nutritional support.