HIV / AIDS / Tuberculosis

Northern eThekwini Youth Friendly Clinic Project

Location: eThekwini, South Africa

Partners: South African Departments of Health and Education

Donor: Canadian International Development Agency (CIDA)

Duration: 2010-2012

The Northern eThekwini Youth Friendly Clinic Project was aimed at promoting responsible sexual behavior, education on HIV/AIDS, TB, gender equality and life skills for youth aged 10-24 years in one of the high burdened HIV/TB areas in eThekwini, South Africa. Through this project, MCDI facilitated access to and created youth friendly health facilities for PMTCT, Voluntary Counseling and Testing (VCT) and TB services.

Implemented in close collaboration with the Department of Health and the Department of Education, one of the project main activities was to encourage HIV screening among TB patients and TB testing among HIV positive individuals. These activities improved TB case and contact finding and treatment adherence, improved quality of TB service delivery by health facility workers, improved integration of HIV and TB services, increased Direct Observation Treatment Short-course (DOTS) support as well as improved community support for TB treatment.

MCDI introduced innovative strategies for improving TB case and contact finding and management that included distribution of contact slips that resulted in a contact tracing rate of up to 47% in implementing areas and Facility Patient Liaison Program that improved significantly treatment adherence and follow up and strengthened health facility and community linkages.

The project bolstered the health and welfare facility based interventions through active participation of the surrounding communities, involving local community based organizations and community health promoters in implementation. An essential cross-cutting activity of the proposed project consisted of the formulation of a gender sensitive and comprehensive Behavior Change Communication (BCC) strategy designed to support all project objectives.

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