PROGRAMME DESCRIPTION: 1. BACKGROUND South Africa is a country with a large HIV burden and children are a distinct group made vulnerable by their exposure to HIV and AIDS. Their plight represents a grave concern for not just government but the private and business sectors as well. Approximately 61% of South Africa's 18 million children live in poverty. This equates to 3.2 million children age 0-5 years and 10.2 million children age 0-18 years and this has necessitated a paradigm shift in the definition of orphan hood. Whereas the general definition of orphans depends on the death of one or more parent(s), children born to HIV infected adults experience vulnerabilities equated with orphan hood in the years before their parents die. This leaves them with the responsibilities for caring for their ailing parents whilst they are still alive but sick; looking after other siblings; earning money; accessing health care; purchasing food, clothes and shelter emotional and psychological distress.

As a result, even when one or both parents are alive, the basic rights of these children to survival, security, socialization and actualization are eroded as they are made vulnerable to stigmatization and social isolation, poverty, destitution and homelessness, illness, school dropout, malnutrition, crime and all forms of child abuse including child labour, child trafficking and sexual abuse. Childline Services began in Kwazulu-Natal in 1986 in response to the very high levels of child sexual abuse which was prevalent in South Africa. The aim was to provide a specialized non-sectarian and non- racial help line for children and their families who had undergone any form of abuse. The demand for services grew on a national basis and consequently by 2003, nine provincial offices were established with Northern Cape established in December 2008. The national body was formed in August 2003. The services offered by Childline South Africa's affiliates in the nine provinces are unique in that in most instances they are the only organization offering a comprehensive service to abused and vulnerable children. Childline provides ; 24-hour Crisis Line; training of lay counsellors for work on the crisis line; advocacy on children's policy and legislation development; prevention and education programmes; Children's Rights Awareness Campaign to children and adults; networking with partners; counselling / therapy for abused children and their families; court preparation services for abused child witnesses; Education and training of professionals; raining of lay counsellors; child and adult offender rehabilitation; youth development programme and safe houses. 2. TARGET BENEFICIARY Primary Beneficiaries The programme will target an estimated 4700 orphans and vulnerable children between the ages of 0-18 years in the following provinces: North West, Limpopo, Gauteng, Eastern Cape, Free State and KwaZulu Natal. At present, Provincial Childline offices are working to address problems encountered by orphans and vulnerable children including their parents and or guardians. The following Provincial Childline interventions are directly aimed at targeting OVCs: ? Crisis Line intervention Childline is well known for its telephonic helpline 'crisis line' and offers therapeutic and face to face counseling for children who have experienced trauma, including abuse and neglect as a result of HIV and AIDS. The crisis line is a toll free 24- hours telephone helpline available to all children in all the nine provinces of South Africa who have access to a telephone, Vodacom and Cell C cellular networks. Adults and children who are concerned about the welfare and well being of children are able to phone the toll free number and speak to a trained counsellor for immediate assistance and referral where necessary. The Crisis Line is usually the first point of contact for children in need, especially those in the rural areas where there is limited access to resources. Childline Crisis Line is widely publicized through community awareness programmes, school visits, radio and television programmes that Childline in different provinces conduct. ? Schools Programme

In response to the increasing numbers of Orphans and Vulnerable Children, Childline also implements HIV / AIDS prevention and awareness programmes and children's rights and child abuse programmes in schools in the respective provinces. Childline actively engages in these awareness campaigns to amongst other things increase awareness about children's rights, Childline services and other services available in the communities. Children and young people are encouraged to disclose any violations of their rights by reporting to Childline, other professionals, caregivers or trusted and safe adults in their lives. Children are further empowered with skills and strategies to keep themselves safe in the community and in their homes. The schools and Early Childhood Development centers invite Childline to address the children especially where there are concerns about the violation of the children's rights in the community and where there is an increase in child abuse. ? Referrals In partnership with Government and other organizations, Childline offices also receive a number of cases for therapeutic interventions. Childline services, including therapeutic interventions are publicized through a number of awareness campaigns including school talks, Television and Radio programmes. Childline further publicizes its services through distribution of pamphlets and posters. All children who enter the Childline system will go through the child identification system 3. PRINCIPLES GUIDING THE PROGRAMME The following principles guide the programme: ? The impact of HIV and AIDS on families is understood within the context of the community. ? Activities are planned, implemented, monitored and evaluated ? Family and community preservation is encouraged ? There is integration with economic support ? Networking with various partners to provide holistic services to children ? Intersectoral collaboration ? Early identification of the most vulnerable children 4. SERVICES TO ORPHANS AND VULNERABLE CHILDREN In the last financial year, the Childline network received a total in excess of one million telephone calls, of which 18 484 were captured for intervention. The significant increase may be attributed to the HIV and AIDS pandemic, resulting in an increase of children seeking our services and to an extent, the focus on the pandemic has resulted in existing resources being channelled away from child protection. Services to orphans and vulnerable children have the following goals: ? Provide a holistic service to those orphans and other children vulnerable by HIV and AIDS ? Offer access to life enriching programmes ? Ensure greater involvement of orphans and vulnerable children affected by HIV and AIDS ? Provide support to significant others in containing and developing young generations within familiar / culturally suitable environment

The following essential services are offered: ? Identification of orphans and other children made vulnerable by HIV and AIDS ? Addressing the needs of child-headed households ? Early Childlhood Development Learning ? Providing families with information to increase their accessibility to social grants and assistance with applications for the grants. ? Provision of bereavement counselling ? Referral to appropriate organizations and resources ? Follow up services of referred and served children ? Monitoring of home circumstances and school work ? Development of care plans for the children, addressing their educational, emotional, social and health needs ? Linking families and caregivers with poverty alleviation programmes and services in the community. ? Implementation of awareness programmes ? Providing counselling to address the psychological needs of children and their families ? Dealing with referrals for appropriate services, e.g. foster care placements, etc Activity 1: Specialized psychosocial support for children Counselling and therapy that are appropriate for their age, development stage and context, will be provided to OVCs by social workers on a weekly basis. 24-hour Crisis Line counselling will be available to all children and adults with concerns about children at the Childine office. This will serve as an access point to services close to the child, and children calling the Crisis Line will be referred to service providers in the geographic area where the child concerned resides. Trained counsellors will follow up with children individually and provide referrals to child protection services available as necessary. A needs assessment will be done with volunteer counsellors to develop a year plan for monthly continuous training. Continuous training will be according to standardized SETA accredited training modules developed by Childline South Africa. Trends and new policy relating to child protection and the management of child abuse will also be covered during these trainings. Training with parties like South African Police Services, Department of Health, other government stakeholders and civil society organizations will also be facilitated to ensure collaborative service delivery to vulnerable children in the community. Service providers will be trained on communicating with children and on the emotional needs of children to ensure services are delivered with sensitivity to children needs.

Activity 2: Psychosocial Support to Caregivers Social workers will supervise volunteer counsellors from the community to ensure that children are provided with the care and support they need to cope with the situations they facing as a result of the effect of HIV and AIDS on their lives.

With PEPFAR support, children will be able to access services to obtain legal documents, cope with grief and loss, and deal with abuse and violence related issues. Children will be able to talk and think about relationships with parents, peers, siblings, opposite sex, step- and extended families. Quality of services rendered by counsellors will be monitored through statistics, reviewing reports, and holding monthly sessions for debriefing and in-service training. In addition, this will focus on the various trainings developed by Childline and available from Departments of Health and Social Development and other sectors on children, on communicating /counselling children, dealing with children's rights, child abuse and the basic needs of vulnerable and orphaned children to community volunteers, parents, teachers, children and youth in order to set up networks and systems and to capacitate role players within communities to offer referral opportunities. Selected counsellors will be trained on personal growth communicating with children; and counselling skills. Trained caregivers will also be capacitated to provide case management to OVCs to ensure comprehensive support and services are provided. Networking with schools, clinics, early childhood development centers and churches in the community will be facilitated to help in identifying vulnerable children in the community. Activity 3: Life Skills Development Social workers, in cooperation with local schools, will develop youth groups / clubs to actualize the youth potential to act as agents of change in their own communities. Focus group discussions will be conducted on weekly basis dealing with various topics identified by the youth. Gender specific program for boys and girls will be offered. Trained counsellors will facilitate youth groups providing educational support, recreation opportunities and life skills training focusing on HIV prevention, reproductive health and gender-based violence. A community event will also be identified, planned and executed with the support of the social worker by the youth to have a mass impact of the community e.g. National AIDS day / Youth day to develop skills and create potential for young people to participate in organizing community care and support events. 5. PARTNERSHIP / LINKAGES Childline affiliates in the respective provinces have established partnership with; Department of Social Development; Department of Education (Schools); South African Police Services; Department of Justice, including child prosecution services; Department of Health; Local Child Welfare Societies; Local AIDS Councils; Communities and NGOs and CBOs caring for OVCs 6. SUSTAINABILITY Sustainability plans have been explored and implemented by the National Office. These include seeking funding from other sponsors, e.g. Business and Private Sectors, in linking to economic growth, linkages to government programmes such as Community Care Centre of the Department of Social Development. There is a plan of engaging all Provincial offices on Child & Youth Care and Counselling learneships. 7. HUMAN RESOURCE ALLOCATION Childline South Africa National Office will be manned with a National Programme Manager, a National

Monitoring and Evaluation Officer, supported with a part-time Data Manager and Finance Officer. Each Provincial Childline will have the following staff either on fulltime or cost share basis: ? Crisis Line Counselor ? Crisis Line Data Manager ? School Programme Coordinator ? Senior Social Worker ? Social Worker ? Finance Officer ? Data Capturer 8. CROSS CUTTING PROGRAMMES Childline South Africa receive funds from different donors, activities are sometimes the same or not but objectives are slightly different from PEPFAR. Childine South Africa has received funding of 1.4 million rands from First Rand Bank. 70% of the funding is for the improvement and development of crisis line in all provincial offices. 30% of the funding is for prevention and early intervention programmes aimed at reaching out to more children in need of Childline services. 9. STRATEGY FOR FUTURE PROGRAMMES Childline Provincial Offices are working towards starting Community Based Programmes. and have offices right where communities are located. The studies and research will be conducted to ensure projects and partners are identified in areas which are deep rural and peri-urban as well as underserviced as these are areas with high numbers of vulnerable children. 8. MONITORING, EVALUATION AND REPORTING Childline South Africa will work in partnership with PACTSA in the implementation of the developed Data Collecting tools for implementation. A comprehensive Monitoring, Evaluation and Reporting Plan has been developed. Staff at the Provincial Childline offices has been trained, and they will further be trained on relevant tools and Financial Management. Statistical and narrative data and information will be collected on a monthly basis and analyzed to facilitate the submission of quarterly, semi-annual and annual reports. If the programme is to be spanned over the five year period, a mid-term assessment to determine the impact of the programme will be conducted in 3rd year.

CHILDLINE SOUTH AFRICA BUDGET NARRATIVE 1. HUMAN RESOURCES FOR HEALTH Salary Support Childline South Africa has a dedicated team responsible for managing the implementation of the PEPFAR programme in all six Provincial Offices. The management team at the National Offices comprises of the following personnel: ? Chief Executive Officer ? National Programme Manager ? Monitoring and Evaluation Officer ? Finance Officer ? Data Manager The CEO's salary is partially (15%) supported by PEPFAR. All the other staff's salaries are 100% supported by PEPFAR. This team ensures that the objectives of the project are met by doing the following: ? Providing practical support to all provinces implementing the project to ensure that there is integration to all elements of the programme. ? Monitoring the implementation of standard operating procedures to ensure data quality, verifies data against targets and compiles reports. ? Conducts audits of the data quality on a monthly basis and provides training where necessary. ? Analyses of data and reports on a national basis and compiling of reports for submission to PACTSA. ? Monitor Data Capturing Systems and identify areas for non-compliance. ? Assess implementations plan and benchmark calendar on a monthly basis. ? Sets up and oversees the entire MER systems of the project by continuously monitors the data

collection tools. ? Conduct audits of the data quality on a quarterly basis. ? Capacity building to provincial staff, analyzing the performance, recommends development and training interventions. ? Identifying, strategic partners, linkages (to other national & provincial programme) and opportunities for programme management to ensure long-term sustainability of the programme. ? Provide advice on best human resource, financial management processes and systems to improve service delivery. Each Provincial Childline has the following staff of which their salaries are supported by PEPFAR either on full time or cost share basis: ? Crisis Line Counselor ? Crisis Line Data Manager ? School Programme Coordinator ? Senior Social Worker ? Social Worker ? Finance Office ? Data Capturer Crisis line counsellors and social workers will be offering face-to face counselling services that is appropriate to children's age and development. This will be done on daily basis because crisis line is available to all children and adults with concerns about children at the Childline offices. This will serve as an access point to services close to the children. The children calling will be referred to services providers in the areas where the children reside. The counsellors will further follow up with children and the services provides where the cases have been referred to ensure that the children are served. Other Childline offices have Safe houses and children's homes; this is where the counselling and therapeutic service will be offered to children kept in these facilities. Children will be provided with care and support they need to cope with the situations they are facing as a result of the effect of HIV and AIDS on their lives. With PEPFAR support, children will be able to access services to obtain legal documents, cope with grief and loss, and deal with abuse and violence related issues. Children will be able to talk and think about relationships with parents, peers, siblings, opposite sex, step and extended families. School coordinators and Social workers, in cooperation with local schools, will develop youth groups / clubs to actualize the youth potential to act as agents of change in their own communities. Focus group discussions will be conducted on weekly basis dealing with various topics identified by the youth. Gender specific program for boys and girls will be offered. Trained counsellors will facilitate youth groups providing educational support, recreation opportunities and life skills training focusing on HIV prevention, reproductive health and gender-based violence. A community event will also be identified, planned and executed with the support of the social worker by the youth to have a mass impact of the community e.g. National AIDS day / Youth day to develop skills

and create potential for young people to participate in organizing community care and support events. The quality of service offered by social workers and counsellors will be monitored through statistics, reviewing process reports, and holding monthly sessions for debriefing and in-service training. Volunteers The National Nation office is in the process of engaging volunteers and unemployed people into learneships for Child and Youth Care Work as well as Counselling. The learners / volunteers will be hosted by all Childline offices. These learnerships are both national credit bearing qualifications which are unit standard based and SETA accredited. The learners enrolled in the programme will be receiving allowances form the SETA for a period of between 18 and 24 months. They will be monitored by skilled social workers and if they successfully complete the learnerships, they will receive national qualifications. This programme will create employment opportunities, capacitate Childline offices with staff and help learners to be trained and get qualifications and they will be receiving allowances.

2. FOOD AND NUTRITION Childline offices service orphans and vulnerable children by development of care plans for the children, ensuring that all OVC have access to age-appropriate food and nutrition, training of educators in crèches and care centers as well as providing relevant information and guidance to parents and guardians on planning and preparation of economic meals, proper food storage, specific nutritional needs of household members who are chronically ill.

3. ECONOMIC STRENGTHENING Childline Provincial Offices provide this service to OVCs in terms of income generating opportunities, stipends and social grants. The social workers link families and caregivers with poverty alleviation programmes and services in the community, assess family situations and identify the financial needs and the inform OVC families of available grants, job opportunities and encourage financial sustainability amongst OVC families. They further refer them to relevant government departments and follow up to accelerate the finalization of grants. School coordinators encourage youth peer groups to develop entrepreneurial skills and start-up own small businesses by linking them up with agencies that funds and assist SMMES like Umsobomvu Youth Fund, SEDA and National Development Agencies.

4. EDUCATION Childline services also involves education and training of professionals working with children, prevention and education programmes, training of lay counsellors in historically disadvantaged / rural communities and also training of lay counsellors for work on the crisis line. These services are offered through crisis line intervention, where adults and children who are concerned about the welfare and well being of children are able to phone the toll free number and speak to trained

counsellors for immediate assistance and referral where necessary. School coordinators also implements HIV / AIDS prevention and awareness programmes and children's rights and child abuse programmes in schools in the respective provinces. Childline actively engages in these awareness campaigns to amongst other things increase awareness about children's rights, Childline services and other services available in the communities. Children and young people are encouraged to disclose any violations of their rights by reporting to Childline, other professionals, caregivers or trusted and safe adults in their lives. Children are further empowered with skills and strategies to keep themselves safe in the community and in their homes. For this service to be effective, the school coordinators break children into smaller groups of 8 or less. This helps in the evaluation and assessment of all the children who have been served. The schools and Early Childhood Development centers invite Childline to address the children especially where there are concerns about the violation of the children's rights in the community and where there is an increase in child abuse. In partnership with Government and other organizations, Childline offices also receive a number of cases for therapeutic interventions. Childline services, including therapeutic interventions are publicized through a number of awareness campaigns including school talks, Television and Radio programmes. Childline further publicizes its services through distribution of pamphlets and posters. 5. GENDER: REDUCING VIOLENCE AND COERCION Social Workers and Crisis Line Counselors provide psychosocial support service which involves the following: ? Counselling and therapeutic services to children who live outside family care ? Drug and alcohol counselling ? Abuse and Violence counselling ? Counselling to family members who are affected / infected by HIV / AIDS ? Grief and trauma counselling ? Succession planning which involves provision for adequate care of the child when the parent is no longer living ? Prevention guidance which involves guidance about sexuality, relationships, birth control, avoiding exploitative relationships or premature sexual activities. ? Working with boys and girls and encourage them to make use of the crisis line. This is achieved through awareness campaigns and adverts on radio and television. Cross Cutting Budget Childline South Africa receive funds from different donors, activities are sometimes the same or not but objectives are slightly different from PEPFAR. Childine South Africa has received funding of 1.4 million rands from First Rand Bank. 70% of the funding is for the improvement and development of crisis line in all provincial offices. Counselors will be providing counselling and therapeutic services, and sometimes it is not necessary to refer the children calling. This

is most geared to improve crisis line service especially during 2010 as it is perceived that most of the children will be prone to abuse, neglect etc. 30% of the funding is for prevention and early intervention programmes aimed at reaching out to more children in need of Childline services.