| NGO
/ FBO SECTORS
HIVAN/MRC KZN AIDS FORUM:
The November MRC KZN AIDS Forum was held at Glenmore
Pastoral Centre in Durban. A registered Nurse
from Sinosizo Home Based Care, presented on Models
for home-based care.
Sinosizo started in 1987. It is part of the Catholic
Diocese and was one of the first to start a home-based
care service. They started in eighteen communities
but had to downsize due to various reasons. They
are now in six communities.
The communities serviced by Sinosizo are:
•Groutville
•Etete
•Siyanda
•Lamontville
•Bhekokuhle
•Syndwini
The Sinosizo Project comprises of four divisions:
1. Home Based Care:
• main function is initial assessment
of the patient and the family
(physical, social, emotional and spiritual)
• referral of all children related to
the patient to the OVC Division
(sick children remain in HBC Division)
• education and skills training to patients
and primary care giver
• referral of patient to clinic or hospital
for symptom management
referral to Sinosizo Nurse or social worker
for assessment and
transfer to community support group
2. Training:
Learning programs are both practical and theoretical
and include:
• Home-Based Care
• HIV/AIDS information
• Palliative Care
• DOTS
• ARV’s
• HIV/AIDS lay counselling
• Therapeutic Counselling (ARV orientated)
• Positive Living
• Peer Education
• Building resilience & psychosocial
support in children
• Running support groups
3. Orphans and Vulnerable Children:
Social Workers work in conjunction with the volunteers
in order to:
• Build resilience in children
• Identify and address problems
• Compile memory boxes
• provide life skills training
• ensure children attend school
• support child headed households
• run support groups
4. Antiretroviral Division:
• started February 2004
• staff consists of: doctor, professional
nurse and project co-
ordinator
• it is an extension of the Home-Based
care division
• follows the government ART model
Lessons Learnt
With the introduction to ARV’s into the
programme there was an impact on the delivery
of home-based care, where the following challenges
were ascertained:
• low testing rates
• non-disclosure in the home
• stigma in the community
• lack of knowledge amongst patients and
community and
• patients accessing the ARV clinic for
the wrong reasons.
Sinosizo Home-Based Care is funded principally
by the Catholic Relief Services and Caritas Verband
Germany.
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