1 National campaign focusing on girls and young womenOverview

2 Overview of PresentationBackground Campaign Objectives Infection Pathway Theory of Change Package of Interventions Enablers Coordination of existing initiatives Progress implementation planning Key Decisions required

3 Background The President stated in his State of the Nation Address that despite great strides made in combating HIV we need to revive prevention campaigns especially amongst the youth and in this regard a major campaign will be announced soon. On World AIDS Day the Deputy President also announced that in a national campaign focussing on girls and young women with specific reference to HIV infections and teen pregnancies will be launched.

4 President Presidency Budget Vote debate,On Youth Development “Every government department has been tasked with ensuring that its programme targets young people for development.” “We have also urged municipalities to prioritise youth employment programmes.” “Let us all participate in building a better life for our aspirant young entrepreneurs and professionals.”

5 An Example of Youth DevelopmentOn June 16 last year the Mara Mentor youth online mentorship scheme, pairing young entrepreneurs with CEOs of companies was launched. By April 2016, over three hundred and forty thousand young people were being mentored by two hundred and sixty nine mentors.

6 President Presidency Budget Vote debateOn Women Empowerment “The Status of Women in the South African Economy Report  …….has exposed gaps and shows that we must do much more to empower women in the economy.” “In September 2015, I issued a directive to economic cluster departments to place the empowerment of women centrally in their plans and in particular, in the Nine Point Plan to further grow the economy.”

7 A Example of Women EmpowermentWomen contractors were allocated over three billion rand of the Human Settlements Development Grant for the 2014/2015 financial year alone. This allocation was shared by over one hundred and twelve female-owned enterprises.

8 HIV Prevalence by Age, Gender (2012)Adol girls and young women in South Africa are up to 8x more likely to be infected with HIV than their male peers

9 Focus on girls and young women

10 Youth in South Africa Contribute ~36% of the populationOver the last decade, young persons ages made up ~70% of total unemployment Additionally, the NEET (Not in Employment, Education or Training) rate for youth has also remained at around 30% since 2012, with the highest rate recorded at 33,5% in 2013 The proportion of economically active youth declined over the last five years (2009 – 2014) Youth without a matric are most likely to be unemployed and hence the need for focus on keeping girls in school until matric Young people living in rural areas continue to bear the brunt of unemployment.

11 Table 1: Certain infections and parasitic diseases (youth 15-34) by sex, 2008 and 2013A total of youth deaths were reported for 2008 and this decreased to during 2013; however this number is still extraordinarily high ‘Certain infectious and parasitic diseases’ was the leading cause of death for youth. This has been broken down in table 1 (left) Amongst households with youth that reported at least one youth death, a larger proportion lived in households with an annual income of less than R27 153 Youth poverty is extremely high, and variable per province (see Figure 1). In most provinces, the youth were more likely to live in poverty than the non‐youth. This mirrors the trends in unemployment amongst youth Figure 1: Youth living below the poverty line, by province, 2010/11

12 Objectives of the campaign (2016-2019)1. Decrease new HIV infections in girls and young women (decrease by at least 30% from per year to less than ) 2. Decrease teen pregnancies (decrease <18 deliveries from by at least 30% to ) 3. Keep girls in school till matric (increase retention by 20%) 4. Decrease gender based violence (decrease by 10% ) 5. Increase economic opportunities for young people (increase youth employment by XX% )

13 Infection Pathway Africa Centre identified phylogenetically linked HIV transmission networks in Hlabisa High HIV incidence men mean age 27 years (range years) Very young women acquire HIV from men, on average, 8 years older Men and women > 24 years usually acquire HIV from similarly aged partners High HIV prevalence women Mean age 26 years (range years) High HIV risk women Mean age 18 years (range years) When teen women reach mid-20s they continue the cycle Source: Dellar R, Tanser F, Abdool Karim Q, et al. Manuscript in preparation

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15 Theory of Change

16 Impact Alleviated poverty in communitiesFewer women aged years acquire HIV Fewer teenage pregnancies and births fewer women exposed to gender based violence (GBV) More girls retained in school until matric More economic empowerment opportunities for Youth Outcomes Alleviated poverty in communities Improved sexual reproductive health (SRH), less risky sex, Changed social norms on gender equity and violence against women Enhanced health, educational & social outcomes - more youth retained in school Alleviating poverty amongst youth Outputs More young women with independent income & gender empowered More sex acts protected by contraception and condoms More after-school delivery violence & HIV prevention programmes More schools with targeted drop out prevention programmes More youth employment Inputs Economic empowerment programmes for youth Adolescent & Youth Friendly Services (AYFS) increase access to SRH services GBV prevention programmes School retention programmes Creation of skills development and job opportunities Responses Economic empowerment interventions combined with gender training Enhanced school health & youth friendly services Engagement of parents in teenagers SRH and violence prevention Targeted interventions to prevent school drop out Interventions increasing skills development Internships Mentorships Barriers Condom use Poverty (transactional sex) Gender disempowerment No access to SRH in schools Inadequate prioritisation & investment in GBV prevention Loss of interest due to poor performance Insufficient funds Lack of skills, No jobs, Lack of education opportunities Poverty Problems HIV infection un-safe sex Unwanted Teen Pregnancy High levels of Gender Based Violence High levels of School Dropout High unemployment

17 Package of Interventions

18 Package Interventions 15-23 YearsNational Campaign Focusing on Girls and Young Women Package Interventions 15-23 Years 23-29 Years Facilities In-School TVETS Communities Behavioural & Structural Change Interventions Risk reduction programmes for high risk groups X  X Community mobilisation and norms change programmes Parenting programmes (Familiies matters, Sinovyo, Thula Sana, Skhokho) Coping and adjustment with stigma and discrimination (Community Action Model, Sondela) Career guidance and support (Techno Girls, lifeskills Skokho for schools)) Economic empowerment (Schools cash transfers, Creating Futures, Images, Swakoteka) Expanded public works employment programme Increasing number of adolescent & Youth Friendly Services (AYFS) in the public sector Parenting training for teen parents Support progammes for teen parents that are in need of support Information, education & communication Bursaries increase access to education Economic empowerment, employment and career development programmes Support programmes post secondary learners Gender Based Violence programmes X  Youth development programmes Job Creation Biomedical Interventions HIV Testing Services HIV prevention services (combination prevention) Treatment adherence programmes Sexual Reproductive Health Services: Contraceptive services Antenatal & postnatal services: HTS PMTCT, UTT Gender based violence services Substance abuse programmes Psychosocial support e

19 Campaign Enablers Targeted and evidence based approachYoung people leading Coordination and strategic partnerships across all Government departments Donor agencies Business/private sector NGOs Civil society Communities Targeted and evidence based approach Focus on structural interventions Job creation, mentorships, entrepreneurs, internships Skills development Economic empowerment

20 Building on Existing Programmes

21 Current Situation Many departments, partners, donor agencies, sectors working with the youth and implementing programmes that are addressing similar problems Coordination and synergies across these programmes and funding streams is lacking Interventions are not targeted or driven by evidence based approaches

22 Youth & Young Women & MenRise Clubs ilovelife Aviwe Global Fund Young Women Skhokho Youth & Young Women & Men YOLO You Only Live Once Zazi First Things First KFW Integrated School Health Programme KGIS Job Fund

23 Strategy for CoordinationTheory of Change will inform all projects and programmes focusing on youth, young women and men A standardised package of interventions will used to deliver a targeted and evidence based approach A common set of indicators will used to monitoring and evaluate these initiatives

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25 Proposed Implementation Plan

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27 Key Decisions IMC Ministers support this initiativeAll departments will contribute to and support the campaign Each department will assign a focal person/team on a full time basis over the length of the campaign All government campaigns going forward will link to this campaign The campaign will adopt a phased in approach with the campaign implementation commencing with areas identified as highest priority

28 Key Decisions IMC The campaign will be launched in uMgungundlovu District in Pietermaritzburg 24 June 2016 Noting that: The DREAMS programme for adolescent girls and young women is implemented in the entire district of uMgungundlovu This district has finalised its plans and has commenced implementation