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  1. 1. I n t e g r a t i n g S e r v i c e s , S t r e n g t h e n i n g F a m i l i e s Between 2011 and 2016, the USAID- fundedTsela Kgopo OVC and Gender Project used the Comprehensive Family Care approach to better pinpoint the types of interventions that strengthen the well being of orphans and vulnerable children and their families while increasing the participation of communities to use available resources to address their needs. In some ways, Mosokotso has been forgotten. Although the village of 400 people is located just over five kilometers from neighboring city Molepolole, it falls under the sub-district administered byThamaga, some 50 kilometers south, a substantial distance to travel for those living on the edge of Botswana’s Kalahari Desert. More than 50 families are scattered across the desert scrubland and rely on rain-fed agriculture systems to grow beans, sorghum and maize. Mosokotso lacks basic infras- tructure like a reliable source of water and access to health and education services. In a settlement like Mosokotso, HIVprevalence is higher than the national average of 16.8%. In addition, many of the families in Mosokotso are fragmented. Single mothers have lost hus- bands to AIDS or were abandoned.When there are no rains, unemployment is pervasive, which leads to high rates of domestic abuse, alcoho- lism and teen pregnancy. Children under the age of six spend the days alone or in the presence of just their caregiver. In 2011,Tsela Kgopo OVC and Gender Project local implementing partner HopeWorldwide Botswana identified Mosokotso village through referrals and used its Comprehensive Family Care (CFC) approach to deliver on in-depth assessments of at-risk populations and bring Segompe Rathaga (center) has 6 children and 19 grandchildren in Mosokotso. “The approach is premised on strengthening families with low or no access to re- sources in order to increase the quality of care for their children. CFC helps family members identify their own challenges and take responsibility for their needs.” Tsige Teferi. Tsela Kgopo Chief of Party C O M P R E H E N S I V E FA M I LY C A R E Innovative Service Delivery Redefines Life as a Family How a comprehensive outreach strategy identifies and addresses systemic factors that increase poverty and the spread of HIV/AIDS among orphans and vulnerable children, families and underserved communities
  2. 2. TRACK4 INTERVENE COMPREHENSIVE FAMILYCARE METHODOLOGY The Comprehensive Family Care assessment tool is the entry point into service provision for marginalized women and children. IDENTIFY After services are provided for one year,Tsela Kgopo completes a second assessment to gauge the family’s progress using the same assessment tools. Depending on the results, families could no longer be considered vulnerable. From the assessment, Tsela Kgopo develops an intervention plan outlining how these needs can be met.When possible, the program directly provides services—e.g. counseling, life skills, early childhood development and ART adherence support—and links beneficiaries to providers through a referral network for other services. Tsela Kgopo and its network of partners identify clients through a referral system in partnership with schools, clinics and the community. Tsela Kgopo carries out in-depth individual assessments of target families rating each person’s vulnerability using a child status index tool. The assessment provides program officers with each person’s needs in terms of health education, shelter and care, food and nutrition, socio-economic position and HIV/AIDS, among others. 2 ASSESS 3 10 PARTNERS TRAINEDONCFCAPPROACH ANDINDIVIDUALASSESSMENT 16 SITES THROUGHOUTBOTSWANA tailored services that improve the lives of the vulnerable. Tsela Kgopo—or winding road in Setswana—trained HopeWorldwide’s community mobilizers on the Comprehensive Family Care approach in a series of workshops and practical experience. Over the next year, PCI-trained-mobilizers like Busie Ngwaga carried out over 300 individual assessements of more than 50 Mosokotso families. Based on the assessments, she worked with the community to implement structured play-groups for the village’s youngest children, trained women to run a successful savings and loan group, created support groups for teens and adolescents and incor- porated gender-equality and HIV-prevention, care and support into every activity. “Mosokotso is disconnected from society. We saw a need to show them how im- portant family is,” explains Busie Ngwaga. “In places where we can’t deliver services through our group interventions and home visits, we link beneficiaries to a referral network allowing them to access services in the city.” The innovative approach provides vulnerable families the opportunity to interact with their community, build rapport and share ideas. A stronger community increases a child’s chance to increase self-esteem, access nutritious food, stay in school and even- tually find employment and reduce the chances for teen pregnancy and HIV/AIDS. Since 2012,Tsela Kgopo and ten partners have carried out over 30,000 unique as- sessments at over 16 sites around Botswana. At every site,Tsela Kgopo partners get buy-in from community leaders, which strengthens the overall resilience of families 30,300+ INDIVIDUALS REACHED USINGTHE CFC APPROACH 6,310+ HOUSEHOLDS OFVULNERABLECHILDREN&FAMILIES
  3. 3. PCI BOTSWANA Tholo Park 50369 Fairgrounds Gaborone, Botswana +267.319.0198 INTERNATIONAL HEADQUARTERS 5151 Murphy Canyon Rd, Suite 320 San Diego, California 92123 T: +1.858.279.9690 F: +1.858.694.0294 Toll Free: 1-877-PCI-HOPE WASHINGTON, DC OFFICE 1140 Connecticut Avenue, NW, Suite 900 Washington, DC 20036 T: +1 .202.223.0088 F: +1.202.662.8995 WWW.PCIGLOBAL.ORG In September 2015, Banyana Monageng’s daughter was brutally beaten to dea- th by her husband, who then killed himself.The event rocked the village of Mosokotso where people had never faced the mental anguish associa- ted with a murder-suicide. Monageng’s speech impaired granddaughter was only six years old at the time. “Tsela Kgopo counselors visited and helped my family cope with the tragedy, and especially my granddaughter who cannot speak,” explains Banyana Mo- Twenty years ago, Gomotsegang Sesu- po’s children’s needs were not a priority for a young mother like her. She typically sent her sons to school with no food. In 2012, she began volunteering her time as a caregiver for the Mosokotso’s twi- ce-weekly playgroup, created as part of the Comprehensive Family Care approach. Here, the village gathers more than 20 children ages 2 to 6 to provide stimula- tion and structured learning before they start their first year of primary school. The CFC approach also inspired mothers of Mosokotso to set up a weekly Kids Club for children 6-13 years old in which mentors deliver activities focused on life skills, HIVprevention and building self-esteem. Community mobilizer Busie Ngwaga set up a Familiy Day for a Mosokotso family in early 2016 in which the extended family members had the opportunity to talk through issues affecting the individual and the family.Women and men from three generations used the counselling session to improve communication and air gripes and grudges. “We realized that to reinforce the con- Home Visits Bring Outside Support WE ARE AT EVERY STAGE OF A CHILD’S LIFE Levels of Service Delivery “My daughter is proof of positive chan- ge. She participated in the play groups for the last three years and went to primary school this year,” explains Gomotsegang. “I can see the difference in how she performs in school.” Every morning, her daughter runs the six kilometers from Mosokotso to primary school, she says. cept of family, we need to place an emphasis on living together as family in peace,” she explains. The CFC provides a platform to work with families to identify their needs and abilities to address their own needs. “The CFC approach gives us the tools to better target individuals with services and educate families about services available in their area.” nageng. Program officers regularly visited Monageng and her family and used its CFC referral network to find a school for children with disabilities for her granddaughter. “Before the intervention, Mosokotso was not a healthy community, espe- cially in the way people communica- ted, husband to wife and mother to child,” she explains. Monageng is also a founding member of the Mosokotso village and savings group, where village mothers saved enough to purchase school uniforms for their children. July, 2016 ABOUTPCI PCI is a global development organization that drives innovation from the ground up to enhance health, end hunger, and overcome hardship—resulting in meaningful and measureable change in people’s lives. With programs in 15 countries, PCI helped transform the lives of more than 19 million individuals last year. ABOUTTSELA KGOPO With support from the President’s Emergency Plan for AIDS Relief (PEPFAR) through USAID and other initiatives,Tsela Kgopo OVC and Gender Project supports the government of Botswana to improve the quality of life and self-sufficiency of orphans and vulnerable children and gender relations in Botswana.

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