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Services and screening for victims of violence

Two separate pieces of research published by the Networking HIV and AIDS Community of Southern Africa (NACOSA) highlight the need for services and screening for victims of gender based violence as a critical part of the country’s HIV response. A study by NACOSA in Wentworth, KwaZulu-Natal, looked at simultaneously screening people for HIV and gender based violence (GBV) and found that almost half (45.7%) of the people screened had a positive history of past or present GBV and required support. The study concluded that victims of GBV should be recognized as a key population for HIV testing in South Africa…

Evaluation of TCC Services

An evaluation of NGO services provided at Thuthuzela Care Centres (one-stop sexual assault centres based in state hospitals) as part of our Global Fund GBV Programme found that these services had a profound impact on the lives of survivors and also supported survivors to take post exposure prophylaxis (PEP) to prevent the transmission of HIV post-rape. This process evaluation was conducted between 2017 and 2018 to assess the progress and quality of the implementation of services provided by NGOs in Thuthuzela Care Centres as part of the Global Fund grant, Investing for Impact against Tuberculosis and HIV. The evaluation was conducted by…

Process Evaluation of NGO Services at TCCs

Screening for HIV and GBV

Research by NACOSA in KwaZulu-Natal illustrates the rationale for simultaneously screening for HIV and GBV in communities plagued by violence. Provincial Programmes Specialist, Sudhindra Naidoo with Provincial Programmes Manager, Nadeem Sheriff conducted a study in Wentworth, a community south of Durban notorious for gang violence and drugs. Working with community organisation the Wentworth AIDS Action Group, the study examined an approach whereby the screening for HIV and GBV was done jointly. A key finding was that almost half (45.7%) of the people screened had a positive history of past or present GBV and required support. The study concluded that victims of…

Screening for HIV and GBV

Total shutdown: Ntosh’s Story

On the day of the #TotalShutdown marches across the country, we hear from a survivor from the Eastern Cape who is bravely fighting back against gender based violence. “Yes I was abused by a man but that does not mean all men are abusers. I was raped not once but twice, but that does not mean all men are rapists. I am not giving men the power that they should treat us any way or force themselves on us, but I am showing how strong I have become. Yes it was not easy but I am proud of myself My…

HIV Testing Materials

NACOSA has produced a leaflet to provide information and advice to people who have had an HIV test. The leaflet is specifically aimed at people who are most vulnerable to HIV such as sex workers, survivors of gender based violence and young women and girls. Download now: I tested HIV positive. Now what? I tested HIV negative. Now what?  


Closing the gap with HIV self-testing

We have made great strides in bringing HIV testing services to communities and getting more people to test regularly. But we are still not reaching enough people with testing, particularly men, adolescents and key populations. Could HIV self-testing be the answer to closing the gap? Despite the gains made in HIV testing, particularly in Africa where there has been huge scale-up, 40% of people living with HIV worldwide don’t know their status. According to Cheryl Johnson, Technical Officer at the World Health Organization, in Eastern and Southern Africa, uptake of testing has hit a plateau and is not having the…

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Evaluation of Peer Education

NACOSA is calling for proposals for an evaluation of peer education in the Global Fund Sex Work Programme.  The programme is funded as part of the Global Fund Investing for Impact against Tuberculosis and HIV grant. The primary objective of the evaluation is to understand whether the current peer education approach is an effective strategy to support sex workers so that they benefit from the programme. The timeframe for the evaluation is July 2018 – December 2018. Download the Terms of Reference > Questions can be sent to Please note: Deadline for submission has changed to 08h30 on Thursday,…

Evaluation Terms of Reference

Foot soldiers at work

As part of the Community Systems Strengthening (CSS) capacity building programme, NACOSA has trained three learners from each of 32 community based organisations in the Eastern Cape in HIV Testing Services through the NACOSA Training Institute. This accredited ten day training includes finger-prick testing after which learners have to do 10 HIV tests under the supervision of a qualified nurse. Learners who received their finger prick certificates were linked up with health facilities in their area to provide additional capacity for clinics to reach their testing targets. Forty-five minutes’ drive out of East London on the R72 lies Mpongo Village….

Positive choices

Choice Somagaca found out she was HIV positive a week after giving birth to her first born child when she was tested by medical staff at the hospital. Now the Chairperson of the George Local AIDS Council and an inspiration to her community, Choice has come a long way from the dark day when she was first tested for HIV. “I found out about my HIV status a week after I gave birth to my first born child. I had a high fever that was not going down after giving birth and only on the seventh day I was asked…

Funding still a major challenge

Lack of funding is still the most pressing challenge faced by civil society organisations in the NACOSA network, with 75% of network survey respondents citing lack of funding, compared to 63% in the 2017 survey. However, organisations have put in place a number of measures in response to these challenges and are fully committed to the networking spirit of collaboration and sharing. NACOSA is at heart a network, bringing together civil society organisations working in the HIV, AIDS, TB and related fields. Each year, NACOSA surveys organizations within this network to understand their challenges, needs and capacity gaps. The information…