Phelang Community Centre
for comprehensive HIV and AIDS care, treatment and support
The health of the communities living in Ba-Phalaborwa is at risk from the
combined threats of HIV and poverty. Palabora Foundation has chosen to tackle
the HIV problem hand-in-hand with the government by setting up the Phelang
Community Centre, which provides a wide range of services. In addition to its
HIV programme, the Foundation runs the Bana Pele project which helps orphans
and vulnerable children to obtain social grants and food relief.
The Ba-Phalaborwa HIV/AIDS Awareness programme has been recognized as one of the most effective programmes in the province.
HIV and AIDS programme
What we do
The Ba-Phalaborwa HIV & AIDS Awareness Programme was started at the beginning of 2001. The programme offers the following services:
- HIV/AIDS Support Group (including distribution of nutritional supplements and condoms)
- Local antiretroviral (ARV) treatment
- Home-based care
- Community vegetable gardens
HIV/AIDS support group
The HIV/AIDS Support Group is responsible for a wide range of services:
- Home visits to infected and affected families
- Educational awareness (farms, schools, prisons, workplaces, churches, communities etc)
- Monitoring adherence of clients on antiretroviral treatment
- Pre, post and follow up counselling
- Referrals to health facilities and relevant agencies
- Issuing of medicinal and nutritional supplements
- Demonstration and distribution of male condoms and femidoms
- Monitoring small scale and communal gardens
Most activities are run from the Phelang Community Centre, which is next to the Foundation's administration centre in Namakgale.
The HIV/Aids Support Group meets every month to plan and review progress of their work. Through the Support Group, there are now community support structures at 16 electoral wards and about 20 farms, with approximately 150 volunteers who work with the Palabora Foundation, the Department of Health and Social Development, other NGOs and local government.
Free nutritional supplements
Foskor Limited donates nutritional supplements which are given to old and new Support Group members at the Phelang Community Centre.
Free condoms
The Phelang Community Centre is also the centralised distribution point for male and female condoms to approximately 40 different sites in the area.
Awareness education
The Support Group visits homes, schools, prisons, churches, farms, military
bases, taverns, shebeens and any other places where there is a need to educate
people on the risks of HIV and how to avoid infection.
There are 33 community peer group educators who play a valuable role when visiting high risk areas. Between them, they are able to reach thousands of people every year in the area. They provide:
- Door to door family visits
- Demonstration and distribution of male condoms and femidoms
- Information, education and communication to high transmission areas
- Educational awareness to communities
Local antiretroviral (ARV) treatment
Until 2005, patients needing ARV treatment had to travel a difficult 100km
to the Letaba Regional Hospital. In 2005, the Phelang Community Centre
(Palabora Foundation) and the Khanyisa Clinic (Maphuta Malatji District
Hospital) were given accreditation by the National Department of Health and
Social Development to roll-out antiretroviral therapy treatment (ARV).
Treatment
is now more accessible to local communities and better managed through the
support
structures set up by the Phelang Community Centre.
Home based care
The Home Based Care (HBC) group has doubled in size since 2002 and provides a valuable service to thousands of patients in the community. Of those, a proportion are referred to the Phelang Community Centre for help, with a smaller number being referred to the Department of Health and Social Development for social assistance, consultation and treatment. The most serious cases are referred to the hospital for medical treatment.
The Department of Health and Social Development has donated home based care kits to the various home based care sites.
Community vegetable gardens
Thanks to funding from the National Development Agency, two community vegetable
gardens
have been established by the Foundation. The projects
included
the
sinking of boreholes, erection of water tanks, fencing off of the property
and the purchase of farming equipment and seeds.
Bana Pele project
The Bana Pele project, assisted by funding from the National Development Agency, assists orphans and vulnerable children to register with the Department of Social Development for social grants and food relief. Services include:
- Referrals to various government departments and health facilities
- Identifying orphans and vulnerable children
- Home visit to orphans and vulnerable children
- Assisting orphans and vulnerable children to access legal documents, government grants, social assistance and school exemptions
- Monitoring of communal gardens
Many of the children have no birth certificate, so the project helps with registration at the Department of Home Affairs as a first step towards social grants. As well as birth certificates, the Foundation assists with foster grants, child support grants, and food parcels.
As part of the broader community health programme, the Phelang Community Centre collates statistical information on sexually transmitted infections, voluntary counselling and testing, and the prevention of mother to child HIV transmission.
Who pays for it?
The programme is funded by Palabora Mining Company (the major funder), the Limpopo Province Department of Health and Social Development, Foskor Limited, Sasol Nitro, OXFAM Australia and the National Development Agency. A study to determine the impact of HIV & AIDS in Ba-Phalaborwa was funded by the Nelson Mandela Children's Fund.
Why we do it
South Africa has the unenviable distinction of having the highest number of people living with HIV & AIDS in the world, with as many as 6,5 million South Africans estimated to be HIV positive. The Limpopo Province's HIV & AIDS infection rate is estimated at 14%.
The purpose of our programme is to use an effective HIV & AIDS management system to minimise the impact of HIV & AIDS in the community. We achieve this by educating communities to change social behaviour, and by monitoring incidences and trends in order to measure the effectiveness and impact of the programme.
The statutory Ba-Phalaborwa local HIV/AIDS Council meets on a monthly basis and deals mainly with policy and district issues relating to HIV/AIDS.

