Description: The Etafeni Day Care Centre in Nyanga began to be established in December 2001. The Centre currently includes vegetable gardens, a crèche and pre-school building, rooms for counselling, and rooms for HIV+ mothers and grandmothers. All the buildings were done by local workers, who were first trained by Etafeni, and are thus being given an opportunity to create a livelihood for themselves. In a sense, Etafeni is something of a one-step Centre for HIV/AIDS-affected families and children. The activities include a crèche, pre-school and after-care programme for mainly AIDS-affected children (along with a nutrition programme, community care workers, and social workers); a building programme for destitute men and women; income generation programme for HIV+ women and grandmothers (involving sewing and beading, some of which has been ordered by Woolworths); a Mothers to Mothers programme; a non-medical Voluntary Counselling and Testing programme; an AIDS Counsellor programme; a link with Linge Primary School nearby (children from the pre-school go straight to Linge's Grade One Class); and a laundry service for child-headed households. The main objectives of the project are to help AIDS-infected and -affected children to have emotional, health and educational support; and to give support to the caregivers or parents of AIDS-affected children.
Innovation: The Centre provides almost all the diverse elements an AIDS-affected child could need, all in one place. There is also an emphasis on developmental psychology for the children, which will hopefully help them to deal with the inevitable difficulties and losses involved with being AIDS-affected.
Effectiveness: 11 AIDS-affected children enrolled in the preschool; HIV+ gardener employed; formerly destitute builders employed both onsite, and outside Etafeni. The long-term impact is difficult to gauge, however.
Poverty Impact: 50 builders trained, with 24 employed outside Etafeni, and 20 onsite; the project also employs 24 counsellors and 2 coordinators; 6 educarers, 1 cook, 1 cleanrer, 1 administrator; 18 community care workers.
Sustainability: A number of groups have provided funding to the project, and some of the funding comes from external/international agencies. However, the Provincial Department of Health also gave the project some help with the start-up costs. Thus far, funding does not seem to be an issue.
Replication: Replication is possible, but will require quite a lot of funding and hard work from those involved. However, it is a good model which probably should be replicated.