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Succesfully completed: Multi-Sector HIV Prevention Programme – Improving youth friendly services in South Africa

The consortium Health Focus/Enhancing Care Foundation succesfully implemented the service package “Improving adolescent and youth-friendly services (AYFS)” as part of GIZ’s Multisectoral HIV Programme in South Africa fom June 2015 to November 2017. The service package was implemented within the context of the German Development Cooperation’s programme objective of increasing vulnerable population groups’ use of adequate services and support measures of HIV prevention offered by multiple sectors. The measure was premised on a context of SouthAfrica’s widespread HIV epidemic and high ongoing HIV incidence and prevalence, and the fact that positive behavioural changes regarding sexual and reproductive health and rights have been inadequate.

The objective of the AYFS service package was that the health authority and its partners in theEastern Cape incrementally implement models for the better adaptation of basic health servicesto the needs of young people. The complimentary GIZ module objective aimed for an increase in the number of young people (aged 10-24) per institution who make use of sexualand reproductive health services. To reach this, the AYFS project was expected to establish adolescent and youth friendly healthcare services, oriented towards the needs of the target group.  The measure was implemented in Eastern Cape Province, specifically in Nyandeni, a subdistrictof OR Tambo health district, and Umzimvubu, a sub-district of Alfred Nzo health district,but with activities at all Eastern Cape Department of Health (ECDoH) administrative levels.The political partner of the programme is the National Department of Health (NDoH), whichhas an oversight and monitoring function.

The objectives of the development measure have been achieved to asignificant degree. The results of the project suggest that the development measure has had an positiveimpact on the behaviour of the target group in that they are accessing SRHRS to a greater degree than at the start of the measure.


  • Even though the headcount of young people using the clinic’s complete servicerange declined slightly, the number of SRH services used by young people aged 10-24years increased by a margin of 59%, from 6400 to 10100. Furthermore, this assessment revealedthat youth aged 10-24 years represented approximately 18% of the total headcountdata at baseline, compared to 23% at endline; thus indicating an increase of 5%.
  • Findings from this assessment indicate that AYFS implementation according to the 5 core minimum standards for AYFS was lacking at baseline, particularly in the areas of staff training, management, and the provision of IEC materials. Great improvement can be found, with 58% of facilities fulfilling the 5 core national standards for AYFS implementation at endline.
  • Positive developments of service utilisation and AYFS service quality according to national minimum standards were confirmed by young client’s satisfaction ratings with the services obtained (n=208). While 46% of young clients rated the services that they had received as positive or very positive at baseline, 77% did so at endline.