Overview

Mavambo Orphan Care invests in efforts to improve health of vulnerable children. The Trust supports government programs to improve the quality, availability and use of high impact health services in hard-to-reach and impoverished communities. Health assistance is offered through the following ways:

1.Support groups for CLHIV ALHIV: Support group meetings are held once a month at every facility and are facilitated by the facility staff, the nurse and the primary counsellor. The main purpose is to disseminate information related to ART to the children as well as the adults. Adherence issues are addressed, also the day is used as the drug refill day for them. The children are grouped according to their age groups and different topics are discussed in the different groups. The support group meeting help the children to adjust to their status and improve on positive living

2. Viral load monitoring: Mavambo staff facilitates and ensures that children have had their VL taken when due. VL is taken once a year , when the results shows a high reading of more than 1000 copies per /ml the child is to have some  counselling sessions with the counsellor to check on adherence and aby other problem and tries to solve the issue. The focal person has to give updates weekly to Mavambo staff.

3. Adherence Support (virtual and/ home visits): Messages on adherence are sent to the clients by the focal person weekly. This encourages them to take their medication as prescribed. Some clients can have physical visits form Community health workers who assist them on adherence.

4. Growth Monitoring: Children below 5yrs have their growth monitored , as the children are weighed on monthly as well as have their vaccinations  The community health workers do follow ups in the community and refer those children who are not growing well to the facility for further management. The community health worker also do some measurements to assess the growth.

5. Coaching Boys into Men (CBIM): Is a sport based prevention strategy for the 9-14 yr old boys. There are 12 sessions with different topics carried out weekly .They are facilitated by trained coaches ,the  aim is to have boys who respect girls and women, refrain from drug and alcohol abuse and prevent them from contracting HIV and other STI’s. The sessions are both in and out of school boys.

6. Covid-19 Awareness: Messages on the Covid-19 are sent out virtually to all beneficiaries so that they know the ways to protect themselves and their loved ones. This also help them to keep abreast with current trends and information.

7. Enhanced Counselling sessions: These are sessions carried out to those clients who will be having high Viral load , this enables the counsellor to get to know why the VL is remains . After finding the cause ,the client is educated on adherence and also means of overcoming their challenge .After the sessions another sample is collected to check on effectiveness of the sessions.

8. Disclosure support: Health workers can work with ALHIV to help them to understand why disclosure is important and to decide to whom they should disclose. Health workers can also help ALHIV prepare for disclosure and can provide them with follow-up support

9. Sister2Sister: Is a mentoring program which is  evidence-based and trauma-informed youth development program that provides structured mentoring, psychoeducational  services to vulnerable or disadvantaged teenage girls .

10. Comprehensive sexuality education: CSE ensures that young people have comprehensive information that is scientifically correct, age specific and culturally sensitive and empowers the young mind to be a productive citizen.

11. Medical Assistance: Transport assistance is provided to beneficiaries undergoing CD4 count, collection of medical results, undergoing further assessments at referral institutions and to buy medication.

12. HIV/AIDS information dissemination: Mavambo Orphan Care offers Information, Education and Communication (IEC) materials aiming to reduce the impact of HIV and AIDS. The organisation promotes safe practices and assist families to access counselling, healthcare and education services.

13. Scaling up of Paediatric ART: Mavambo Orphan Care, through support from USAID, is supporting Ministry of Health and Child Care in three districts, Harare, Goromonzi and Chitungwiza districts, to increase the number of children that access HIV Counselling and Testing Services. The support targets children aged 0-19 years. The organisation partners MoHCC to sensitise community leadership and support on identification of exposed children in the communities. Capacity building of community volunteers is done to ensure that there is a wider reach of these children. Male involvement is encouraged through supporting trainings for male champions who act as role models to support prevention of Mother to Child Transmission of HIV (PMTCT) programme. Supporting the mentioned districts to carryout various activities related to testing and commencing children on ART. The health facilities are also encouraged to establish PMTCT mothers’ support groups to ensure retention of these mothers into treatment and care, child play groups to ensure cognitive development through stimulation and support group formation for psychosocial support.

14. ASRH Through sport: This Adolescent Sexual Reproductive Health (ASRH) through sport was developed as a tool to complement and reinforce the Government of Zimbabwe’s efforts through the Ministry of Health and Child Care, the Ministry of Primary and Secondary and the Ministry of Education, Sport, Arts and Culture in the delivery of Adolescent Sexual Reproductive Health services to youth in and out of schools. ASRH messages are given through sports. Sports represent a non-threatening environment whose principles the youth will readily understand, hence the manual takes these sporting principles and translates them to ordinary life and then into lessons on aspects of sexual and reproductive health.