Using the power of soccer in the fight against HIV and AIDS

Transcription

1 Using the power of soccer in the fight against HIV and AIDS UWC HIV in Context Symposium The Opportunities and Challenges of NGO s working in schools Cape Town, South Africa 27 March 2012 by Feryal Domingo

2 Mission: Grassroot Soccer uses the power of soccer to educate, inspire and mobilize communities to stop the spread of HIV Local role models as coaches Skillz Curriculum Behaviour Change GRS creates, implements and shares effective sport-based educational and health interventions, including: GENERATION SKILLZ (Can be delivered In School) 11-session intervention High School Youth (15-19) Key Drivers of the HIV Epidemic SKILLZ STREET (Out of School) 10-session intervention Adolescent Girls (12-16) Soccer, Reproductive Health, HCT

3 Generation Skillz Secondary school curriculum designed to be delivered in or out of school 11 forty-five minute sessions in year 1 SMS Enhancements, 6 booster sessions in year 2 Delivered by young adult Coaches along side Educators during LO OR as an after school programme training and support for Coaches Consistent with Kirby Characteristics Focuses on key drivers Age-disparate sex, multiple partners Gender norms and gender-based violence

4 Generation Skillz Logic Model Generation Skillz Gender-Focused Activities: Gender Stadium Man & Woman Summit

5 Generation Skillz Practices 1. Contract, Coach s Story Personalize, teamwork 2. Know The Game HIV facts/myths 3. Risk Field Avoiding HIV risks 4. Gender Stadium Listening to opposite sex 5. Breakaway from HIV Multiple partners 6. HIV Limbo Older partners 7. Juggling My Life / Cut & Cover Split: PMTCT / MMC 8. My Supporters Fighting stigma 9. Man & Woman Summit Split: Addressing GBV 10. The Gates Healthy relationships 11. Red Card Role Plays Saying no to risk

6 Table 1: Generation Skillz changes in knowledge, attitudes, and communication from pre to post (n=612) Item Pre Post Change p value* Attitudes It is a woman's responsibility to avoid getting pregnant. 25% 41% 16% <0.001 I can resist peer pressure. 50% 70% 20% <0.001 I would stay away from a classmate with HIV. 74% 79% 5% It is my responsibility to protect myself and others from HIV. 83% 87% 4% I would be willing to take an HIV test. 78% 87% 9% <0.001 It is the man's responsibility to make decisions in a relationship. 61% 75% 15% <0.001 There are times when it is ok for a man to hit his girlfriend. 64% 74% 10% <0.001 Attitudes Average 62% 73% 11% <0.001 Communication I have talked about HIV with a parent or guardian in the past 2 months. 37% 58% 21% <0.001 I have talked about HIV with a friend in the past 2 months (outside of Skillz). 54% 72% 19% <0.001 Communication Average 45% 65% 20% <0.001 Knowledge Unprotected sex is the most common way HIV is spread. 85% 90% 5% <0.001 Having more than one sexual partner increases your risk of getting HIV. 79% 92% 13% <0.001 Having sex with an older partner increases your risk of getting HIV. 44% 90% 46% <0.001 If a pregnant mother has HIV her baby will always be born with HIV. 58% 76% 18% <0.001 Circumcision can reduce a man's risk of getting HIV. 42% 73% 32% <0.001 Drinking alcohol and using drugs can increase your risk of getting HIV. 46% 81% 35% <0.001 You are more likely to spread HIV in the first 6 weeks after getting infected. 29% 78% 50% <0.001 Having only one faithful partner (prevention method) 56% 70% 14% <0.001 Washing after sex (not a prevention method) 91% 92% 1% Using condoms during sex (prevention method) 72% 79% 7% <0.001 Not having sex (prevention method) 50% 62% 12% <0.001 Knowledge Average 59% 80% 21% <0.001 OVERALL AVERAGE 59% 76% 17% <0.001 *Based on McNamer's chi-square, with 1 degree of freedom

7 Skillz Street: Changing the Game for Girls Girls-targeted supplement to Skillz Core or Generation Skillz 100 girls, 10 coaches, 10 sessions Piloted at Football for Hope Centre in Khayelitsha in 2010 Focused on Empowerment through: Safe Space to play soccer, many for the first time Life Skills HIV Testing, Health Services Community Outreach GRS is restoring dignity and building self-esteem of young girls living in a challenging environment, transforming them into actors for the HIV prevention revolution. -Michel Sidibe, UNAIDS Executive Director

8 Results 2011: 20 Leagues, 2178 graduates, 1018 tested Communication, Testing & Role Models: 20% increase in communication about HIV 45% increase in communication about sex 55% increase in willingness to test for HIV 91% of girls view their Skillz Coach as a role model Curriculum Development Workshop: Pre/Post Results 8 Focus Group Discussions Research on unique needs of adolescent girls Skillz Street Pre/Post Analysis, 2011

9 GRS South Africa graduates : 2009 to 2011 Total over 3 year -NP I agreement : 82, % Growth Bloemfontein Cape Town Kimberley PE Soweto All SA Sites Over 1,000 Coaches trained and 4,000 community members tested during this period.

10 Opportunities in Schools Operational societal institution fertile soil Value add : Creative and engaging Alleviate barriers to learning Engaging materials/methodologies Response to varied teaching formats Safe space to discuss sex, sexuality and reproductive health Coach : informal relationship with the children Decrease in poor discipline and distraction Increase learner performance Stay in school for longer HIV and teenage pregnancy are front of mind of many children but difficult to discuss with teachers Randomised Control trial

11 Challenges in Schools Access to schools Unable to access learner performance information Impact on attrition, or performance. Demand more contact time with our programming Financial burden on the project finance. Lack of psycho-social support in schools. Educators reach out for HELP! Learners embarrassed to talk to educators Educators skip important SRH discussions Educators take on more and more burn out! No disruption of tuition time Scheduling and quality control

12 Thank you. Feryal Domingo Managing Director Grassroot Soccer 38 Hout Street, Cape Town. Tel : Cell : fdomingo@grassrootsoccer.org