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A A nn nn uu aa l RR ee pp oo rr t 22 00 00 99 / 22 00 11 00 PBO No. 18/11/13/4709 NPO No. 031‐599‐NPO Cape Town South Africa December 2010 HOPE Cape Town Association Annual Report 2009/ 10 Table of contents Address for the Annual Report 2009/ 10 of the HOPE Cape Town Trust & Association................. 2 Report of the Chairperson and the HOPE Cape Town Management Committee ........................... 3 Organisational Structure ................................................................................................................. 8 HOPE Cape Town at Tygerberg Hospital ......................................................................................... 9 The Ithemba Children’s Ward ...................................................................................................... 9 Report of the HOPE Doctor ........................................................................................................ 11 Visitors to HOPE Cape Town ...................................................................................................... 13 HOPE Cape Town at Tygerberg Campus, University of Stellenbosch ............................................ 15 Academic Collaboration and Community Outreach .................................................................. 15 HOPE Cape Town Volunteers ..................................................................................................... 21 HOPE – KID-CRU Elective Student Programme .......................................................................... 22 HOPE Cape Town in the communities ........................................................................................... 23 HOPE Community Health Worker Programme .......................................................................... 23 Delft Paediatric ARV clinic.......................................................................................................... 26 The Sangoma ‘Muti’ Project ...................................................................................................... 28 Our sponsors and partners ............................................................................................................ 29 Annex Annual Financial Statements ............................................................................................................ I 1 HOPE Cape Town Association Annual Report 2009/ 10 Address for the Annual Report 2009/ 10 of the HOPE Cape Town Trust & Association (Hans-Werner Bußmann, Consul General of the Federal Republic of Germany in Cape Town) The FIFA Soccer World Cup 2010 put South Africa in the focus of billions of people all around the globe. Many German media used the opportunity to report intensively on the situation and developments in South Africa. The HIV/Aids prevalence was highlighted amongst other problems. However, contrary to the past it was possible to refer to the efforts of government and NGO's alike to aleviate the situation. HOPE Cape Town was highlighted as one of the cornerstones of combined efforts of science and society to contribute to these efforts. Fortunately, there is continued interest in the projects funded by HOPE. The spouse of the Minister in the Bavarian State Chancellery, Mrs Schneider, visited the Tygerberg Hospital and an out-clinic in November 2009. The Begum Aga Khan paid a visit as special representative of FIFA. But far more important is the support HOPE Cape Town is finding amongst many friends and supporters both in South Africa and in Germany. The support given by many individuals in smaller and larger amounts is as important as boosting the moral of the staff and volunteers of HOPE Cape Town. The German Government continues by supporting South Africa in the health sector with a special focus on HIV/Aids. The Minister of Development Co-operation, Dirk Niebel, during his visit to South Africa agreed to increase the relevant funds by 20 million Euro for the coming five years. We hope that this support is matched by increased efforts on the South African side. On 30 October 2010 the next charity Ball for HOPE is organized by Mrs Viola Klein in Dresden and the Minister of Home Affairs, Dr Thomas de Maizière, will represent the Federal Government. Thus, HOPE Cape Town continues to be a strong and vital link in the bilateral relations between both our nations thanks to the interest and involvement of many of their citizens. Address for the Annual Report 2009/ 10 of the HOPE Cape Town Trust & Association 2 HOPE Cape Town Association Annual Report 2009/ 10 Report of the Chairperson and the HOPE Cape Town Management Committee (Dr. Monika Esser) To all the Friends of HOPE Cape Town Growth and continued support for HOPE Cape Town have been the hallmark of this exciting World Cup Year 2010! More than ever is health care but also other support for the under resourced sector of our population needed as the gap between rich and poor is widening. New and ambitious Government HIV guidelines and earlier entry onto HAART treatment regimes are being implemented, and again the critical skills shortage is evident and the important role of health care workers to fill the gap. Finger prick blood testing is now permitted to be done by basically trained staff which allows for rapid HIV testing and also for CD4 analysis on minute amount of bloods at the clinics. As more patients are entering healthcare treatment for HIV and frequently Tuberculosis as well, HOPE Cape Town has embarked on supplementing the needs of clinics but we have also embarked on new and more comprehensive measures for Health Care such as with nutrition and sport programmes. With a national prevalence for HIV of around 11% still, we do hope that a plateau is being reached and that especially our children will be increasingly protected by improved counselling and prevention for transmission programs. The much talked about National Health Insurance could give improved access and support to all South Africans, but its implementation will no doubt leave a lot of room for NGOs to support the gaps. The expansion within HOPE Cape Town but also the diversification of projects has necessitated restructuring as the growth of our NGO now requires a senior manager to oversee the full scope of our work which exceeds the abilities of our volunteer management. Stefan Hippler after a busy year of consultancy with HOPE Cape Town has paved the way for a Director post which will be filled in the new year. The core staff of HOPE Cape Town is stable with 23 Community Health Workers and our project supervisor Yasmin Smith has also added a little baby daughter to her own family! Fundraising of especially Rev. Fr. Stefan Hippler and Dr. Susanne Reuther, with Viola Klein and her team, Joachim Franz ‘Be Your Own Hero e.V.’ and the German AIDS Foundation as well as many other big and small sponsors has been generous again. The association with the University of Stellenbosch and Tygerberg Hospital has been further strengthened with expansion of offices on the 7th floor of the academic building. The collaboration with KID-CRU (Children’s Infectious Diseases Clinical Research Unit) continues to assist with Health Care Worker Training and joint medical student exchanges and up to date research can be translated rapidly by translation into community work. The Ithemba (HOPE) Ward G7 Sonia Daniels, our part time office administrator has found her feet and heart in the ward. Close contact to patients, parents, the hospital staff and volunteers has become her daily routine Report of the Chairperson and the HOPE Cape Town Management Committee 3 HOPE Cape Town Association Annual Report 2009/ 10 while accommodating visitors and supporting our senior admin staff with health care worker administration Management meetings still take place monthly in the seminar room of the G7 ward. Marchelle Hendricks, our most dedicated volunteer, continues her wonderful work with us and we hope she will be able to continue for many more years to come. The Tygerberg Hospital staff deserves a special note of thanks for coping with a big measles crisis this year, many very sick patients and their parents and for still staying patient and helpful also with ward visitors to whom we had to restrict access. Discussions with the Tygerberg Children’s Hospital have started to define the new principle of ‘Ward adoption’ for a structured plan of involvement by sponsors in improving and upgrading ward conditions, not only of ward G7 . We are proud to have been a model for such a planned venture which hopefully will extend to all the other wards of the Children’s Hospital. Tygerberg Academic Health Complex We had to say a sad but very grateful goodbye to Dr Carter, the CEO of Tygerberg Hospital, when he transferred to Groote Schuur Hospital. Dr Carter was remarkable for his positive and down to earth attitude and we will remember well how he coped with the visit of German Chancellor Angela Merkel despite the break down of the lifts! We wish him well in his future career. We welcome Dr Dimitri Erasmus, who already attended his first Ball of Hope and we have been assured his support and cooperation from the Tygerberg Academic Health Complex. The Health Sciences Department of the University of Stellenbosch The prize from the first Community Interaction Poster Presentation of the annual Academic Year Day has been reinvested in outreach project collaboration with Stellenbosch University social community projects. And communication with Prof. Therese Fish, Vice Dean for Outreach, is an important link for networking in the community The medical student elective programme for HOPE – KID-CRU is very popular among overseas students and they appreciate the opportunity to see our country with all its realities in the townships. This rotation provides a further strong link between HOPE Cape Town and Stellenbosch University. With three management members working as heads of departments or research units – Prof’s Mark Cotton, Wolfgang Preiser and Bernd Rosenkranz, we have indeed a unique connection from academia and teaching to health care in basic outreach. This bridge between teaching hospital and the health care delivery at township level is a very special asset which adds stability and viability to our organisation – but most importantly it assists in translation of knowledge to where it is most needed. HOPE Community Health Workers & Outreach Currently 23 HOPE Community Health Workers (HCHW) under the supervision of our valued Training Officer Sr. Pauline Jooste, supply the core functions of the outreach work of HOPE Cape Town. Their training has been expanded to include basic computer skills and e-learning. With her skilful design and teaching Dr Leandra Stacey has been contracted with Medical Mission Institute, W rzburg and InWent – Capacity Building International support and also ‘Be your Own Hero’ funding to take their teaching well into the 21st century. We thank Klemens Ochel and his team especially for his wonderful work in making this possible. This further enriches and Report of the Chairperson and the HOPE Cape Town Management Committee 4 HOPE Cape Town Association Annual Report 2009/ 10 broadens the HCHW training in addition to a UNISA credit qualification and the medical teaching by our invaluable and community involved doctor Sadeeka. We are very proud of our HCHW graduates, and we hope that we can continue to empower them with the skills, guidance and attitudes to help their communities whether with HOPE Cape Town or with other employers. Much needed debriefing sessions for the Community Health Workers were introduced earlier this year. Tygerberg Hospital social worker Nocawe Frans took on the challenging task to counsel those who normally do the counselling. The feedback from the HCHW has been very positive and the sessions will be continued on a regular basis in the future to ensure they can cope with the trauma that is part of their profession. Traditional Health Muti Project An exciting new project under the leadership of Prof Bernd Rosenkranz has been funded and has started to investigate controversial and possible beneficial uses of traditional medicines. Through our longstanding involvement with the Sangoma community we aim to strengthen this project and redefine the collaboration with our Traditional Healers, as Dr Jo Wreford and Dr Elena von Donhoff’s work has come to an end for personal reasons. We thank them for their work and wish them well overseas. Workshops and Training As prevention remains at the cornerstone in the fight against the HIV epidemic our outreach activities to schools, church groups, businesses and other organisations continue on request as an important part of the work of Sr. Pauline Jooste and the HCHWs. International Outreach and Networking Continued networking with Consulates, especially the German, Austrian and Swiss support our work and the active involvement of Consul General Bussman to support our HOPE Cape Town ventures is much appreciated. Our partnership with the German AIDS Foundation and ‘Be your Own Hero e.V.’ has created a formidable alliance and firm base. Our Bavarian connection continues and has been strengthened at the opening of the Bavarian Expo in Cape Town during the World Cup Event. Collaboration with the TU Munich and Prof Juergen Beckmann will open exciting new sports projects aimed at improving the health of HIV affected individuals The collaboration with the Hochschule Niederrhein and Professor Ludwig has been formalized with a Memorandum of Understanding and the exchange of Nutrition students will be expanded to include the opportunity of a formal elective at the Department for Human Nutrition at Stellenbosch University. The volunteer work of the exchange students is very much appreciated. The cooperation with Harvest of Hope has added another very worthwhile dimension to our work. The Fraunhofer Institute collaboration facilitated by Prof. Wolfgang Preiser, culminated in the loan of a high tech mobile laboratory to the Western Cape Province, facilitated by the National Health Laboratory for point of care health delivery in the townships and under-resourced rural areas. Phase 1 sees the impressive trailer parked on Tygerberg Hospital grounds for the validation phase. Mercedes Benz through mediation of HOPE Cape Town has sponsored the use of a mechanical horse. Report of the Chairperson and the HOPE Cape Town Management Committee 5 HOPE Cape Town Association Annual Report 2009/ 10 Management, HOPE Cape Town Trust and HOPE Kapstadt Stiftung Great thanks go to the management members who have been more involved this year through the allocation of portfolios, with the assistance of Stefan Hippler in consultancy. The addition of Priest Wim Lindeque from the Manenberg community was welcomed by management for his experience and involvement in underprivileged communities. I am grateful to all the trustees once again for their valuable support stabilizing the financial base for the HOPE Cape Town Association with Chairperson Rev. Fr. Stefan Hippler and Dr. CarlHeinz Duisberg and Mr. Sam Tuntubele, Vice Chairpersons and also Michaela Soule. Thank you also once again to Viola Klein and Hardy Fiebig for their work on the Advisory Board of the HOPE Cape Town Trust. Stefan Hippler, at the end of his term of consultancy with HOPE Cape Town, is now focusing on the HOPE Cape Town Trust to develop the major fundraising ‘Around the World’ campaign for 2011 with Joachim Franz and Team. I would like to thank Petra Reichwein for her continued dedication to HOPE Cape Town and her support in many ways. The German HOPE Kapstadt Stiftung founded in October 2007 under the umbrella of the German AIDS Foundation is growing due in great part due to Viola Klein’s most wonderful fundraising events especially the HOPE Gala Dresden 2010, which was a spectacular success. Thank you and well done, Viola! I would like to thank especially Dr. Susanne Reuther for her dedication to HOPE Cape Town and for her continued enthusiasm and willingness to give of her already scarce time! Her commitment in Blikkiesdorp is especially appreciated. Her chocolate donations to the management meetings have become a most welcome tradition, too! Visitors and Media Many visitors were welcomed in the past year and I am grateful to our staff and management members for their time and willingness to engage with them. A new HOPE Cape Town DVD has also been prepared and is being launched. The German Speaking Catholic Community and Catholic Network The German-speaking Catholic Community (GSPCC) continues to support HOPE Cape Town through the involvement of the parish. Individual GSPCC Parish members, especially Theo Stapf, with fundraising events for HOPE Cape Town, both, in Germany and South Africa, are much appreciated supporters of HOPE Cape Town. The German Bishop’s Conference assists with a trusted account for sponsors from Europe. We regret the great loss of Brian Sharkey of the Milnerton Congregation (Catholicare Milnerton and Brooklyn). He continued his amazing work and fundraising efforts until his early death this year. Ball of HOPE 2010 For the thirteenth year now, the South African–German Chamber of Commerce and Industry with Anja Tambusso-Ferraz co-hosted the Ball of HOPE in the Westin Grand Hotel. Our major local fundraising event was again successfully accompanied by entertainment and music under Report of the Chairperson and the HOPE Cape Town Management Committee 6 HOPE Cape Town Association Annual Report 2009/ 10 the direction of Adolf Thelen. A great thank you goes to all our organizers, helpers and supporters and the Westin Grand. The raffle tickets left us with a surprise night at the Westin Grand for Johan and Monika ‘Brink’. In summary The excitement of the World Cup Event certainly drew visitors and welcomed new sponsors. New projects have been initiated and started in the past year after careful financial evaluation. Growth of staff and management has enriched the Association. A new structure for permanent staff management is now required to maintain stability and create skills development and professional guidance for our staff. German soccer fans outside the Cape Town stadium (Photo courtesy of Dr. Susanne Reuther) In closing I would like to thank the HOPE Cape Town management team – Stefan Hippler, Susanne Reuther, Wolfgang Preiser, Carl-Heinz Duisberg, Mark Cotton, Bernd Rosenkranz, Wim Lindeque. Yasmin Smith – our tireless supervisor, Pauline Jooste – our ‘mother’ of the Health Care Workers, Sadeeka Williams – our wonderful doctor, Leandra Stacey – our teacher, Kerstin Behlau – our very capable PA, Sonia Daniels – our ward secretary, all our Hope Community Health Workers, the trustees in South Africa and abroad, all our sponsors and friends. I wish you all a most wonderful holiday season and all the best for the coming year 2011 Dr. Monika Esser Chairperson HOPE Cape Town Association Report of the Chairperson and the HOPE Cape Town Management Committee 7 HOPE Cape Town Association Annual Report 2009/ 10 Organisational Structure HOPE Kapstadt Stiftung Administrative Board Dr. Ulrich Heide Dr. Christoph Uleer Rev. Fr. Stefan Hippler Dr. Susanne Reuther HOPE Cape Town Trust Board of Trustees Board Rev. Fr. Stefan Hippler (Chair), Dr. Carl-Heinz Duisberg Mr. Dibhesi Sam Tuntubele, (Deputy Chairs), Mrs Carol Armstrong-Hooper Members Prof. Brian P. O’Connell, Dr. Susanne Reuther, Dr. Monika Esser, Mrs. Pat Gorvalla, Mrs. Evelyn Chimombe Munyoro, Advocat Bob Groeneveld HOPE Cape Town Trust Advisory Board Mrs. Viola Klein Mr. Hardy Fiebig HOPE Cape Town Association Management Committee Dr. Monika Esser (Chair), Rev. Fr. Stefan Hippler, Dr. Susanne Reuther, Dr. Carl-Heinz Duisberg, Prof. Dr. Wolfgang Preiser, Prof. Dr. Mark Cotton. Prof. Dr. Bernd Rosenkranz Attending employees: Mrs. Yasmin Smith, Sr. Pauline Jooste, Dr. Sadeeka Williams, Mrs. Kerstin Behlau, Mrs. Sonia Daniels Consultant Rev. Fr. Stefan Hippler Office Tygerberg Campus Health Sciences PA to Chair Mrs. Kerstin Behlau Office Tygerberg Campus Health Sciences Team Secretary Mrs. Sonia Daniels Ithemba Ward G7 (TAHC) Training & Compliance Officer Sr. Pauline Jooste Office Tygerberg Campus Project Supervisor Mrs. Yasmin Smith Office Tygerberg Campus Health Sciences HOPE Doctor Dr. Sadeeka Williams Office Tygerberg Campus Staff Meetings Rev. Fr. Stefan Hippler, Mrs. Yasmin Smith, Sr. Pauline Jooste, Mrs. Kerstin Behlau, Dr. Sadeeka Williams, Mrs. Sonia Daniels Ongoing Training (every fortnight) Mrs. Yasmin Smith, Sr. Pauline Jooste, Dr. Sadeeka Williams, all HCHW Mfuleni Delft South Durbanville UNISA Study Group Sr. Pauline Jooste, all newly appointed HCHW, sponsored participants HOPE Community Health Workers (HCHW) Primary Health Care Facilities Goodwood Wallacedene Hermanus Uitsig Grabouw (2) Delft Mbekweni Paarl Belhar Bloekombos Scottsdene Valhalla Park Brackenfell Bishop Lavis Elsie’s River Ithemba Ward G7 Blikkiesdorp (2) Portfolios Community Outreach Work in Primary Health Care Facilities (HCHW) Support of local grass root projects Nutritional support Antiretroviral Therapy Counselling & Emergency Fund HIV/ AIDS Awareness & Prevention Training Workshops for companies, NGOs, schools etc. Peer2Peer, HIV policies for companies Traditional Healer (TH) Cooperation between TH and western doctors Referral system Muti Project Ithemba Ward (TAHC) Ward support, education & support for caregivers Support Programmes Volunteer & Elective Student Programme Research and Academic work Cooperation with the University of Stellenbosch eLearning Nutrition HIV & Sports Networking & Cooperation Ministry of Health (Western Cape) Department of Health (City of Cape Town & PGWC ) Faculty of Health Sciences (University of Stellenbosch) Tygerberg Academic Health Complex KID-CRU (Research) Family Clinic TAHC Partnership Bavaria – Western Cape Be your own hero e.V. Association of Traditional Health Practitioners (Western Cape) HOPE Gala Saxonia Systems Dresden German Aids Foundation Round Table Germany Dr. Alfred Biolek Stiftung Local NGO’s Report of the Chairperson and the HOPE Cape Town Management Committee 8 HOPE Cape Town Association Annual Report 2009/ 10 HOPE Cape Town at Tygerberg Hospital The Ithemba Children’s Ward The base of HOPE Cape Town is situated on the Ithemba (Hope) Ward (G7) in, a dedicated 24 bed ward, equipped for the care of very sick children, and focusing on treatment, rehabilitation and education. The aim is to provide the best tertiary level health care possible in order to improve the overall health of the children (many with HIV-related diseases) and to support their families and caregivers in a comfortable child-focused and adult inclusive environment. The ward cares for children with complex infectious diseases and related problems including diagnostic difficulties and complications. On discharge, the children are integrated into community-based health structures. The caregivers are supported, counselled and individually instructed in order to manage the illness and the daily care of the children. The Ithemba Ward, established in 2001, was a joint venture among the Tygerberg Academic Health Complex, the University of Stellenbosch, the German Catholic Community of Cape Town and the Rotary Club of Signal Hill. It enabled the Tygerberg Academic Health Complex to fulfil the mandate of giving special attention to children with HIV and AIDS for the first time. In the same year, an agreement was signed between the hospital and HOPE Cape Town with the support of the German Speaking Catholic Community to assist with the development of the facility, training of the staff and the running of ward Ithemba G7 Ward. The Tygerberg Academic Health Complex provided the appropriate number of staff and the equipment, supplies and materials necessary for the care of a child with HIV-related illnesses. The University of Stellenbosch provided academic input through the Department of Paediatrics and Child Health. Little Ithemba patient with donated toys The ward has helped to integrate all services for HIV positive children within the Tygerberg Academic Health Complex. Today, HOPE Cape Town continues to fulfil the agreement within the hospital with support for families, maximisation of resources, the promotion of the effective use of Anti-retroviral Treatment including personalised home visits and follow-up to ensure compliance for adults and children as well as supporting research. Close cooperation and a HOPE Cape Town at Tygerberg Hospital 9 HOPE Cape Town Association Annual Report 2009/ 10 mutually supportive relationship between HOPE Cape Town and the Ward nursing staff and doctors are ensured through regular attendance of the Monday morning Ward meetings. Between January and November 2010, 742 children were admitted to the Ithemba Ward. The number is significantly higher than in previous years due to a widespread measles epidemic in the Western Cape. Our new team secretary Sonia Daniels has been occupying the HOPE Cape Town G7 office since April 2010. With a loving, yet firm hand she is coordinating the storage and distribution of donations to the Ithemba Ward and liaises between mothers and hospital staff whenever necessary. The little patients look forward to Sonia’s daily ward rounds as they are sure to get a yogurt, apple or new toy each time. Regrettably, many children still cannot go back to their families on discharge, but have to be transferred to step-down facilities as circumstances at home do not allow for optimum treatment adherence. There are, hence, a number of so-called "social cases” on the ward, i.e. patients that could be discharged, but are still waiting for a place in children’s homes such as St. Joseph’s or Cotlands. The HOPE Community Health Workers, together with local social workers, play an important role in following up on these patients and making sure they can return home to their families as soon as possible, if the circumstances allow. At the Ithemba Christmas Party HOPE Cape Town is very fortunate to have the constant and sedulous support of many helping hands, which regularly provide the little patients and their caregivers on the ward with food, blankets, toys, sweets, clothes, toiletries and many other goods on a voluntary basis. A big thank you goes to all these individuals, who dedicate so much of their private time, money and energy to make the Ithemba Children feel better, especially Marchelle Hendricks, Margret Graham and Germaine Heinen. HOPE Cape Town at Tygerberg Hospital 10 HOPE Cape Town Association Annual Report 2009/ 10 Report of the HOPE Doctor (Dr. Sadeeka Williams) She clenched her fist and extended an arm, her eyes held tightly closed. As I took blood from a vein belonging to this seven-year old girl, she gasped quietly but continued to sit dead-still. ‘Me’ she said, ‘I’m not sleeping here again.’ This was Tygerberg Hospital and this was one of our young patients with HIV. In her own way, she was declaring that she would continue to come for checkups, take her medication regularly and put up with not-sonice needle-pricks. Rather this, than be sick and sleep in hospital again. It is probable that her mother did not access medication (that most likely would have prevented her from getting HIV) when she was born in 2003 and that the child’s illness had gone unnoticed until she had gotten sick and landed up in hospital. Our country has made substantial progress in the field of PMTCT (Prevention of Mother To Child Transmission) since 2003. Medication is more accessible and more effective practice policies have been put into place. Unfortunately though, there are still 30 000 babies born with HIV in South Africa every year. As such, the number of children we see in the Paediatric Antiretroviral (ARV) clinics continues to grow, and continue to remind me that in spite of what gets written on paper, reality has many unforeseen challenges. Food insecurity, poor education and poor housing are rife and HIV care and prevention is not straight-forward. It is, thus, crucial that HOPE Cape Town’s approach is not a straight-forward one. Here, I believe, our strongest asset is our staff members. Each one contributes by sharing individual perception and experience, which makes it possible to constantly recheck that what we deliver collectively, as a clinical and educational service, is up-to-date, relevant and working. Working in this field is not easy and we all play multiple roles of nurse, care-giver, social worker, activist, doctor and counselor because we have to. Critically, in 2010, HOPE Cape Town took on a number of initiatives with its staff in mind. Two international Masters Students have done internships regarding staff wellbeing. Ms Nocawe Frans, an expert social worker, has provided her mentorship to the health care workers in dedicated debriefing sessions. The staff has also received a number of lectures from various professionals, especially from the Health Sciences Faculty. All of this has contributed to making sure that staff burn out is avoided and a high standard of professionalism is maintained. Ultimately, every experience that a client has with a HOPE Cape Town staff member should be a pleasant one. We want each client to feel that we have somehow helped them, whether just by listening, or making them smile, or being a shoulder to cry on. Each health care worker should be able to educate, motivate and support no matter what the challenge. HOPE Cape Town at Tygerberg Hospital 11 HOPE Cape Town Association Annual Report 2009/ 10 For the very least, we should be able to learn from our brave little HIV patients who show insight, rationality and courage even in daunting circumstances. Dr. Sadeeka Williams HOPE Cape Town Medical Officer HOPE Cape Town at Tygerberg Hospital 12 HOPE Cape Town Association Annual Report 2009/ 10 Visitors to HOPE Cape Town Again, a number of enquiries for visits to our facilities have reached HOPE Cape Town this year. We are happy about the ever-increasing interest in our organisation. Many sponsors, officials, delegations and individuals have found their way to Tygerberg Hospital and visited a variety of HOPE Cape Town communities with us. We are equally pleased to welcome both, new and wellknown faces. Visitors at the HOPE Cape Town container in Delft, Blikkiesdorp Selected Visitors to HOPE Cape Town 2010 Kathrin Walther, Student TU Munich, HIV & Sports; Hermann Intemann, German Embassy Pretoria; Delegation from the Bavarian Parliament; Joachim Franz, Sandra Wukovich and Inge Struckmeier (Romantik Hotel Group); Students from Semester at Sea, University of Virginia; Isargauer Trachtengruppe; Stephan Nuehlen (Rhiem Group); Eberhard Kohlberg and many more With great pride, HOPE Cape Town has been awarded the SAFE HOUSE Seal from Be Your Own Hero e.V. and the Romantik Hotel Group in March this year. Only projects that evidently meet certain criteria are being sponsored by donations and receive the badge SAFE HOUSE. The concept provides security in both ways: security for the contributions to benefit projects worthy of support by a hundred percent and without any drawback, and security for children to (re)obtain a good basis for their lives. As a holder of the SAFE HOUSE badge, HOPE Cape Town is eligible to apply for funds from the Bulli Bildungsfond by Be Your Own Hero e.V. We were delighted to once again welcome Joachim Franz and Sandra Wukovich at Tygerberg Hospital and would especially like to thank Inge Struckmeier from the Romantik Hotel Group for making the effort to visit us in person. HOPE Cape Town at Tygerberg Hospital 13 HOPE Cape Town Association Annual Report 2009/ 10 f.l.t.r.: Stefan Hippler, Inge Struckmeier (Romantik Hotel Group), Yasmin Smith and Joachim Franz HOPE Cape Town at Tygerberg Hospital 14 HOPE Cape Town Association Annual Report 2009/ 10 HOPE Cape Town at Tygerberg Campus, University of Stellenbosch Academic Collaboration and Community Outreach The year 2010 has brought many opportunities and developments for HOPE Cape Town. Existing collaborations were strengthened and new contacts could be established. Cooperation with Stellenbosch University, Faculty of Health Sciences Since May 2009, HOPE Cape Town is a registered Community Interaction Project with the University of Stellenbosch. Deputy Dean for Community Service and Interaction, Dr. Therese Fish, has established a wellworking networking platform at the Faculty of Health Sciences, which enables staff and students to share their various initiatives with each other and gain synergies. Through this process it is envisaged to leverage off each other’s strengths and enthusiasm, and, most importantly, to improve the living conditions in underprivileged communities. In May 2010, Project Supervisor Yasmin Smith attended a one week certificate course on the topic of NPO Management hosted by the Executive Programme of the Stellenbosch University Business School with its Chairperson Dr Therese Fish. The seminar comprehensively covered all topics relevant to South African NPOs such as leadership and teamwork, labour law, governance, project and financial management, marketing and fundraising as well as strategic management and sustainability. Valuable lessons were learned and a number of new contacts were made. Bavarian Cooperation From 9 until 18 June 2010, the Bavaria meets Western Cape Expo took place at the Artscape Theatre in Cape Town. Bavaria, Germany and Western Cape Province entered into a formal partnership agreement in 1995. HOPE Cape Town was instrumental in the development of the HIV and AIDS framework in the formal partnership in 2006. On the occasion of the partnership’s 15 year anniversary, the exhibition showcased the co-operation in its various dimensions together with musical performances, films and workshops as well as a public viewing opportunity for the soccer world championship. HOPE Cape Town was represented with several posters, an information stand, e-learning presentations as well as a workshop. Bavarian State Minister Schneider (r) with Premier Helen Zille (s.f.r.) at the HOPE Cape Town at Tygerberg Campus, University of Stellenbosch 15 HOPE Cape Town Association Annual Report 2009/ 10 HOPE Cape Town stall E-learning course for the HOPE Community Health Workers (Dr. Leandra Stacey) The e-learning course was developed for use on the HOPE Community Health Care Workers (HCHWs) to supplement the UNISA course that is already part of their education. The e-learning course is split into 2 modules: Module 1: Consists of general anatomy of the body Module 2: Consists of the immune system, the impact of HIV on the immune system, information on ARVs & HIV transmission modes. Each module consists of lecturing material and at the end of each week there is a series of questions that must be completed so that we can ensure that the participants have understood the content that they have just completed. At the end of the 1st module there is an evaluation on all the content for that module in the form of crossword puzzles, multiple choice questions and matching columns. They are also given certain assignments to complete that pertain to the course work covered in that module. There is also a revision summary for the participants that highlights the most important points covered in that module. All the evaluations are done online and the marks are recorded so we are able to access the results and monitor the progress they are making. This will also help to determine who is not coping with the content and where the problem areas are. It is important that the participants understand what they have learnt in module 1 as the content of module 2 builds on what they have done in the first module. Each module consists of 14 weeks and will take about 8 months to complete. Due to the lack of internet facilities in the areas where the health care workers reside, the course will be run at the HOPE offices at the University of Stellenbosch one day a week. Each health care worker will work on their own computer and there will be no formal lecturing as they will work through the course material online and at their own pace. Before the course starts a pre-evaluation questionnaire will be completed and after the 2 modules have been completed a post-evaluation questionnaire will be completed. At the end of the e-learning course, the HCHW will: 1. Have an increased knowledge about the various systems of the body 2. Understand how HIV attacks the immune system and why an HIV positive person becomes ill. By increasing their knowledge of basic anatomy, the immune system and HIV specifically, the HCHWs will be better equipped to understand HIV disease processes when handling and counseling patients from the clinic. Funding for the e-learning Course was initially from the Bavarian State Chancellery and further pledged by the Bulli Bildungsfond from Be Your Own Hero e.V. The e-learning initiatives between the Bavarian State Chancellery and HOPE Cape Town were facilitated by InWent gGmbH. The Medical Mission Institute (MMI) has facilitated the development of the e-learning programmes. HOPE Cape Town at Tygerberg Campus, University of Stellenbosch 16 HOPE Cape Town Association Annual Report 2009/ 10 Once the two modules have been completed there will be a workshop that will allow the health care workers the opportunity to ask any questions that they may have pertaining to the course they have just completed. This is important so that we can ascertain what their thoughts on the course are and to determine if any changes to the course are necessary. Aim of the workshop o The health care workers can ask questions about the work they have covered in the course. o There will be a session where there will be structured questions from the tutors regarding the course content that the participants should answer. o There will be a post course evaluation to test their knowledge about the contents of the course as well as to gauge how successful the course has been in increasing their knowledge. The post course questionnaire will include: Questions about the course itself (i.e. the technical, pedagogic, social and knowledge aspects of the course. o We will also try to assess how what they have learnt in the course will affect their working days (i.e. will it improve their work etc) HOPE Cape Town at Tygerberg Campus, University of Stellenbosch 17 HOPE Cape Town Association Annual Report 2009/ 10 Cooperation with HS Niederrhein & Harvest of Hope: Nutrition Project (Yasmin Smith) Through our work in our 18 HOPE Cape Town communities, we see how important a balanced and healthy nutrition is for a stable and well-functioning immune system on a daily basis. Our community health workers see an increasing number of patients with chronic diseases such as diabetes and hypertension at the clinics, often caused or aggravated by incomplete and unbalanced nutrition. A complete diet rich in nutrients and vitamins is particularly important for HIV positive patients so their immune system can be supported in a natural way. Most patients from poorer communities do, however, lack awareness and education about healthy nutrition. Contents of a veggie box A group particularly at risk are HIV infected mothers and their babies. In the South African PMTCT (Prevention of Mother To Child Transmission) programme, babies born to HIV positive mothers are only supplied with free formula milk from public clinics until the age of six months. After that, the mothers are expected to continue providing nutrition to their children but often cannot afford to buy formula milk. This is also the age that babies start eating solids. Often, HIV exposed infants fall ill at this age or, if HIV negative at birth, even seroconvert because the mother started breast feeding or could not supply adequate nutrition to her child. The project assumes that by supporting the nutrition of these families for a period of six months (during the baby’s vital age of 6 months to 1 year) the baby’s chance of growing better will be improved and the likelihood for failure to thrive and illness decreases. Since the beginning of March, HOPE Cape Town has been running this pilot nutrition project in cooperation with the local organisation Abalimi Bezekhaya („the planters“ in isiXhosa,). Their programme “Harvest of Hope” assists local township farmers with the marketing and sales of their organically produced vegetables. Since the initiation of the cooperation, 20 vegetable bags are delivered to the HOPE Cape Town community Delft each Tuesday. In cooking demonstrations, HIV positive moms are taught how to keep themselves, their babies and their HOPE Cape Town at Tygerberg Campus, University of Stellenbosch 18 HOPE Cape Town Association Annual Report 2009/ 10 families healthy through a balanced nutrition. The moms take vegetables home each week and exchange recipes and cooking methods in the following session. Preparing healthy baby food In order to make the project sustainable, the first group received special training in gardening and small-scale vegetable farming before leaving the programme and many mothers are already eagerly planning their own little vegetable garden. Meanwhile, the second group of moms has started on the programme. Students of human nutrition from the Hochschule Niederrhein, University of Applied Sciences in Moenchengladbach, Germany, regularly assist with their expertise as well as the monitoring and evaluation of the project. We would like to thank our volunteer Bianca Mannewitz for conceptualizing and successfully initiating the project, and Laura Fiebig for following through. Thank you also to Annalena Luedtke, Stephanie Gebauer, Xenia Trippel and Marie Brockhaus from the HS Niederrhein for conducting various cooking demonstrations, providing a cooking manual and assisting with the evaluation of the project. Finally, we thank Hope & Future e.V. from Muenster, Germany for financing this pilot and the Abalimi team for the good cooperation. HOPE Cape Town at Tygerberg Campus, University of Stellenbosch 19 HOPE Cape Town Association Annual Report 2009/ 10 Cooperation with TU Munich: HIV and Sports Programmes (Prof. Dr. Bernd Rosenkranz) Using sport as an important measure to prevent HIV is at the heart of a new tripartite partnership that was recently established between HOPE Cape Town, Stellenbosch University and the Technical University of Munich (TUM). The new project will focus on aspects of sport that can play a role in the prevention of HIV and Aids, such as teamwork and the building of selfconfidence. It will particularly aim at an interdisciplinary approach to address the following fields in HIV prevention, both in research and clinical practice: Educating peer-group mentors in sports activities; Empowerment of young females; Teaching young males about the importance of responsibility and teamwork, and Increasing life quality through adequate sports in HIV positives. During the Soccer World Cup this project was presented at the workshop “HIV Prevention through Sports Programmes” at the Artscape theatre in Cape Town on 15 June 2010. Participants were Prof Juergen Beckmann (dean of the Faculty of Sport and Health Science at TUM), Prof. Bernd Rosenkranz (Division of Pharmacology, Stellenbosch University), Prof Mark Cotton, George Fourie, both from the Children’s Infectious Disease Clinical Research Unit (Kid CRU) at Tygerberg Hospital, as well as Stefan Hippler. To transform this cooperation into a longterm, sustainable and research-based partnership, a letter of intent was signed on the same day to create a partnership between all 3 partners to support HIV prevention through sport programmes. Speakers at HIV & Sports Workshop in Munich HOPE Cape Town at Tygerberg Campus, University of Stellenbosch 20 HOPE Cape Town Association Annual Report 2009/ 10 HOPE Cape Town Volunteers (Yasmin Smith) Non-profit organisations such as HOPE Cape Town largely rely on the help of volunteers in order to be successful. We have been very fortunate to be able to count on the passion and energy of countless voluntary helpers throughout the years. The generous donation of their time and expertise cannot be offset in monetary terms. Thank you for lending your hands where they are most needed and for helping us to make the lives of those infected with and affected by HIV and AIDS a little better. Many thanks also to our “Alumni”, who continue to spread the word about HOPE Cape Town, donate on a regular basis and undertake various fundraising efforts even long after their internships have ended. Our volunteer Bianca at work HOPE Cape Town Volunteers 2010: Name Bianca Mannewitz Nadine Bayer & Malene Hummel Annalena Luedtke & Stephanie Gebauer Laura Fiebig Xenia Trippel & Marie Brockhaus Lilas Weber Tim Mueller Jonas Walther Field of interest/ Project Social work, G7, “Harvest of Hope” DED/ Weltwaerts, public relations, HCHW training, eLearning Healthy nutrition in impoverished communities G7, “Harvest of Hope” Healthy nutrition in impoverished communities Master student Public Health, project evaluation Master student, staff satisfaction/moral & management through motivation in NGOs G7, community work HOPE Cape Town at Tygerberg Campus, University of Stellenbosch 21 HOPE Cape Town Association Annual Report 2009/ 10 HOPE – KID-CRU Elective Student Programme (Yasmin Smith) 2010 has been the third year for HOPE Cape Town and KID-CRU (Children's Infectious Diseases Clinical Research Unit) to offer their joint medical clerkship to international elective students. The rotation usually takes four to six weeks, whereby half the time is spent with HOPE Cape Town and the other half with KID-CRU. The combined clinical and research elective has become very popular; this year a total number of nine students from different parts of the world have completed it (see chart below). Thanks to HOPE Doctor Sadeeka Williams and Training & Compliance Officer Sr. Pauline Jooste, the students gain excellent insight into the management of paediatric HIV patients and the primary health care system at community level. The participants also get a chance to visit the immunology and medical virology laboratories at Tygerberg Hospital and Stellenbosch University, respectively. Our partner Go Ahead!, a student organisation from Germany, has been advertising the HOPE – KID-CRU Elective Student Programme on their website (www.goahead-organisation.de) for the second year in a row now, which is greatly appreciated. All applications are processed by the International Student Office at the Faculty of Health Sciences of Stellenbosch University. A big thank you goes out to the friendly and patient ladies at this facility: Rachel Pullen, Mariska April, Valerie Dietrichs and Glynn-Ray Duthie! We hope to encourage many of our elective students to become passionate doctors and activists to support the fight against HIV and AIDS in South Africa, their home countries and all over the world. HOPE – KID-CRU Elective Students 2010: Name Sophie Huggett Rollo Sheldon Justin Copitch David Cottrell David Bearle Kelly Walker Ajay Patel Michael Kern Rebecca Dyer University Hamburg, Germany Manchester, UK Birmingham, UK Birmingham, UK Minnesota, USA Northwestern/ Chicago, USA Northwestern/ Chicago, USA Goettingen, Germany Southampton, UK HOPE Cape Town at Tygerberg Campus, University of Stellenbosch 22 HOPE Cape Town Association Annual Report 2009/ 10 HOPE Cape Town in the communities HOPE Community Health Worker Programme (Sr. Pauline Jooste, Yasmin Smith) HOPE Cape Town trains and places a network of 23 community health workers in 18 selected community clinics and the Ithemba Ward to provide current HIV, AIDS and TB knowledge, counselling and support for clients, assist with treatment regime adherence and home visits at the primary health care level. As in previous years, a number of HOPE Community Health Workers (HCHW) “graduated” from HOPE Cape Town, mostly into reputable positions in the Government Health Sector or the academic field. We have been able to fill all vacant positions with fresh new faces and are happy about all our team additions. The list below shows all our HCHWs and their sponsors. Community Belhar Bellville South Bishop Lavis Blikkiesdorp (Delft) Blikkiesdorp (Delft) Bloekombos Brackenfell/ Northpine Delft Delft South Durbanville Name Charlene Felix Saliswa Mahlakahlaka Mariam Roelofse Angela Abrahams Edward Swartz Chumani Hatile Beverley Bosman Karen Madaha Gaironissa Abrahams Reza Pokpas Empl. since 01.12.2007 01.06.2007 01.07.2005 01.09.2006 05.10.2009 17.05.2010 01.07.2010 15.04.2010 05.10.2009 01.03.2009 Durbanville Zanoxolo Mngomeni 01.03.2009 Elsie’s River Goodwood Bonita Keet Rochelle Paka 01.07.2009 14.04.2008 Grabouw Grabouw Hermanus Valerie Smith Kekeletso Lebeta Corita Marshall 01.04.2006 01.04.2006 01.06.2004 Mfuleni Babalwa Lumko 24.07.2007 Paarl Paarl Scottsdene Uitsig Valhalla Park Sheila Samuels Nomsa Nqwita Dandelene Sylvester Violet Otto Devitia Swartbooi 01.05.2005 01.03.2009 15.10.2008 01.10.2010 15.01.2009 Sponsor(s) Be Your Own Hero e.V. MAC AIDS Fund MARO Stiftung Hope & Future e.V. Hope & Future e.V. ACE Entertainment Westin Grand Hotel Hope & Future e.V. Hope & Future e.V. Be Your Own Hero e.V./ MAC AIDS Fund Be Your Own Hero e.V./ MAC AIDS Fund Saxonia Systems Bezirksregierung Arnsberg (NRW) German AIDS Foundation German AIDS Foundation Bezirksregierung Arnsberg (NRW) Westin Grand Hotel, KFD Liebfrauen, Catholic Care Milnerton MARO Stiftung Saxonia Systems MARO Stiftung RHIEM Be Your Own Hero e.V. Wallacedene Bonga Zantsi 02.07.2007 Process Consulting HOPE Cape Town in the communities 23 HOPE Cape Town Association Annual Report 2009/ 10 The HOPE Community Health Worker team 2010 Training and Compliance Officer Sr. Pauline Jooste is in charge for both, the initial training for HCHWs once they start working for HOPE Cape Town, and the ongoing training mandatory for all HCHW. On commencement of the job, each new HCHW is trained in HIV & AIDS care and counselling through the completion of a six months UNISA (University of South Africa) distant learning course and through activities and discussions in weekly group training sessions. At the same time, all new HCHW are already working at the local health care facilities, where they receive training on the job. After finishing the course, each HCHW undergoes an internship with the HOPE Doctor at the Paediatric Infectious Diseases Clinic at Tygerberg Hospital in order to obtain some hands-on experience with the treatment and care of HIV positive patients. All HCHWs, the new and the established ones, are obligated to attend the fortnightly HOPE Cape Town training sessions, where their knowledge on HIV & AIDS and all related health and socioeconomic matters is deepened and updated. The Training and Compliance Officer prepares and facilitates each training session in conjunction with the HOPE Doctor, volunteers and also external lecturers. The following training topics were dealt with in 2010: Contraception Vaccinations Impact of HIV on the family CD 4 counter machine Sexually Transmitted Infections Cervical cancer Physiotherapy PMTCT Constipation ARVs Nutrition and the HIV + patient Design our own training material HIV and AIDS educational interventions Adherence TB in children Gastroenteritis Measles HIV & Ethics First Aid basics and principles Debriefing HOPE Cape Town in the communities 24 HOPE Cape Town Association Annual Report 2009/ 10 HCHW Devitia at Valhalla Park Clinic Sr. Jooste together with the Project Supervisor and the Office Administrator also handles all personnel issues that occur with regard to the HCHWs, including collecting and evaluating statistics, attendance registers, reports, leave etc. Sr. Pauline Jooste with HCHW Eddie and Angela outside the HOPE Cape Town container in Blikkiesdorp Importantly, the Training and Compliance Officer is constantly in contact with the local Primary Health Care Facilities to assess and evaluate the success or problems with regard to the HCHW Programme. On a weekly basis she visits the HOPE Cape Town communities to liaise with the clinic managers and staff and to assess the situation in the health care facilities. HOPE Cape Town in the communities 25 HOPE Cape Town Association Annual Report 2009/ 10 Delft Paediatric ARV clinic (Dr. Sadeeka Williams) The Delft Paediatric ARV Clinic runs every Friday at Delft Community Health Centre. It is a government service that is supported by HOPE Cape Town through the work of community health worker, Angela Abrahams and medical officer, Sadeeka Williams. Currently, there are 125 children that attend the clinic on a regular basis. The children that attend the clinic live in Delft as well as the surrounding areas of Wesbank, Mfuleni and Green Park. The youngest baby is 3 months old and the eldest teenager is 15. Previously, the clinic was located in the main building of the community health centre where the rooms were quite small and unsuitable for the clinic’s needs. In October 2010, the clinic was relocated to a renovated building in the rear of the premises along with the adult ARV clinic. The new site is bigger and able to accommodate the growing number of people that attend the clinics. Many of the children with HIV have lost a parent and live in the care of foster parents or grandparents and it is important that a safe, friendly environment is created for them where they feel comfortable to attend and are able to meet up with other children with similar backgrounds. It is also therapeutic for the parents to create friendly relationships with other parents attending the clinic. Up to 35 patients may be seen by Dr Williams and Tygerberg Hospital doctor Gadija Essack on any given Friday and it is important for keep children and parents smiling on these days. Thankfully there is now a sunnier and happier waiting room. Coming to the clinic has also proved to be the favourite part of the elective students’ rotation, as it gives them the opportunity to see and play with many children. Little patient in Delft (Photo courtesy of Tim Müller Photographie – www.germican.com) HOPE Cape Town in the communities 26 HOPE Cape Town Association Annual Report 2009/ 10 On 19 November 2010, the clinic team together with HOPE Cape Town staff and a number of volunteers organised a Christmas party for the little patients and their parents at the Delft Community Hall. The children did not only enjoy the food and drinks, but even more the entertainment programme comprised of jumping castles, fun games and a dancing competition. Participants of the dancing competition (Photo courtesy of Tim Müller Photographie – www.germican.com) Many of the children’s families are too poor to celebrate Christmas at home; some do not even have a warm meal per day. The excitement among the kids was tangible, especially when Father Christmas gave each child a present at the end of the event. “Father Christmas” giving out presents to little patients during the Christmas Party in Delft (Photo courtesy of Tim Müller Photographie – www.germican.com) HOPE Cape Town in the communities 27 HOPE Cape Town Association Annual Report 2009/ 10 The Sangoma ‘Muti’ Project (Prof. Dr. Bernd Rosenkranz) As a spin off from the established Traditional Healers’ project, HOPE Cape Town supports a scientific project which is currently planned to address the potential effect of traditional medicines used by the traditional healers (sangomas) on the blood concentrations (pharmacokinetics) of conventional drugs including those used for treatment of HIV/AIDS. This information will be important for providing best medical advice to HIV patients, because sangomas will often give these patients medications of plant and animal origin (Muti) for treatment of physical and mental illness, social disharmony and spiritual difficulties. It is well known that herbal medicines can interfere with the elimination of drugs, and therefore it can be expected that this will also be the case for some of the South African traditional medicines. This project will be performed by a doctoral student at the Division of Pharmacology (Stellenbosch University), with active involvement of some of the sangomas who cooperate with HOPE Cape Town. HOPE Cape Town would like to thank the researchers and the sangomas involved in this project for their cooperation. This research project is partly funded by the HOPE Kapstadt Stiftung via the German AIDS Foundation. HOPE Cape Town in the communities 28 HOPE Cape Town Association Annual Report 2009/ 10 Our sponsors and partners (Dr. Susanne Reuther) It is the end of the year again and, thus, my honor once again to thank our donors and sponsors, the people and organisations, that have made our work possible. Within our management we had quite a couple of discussions in the past year about “running an NGO” and “running a company”. Can they be compared? Should they be compared? We had strong opinions on both, but we agreed on the fact that NGOs and companies alike should be run with highest morals and standards, best governance and the interest of its people at heart. During a time of heated discussion amongst our management, I read an article in the Harvard Business review on exactly that topic. The author questioned the fact that funds distributed to NGOs in the USA went in large parts to small local NGOs and only a few bigger ones. He found that unlike in the “business world”, where annual reports provide a measure of success for potential investors, in the NGO world the financial report usually gave little or no clue at all about the social success a specific NGO had achieved with the funds provided. What is an NGOs measure of success? How is “social return on investment” communicated to the donors of a charity? And since the measure of success seems to lack for many smaller NGOs, how can they attract more donors in order to be able to grow? How do donors find the right charity to achieve the desired outcome for their donations? Well, we at HOPE Cape Town believe that our measure of success is the change achieved in people’s lives and the difference made in a community. Our core mission of bettering the lives of HIV infected and affected human beings can only be achieved, if we are held responsible by our donors for delivering results and make sure that we use best governance in all aspects along the way. Thus, your monetary contribution, dear sponsors and donors, is not only the glue that holds HOPE Cape Town together, your visits at our project, your opinion of our work and your word of mouth once returned to your home, is the measure of success we as HOPE Cape Town must satisfy. We estimate through our own research that we reach more then 300 000 people with the work we conduct through our organisation. If we better the lives of only a fraction of these 300 000 human beings one way or another – through counseling, food, direct help, support, an open ear, a supportive hug, an explanation of things not understood, a hand held in hospital, clothes provided for the family, food cooked in the clinic, backup and friendship and dealing with partners and families, a smile or a laugh in most dire circumstances -- if we make lives a little better, I think we can say that HOPE Cape Town is a project with a high social return on investment. Being aware of our responsibilities in providing a high return on your investment, we once again want to encourage you to come visit us and see for yourself. But we will also make sure to provide you the proof of service delivered and lives bettered through our annual report. Our sponsors and partners 29 HOPE Cape Town Association Annual Report 2009/ 10 Many of our sponsors have been faithful to us for a decade and we can not thank you enough for believing and trusting in us. A number of our sponsors have encouraged friends, colleagues and family to also help and this is how we multiply and grow. Thank you. A lot of our sponsors have developed very close ties with us at HOPE Cape Town, many have become true friends over the years and have, thus, outgrown the label “donor”, but are family members of the HOPE Cape Town family. If I had to name all, our printing costs for this annual report would probably double, so please allow me to pick a few without thanking the supporters and friends not mentioned here any less. Viola Klein and Andreas Moench from Saxonia Systems hosted the “HOPE Gala” in Dresden, Germany in October and have done so for four years in a row now. Not only has Viola managed to organize an event of Hollywood proportions with huge media interest, she has also persuaded performers, artists and singers of fame to not only perform for HOPE Cape Town at the Gala event, but become ambassadors and active supporters of our organisation, too. Viola, it is difficult to find the right words for your enormous effort, huge heart and incredible work for HOPE Cape Town. You are part of our HOPE Cape Town family and we look forward to welcoming you home again soon. Please accept our gratitude and thanks for all you have done for us. Congratulations also to Viola for her nomination to the Kuratoriom der Deutschen Aids Stiftung. We know we have won a voice in the Kuratorium through you. HOPE Gala 2010 As another new member in the Kuratorium as well as an increasingly close friend to HOPE Cape Town, we want to thank the incredible Joachim Franz and his team, especially Sandra Wukovich, for their support, enthusiasm, kindness and efforts. Joachim, you have adopted HOPE Cape Town only recently, but you have already had a huge impact on our project. Best of luck for the coming adventure, we cannot wait to welcome you in Our sponsors and partners 30 HOPE Cape Town Association Annual Report 2009/ 10 Cape Town on your world tour. THANK YOU for being our friend! Thank you Sandra for the great publicity you create for us! And just like the Gala in Dresden, the Ball of HOPE in Cape Town has become an institution in the mother city and was once again an event of note in 2010. Anja Tambusso-Ferraz of the German South African Chamber of Commerce together with Petra Reichwein of the Mediterranean Villa Guesthouse have spent countless hours organizing and preparing the event, all in the spirit of helping HOPE Cape Town. Thank you Anja, thank you Petra! Your efforts are highly appreciated. Hope & Future e.V. have been supporting us for a long time, and the people of Delft together with all of us from HOPE Cape Town are grateful for your contribution. We are able to make a difference in many lives of the people of Delft through your kindness and you amaze us with your open heart whenever we have another request, big or small. THANK YOU! Another thank you to Dr. Heide, Dr. Uleer, Patrik Maas, Elli Keller and the whole team of the German Aids Foundation (DAS). You have once again funded the Sangoma Project, several positions at HOPE Cape Town such as two Community Health Workers, our project supervisor as well as our training & compliance officer, and facilitated the sponsorship of two HCHW through the province of North Rhine-Westphalia. These key positions make HOPE Cape Town what it is and your contribution makes you a big part of our project. Thank you! So many individuals have made a difference through their voluntary work, monetary support or donations in kind and it is almost impossible to name all. To name but a few, our sincere thanks go to Mrs. Sue Hollenstein, who thought about helping others in a rather dark time, Monika Rosenkranz, who has become a passionate member of the HOPE Cape Town family ever since her husband joined us in the management. And not to forget: all trustees of the HOPE Cape Town Trust, who do not only watch over our financial affairs but have become increasingly involved as mentors and advisors for HOPE Cape Town, whenever the need arises. Thank you especially to Carole Armstrong Hooper and Bob Groeneveld of Fairbridges for his priceless legal advice. A sincere and heartfelt THANK YOU to the following individuals: Familie Albers, Shirley Apthorp, Sigrid Bauschert, Aloys Berg, Familie Brand, Adelheid, Brauneiser, Prof JG Brink, MA Brodner, Familie Bruene, Helga Burkhardt-Seeman, Peter Chukurah, Alred Dominik, Volker Eberz, Familie Ferch, Hardy Fiebig, Juergen Fromm, Siegfried Foertsch, Fr. Luerssen, Maria Franz, Joerg Boeckeler, HW Frehse, Frau Fuchs, GJR Van der Meulen, R.Gareis, Familie Gaertner, Familie Gehler Agerer, Detlev Geiss, Familie Gietz, Andre Gildenhuys, Norbert Golumbeck, Familie Greifenstein, S. Guerandi, Rolf Gutzler, Familie Habig, Arno Haering, Familie Hagemeister, Frau Hartwig, Frau Hartwig-Kunrath, Herr Heck, Frau Heiduk, Angela Hellwig, Thomas Hemmelsgarn, Bernd Hessdoerfer, Leonhardt Holz, Familie Jaeger, Familie Jakob-Fiebig, Stefanie Kandels-Ruehrmann, Familie Keuchel, Johanna Klein, Margot Koeblitz, Familie Kobras, Frau Koegeboehn, Dr. Kortz, Christa Kossov, Familie Kremer, Georg Kuehl, Dr. Anette Kuempers, Bernadette Lang, Maria Lauermann, Fedi Ludwig, Andreas Marks, Familie Martini, Familie Matura & friends, Christine Meissner, Margret Moeller, Ilke Moeller, Alfred Moench, Dr. Andreas Nadler, Dr. Thomas Nitschke, Thomas Norta, Familie Oberhummer, Familie Osse, Mrs Paterson, familie Peter, Lydia Pieroth, Ralf Radeberger, Bernd Our sponsors and partners 31 HOPE Cape Town Association Annual Report 2009/ 10 Rechel, Familie Reichl, Familie Reichwein, Familie Reuther, Familie Rhiel, Jutta Riethe, Prof & Dr. Ringelmann, Oliver Roemer, Dr. Ulrich Rosenkranz, Familie Russ, Michael Sand, Ulrike Scherer Maier, Johan Schladt, Josef Schlottbohm, Volker Schmidt, Dr.Thomas Schmittinger, Familie Schoppa, Familie Schorr, familie Schwarz, Wolfgang Severin, Christine Sonnack, Natalie Spremberg, Adolf Thelen Frans-Josef Trost, Karl-Heinz, Ulrich, Ilse van Lumig, Hubert Verweyen, Familie Vogl, Familie von Doenhof, Katharina Weber, Dr. Joachim Walter, Raun Thomas Wehage, Martin, Welmman, Dr. Nocholas Wendt & Dr. v. Forstner, Eva Wichtel, Bruno Wittstadt, Anneliese Wolf, Maria Wolf, Christine Woern, Familie Ziel und Udo Zimmermann, Susanne Caroll, Mymoena Williams, Cindy Sand, Claudia Scherer-Scheltema, Mrs. Val Govind, Pat Clark & Dr. Pritzl. As well as to the following companies and organisations: Be your own hero e.V., ABSA Bank, Aggretech, ASPEN Pharmacare, Cape Diamond Hotel, CBB Rodl & Partner iNC, Chatroom, Consulate General of Switzerland in CapeTown, Corporate Golf Solutions, CTC Worldwide Logistics, Dachdeckerbetrieb Schaefer, Edwar Heights, Fairbridges Attorneys, Melco Elevators, Men’s Society Milnerton, Frauengemeinschaft Zaisering, Leonhardspfunzen, Freudenberg, German Speaking Catholic Community Cape Town, Goethe Institut, St.Johannes der Aposteln, Pfarreien Dernau, Mauschoss, Rech, The Westin Grand Hotel, Knitting Team from Nottinghamshire & Derbyshire, Eberhard Kohlberg & the crew of FS Polarstern & Neumayer Station Antarctica, Pfarrgemeinde St.Bonifatius Niederbieber, Evangelische Kirchengemeinde Altwied, Evangelische Kirchengemeinde, Oberbieber, Evangelische Mennonitengemeinde Torney, Evangelische Kirchengemeinde Niederbieber, ParServe Channel, PEP (Division of Pepcor Retail Limited), Foschini Retail Group, Intercontinental Hotel Duesseldorf (Neue Dorint GmbH Germany), Foerderverein Blankenesener, ZDF Logo, Go in GmbH, InWent gGmbH, Katholische Kirchengemeinde St. Peter, Landerkirche Einrichtung, Bistum Trier, Zentralrat im Dekanat Werne, Heilig Geist BockumHoevel, NRW Forum Kultur & Wirtschaft eV, Kath Pfarramt St. Hubertus, Henkel SA, Hommel & Kuehne, IBN, Immoinvest, Justice&Peace, Katholisches Pfarramt, Kolping Werk Muenster, Landwirtschaftsausschuss des Bayrischen Landtages, MTU SA, Restaurant Zum Burhof, Rodl & Partner, Southern African-German Chamber of Commerce & Industry, Stiftung MARO, Thyssen Krupp Cape Town, Trainingsteam Leichtathletik, World Shipping NE Warner. Donation handover from Intercontinental Düsseldorf Our sponsors and partners 32 HOPE Cape Town Association Annual Report 2009/ 10 A big thank you to Tim Müller for making his photographs available for this Annual Report! Last but not least we want to thank the following “Kindertagesstaetten” (crèches) Michel’s Nagerbande, Schatzkiste, Laubenheim, Taka-Tuka-Land, Flitzkids and Pusteblume, which are increasingly making a difference to our work through their contribution. There are a handful of sponsors who have stood by us through the years come rain or storm, recession or golden days: Karsten Knechtel, who has been with us almost from the start. Karsten, we look forward to seeing you as our guest again in January! Mr. Dietmar Moehrlein, Bernadette Roellig, Brian & Val Sharkey. Val, our hearts are with you in these difficult times, Brian will never be forgotten! And as always: we can not do without you: our wonderful Ithemba volunteers: Marchelle Hendricks, Margaret Graham and Germaine Heinen. Please forgive us, should your name not be mentioned above. A complete list with all donor names will be published on our website www.hopecapetown.com in the beginning of 2011. You all are pieces of the puzzle that creates HOPE Cape Town. THANK YOU, we can not help without you! Have a blessed festive season and a truly magnificent start to 2011. Our sponsors and partners 33 HOPE Cape Town Association Annual Report 2009/ 10 In memoriam: Brian Sharkey On 25 November 2010, one of HOPE Cape Town’s most dedicated and early supporters, Brian Sharkey, sadly passed away after a long illness. Born in 1947 in England, Brian was a devoted Catholic with a passion to help those less fortunate. He was an only child and he is survived by his 94 year old mother in Birmingham and his wife, Val in Milnerton. His abiding interests were golf and horse racing, which he brought into his faith and used to raise hundreds of thousands of Rand for HOPE Cape Town and Catholicare. Catholicare was founded in 1991 as an outreach by Catholics in order to live out their faith by helping others, rich and poor. Brian was Director of Catholicare for many years and he ensured that Catholics were empowered to do good in a vast number of ministries to others in society at large. Brian was also a member and recently Director of the Men’s Society of the Milnerton-Brooklyn Parish, founded in 1995. His bonding with his fellow Catholic Men was evidenced by their concern and assistance to him during his illness and at his death. It was Brian’s enterprise that led the Men’s Society to launch the Horse Auctions in January and July each year to raise funds for HOPE Cape Town. Brian’s brainchild brought in close to a million Rand over the years. He was ever grateful to his friends in the Horse-Racing community for their readiness to reach out to HOPE. He could always count on leading sports personalities such as Vladimir Kotov (Runner), JP Duminy, De Wet Barry (Stormers), Andrew Bon (TV presenter), Mike Bass & family, Marsh Shirtliff, Naill Keller, Grant Knowles, John Koster, Rob Champion, Tom Yates, Waine Gregg, Greg Cheyne and especially Pat McGivern (Horse Owners & Trainers) and many others. He could also depend on J&B Whiskey for the Met and Klawersvlei Winery and others for his Golf Days for Charity. His outreach work for the poor included overseas travels, where he was instrumental in networking between his Parish and Batley in Leeds through Paul Howgate and with Ireland where he addressed Rotary International. Brian’s service to humanity and his amazing impact on the Church and society is living evidence of the “Power of One”. Our sponsors and partners 34 HOPE Cape Town Association Annual Report 2009/ 10 Annex Annual Financial Statements HOPE HIV Outreach Program (Registration Number PBO 18/11/13/4709, 031-559-NPO) Financial Statements for the year ended 28 February 2010 Annual Financial Statements I HOPE Cape Town Association Annual Report 2009/ 10 HOPE HIV Outreach Program (Registration Number PBO 18/11/134709, 031-559-NPO) Financial Statements for the year ended 28 February 2010 General Information Country of incorporation and domicile South Africa Nature of business and principal activities Support and Counseling of HIV and AIDS diagnosed adults and children Committee members Dr M Esser (Chairperson) Prof M Cotton Dr CH Duisberg Rev S Hippler Prof Dr W Preiser Dr S Reuther Prof Dr B Rosenkranz Postal address PO Box 19145 TYGERBERG 7505 Auditors Rademeyer Wesson Chartered Accountants (S.A.) Registered Auditors Organisation registration number PBO 18/11/13/4709, 031-559-NPO The reports and statements set out below comprise the financial statements presented to the committee: Index Page Independent Auditor’s Report III Committee Members’ Responsibilities and Approval IV Balance Sheet V Income Statement VI Statement of Changes in Equity VII Cash Flow Statement VIII Accounting Policies IX Notes to the Financial Statements X Annual Financial Statements II HOPE Cape Town Association Annual Report 2009/ 10 Annual Financial Statements III HOPE Cape Town Association Annual Report 2009/ 10 Annual Financial Statements IV HOPE Cape Town Association Annual Report 2009/ 10 Annual Financial Statements V HOPE Cape Town Association Annual Report 2009/ 10 Annual Financial Statements VI HOPE Cape Town Association Annual Report 2009/ 10 Annual Financial Statements VII HOPE Cape Town Association Annual Report 2009/ 10 Annual Financial Statements VIII HOPE Cape Town Association Annual Report 2009/ 10 Annual Financial Statements IX HOPE Cape Town Association Annual Report 2009/ 10 Annual Financial Statements X HOPE Cape Town Association Annual Report 2009/ 10 Annual Financial Statements XI HOPE Cape Town Association Annual Report 2009/ 10 Annual Financial Statements XII