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Based on the learnings of the implementation of the Isibindi model, NACCW developed the Isibindi Impilo (“Life in IsiZulu”) model. This model provides has an intensive HIV prevention, care and treatment approach. Through the Impilo model, the child and youth care workers (CYCWs) conduct HIV risk assessments with vulnerable children and adapt a layered approach to address HIV prevention, treatment and care which includes home visits, psychosocial care and support, individual or group-based sessions and structured development programmes, in addition to targeted adherence and support for young people already living with HIV. CYCWs bridge the gaps in care with a mutual referral and linkage process through, for example, healthcare providers referring high risk and HIV+ young people to Isibindi Impilo and CYCWs referring young people to healthcare providers for testing.

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  • NACCW partnered with NACOSA in implementing a PEPFAR-funded programme utilizing the Isibindi Impilo model in the Western Cape. This is for the “Preventing HIV/AIDS in Vulnerable Populations focusing on Orphans and Vulnerable Children in the Western Cape” programme.

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  • NACCW partnered with the ELMA Foundation and the MACAIDS Fund to implement Isibindi Impilo in KwaZulu-Natal for the “Unfinished Business of Paediatric and Adolescent HIV” programme.

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  • NACCW also partnered with the UNAIDS and the Municipality in KwaZulu-Natal to implement the community-based HIV programme.

Additional programmes that drew on the Isibindi Impilo model included:
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  • The PEPFAR DREAMS (Determined, Resilient, Empowered, AIDS-free, Mentored and Safe) programme which deployed CYCWs to provide health, educational, life skills and psychosocial services to children. NACCW reached over 45,000 children in the programme in KwaZulu-Natal and Gauteng.

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  • NACCW worked with FHI360 to implement the DREAMS school-based HIV and violence prevention programme in Gauteng, and successfully reached more than 50,000 learners. This programme was implemented in just over 100 schools and was a start to the design of the school based Isibindi Ezikoleni model.

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  • NACCW partnered with FHI360 to continue the work of Isibindi in the Eastern Cape, and the implementation of ReACH activities servicing over 50,000 beneficiaries.

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