BAPHALALI SWAZILAND RED CROSS SOCIETY

CLINICS & DIVISIONS PERFORMANCE

2013

PREPARED BY: ELLIOT JELE PROGRAMMES MANAGER

DATE: 8TH AUGUST, 2014

i

TABLE OF CONTENTS

TABLE OF CONTENTS ...... II 1. INTRODUCTION ...... 1 2. PROGRAMMES DESCRIPTION ...... 2 3. ACHIEVEMENTS IN 2013 ...... 2 3.1. HEALTH AND SOCIAL SERVICES ...... 2 3.1.1. GOAL- HEALTH & SOCIAL SERVICES ...... 2 3.1.2. OBJECTIVES - HEALTH & SOCIAL SERVICES ...... 3 3.1.3. OVERALL HEALTH & SOCIAL SERVICES ACHIEVEMENTS ...... 3 3.1.4. ACHIEVEMENT PER PROGRAME COMPONENT, & OUTCOME LEVEL ...... 3 ORPHANED AND VULNERABLE CHILDREN ...... 8 3.2. ORGANIZATIONAL DEVELOPMENT ...... 9 3.2.1. GOAL- OD ...... 9 3.2.2. OBJECTIVES – OD ...... 9 3.2.3. OVERALL OD ACHIEVEMENTS ...... 9 3.2.4. ACHIEVEMENT PER PROGRAME COMPONENT, & OUTCOME LEVEL ...... 9 3.3. DISASTER MANAGEMENT ...... 11 3.2.1. GOAL- DM ...... 11 3.2.2. OBJECTIVES – DM ...... 12 3.2.3. OVERALL ACHIEVEMENTS - DM ...... 12 3.2.4. ACHIEVEMENT PER PROGRAME COMPONENT, & OUTCOME LEVEL - DM ...... 12 3. PLANNING, REPORTING, MONITORING, AND EVALUATION ...... 16 PLANNING ...... 16 REPORTING ...... 16 MONITORING ...... 16 EVALUATION ...... 17 4. CHALLENGES AND RECOMMENDATIONS ...... 18 5. CONCLUSION ...... 19 ANNEX I: CLINIC HEALTH COMMITTEES IN 2013 ...... 1 ANNEX II: DIVISION COMMITTEES 2013 - 2016 ...... 3

ii

ANNEX III: DIVISIONAL YOUTH COMMITTEE ...... 5 ANNEX IV: NATIONAL GENERAL ELECTION ERT HOT SPOTS CONTACTS IN 2013 ...... 8

iii

1. INTRODUCTION

This is a 2013 annual report covering three programmes namely Health & Social Services, Organizational Development and Disaster Management. Each programme was presented as per the Strategic plan 2011 – 2015, and the 2012 – 2013 Operational plans of the BSRCS.

Coverage, Staffing and Membership

Baphalali Swaziland Red Cross provides public services to citizens through eight structures and coordinated through the Head Office in Mbabane. These structures are five divisions (Manzini, Mbabane, Nhlangano, Piggs Peak and Siteki), and three clinics (Sigombeni under , Silele under , and Mahwalala under ). Divisions had a coverage of 157 branches (Chiefdoms). Breakdown of branches per division was as follows: Nhlangano (41), Piggs Peak (35), Mbabane (31), Manzini (28), and Siteki (22). A profile for each community was not readily available for capturing in this report. Activities of each branch are coordinated at Divisional level while those of divisions at Head Office in Mbabane. The organization has a staff complement of 56 with 16 from Divisions, 28 from the clinics, and 12 at the Head Office. Membership of the organization was estimated at 2063.

Communities served

All clinics serviced a total population size of 32, 000 from 27 communities. Mahwalala Clinic provides health care services to a population of about 13 000 people from Baha’i, Mangwaneni, and Mvakwelitje, and Zones 1 to 6. Silele has eight catchment areas namely; Hholomi, KaLiba, KaNdunayithini, Luqolweni, Lushiyini, Ngololweni, Ondiyaneni, and . Silele population is estimated at 8500 people, while Sigombeni clinic services 10 areas which are Ennie, Ka-Ntunja, New Mbuluzi, Ngcayini, Nsenga, Nsingweni, Sankolweni, Sibuyeni, Sigombeni, and Vusweni communities where a population estimated at 10500 is served.

Technical and Financial Support

External technical support is from a local Finnish Red Cross Delegate, ICRC, IFRC, SRC, NorCross, and Belgian Red Cross Flanders as well as the Government of Swaziland.

1

Services

All clinics managed to provide health care services in primary health care and HIV/AIDS prevention, treatment, care and support. Divisions provided the non- clinical services. While divisions mainly delivered developmental and as well as relief services to the disadvantaged groups.

2. PROGRAMMES DESCRIPTION The number of people who benefited from the BSRCS services in 2013 was 274, 114. These services were delivered through heath, organizational development and disaster programmes whose sole aim was to improve the livelihood of people who were disadvantaged in 2013.

2.1. NATIONAL SOCIETY GOAL A well resourced and self sustaining National Society that addresses the needs of the most vulnerable people in Swaziland as an auxiliary partner to government in delivering efficient and effective humanitarian service by 2015

2.2. HEALTH, OD, AND DM PROGRAMMES GOAL, OBEJECTIVES, PROGRAMME COMPONENTS, OUTCOMES, INDICATOERS (OUTCOME LEVEL), AND ACTIVITIES.

The health services programme had 4 programme components, 10 outcomes, 37 verifiable indicators (at outcome level), and 63 activities. On the other hand, the OD had 4 programme components, 8 outcomes, 23 verifiable indicators (at outcome level), and 40 activities. Lastly, the DM had 4 programme components, 8 outcomes, 23 verifiable indicators (at outcome level), and 22 activities. Annex

3. ACHIEVEMENTS IN 2013

3.1. HEALTH AND SOCIAL SERVICES

3.1.1. GOAL- HEALTH & SOCIAL SERVICES

To reduce vulnerability, morbidity, disability and mortality that is due to diseases and Social conditions to people in rural and urban areas in Swaziland by 2015

2

3.1.2. OBJECTIVES - HEALTH & SOCIAL SERVICES

 To provide health services to the most vulnerable people in Swaziland by 2015

 To provide comprehensive integrated services on HIV and AIDS/Tuberculosis prevention, care, support, treatment, discrimination and stigma reduction in Swaziland by 2015.

3.1.3. OVERALL HEALTH & SOCIAL SERVICES ACHIEVEMENTS

Clinics, Divisions, and other special programmes delivered health services such as first aid, mother and child health, information and public health to 245, 187 people in 2013. The health and social services department had four programme components, and ten outcomes. All of these outcomes were achieved. A breakdown of which is hereby presented below.

3.1.4. ACHIEVEMENT PER PROGRAME COMPONENT, & OUTCOME LEVEL

Programme Component 1: Community-Based Health (Occupational and Primary), First Aid, Road Safety and (Post, and Commercial)

Outcome 1: communities have capacity to reduce their own vulnerability to health hazards through knowledge of local community-based health and first aid (CBHFA).

In 2013, BSRCS had 10 trained First Aid level One Instructors (2 per division) who were trained by the South African Red Cross Society, and were given certificates with an age of three years. The challenge faced by the NS is all retention of Instructors. Field Coordinators sought technical support in training first aiders from a weak pool of Instructors.

In 2013, the NS provided first aid training skills to 884 people (86%) towards the annual target. Challenges are that there was no consistent management of the programme at national level. Siteki Red Cross Division continued to excel in commercial first aid training.

In line with this outcome, the NS provided 108 first aid post services managed by 707 volunteers. The number of people who received first aid services and information during those events was 20, 323 against planned target of 1800.

3

Outcome 2: Mother and child health is improved through immunization services to children and mothers in areas of BSRCS operations.

TABLE 1: CHILD WELFARE SERVICES IN 2013 PROVIDED BY ALL THREE CLINICS

Services/Activities Total Child Welfare Number of Children with Normal Weight (a) 3767 Number of children with Under Weight (b) 0 Number of Children with Severe Under Weight (c) 0 Number of Children with Over Weight (d) 0 Total number of Children who received welfare services (a+b+c+d) 3767

The food insecurity related conditions were not identified as a problem around the Red Cross Clinics because out of the 3767 children none had deficient weight problems.

TABLE 2: IMMUNIZATION SERVICES IN 2013 PROVIDED BY ALL THREE CLINICS

Immunization Number of Children who received BCG dose 57 Number of under five Children who received D.T dose 57 Number of under five Children who received OPV/HBV/DPT/HIB 927 Number of under five children who received Measles dose 222 Number of under five children immunized Overall 1263

Overall children who visited Red Cross Clinics in 2013 stood at 1263. About 57 (6%) in proportion to number of under five Children who received OPV/HBV/DPT/HIB, children either had a home delivery or defaulted from attending regular immunization visits (6%).

TABLE 3: IMMUNIZATION PLUS SERVICES IN 2013 PROVIDED BY ALL THREE CLINICS

Services/Activities Total Immunization Plus Number of Children who received Vit. A dose 180 Number of under five children who received Albendazole dose 117 Number of under five children who received Imm + 297

4

Outcome 3: The level of community health knowledge is increased through the development and distribution of health related information, education and communication (IEC) materials. Outcome 6: Peer education and community mobilization Outcome 7: Information, education and communication (IEC) for vulnerable groups The NS, through the youth programme reached 105 623 people (printed 300 t-shirts earmarked for the in-school youth programme, 15 bags were purchased and printed, and were meant for condom distribution by Mbabane peers. Jackets printed were 15 and were distributed during World AIDS Day of 2013. Other events used as mode for distribution of information were Reed dance, World Red Cross Day, Youth soccer tournaments, and the Day of the African Child. Soccer tournaments attract a large pool of youth, and thus set a very good platform for disseminating information about Red Cross and prevention of communicable diseases, such as HIV & AIDS.

Programme Component 2: Public Health Services

Outcome 4: Communities have access to curative, preventive and promotional health services during emergency and/or disaster situations.

TABLE 4: CURATIVE SERVICES IN 2013 PROVIDED BY ALL THREE CLINICS

Services/Activities Total Curative Number of curative clients (a) 29744 Number of clients referred-in (b) 26 Number clients re-Attended (c) 68 Number of clients referred-out (d) 170 Total number of clients provided with curative services (a+b)-(c+d) 22335

All three clinics combined provided curative services to 29744, and received in- referrals from 26 clients. The number of out-referrals was 170, and 68 re-attended.

Table 5: Pre-ART & ART Programme services in 2013 provided by all three clinics Services/Activities Total Pre-ART & ART Programme Number of ART clients from 2013 (a) 1761 Number of Clients initiated on ART (b) 312 Number ART Clients transferred in (c) 347 Number of ART Clients re-started (d) 6

5

Number ART Clients transferred out (e) 65 Number ART Clients who died (f) 26 Number ART Clients lost to follow (g) 14 Number of ART Clients remaining in the programme (a+b+c+d) - (e+f+g) 2322

Services/Activities Total Consultations (OI) Pre- ART 15161 Refills (ART) 31547 Total HIV/ART Clients attended to 91143

Table 6: Community Health Nursing/HBC services in 2013 provided by all three clinics Services/Activities Total Community Health Nursing/HBC Number of home visits conducted 29 Number of Heath education session 311

Table 7: Tuberculosis Management services in 2013 provided by all three clinics Services/Activities Total Tuberculosis Management Number of Tuberculosis (T.B.) Patients screened 20720 Number of positive sputum smears 144 Number of negative smears 77 Awaiting results 0 T.B contacts 0 MDR 2 Transfer in 0 Transfer out 0

Programme component 4: Prevention of further HIV Infections

Outcome 8: Promoting and providing Voluntary Counselling and Testing (HTC/VCT) service

TABLE 8: COUNSELLING TESTING SERVICES IN 2013 PROVIDED BY ALL THREE CLINICS

6

Services/Activities Total Counselling and Testing Number of Clients who took HIV test 14852 Number of clients with negative results 14517

Outcome 9: Promoting and providing Prevention of Mother to Child Transmission (PMTCT) services including greater uptake of PPTCT and ART services through community mobilisation.

TABLE 9: ANTENATAL CARE/PMTCT SERVICES IN 2013 PROVIDED BY ALL THREE CLINICS

Services/Activities Total Antenatal Care /PMTCT/Post Natal Care Total number of Antenatal Care visits 558 First ANC Visits 288 ANC HIV Test at First Visit 248 ON ART PRIOR TO 1ST VISIT 32 ANC HIV Test at repeat visit 177 ANC Clients who received HIV test results 326 Number of ANC client who were HIV+ 62 Women given NVP dose at ANC 47 Women given AZT/NVP dose at ANC 75 Cotrimoxazole Refill 43913 Women booked for ANC on ART 20 Women commenced on ART 17 Number of exposed infants & tested 9 Number of HIV+ infants 3 Number of HIV infants on ARV 3 Number of Post Natal Clients attended 107

Outcome 10: Promoting skills for personal protection, including condom use

TABLE 10: FAMILY PLANNING SERVICES IN 2013 PROVIDED BY ALL THREE CLINICS

Services/Activities Total Family Planning Family Planning services for new and re-attended Clients 5760 Total number of female Condoms Distribution (a) 17 Total number of Male Condoms Distribution (b) 20919 Total number of Male and female Condoms Distribution (a+b) 20936

7

Condom promotion and distribution

Through the divisions and clinics, the number of condoms distributed was 135 436 (Female 24,017: Male 111, 419). The target was 150000, and we fell short of 50,064 (33%). This short fall was caused by premature closure of the Piggs Peak youth programme which was a good distribution point to youth.

ORPHANED AND VULNERABLE CHILDREN Overall, the number of children supported through the OVC programme in 2013 was 321 (164 at Silele and 157 at Sigombeni).

Sigombeni Clinic

Twenty (20) OVC identified and were given food packs since September 2012. School fees for 157 children (55 PS & 102 HS), school uniforms (171), and Second hand clothes (142), tree of life workshop (107 participants from 11 sessions), and 5 events (2 camps, 2 day out, 1 Christmas celebration) organized with a total of 71 participants. The differences between number of school fees paid and uniforms provided is mainly due to the number of grade 5 repeaters, who benefitted in 2013 of free education, but whose uniforms were still provided by RC. We made sure through individual follow-up and proper documentation that all children have received their uniforms.

During 2013, the OVC project put a lot of emphasis on providing psychosocial support and increasing life skills through a wide range of activities: tree of life workshops (11 sessions), life skills camp for G7 students, life skills camp for young mother who have dropped out, day out with disable children, Christmas celebration with double orphans, individual follow-up and counselling.

Silele Clinic

One hundred and sixty-four children at Silele from (Ngololweni Primary and High, Hosea Primary and High, Sandleni High, Entabeni Primary, Ngozi Primary and Patmos Primary Schools) supported with various basic services in 2013 were 164 children. With educational support being school uniforms were 115 and 77 with school text books and exercise books. Two (2) boys from Sandleni High School did not do well in high school in 2012, and re-started their high school education through the kind support of the programme. Twelve one-room houses for same number of households were constructed. The living condition of these children was changed.

8

3.2. ORGANIZATIONAL DEVELOPMENT

3.2.1. GOAL- OD Increase local community and Red Cross Red Crescent capacity to address the most urgent situations of vulnerability by 2015.

3.2.2. OBJECTIVES – OD  To strengthen the governance and management capacity of BSRCS at all level by 2015;  To develop and implement a functional human resource management system by 2015;  To develop and implement a well-defined and effective communication, planning, monitoring, reporting and evaluation system by 2015;  To develop and implement an effective asset management system that will improve the resource mobilization by 2015;  To increase the financial resource base of the National Society by 2015;  To strengthen the financial management system by 2015;  To build the capacity of youths in responding to the needs of vulnerable people in their communities by 2015.

3.2.3. OVERALL OD ACHIEVEMENTS

Branch growth stood at 157 from 141 the previous year (2012). Membership also increased from 1600 to 2063. On average, there were two statutory meeting held in 2013 out of 10 per division. Volunteers, staff, and beneficiaries trained in 2013 was 352.

3.2.4. ACHIEVEMENT PER PROGRAME COMPONENT, & OUTCOME LEVEL

Programme Component 2.1: Leadership and Management Development

Outcome 1: Increased Leadership capacity for optimal performance and accountability

Over 70 (50%) out of 141 Branches had renewed membership, and were ready for election education and branch elections. Branch election sessions were completed by end of February 2013, and in March – April 20th Divisions completed their

9 elections. Divisional elections and National Executive Nominations for vacant post were completed on the 20th April, 2013. The Annual General Assembly was then held on the 27th April, 2013 in Mbabane at Thokoza Church Centre, where the new National Executive Board was elected (see annex III). The outgoing NEC was unable to open up sealed envelopes containing nominees for the NEC positions because of time constraints, and was only opened on the 27th April, before the start of the AGA.

Programme Component 2.3: Branch Development and Volunteer Management

Outcome 6: BSRCS has vibrant branches delivering quality services through their local volunteer and youth networks.

By January 2013, the number of Red Cross Branches stood at 137, and by end of 2013 there was an increase by 18 (13%). Siteki 5 (16 to 21), Nhlangano 12 (45 to 57) and Mbabane 1 (30 to 31). In the same manner the number of volunteers subscribing to the NS grew from 1600 to 2063 (29%). The number of visits to branches (157) in 2013 was 174. That is on average one visit per branch was conducted.

Outcome 7: BSRCS has well established systems and procedures for the systematic provision of technical support to its branches.

BSRCS has a constitution that guides the management of Red Cross affairs at branch, intermediate and National level. This is the 2009 Constitution. Prospective branches go through a series of processes before being allowed to have formal structures such as committees and other administrative systems (i.e. opening bank accounts). In 2013 statutory meetings planned were 50 and 18 conducted (36%). These meetings included the chairpersons meetings, divisional committee meetings, youth inclusive held per quarter. One average, division held 2 statutory meetings in 2013.

Programme Component 5: strengthening BSRCS and regional capacities to deliver scaled up programmes in Swaziland

Outcome 8: Capacity to mobilise resources and its own sustainability is enhanced through the implementation of well designed income generating programmes.

10

Clinics

 At Silele there was one life skill empowerment session was held at Ngozi Primary school, where all the 164 children were present. The empowerment was meant to help the children with tips to pass the examinations, since they write their examinations in the last quarter of the year. Macmillan Swaziland– a publishing company and the Ministry of Education were invited to empower the children. At Silele again, 30 people were trained on indigenous chicken rearing by the Ministry of Agriculture staff. Participants during the training were Care facilitators, Grannies, teachers and Red Cross staff.

 A refresher course for 56 Care facilitators was held at Nhlangano and was facilitated by REPSSI, National Children Coordination Unit (Deputy Prime Minister’s office) and BSRCS staff. The Care facilitators were trained using the REPSSI PSS manual.

 A refresher course for the 15 members of the CCC was conducted in Nhlangano. The programme covered issues of domestic violence on children and women in Swaziland. Facilitators were the Royal Swaziland Police Services (Child Protection unit). The Social Welfare Department from the Deputy Prime Minister’s Office covered welfare issues pertaining to children, elderly disability, and other legal issues pertaining to maintenance of children in Swaziland.

 70 Grannies from the four different clubs were trained on PSS by our staff using the REPSSI manual called The Journey of Life. These trainings helped Grannies to opening their minds on child rearing raise and groom the children better. It made the grannies to understand the stages of growth and the mind-set of a child in a better way.

Divisions

 The youth programme provided training to 17 teacher Peer Educator Mentors under the Mbabane and Nhlangano Divisions. Each Teacher was responsible for 10 Peer Educators per the school.

 The number of First aid kits sold in 2013 was 150 out of 876 planned. We fell short of 83%. A cited challenge was that the kit supplied from FA department at HQ was not suitable to the FA market segment currently approaching the Red Cross offices.

3.3. DISASTER MANAGEMENT 3.2.1. GOAL- DM Reduce the number of deaths, injuries and impact from disasters by 2015

11

3.2.2. OBJECTIVES – DM

 To improve the capacity of the NS in terms of disaster preparedness and disaster response by 2015.  To enhance coordination and cooperation with the government and other internal and external partners by 2015  To develop the capacity of communities to adapt to changes in their environment due to climate change by 2015.  To improve food security and livelihoods in communities which are vulnerable to rapid and slow onset of disasters by 2015

3.2.3. OVERALL ACHIEVEMENTS - DM Overall the DM department rendered services to 26,512 people in natural disasters, fires, and capacity building.

3.2.4. ACHIEVEMENT PER PROGRAME COMPONENT, & OUTCOME LEVEL - DM Programme Component 1: Disaster Preparedness

Outcome 1: BSRCS capacity is improved in terms of human, financial and material resources for effective disaster management.

Partnership: In 2013, BSRCS managed to swift parent ministries, from Health to DPMO, and was sealed with an MOU between Government and the NS on 17th September 2013. The total financial support requested from Government was as follows: SUB TOTAL COSTS Disaster Management & Coordination E 3 573 268.00 Health Care Services E 5 146 078.00

TOTAL BUDGET E 8 719 346.00

LESS RED CROSS REVENUE E 689 211.00

REQUESTED FROM GOVT IN 2014/2015 E 8 030 135.00

NDRT

On the 7 – 11th October 2013, a National Disaster Response Team was trained at Happy Valley Hotel. The IFRC funded and facilitated the training. Ndhlovu Stanley

12 and Naemi Heita were Facilitators during the workshop. Participants (21) took part in this workshop included volunteers and the list is hereby presented:

Division Name Gender Contact 1. Siteki Malungisa Magongo Male 268 - 76044328 2. Piggs Peak Thulani Dlamini Male 268 - 76281003 3. Piggs peak Mcebo Dlamini Male 268 - 76641921 4. Nhlangano Samson Dlamini Male 268 - 76135855 5. Nhlangano 268 - 76115850 / 268- Sibusiso Simelane Male 76673795 6. Nhlangano Sandiso Simelane Male 268-76550902 7. Mbabane Sydney Pereira Male 268 - 76081311 8. Mbabane Thokozane Lukhele Male 268 - 76367834 9. Manzini Moses Mphimbili Male 268 - 76274051 10. Manzini Lwazi Malindzisa Male 268 - 76771996 11. Manzini Andreas Dlamini Male 268 - 76153977 12. BSRCS Elliot Jele Headquarters Male 268- 76088546 13. Siteki Lindiwe Baartjies Female 268 - 76276798 14. Piggs Peak Gugu Mavimbela Female 268 - 76311422 15. Nhlangano Nothando Nxumalo Female 268 - 76264338 16. Nhlangano Phetsile Sithole Female 268-76402850 17. Mbabane Nondumiso Mondlane Female 268 - 76998170 18. Manzini Nombuso Vilakati Female 268 - 76548158 19. Manzini Wendy Maphosa Female 268-76697591 20. BSRCS Jabu Mthethwa Headquarters Female 268 - 76034874 21. BSRCS Thabsile Dlamini Headquarters Female 268 - 76180667

DM operations Updates Out of 52 weekly updates, the NS was able to prepare and produce 14 updates, and 12 sitreps. The year 2013 was the General Elections and the NS had anticipated that the elections would present itself with violence. There were 20 hot spots identified with the possibility of violence (see table under annex IV). People assisted during the elections were 19, 322. However, the situation was under control, and the NS continued to offer first aid post services to voters and data are presented herein below: Overall Headaches Cough Water Stomach-ache ORS 1 x 500 (10 (500 (500 Total Divisions mg) Injuries ml) ml) Myogel (10 ml) ml) Manzini 941 7 376 1947 434 1419 5124 Mbabane 848 4 230 2293 283 1299 4957

13

Overall Headaches Cough Water Stomach-ache ORS 1 x 500 (10 (500 (500 Total Divisions mg) Injuries ml) ml) Myogel (10 ml) ml) Nhlangano 1175 1 254 1351 392 504 3677 Piggs Peak 630 2 106 1577 148 1141 3604 Siteki 538 2 99 762 173 386 1960 Grand Total 4132 16 1065 7930 1430 4749 19322

Programme Component 2: Disaster Response

Outcome 3: Disaster response mechanisms are efficient and effective in meeting the needs of those affected by disasters.

Storms: In 2013, the storm frequency was 17, and the number of people affected was 3852 from 644 households. Emergency relief supplies given to the affected people were tent (1), tarpaulins (38), and blankets (8). People who required basic necessities such as food, blankets, tents, and permanent shelter following the spoilage of their wares after the storm were over two thousand people. The NS could not afford to assist all people affected by the storms because of the capacity in terms of material. This was an intense occurrence of the storm in October – November 2013. However, December 2013 was a very hot and humid month.

Fires: Reported cases of fire emergencies in 2013 were 121, and people affected by those fires were 496. Divisions provided various merchandise such as second hand clothing, and food to the affected people. Common fires are those caused by candles that were left burning unattended.

Migration The NS launched a call in programme at Malindza refugee camp in 2013 through the assistance of the ICRC, and Ministry of Home Affairs. The number of people re- united with their families was 20. The number of refugees was more than 900 people.

Programme Component 4: Food Security

Outcome 6: Household food availability is improved. Nhlangano and Siteki divisions received material and financial support from FAO for backyard gardening in the form of skills building, gardening tools, 360 water harvesting containers – 5000 litre per garden, fencing material and seedlings as well monitoring visits. Funds from SPTC were used to establish 25 backyard gardens at Madadeni. While the Finnish Red Cross funded food security project purchased 24 treadle pumps and established a new project site under the where community sensitization and mobilization of resources were done. Three

14 communities were identified, namely: Mpofu, Nyakatfo and Zinyane. The project shall establish 480 backyard gardens, and 20 mushroom production gardens.

Outcome 7: Household food utilization is improved.

By end of 2013 Nhlangano and Siteki Divisions had conducted training for 360 people from same number of households who benefited from the backyard garden project. The trainings were conducted by an officer from the Ministry of Agriculture, Home Economics Department and the Project Assistant. FAO provided the financial, material and technical support towards these projects.

Outcome 8: Household access to food is improved.

Siteki and Nhlangano Divisions

The process of establishing backyard gardens in 360 households started in 2012, and by end of 2013, all 360 households had already established gardens and were enjoying the produce from the gardens. Siteki established 150 while NHO had 210. These gardens are established within a Red Cross Branch. FAO provided technical support through regular monitoring visits. Beneficiaries were given a variety of seedlings for vegetables and herbs. For example, herbs distributed included Eggplant (Black Beauty), Herbs (Parsley), Okra, Rape (Giant English), Hybrid Squash and Herbs (Dill). Vegetable seedlings distributed included cabbages, French spinach, onion, lettuce, and beetroot to name a few. Estimated number of people per household is 1800.

15

3. PLANNING, REPORTING, MONITORING, AND EVALUATION

PLANNING A number of meetings took place in 2013 but major ones were influenced by Partnership meetings as well as end of project phases. In 2013, we had Small scale funding for emergency storms came from UNICEF. The FRC FS project phase had come to an end in December 2012, and there was no long-term plan developed in 2012 hence project life span was extended by six months. January – June 2013 was supposed to be an extensive time for planning but the plan loomed longer than the six months. The current management, led by the new Secretary General introduced weekly planning sessions, and feedback every Friday 1100 – 1230 hrs.

REPORTING

Types of reports produced by the NS vary from time to time. Emergency Reports or situational reports are produced on demand as per the prevailing situation on the ground. Otherwise all other reports are produced on monthly and quarterly basis.

MONITORING

All working stations are staffed by Line Supervisors, Head Nurses for clinics and Field Coordinators in Divisions. The role of Line Supervisors was to ensure smooth running of the work stations in terms of raising revenue to breakeven, administratively, delivery of quality services to beneficiaries, monitoring, reporting and evaluation of those services so to advise management of the appropriateness of those deliverables. For example, a Line Supervisor would recommend cost structures of those services. In addition, Line Supervisors also ensured that the work station is represented at regional and local level efficiently and effectively.

Each workstation had a governing structure which also played a pivotal role in ensuring that in terms of the constitution Line Supervisors do comply with the legal frameworks of the NS. Clinics and Divisions had Clinic Health Committees and Divisional Committees respectively. It is still unclear; however, how the Clinic Health Committees influence the policies of the NS since they do not have voting powers or sits in any decision-making platform of the NS where those decisions are taken.

External Visits

Three visits from the SRC to BSRCS took place, in February 4th – 12th 2013 where Esther Oester SRC Head of Division Africa and Middle East Based in Bern & Aylin Jaspersen SRC Programme Coordinator Based in Bern participated. That is in

16 addition to local delegates who were Bruno and Sybille. Main issues discussed were programmes and institutional issues related to the partnership between these two NSs. The partnership meeting produced what one would call the “killing” milestones. For further information, these milestones are tabulated in the partnership minutes of the February, 2014.

ICRC had a mission to Swaziland on Swaziland General Elections where a survey on readiness of the NS was evaluated in February, 2013. Richenda and Andreas carried out the election preparedness survey, and a report in May 2013 was produced. Five recommendations were suggested:

 Engagement with the Elections and Boundaries Commission on the dissemination session on the role, mandate and value the NS can bring for the sake of the NS response to possible electorial violence.  BSRCS develops a preparedness plan that factors in capacity building of the volunteers in these hot-spot areas  NS engages with its local authority in the Police / Security forces on the role and mandate of the BSRCS and their role during elections.  NS consider crafting an operation communication strategy to indicate the flow of information during the elections process  Use the opportunity that the process of election provides to develop their volunteer management system for future response

EVALUATION The integrated HIV/AIDS treatment, care, support and prevention programme which the SRC supported technical and financially was evaluated, by external consultant in March 2013. The Consultant was Dr. Ram Neupane from Australia. The SRC covered all cost of the consultancy. Four recommendations suggested were consolidating operations of Mahwalala and Sigombeni clinics by defining the exact appropriate package for clients. Move away from relief programmes and go for developmental programmes. Secondly start on a small scale the youth peer education programme. Thirdly, going for SRH programmes which focus on hard to reach groups, and gender based violence. Lastly, health education programme – focused on nutrition.

An External Finance and Administration Delegate assisted the BSRCS to fine tune its Financial Manual Procedures. This exercise took 3 months beginning with the Month of June, 2013.

Internally, the OVC programme supported by Belgian Red Cross – Flanders carried out a mid-term evaluation exercise. The Londiwe Nhlengethwa (National OVC Coordinator), Sibonelo Dlamini (Communications officer), and Nomfuneko Motsa (Volunteer – Communications) participated in this exercise. The report

17 recommended that the project should buy its own project vehicle, establishment of a pre-vocational centre, pay OVC up to Tertiary institution level, flexibility of project coverage by adding more High schools outside coverage area, broaden scope such as taking care of the elderly and all those who are in need in the communities, and finally extend Food Security project to Crop production for the Child Headed Households.

4. CHALLENGES AND RECOMMENDATIONS Staff motivation seems to have a big bearing on staff retention, however, the MoH and Baphalali Swaziland Red Cross Society (BSRCS) did engage each other and the 25% overtime allowance for medical staff was agreed. The Swiss Red Cross Integrated HIV/AIDS prevention, cure and support programme phase out in 2013 September was launched. The Health and Social Services Plan for 2013 had no clear targets hence it was difficult to measure the impact of the services. School fees payment for children at Hosea High was paid in the second quarter of 2013 instead of the first quarter due to insufficient funds, and this could be avoided through proper planning on cash flow, especially if the cash flow was based on yearly as opposed to quarterly basis.

NS Experienced a drop in the condom distribution due to closure of Piggs Peak youth programme prematurely without having established new site for the subsequent distribution. This should be avoided by establishing good governance and leadership that supports the work of the youth.

Volunteer growth (both new and renewals) though had indicated growth but the pool of volunteers was not comparable on average to the required number of volunteers per branch. Ideally, the expected average number of members should float at 3925 (157*25). We fell short by 1862. The volunteer subscriptions could be improved through sustainable IGP or Savings and Credit Corporative initiatives. In 2013, statutory meetings, on average, were 2 per division. This is a serious concern because it indicates that business at divisional level was stalled, and this can be overcome through code of conduct and strict adherence to the BSRCS constitution.

First Aid kit supplied from FA department at HQ was not suitable to the FA market segment currently approaching the Red Cross offices, claimed Field Coordinators. Phasing out by the Swiss Red Cross from the Mahwalala and Sigombeni Clinics level and by Belgian Red Cross – Flanders from the Silele clinic came with challenges of maintaining the same quality of services beyond the funding phase. Silele started later than the other two Red Cross Clinics to introduce ART hence discrepancy in capacities towards planning.

18

5. CONCLUSION

This report covered three programmes, namely Health & Social Services, Organizational Development and Disaster Management. Each programme was presented as per the Strategic plan 2011 – 2015, and the 2012 – 2013 Operational plan of the BSRCS. Furthermore, this report also presented annexes which contained some form of additional information which enhance the report.

19

ANNEX I: CLINIC HEALTH COMMITTEES IN 2013

Mahwalala

Name & Surname Position Chiefdom/Zone Office Tenure Mobile # Represented 1. Mr. Foreman Masina Chairperson Mawalala Zone 5 2012 – 2015 76357350 2. Mr. Mlondi Dlamini Vice Manzana Zone 6 2012 – 2015 76031705 3. Mrs. Mumsy Mdluli Treasurer Zone 4 2012 – 2015 76433598 4. Mrs. Tjengisile Mbuli Secretary Nkwalini 2012 – 2015 76991617 5. Miss Lindiwe Dlamini Member Mangwaneni 2012 – 2015 76087940 6. Mr. A. Tsabedze Member Bahai 2012 – 2015 76518173 7. Mr. J. Maseko Member Zone 6 2012 – 2015 76030718 8. Ms. Dumsile Dlamini Member Zone 4 2012 – 2015 78031448

Sigombeni

Name & Surname Position Chiefdom/Zone Office Tenure Mobile # Represented 1. Mr. Amos Mdluli Chairperson Ngcayini 2012-2015 2. Mr. Themba Khumalo Vice Chairperson Eni 2012-2015 3. Mr. Nkosinathi Khumalo Secretary Sigombeni Clinic 2012-2015 4. Mr. Meshack Dlamini Treasurer Sigombeni 2012-2015 5. Mr. Phillip Magagula Member Sigombeni 2012-2015 6. Ms. Phumzile Khumalo Member Eni 2012-2015 7. Mr. Mgcibelo Msibi Member Ntunja 2012-2015 8. Mr. Sthembiso Mdluli Member Nsingweni 2012-2015 9. Ms Joice Maseko Member Nsingweni 2012-2015 10. Ms. Babazile Dlamini Member Sankolweni 2012-2015 11. Mr. Norman Tsabedze Member Vusweni 2012-2015

1

Name & Surname Position Chiefdom/Zone Office Tenure Mobile # Represented 12. Ms. Nomsa Mtsetfwa Member Vusweni 2012-2015 13. Ms. Busisiwe Zulu Member Sibuyeni 2012-2015 14. Ms. Phephile Maseko Member Sibuyeni 2012-2015 15. Mr. Jokozela Vilakati Member Nsenga 2012-2015 16. Ms. Thulsile Mhlanga Member Nsenga 2012-2015

Silele

Name & Surname Position Chiefdom/Zone Office Mobile # Represented Tenure 1. Zanele Hlophe Chairperson KaLiba 2009 - 2013 76171942 2. Tryphinah Tfwala Member Lushini 2009 – 2013 3. Mrs. Thoko Gwebu Treasurer Ngololweni 2009 – 2013 4. Mrs. Thembi Mngometulu Member Hhohho-Emuva 2009 – 2013 76750212 5. Zanele Nxumalo Member Ondiyaneni 2009 – 2013 the Late 6. Mr. Joshua Simelane Member Kontshingila (Sandleni) 2009 – 2013 76036373 7. Mr. Ernest Dlamini Member Nsingizini 2009 – 2013 8. Mr. Mbabazeni Lukhele Secretary (Head Nurse) BSRCS 2009 – 2013 7810922

2

ANNEX II: DIVISION COMMITTEES 2013 - 2016 Manzini Division Committee

Office Name & Surname Position Branch Tenure Mobile # 1. Mr. Zweli Mlotsa Chairperson Manzini City 2013 - 2016 2. Mrs. Nokuthula Dlamini (nee ) Vice Chairperson Manzini City 2013 – 2016 Simelane 3. Mr. Sanele Mkhatshwa Treasurer Manzini City 2013 – 2016 4. Ms. Buyisile Hlanze Youth Representative Manzini City 2013 – 2016 5. Member 2013 – 2016 6. Member 2013 – 2016 7. Mr. Andreas Dlamini Secretary (Field Coordinator) Manzini Division 2013 – 2016

Mbabane Division Committee

Office Name & Surname Position Branch Tenure Mobile # 1. Mr. Jabulane Gama Chairperson 2013 - 2016 2. Mr. Mandla Tsabedze Vice Chairperson 2013 – 2016 3. Mrs. Alice Sackey 2013 – 2016 4. Mr. Meshack Dlamini 2013 – 2016 5. Mrs Hariet Mamba 2013 – 2016 6. Ms. Gcinile Simelane Youth Representative 2013 – 2016 7. Mr. Sydney Pereira Secretary (Field Coordinator) 2013 – 2016

3

Nhlangano Division Committee

Office Name & Surname Position Branch Tenure Mobile # 1. Mr. Sifiso Hlophe Chairperson Nhlangano Branch 2013 - 2016 2. Mr. Wilson Mkhabela Vice Chairperson Nsingizini Branch 2013 – 2016 3. Mrs. Thembisile Nsibande Treasurer Msengeni Branch 2013 – 2016 4. Mr. Sandiso Simelane Youth Representative Nhlangano Branch 2013 – 2016 5. Ms Mathobane Dlamini Member Zibondeni Branch 2013 – 2016 6. Mrs. Linah Vilakati Member Siyendle Branch 2013 – 2016 7. Samson Dlamini Secretary (Field HNO Division 2013 - 2016 Coordinator)

Piggs Peak Division Committee

Name & Surname Position Branch Office Tenure Mobile # 1. Mr. Sifiso Matsebula Chairperson Matfuntini 2013 - 2016 2. Mr. Mcebo Dlamini Vice Chairperson Besutfwini 2013 – 2016 3. Mr. Thulani Dlamini Treasurer Mswati 2013 – 2016 4. Millicent Mdluli Youth Representative Matfuntini 2013 – 2016 5. Mr. Veli Manikela Member Mgungundlovu 2013 – 2016 6. Ms. Thabisile Gumedze Member Mkhwakhweni 2013 – 2016 7. Tsepiso Mthimkhulu Secretary (Field Coordinator) Piggs Peak Division 2013 – 2016

Siteki Division Committee

4

Office Name & Surname Position Branch Tenure Mobile # 1. Mr. Mandla Tsabedze Chairperson Magwanyana 2013 - 2016 2. Mrs. Zodwa Lukhele Vice Chairperson Sitsatsaweni 2013 – 2016 3. Miss Cebile Gina Treasurer Siteki 2013 – 2016 4. Mr. Mfanzile Masilela Youth Representative Siteki 2013 – 2016 5. Mr. Zama Silawula Member Matsetsa 2013 – 2016 6. Miss Yvone Nobela Member Siteki 2013 – 2016 7. Vacant Secretary (Field Coordinator) 2013 - 2016

ANNEX III: DIVISIONAL YOUTH COMMITTEE Manzini Division Youth Committee

Name & Surname Position Branch Office Tenure Mobile Mr. Ndukwenhle Zwane Chairperson City Branch 2013 - 2016 Vice Chairperson 2013 – 2016 Mr. Sanele Mkhatshwa Treasurer City Branch 2013 – 2016 Ms. Buyisile Hlanze Youth Representative City Branch 2013 – 2016 Mr. Gcinaphi Matsebula Member City Branch 2013 – 2016 Mrs. Nokthula Dlamini (nee Simelane) Member City Branch 2013 – 2016 Sgcinile Dlamini Secretary (Field Coordinator) City Branch 2013 - 2016

Mbabane Division Youth Committee

Name & Surname Position Branch Office Tenure Mobile Ms. Gcinile Simelane Chairperson 2013 - 2016 2013 – 2016

5

2013 – 2016 2013 – 2016 2013 – 2016 2013 – 2016 2013 - 2016

Nhlangano Division Youth Committee

Name & Surname Position Branch Office Tenure Mobile Mr. Sandiso Simelane Chairperson Nhlangano Branch 2013 - 2016 Ms Sisana Ngobe Vice Chairperson New Haven Branch 2013 – 2016 Mr. Samson Dlamini Secretary NHO Division 2013 – 2016 Ms Sizakele Mkhwanazi Treasurer Branch 2013 – 2016 Mr. Thembinkosi Nyaweni Members Mweni Branch 2013 – 2016 Ms Siphiwe Makhunga Members Khanyisani Branch 2013 – 2016 Mr. Celiphilo Mdziniso Members Mthombe Branch 2013 - 2016

Piggs Peak Division Youth Committee

Name & Surname Position Branch Office Tenure Mobile Millicent Mdluli Chairperson 2013 - 2016 Sibongile Mhlanga Vice Chairperson 2013 – 2016 Nelisiwe Fakudze Treasurer 2013 – 2016 Bheki Dlamini Vice Secretary 2013 – 2016 Thabisile Dlamini Member 2013 – 2016 Thando Dlamini Member 2013 – 2016 Tsepiso Mthimkhulu Field Coordinator Piggs Peak Division 2013 - 2016

6

Siteki Division Youth Committee

Name & Surname Position Branch Office Tenure Mobile 1. Mfanzile Masilela Chairperson 2013 - 2016 2. Ms Gcebile Sibandze Vice Chairperson 2013 – 2016 3. Nothando Ngwenya Secretary 2013 – 2016 4. Colani Nkomo Treasurer 2013 – 2016 5. Boninkosi Shongwe Members 2013 – 2016 6. Milton Seyama Members 2013 – 2016 7. Members 2013 - 2016

7

ANNEX IV: NATIONAL GENERAL ELECTION ERT HOT SPOTS CONTACTS IN 2013 Division Name of Officer-in- Inkhundla Chiefdom Hot Spot Areas Charge & Contact (Polling Station) Number Manzini Mr. Andreas Dlamini Logoba 1. Logoba Mobile No. 76153977 Kwaluseni Logoba 2. Mhlane Kwaluseni 3. Kwaluseni Central Moneni 4. Moneni Manzini South Mhobodleni 5. Mhobodleni Manzini South Ngwane Park 6. Ngwane Park Mbabane Sydney Pereira Fonteyn 1. Fonteyn Pre School Mobile No. 76081311 Mbabane East Msunduza 2. Msunduza hall Mbabane East Msunduza 3. Mqolo Primary Mbabane East Sidwashini 4. Cedusizi Primary Mbabane Nkwalini 5. Zone 2 Church West Nhlangano Mr. Samson Dlamini Dlovunga 1. Dlovunga Gogo Centre Mobile No. 76135855 Shiselweni II Mathendele 2. Mathendele Hall Shiselweni II Mbangweni 3. Nsongweni High Piggs Peak Mr. Tsepiso Mthimkhulu PPK Luhhumaneni/Ndeva 1. Luhhumaneni Mobile No. 76551909 PPK PPK 2. Magistrate Court PPK Bulembu 3. Malanda Hall Siteki Mr. Sikhumbuzo Dlamini Mlindazwe 1. Boniface Primary School Mobile No. 76150767 Matsanjeni Maphungwane 2. Mphundle High School North Lugongolweni Makhewu 3. Good Sherpered Primary

8