HSRC Integrated Annual Report 2018/2019

sexual and gender minority learners. There are also challenges in rolling out comprehensive Sexual and Reproductive Health Rights (SRHR) education, given prevailing norms in relation to gender, sexuality and diversity. Civil society organisations (CSOs) are key change agents in this area. In September 2018, the GSA was successfully awarded a substantial grant by Amplify Change to partner with approximately 20 civil society partners in eight countries to address these issues. The two-year Amplify Change project will be conducted in Botswana, Malawi, Mozambique, Namibia, South Africa, Swaziland, Uganda and Zambia. These multiple in-country and regional convenings will bring together a wide range of stakeholders to discuss how best to strengthen SRHR education and reduce School-Related Gender Based Violence (SRGBV) in education. The project includes a survey and qualitative research on the current state of SRHR education and SRGBV in education systems. The Amplify Change project reflects the vision of collaborative partnership with CSOs in engaging in national and regional work on adversity and vulnerability across the lifespan. Thiswork aims tomaximise inclusive social change and the life course opportunities for minority and vulnerable groups. The Amplify Change grant shows the opportunities that arise in thinking creatively about problems in partnership with CSOs and we wish to thank Amplify Change for making this regional, systems-level collaboration possible. Research Impact A Community-Owned Non-Communicable Disease Screening Service in Sweetwaters – the First of its Kind Outside Gauteng Since 2015, HSD and the UCLA Centre for World Health have worked with MBA teams from UCLA on an initiative to develop a sustainable, non-donor funded and profitable non-communicable disease (NCD) focused risk-screening programme in the community of Sweetwaters. Over a period of three years, various MBA teams have visited Sweetwaters to explore how to fund the gap between people’s willingness to pay for NCD screening services and their limited financial ability to pay. In order to achieve the aim of a profitable community owned NCD screening service, the teams agreed that a successful public health programme would require selecting an impact-centric business model that: i) aligned incentives and values between stakeholders; ii) cultivated relationships and support from a range of partners; and iii) offered real benefit from both business and community perspectives. Based on these key criteria, a partnership was created with Unjani Clinics NPC in South Africa. Unjani establishes a network of shipping container- based primary care clinics in rural and township communities that are nurse-owned and operated, with a fee-for-service business model that is financially sustainable on an operational basis. The fruit of this partnership was recently unveiled in Sweetwaters where the first Unjani clinic, outside of Gauteng, was built and opened to the public. This initiative brings many positive benefits including the fact that public clinics will become less congested, since those who can afford to pay for a slightly higher quality of care will use an Unjani clinic; employment opportunities are created for a security guard, front desk receptionist and pharmacy assistant in Sweetwaters; and income is retained in the community through this nurse-owned and operated clinic. This project shows the clear impact that can be achieved by thinking creatively about problems PART B: PERFORMANCE OVERVIEW Unjani Clinic in an underserved area 38 / HSRC INTEGRATED ANNUAL REPORT 2018/19