Adolescent Young People Hiv Prevention Programme

SAYIT LETS TALK is a movement for young people, by young people, aimed at securing the lives of adolescents and young individuals by addressing their social, health, and economic well-being. Beyond Zero, through SAYIT LETS TALK, recognises the significance of investing in adolescents and young people for a sustainable future with improved health and education outcomes. 

The program focuses on Adolescents and Young People (AYP), both in and out of school, aged 10-24 years, with the goal of influencing risk reduction, behaviour change, and empowerment. It extends its services to other populations and delivers comprehensive HIV prevention and management services in targeted settings such as TVET and CET colleges and community safe spaces. Utilising a mobile health facility, SAYIT LETS TALK provides HIV and SRV related services at various points within communities, especially those near schools, TVETs, and safe spaces. 

Key to service delivery, safe spaces play an important role in accommodating afterschool and weekend provision of youth-friendly services. They improve access to sexual and reproductive health (SRH), as well as psychological and mental health support for AYP. 

The AYP programme has the following key objectives

  • Increase retention in school
  • Decrease HIV incidence
  • Decrease teenage pregnancy
  • Decrease gender-based violence
  • Increase economic opportunities

Beyond Zero has partnered with sub-recipients who provide the required services, including HIV testing and support, family planning education, trauma counselling, motivation, emotional support and ‘safe spaces’. We work with local and provincial campaign ambassadors to create demand through various media platforms, publicity campaigns, and community activations.

In-School Intervention 

(Ages 10-19)
  • Strengthen the capacity of schools to support AYP academically, emotionally, socially and physically so that they remain in school until the completion of Grade 12. 
  • Target female learners with a combination package of services because of heightened risk to HIV infection, teenage pregnancy and school drop- out. 
  • A combination package of age-appropriate services will be provided to approximately 30 under-resourced government schools in each sub-district. 
  • AYP entering school-based programmes are offered and provided with the following core services: HIV and GBV risk screening, HIV testing, condoms, and information on sexual reproductive health and the prevention of HIV and GBV. 

Safe Spaces

(Ages 15-24)

Each sub-district has a minimum of one main Safe Space from where a range of health, psychosocial, socio- economic and recreational services are routinely delivered to AYP in/after/out of school. The Safe Space is AYP friendly and attracts young people through fun, recreational programmes and interactive media. Youth are also linked to relevant services in the community. 

Satellite Sites: Teams are deployed to satellite sites (on request) that provide decentralised services to ensure greater access for beneficiaries. Satellite sites could include schools, TVETS, church halls, and other suitable community spaces to deliver interventions to AYP. 

 

Out of School Interventions,

(Ages 20-24) 
  • Health care services: Where there are no campus- based facilities, health services including HIV, STI and TB screening, contraceptives and condom distribution, pregnancy testing and emergency contraceptives will be provided through vending machines, along with specialised mobile and outreach services to TVETs and at fixed facilities.
  • Programmes to support behavioural change and provide psychosocial support, risk reduction interventions, and supportive interventions.
  • AYP entering the programme are offered and or provided with the following core services: HIV and GBV risk screening, HIV testing, condoms, and information on sexual reproductive health and the prevention of HIV and GBV

Community Outreach

  • Following a situational analysis, health (SRH interventions), psychosocial (life skills and psychosocial support) and structural interventions are packaged in line with district-specific needs and available services. 
  • A number of AYP, whether in or out of school, need Wi-Fi to access specialised services / interventions unique to their risk profiles as part of “layered services,” e.g. a parenting skills programme if an AYP has child rearing responsibilities, PrEP if an AYP is a suitable candidate, or an adherence support group if on ART. 
  • GBV and substance use dialogues, legal literacy programmes, mobile / outreach services, school engagement, sessions with local formal and informal leadership structures. 
  • Male Sexual Partners’ community dialogues. 

Demand Creation

Demand for the AYP programme is generated through various channels, including social media platforms (Facebook, WhatsApp, SMS), awareness campaigns, and radio slots. Beyond Zero initiated the #SayIt Campaign, encouraging AYP to openly discuss daily challenges related to GBV, health, and their needs.