Cabrini Ministries 2014 Program Report

Program Report
2013-2014
(01 October 2013 30 September 2014)
A special thanks to our supporters:

Anonymous Donors, ABT Associates, Bonino Foundation, Cabrini College,
Cabrini Health Australia, Cabrini Mission Foundation, Centers for Disease Control
and Prevention, ELMA Foundation, ICAP (Columbia University), Missionary Sisters
of the Sacred Heart of Jesus, PACT, PEPFAR (US Government), Sahee Foundation,
Solon Foundation, United States Agency for International Development, URC/URSA,
and individual donors worldwide.
Cabrini Ministries Program Report // 2013-2014
TABLE OF CONTENTS
1.
2.
3.
Letter from Executive Director .......................................................................................... 4

Executive Summary ........................................................................................................... 5
Organization Overview ...................................................................................................... 8
Staff and Leadership .............................................................................................................. 9
4. New and Exciting ............................................................................................................. 10
Family Services .................................................................................................................... 10
Health Care .......................................................................................................................... 12
Child Care ............................................................................................................................ 14
5. Programmatic Overview and Impact ............................................................................... 16
Family Services .................................................................................................................... 16
Health Care .......................................................................................................................... 18
Child Care ............................................................................................................................ 24
6. Strategic Direction ........................................................................................................... 29
Vision, Mission and Values: ................................................................................................ 30
Strategic Goals ..................................................................................................................... 30
7. Get involved ..................................................................................................................... 34
8. Appendices ....................................................................................................................... 36
Analysis of Health Care Services ........................................................................................ 37
Child Care Services and Enrollment .................................................................................... 43
Family Services Assessments and Interventions ................................................................. 45
Total Organization Impact for 2013-2014 ........................................................................... 46
1.
LETTER FROM EXECUTIVE DIRECTOR
Dear Colleagues and Friends of Cabrini,

Greetings from Lubombo. How fast the years go.... this
year Cabrini Ministries Swaziland is celebrating 10 years of
service to the Lubombo lowveld. What changes we have
seen in that time! So much life has been restored and so
much hope has been rebuilt.
Cabrini has followed the needs of the community from a time of overwhelming and persistent
sickness, death, and orphaned children to a time of more stability as HIV becomes a chronic
but treatable disease, while the building of the dam and sugar cane production have brought
some level of income and well-being.
As you will see in this years report, Cabrini Ministries continues with work in HIV/AIDS,
TB and Orphan care which consistently grow in depth and excellence of service. The Family
Services Department has increased at a rapid pace as we deal with the devastating results of
35 years of family disintegration due to AIDS and TB.
Cabrinis next step, which is now in process, will see us returning (after 10 years of only
HIV/AIDS & TB) to full primary health care both in the clinic and on the homestead. It is an
exciting step which will provide affordable and quality health care to the whole community.
Another significant change happened in May of 2014. Sr. Barbara was elected as the General
Superior of the Missionaries of the Sacred Heart of Jesus (Cabrini Sisters). Barbaras loss to
Cabrini Ministries as a person and as an administrator is deeply felt by all. She provided
clear, dynamic strategic thinking and leadership over these 10 years. The administration and
staff (being good daughters and sons of Mother Cabrini) are meeting the challenge, learning
and moving forward keeping the memory of Sr. Barbaras unique presence.
I want to thank each of you for your support of Cabrini Ministries over these past 10 years.
What you provide is often not directly seen yet the significant impact that Cabrini Ministries
continues to have on the community is impossible without you. Through your efforts the
wonderful staff of Cabrini Ministries is able to be the mind, the heart, the hands, the feet of
Jesus in this little corner of the world. All of you remain in my prayer daily that you will be
blessed as you have blessed.
Sr. Diane DalleMolle, MSC

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2.
EXECUTIVE SUMMARY
2014 has been a year of celebration, transition and expansion in the life of Cabrini Ministries.
The Missionary Sisters of the Sacred Heart are in their fifth decade of service in Swaziland
while Cabrini Ministries just celebrated its tenth year serving the people of the Lubombo
lowveld. A renewed strategic direction, a broadened mission and continued expansion of
services has brought rapid and tangible transformation for the organization as well as for the
families in the area during the past year. New staff members have contributed exciting
dimensions to the work while existing staff have continued to step into roles of increasing
impact and expertise. Cabrini has also experienced a major leadership transition that has
provided skills and passion to global roles while allowing local staff to increase their
influence and contribution in the organization.
Since its inception, Cabrini has identified itself as an HIV
and TB organization; this developed as a result of the
pressing needs brought about by the AIDS epidemic that
was reaching its climax of devastation in the early 2000s.
In recent years, the crisis management of the disease has
transitioned into the provision of chronic care services.
Accessible and affordable treatment has made HIV a
manageable disease, but the long term effects of a lost
generation of Swazis are only now beginning to be
understood. As the needs of the community have
changed, so too has Cabrinis response. What had been
organic adjustments to programming was formalized this
year through an intensive process of dialog and strategic
planning which resulted in a new mission statement and a
refined identity:
Mcolisi Gwebu, delivering

supplies to clients
Cabrini Ministries is a faith-based community care organization serving the

Lubombo lowveld with a mission:
To share the love of Jesus Christ by promoting the well-being of individuals
and families through comprehensive integrated health care, child care,
education and social services to the most poor and vulnerable.
By acknowledging our broader calling to be a Community Care Organization we are
embracing our rich history while also preparing ourselves for the expanded work required to
address the tattered social fabric left by the HIV crisis. Last year we announced the creation
of our Family Services Department to address new community needs; now more than ever we
realize all of our work is linked to the broader care for individuals and family in their
community settings. We are excited to share with you in this report some of the new
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initiatives emerging beyond Health Care and Child Care including expanded education
services, enhanced homestead assessments, focused support groups for HIV+ children, and
dedicated initiatives for women and girls. This is in addition to new work within previously
existing focus areas such as the launch of a TB unit, expansion of community education and
our development of courses for children interested in deeper spiritual formation and
commitment.
Sr. Barbara saying good-bye
Cabrini also experienced a major transition in leadership

this year as Sr. Barbara Staley, MSC, one of the founders
of the organization, left her role as Deputy Executive
Director to serve as the Superior General for the worldwide
order of the Missionary Sisters of the Sacred Heart of
Jesus. Without doubt, her leadership and charisma cannot
be replaced. We are, however, excited and proud to see
her share her passion and expertise on a global level. This
has also allowed for existing staff to take on new
leadership roles bringing more local leadership into
positions of influence.
Wherein previous annual reports from the organization have sought to present a
comprehensive picture of all of the Cabrini engages in, this document focuses on the what is
new and exciting, as well as the path to the future envisioned by our leadership. The
programmatic overview will provide you a full appreciation of the impact of the organization.
While statistics often fail to capture the full breadth of work and involvement, the following
figures provide a quick snapshot of the successes of Cabrini Ministries in the last year:
A total of 4,201 individuals received direct care from Cabrini.

Our Child Care staff cared for 880 orphans and vulnerable children.
o 200 of these children received a full comprehensive care package.
2,071 clients were served in our Health Care Facility.
o The rate of clients initiated on life savings drugs that were alive and on
treatment one year after initiation was 96.4%, representing the highest figure
since detailed records have been kept.
1,250 Individuals were assessed on 207 homesteads.
The Family Services Department provided 585 interventions to at-risk individuals
and families.
Cabrini Staff 2014
3.
ORGANIZATION OVERVIEW
Cabrini Ministries Swaziland is a Catholic faith-based and community-based not-for-profit

organization (Section 21: R7/26820) working in the Lubombo lowveld of Swaziland to show
Gods love in action through service. Cabrini Ministries is based at St. Philips Mission and
operates for the good of the larger community including the chiefdoms of Ngcamphalala,
Mamba, and Gamedze with some activities in Shongwe, Mkweli and Nceka.
The Kingdom of Swaziland in Southern Africa
is geographically small, but culturally rich.
While Swazi culture is considered relatively
homogenous by African standards, it boasts
myriad challenges as well as strengths. Nearly
one third of adults are HIV positive (the highest
prevalence rate in the world) and more Swazis
contract tuberculosis in a year than anywhere
else in the world. Nearly two thirds of the
country lives on less than $2/day and
Children served by Cabrini Child Care
unemployment currently stands at over 60%.
These struggles have led to a nation overwhelmed by orphans and vulnerable children48%
of Swazi children officially fall into this category.
Cabrinis work is fundamentally about responding to local need which includes addressing
issues of health, nutrition, education, and protection, as well as ensuring mental and spiritual
well-being. Delivery of services is primarily achieved through three integrated departments:
Health Care, Child Care, and Family Services. In performing its work, Cabrini emphasizes
three key methodologies: Responses are Community and Family Centric, Interventions are
Assessment Based, and Service Delivery is Comprehensive and Integrated. These
approaches are synergistic and result in an efficient and effective package of services for our
clients.
Cabrini is founded on the work and principles of the Missionary Sisters of the Sacred Heart
(MSCs) and their founder, St. Francis Xavier Cabrini. The sisters have worked in Swaziland
for over 40 years after originally coming to the country at the request of King Sobhuza II in
1971. In the early 2000s, in response to the escalating HIV and TB crisis, all resources were
shifted to address the urgent health concerns as well as the emerging orphan crisis created by
the massive loss of life. This transition was solidified with the founding of a new
organization: Cabrini Ministries Swaziland.
2014 marks the tenth anniversary of the organization. In the past decade, over 8,000 people
have received HIV and/or TB services and over 2,000 orphans and vulnerable children have
been served. What began as a few people doing what they could to help their neighbors has
evolved into a full service not-for-profit organization deeply rooted in the community,
providing comprehensive integrated care as well as targeted care to thousands.
Staff and Leadership

Cabrini currently has 65 staff members and operates with the following service departments:
Health Care Outreach, Child Care and Family Services. They are supported by work in
Administrative Services, Maintenance, and Transportation. Of the current staff members
who are full time employees, all but five are African, with the vast majority coming from the
catchment area served by the organization.
Executive Team
The Executive Team of Cabrini is comprised of five staff members who are responsible for
decisions related to the day-to-day operations of the organization. The members are:
Sr. Diane Dalle Molle, MSC
Executive Director
Mr. Pius Mamba
Cultural Liaison
Mr. Bongani Khumalo
Director of Health Care
Outreach
Mr. Mzamo Sikhondze
Director of Human Resources
Ms. Sharon Singleton
Director of Child Care
Cabrini Executive Team
Board of Directors
The official board of Cabrini Ministries is comprised of members of the Provincial Council of
the Stella Maris Province of the Missionary Sisters of the Sacred Heart of Jesus. However,
the duties of advisement and oversight of the organization have been delegated to a local
Swazi Board comprised of the following members:
Nathi Gumede (Chairperson)
Executive Director, Conciliation Mediation and Arbitration Commission
Mavis Dlamini (Vice Chair)
Head Teacher, Duze High School
Langalakhe Dlamini (Head of Finance Committee)
Finance Manager, Swaziland National Provident Fund
Khosi Mthethwa
Health Systems Advisor, WHO
Mary Da Silva
Coordinator, Swaziland Democracy Campaign
Zee Masuku, MSW
Social Welfare Advisor, Health Finance and Government
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NEW AND EXCITING
4.
Community work is based on long term relationships and mutual respect. For this reason,
change is often gradual and achieved over a span of years rather than months; however,
sometimes significant impact comes rapidly with changing circumstances or abilities. 2014
has been one of those years where many incremental changes were able to culminate into
substantial improvements for the local area and the organization. The most significant
embodiments of this reality are the development of the Family Services Department and the
impact it has been able to make in a short period of time, as well as the planned return to
offering primary health services for the coming year. In addition to these major leaps
forward, several new projects have emerged in the last year that maximizes capacities and
resources around known areas of need.
Family Services
Local Teen Club for HIV+ Students

Addressing HIV is not just about providing health services; it is also about providing
the psychosocial support necessary to overcome adversary and the emotional toll of
the disease. This is especially true for children. In partnership with Baylor Childrens
Hospital and ICAP, Cabrini has launched a local Teen Club to provide support and
encouragement to HIV+ children, ages 10 to 21. Currently 36 teens are enrolled,
many of whom have recently learned their HIV status and had never received such
support. Meetings provide a safe space to discuss sensitive issues and a time to
socialize with peers facing similar challenges. Leadership is largely provided by
youth from Cabrinis hostel program.
Children participating in group activities
Self-medication program for youth

The introduction of anti-retroviral drugs has made HIV a manageable disease, but for
the treatment to be successful, clients must adhere to their medication. In a country
like Swaziland where traditional family structures have been destroyed by death and
disease, caregivers are often overwhelmed and arent prepared to adequately support
children in their care on their own. To address this, Cabrini started a self-medication
program for children and teens who struggle with adherence so that they can take
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ownership of their own health. Participants

are given a calendar, pillbox, training and
incentives to support their treatment.
Guardians are also educated and supported
in helping to disclose the status to the
children. Cabrini staff meets with these
clients and guardians on an on-going basis
until positive practices are solidified. Since
its inception, all clients enrolled have
demonstrated an understanding and
commitment to proper adherence. The
Family Services Team
success has prompted a local government
clinic to seek out advice on implementing similar programs in their area.
Area Stakeholders Group and Knowledge Sharing
Often, the role of the Family Services Department is to connect a client to resources
outside of what Cabrini Ministries provides. For example, cases of child protection
and abuse require the involvement of local authorities. In order to facilitate better
coordination and cooperation between organizations and officials working in the area,
Cabrini pioneered the formation of a child protection stakeholder group for the lower
Lubombo region. This group brought together Social Welfare workers, Child
Protection officers, and other NGOs staff to discuss and strategize about improving
child protection services. Cabrini requested to expand this network with the assistance
of US Government funded projects and now meets quarterly. Work in this area has
also afforded Cabrini the opportunity to share expertise. Notably, the organization
presented as part of a panel of Swazi NGOs at the Global Violence Against Children
conference in April, sponsored by UNICEF and held in Swaziland.
Intra-organizational Staff Training and Support
The strategic direction of Cabrini Ministries includes significant language concerning
implementing family and social service components into all aspects of our work. In
addition to coordination between departments, Family Services has provided training
on psychosocial approaches to care for all program implementation staff.
Additionally, the department has worked alongside Health Care to offer staff wellness
opportunities and trainings to effectively offer Care for the Carer.
Transition Club
In 2013, the Child Care Department, in collaboration with Family Services, started a
transition program for students who were ready to leave a comprehensive care
program and move towards independent adulthood. Any major change is difficult and
Cabrini seeks to minimize the stress of this essential transition. In order to better
support the students who are in the transition process, the Family Services
Department started a Transition Club as a support group for those who have already
left the mission as well as those in preparation. This peer support allows students to
share their struggles and learn leadership skills.
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New Database System

As services expand, so do the systems needed to support implementation. A new
database system was designed specifically to track the unique needs of the Family
Services Department. For the first time in the organizations history, we are able to
track homestead level service delivery and integrate assessment data with planned and
existing interventions. This ensures a higher level of reporting as well as new abilities
in tracking the work of the organization in the community.
Health Care
Full Primary Health Care

For the past ten years, Cabrinis health care
services have focused on HIV/AIDS and TB
because of the devastating impact of these
diseases in our community. As the situation
has stabilized, the organization has been able
to assess other community needs. One of
the most significant strategic decisions of the
year was pursuing the possibility of once
again becoming a full primary health care
provider. This transition would mean that
the high standards of care offered to our
current HIV and TB clients would be
available to all people living in the
catchment area. Work is currently underway
to take over the administration of St. Philips
Clinic located adjacent to our current
facilities. This transition is scheduled to
occur in March 2015 with advanced
Thandiwe, Cabrinis Nurse Pharmacist
planning already happening and further
program implementations occurring over the next 12 months. The result will be better
integration of services, especially those related to ante-natal care and other chronic
health concerns.
Community Group ARV Refills
Easier access to care can lead to more effective and efficient treatment. For this
reason, Cabrini is piloting with ICAP and the Ministry of Health, a community group
refill project for people on anti-retroviral drugs. Individuals with good adherence are
grouped together by location and for every refill, a different group member collects
the medication for the rest of the group. This limits the amount of travel and time off
from work required of patients. Because physical checkups and CD4 monitoring are
also a part of ongoing HIV care, group members rotate so each is directly monitored
by a health care provider over the course of the year. This project promises to reduce
the burden of HIV care for providers and clients a true win/win situation.
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Launch of TB Unit
Swaziland has the worlds highest annual infection rate for Tuberculosis with 1,300
people per 100,000 developing the disease. TB is particularly dangerous to HIV+
patients with weakened immune systems. Because of the high comorbidity between
HIV and TB, care for the disease has always been integrated into ongoing HIV
services. Despite the nations efforts, TB rates are still high; therefore, Cabrini has
launched a dedicated TB unit within the Health Care Department with three dedicated
staff members. Services include: TB screening, sputum collection and testing,
infection control, prophylaxis initiation, neighborhood education, and on-site support
for all the homestead members of the client with TB. Additionally, a focused effort
has been launched in collaboration with URSA/URC to find miners and their families
since this cohort is particularly at-risk. Work includes a strong emphasis on testing
and treatment, community education days around relevant issues, on-going support
with miners on their homesteads, and free healthcare where appropriate for them and
their families. In addition to being at higher risk for TB, many miners have also been
subjected to years of abuse by their employers. Participating in this program is an act
of social justice that Cabrini is proud to engage in.
Expanded Community Education and HIV Testing

Community Education has seen significant and steady expansion over the past 2-3
years and 2014 brought several innovative approaches. In addition to work with
traditional leaders and traditional healers, a dedicated program for area pastors has
been launched that encourages seeking medical services in conjunction with faith and
prayer. Community based education events have also changed. Standard education is
still offered on health related issues such HIV, TB, male circumcision, birth control,
gender based violence, child protection, and HIV testing; but we have also included
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education through
dancing, drama, music,
and a meal for everyone.
This has resulted in
increased engagement
and attendance.
Additionally, focused
work with employees in
the local sugar cane
schemes has been rolled
out. Cabrini staff meet
HIV Counselor Busisiwe Dlamini works with a patient
with sugar cane workers
during their breaks or between their shifts. A meal is provided and discussions center
around positive health seeking behavior and human rights. HIV testing and
counseling along with TB screening is always available. A similar program at the
area livestock centers is also offered. Cabrini has found that these workplace focused
discussions are able to reach more high-risk individuals who would not normally
attend such functions.
Attachment of student nurses
Cabrini has engaged in many knowledge sharing and skills building activities in the
past year. Perhaps the most significant is the new partnership with Good Shepherd
Hospital to bring on regular practicum attachments of student nurses. By observing
Cabrini Staff demonstrating the highest level of care possible, these students improve
their own skills and will be better equipped to serve the next generation of Swazi
patients. Additionally, by exposing students to a community approach to nursing, we
can instill positive approaches to care that will be used in other clinics across the
country.
Child Care
The Child Care program has seen substantial changes as more and more children are able to
move from comprehensive care services to targeted support. Fewer children than ever are
living on the mission and this reflects the increasing stability on area homesteads as well as
the process of life transitions that Cabrini has initiated over the past several years. Several
specific programs have emerged in 2014 that are especially noteworthy:
High school Graduation Rates

This year eight children enrolled in Cabrini services graduated from High School.
Many of these students have been with Cabrini since their early childhood when
Cabrini began. The support from Cabrini has enabled them to envision opportunities
for the future. Their achievements also serve as an example to younger students about
what is possible; in an area where it is not uncommon for half of all students to fail
each year. Cabrini is proud to have invested in the education of future Swazi leaders.
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Pre-Teen Camp
Inter-term camps were originally
conceived as a way of providing a
safe environment for students during
the school breaks. For the first time
this year, camp offerings were
extended to younger adolescents
instead of just teenagers. Healthy
Mind, Healthy Body was the theme
and students were given the
Younger students at Cabrini
opportunity to engage in activities
designed to teach life skills and address psychosocial topics while also participating in
exciting outdoor activities. This camp also introduced students to new people within
their community as well as new experiences. Forty-two children participated in this
new camp offering.
Catechism Class:
Spiritual formation has always been integrated into the psychosocial support offered
to children enrolled in comprehensive care programs at Cabrini. This year, those
activities took a leap forward with the introduction of formal Catechism Classes for
those interested in deepening their faith journey. A dedicated Cabrini Mission Corp
volunteer was brought in to oversee the Christian formation classes for all children.
Forty-nine of those children expressed interest in sacramental preparation. Eleven
children, in consultation with their guardians, made the decision to be baptized into
the Catholic Church. These classes serve as a solid religious foundation for the
children as they go through life.
Hostel Children enrolled in new schools
In recent years high school students in the
comprehensive care program with
exceptional talent were offered the
opportunity to study off-site in order to give
them the best education possible. This year,
steps were taken to extend that approach to
excellence to elementary students. In 2015,
three of the youngest children at the hostel
will be enrolled in school in the neighboring
town of Big Bend at one of the better
institutions in the country. This will give
them the opportunity to thrive and better
prepare them for academic success.
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5.
PROGRAMMATIC OVERVIEW AND IMPACT
Cabrini Ministries is currently structured to provide direct care services through three
integrated departments: Family Services, Health Care, and Child Care. These departments
work collaboratively to assess the needs of individuals and families in the communities we
serve and respond appropriately. While each has its own focused action areas, all three
departments support each other to ensure a complete continuum of care is provided regardless
of circumstance. Cabrinis approach to direct care is community and family centric,
assessment based, and is carried out in an integrated and comprehensive way. In the last
year, 4,201 unique clients received care services from Cabrini Ministries. The programs and
specific impacts are outlined below.
Family Services
It is the goal of the Family Service Department
to provide poor and vulnerable populations
with direct care, support and connections to
resources through professional social
service provision. Dedicated service delivery
reached over 600 individuals the last18 months
and is expected to double in capacity and reach
during its second full year. Specific activities
carried out in the last year include:
Complete comprehensive needs

assessments in order to evaluate families challenges and strengths to
design the most appropriate and effective interventions.
IMPACT: 1,250 individuals assessed on 207 homesteads
Cabrinis work with vulnerable populations is homestead-centered, recognizing that

individuals function within families and in communities. Families in need are identified
through Cabrinis other departments, local community leaders and members, and selfreferral. Every client referred undergoes a detailed assessment process that evaluates issues of
health and well-being, protection, complicated family structures, education, finances and
access to non-material resources and services. We believe that interventions work most
effectively when viewed through the lens of a persons own community and family; with
Cabrini, an emphasis is always placed on utilizing all possible resources. Because these
assessments are conducted on site at homesteads with high-risk and high-need individuals
and families addressing sensitive issues, the work often takes several hours as staff members
engage in psychosocial care and support throughout the process. On-going assessments for
current comprehensive care clients are also performed to determine if, and when, it is
possible to transition to less intensive forms of intervention.
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Develop individualized plans of intervention to provide basic services such

as emergency food, clothing, temporary shelter for infection control,
medical access, and transportation
IMPACT: 583 interventions for 463 unique clients
Delivering services to impoverished and vulnerable communities is often hampered by a lack

of basic resources. The Family Service Department addresses basic needs of individuals and
families if the assessments indicate such assistance is required and will not be detrimental to
the on-going sustainable wellbeing of the family.
Provide psychosocial support to mitigate challenges
IMPACT: 21 Individuals received specific psychosocial supports in addition to group activities
Under the direction of a trained Masters Level Social Worker, Cabrini currently provides the
extensive range of supports including:
Educating and assisting families in
advocating for their rights when they
are being exploited or are unable to
advocate for themselves such as in
cases of disabilities.
Strengthening families through
unification activities and obtaining
legal documents (for example, birth
and death certificates), especially
when doing so has proved difficult
for individuals whose parents or
Children on a homestead served
guardians are unavailable to accompany
by Cabrini Family Services
them as is required by government
systems.
Adherence support, including disclosure counseling for families with children who
are HIV positive and a self-medication program to improve adherence postdisclosure.
Training and support addressing topics such as child rearing, grief, handling stigma /
discrimination and conflict resolution.
Organizing an on-site Teen club to offer counseling and peer support for HIV+
children, and support treatment literacy and treatment adherence.
Provide emergency respite shelter for children and/or vulnerable adults
who need preventive protection from disease, abuse, neglect, or incapacity
of family to care for the person
IMPACT: 4 children served through respite care programming, 34 child protection interventions
Cabrinis respite care program is designed to provide on-site comprehensive care in urgent,
short-term situations involving protection or health-related issues. Respite care always
includes shelter, nutrition, access to healthcare, and psychosocial support. Currently, there are
no other short-term respite or shelter placements in the communities we serve. Respite care
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serves as stop-gap measure for emergency needs discovered through our assessments or
referred by local authorities who contact us with desperate cases.
Provide referrals and access to specialized care such as rape counsellors,
medical treatment, psychiatric services, etc.
IMPACT: 30 Referrals to essential services
Cabrinis service delivery is always provided in consultation and collaboration with local
authorities and implementation partners. A client who receives support from Cabrini will be
assured of being connected to other services if needed. This is the strength of an integrated
and comprehensive service delivery program.
Health Care
Actions carried out through the Health Care Department are designed to increase physical
wellbeing through the delivery of clinical and support care services. In the last year,
2,071 clients received care through the department utilizing the following activities:
Provision of comprehensive integrated clinical care for HIV and TB
HIV Testing and Counselling
IMPACT: 953 HIV tests completed
The cornerstone of successful HIV treatment is ensuring a client knows their status. Every
month 30-40 clients receive HIV Testing and Counseling; on-site along with appropriate
psychosocial support. If clients are negative for HIV and TB, they are counseled on
strategies to maintain their negative status and encouraged to come back for regular testing.
If they are positive, clients receive a full complement of support care services so they are
prepared for the treatment journey ahead. HIV Testing and Counseling is also regularly
offered at community level events and remote clinic sites.
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Pre-ART / ART / TB Initiation and Treatment

IMPACT: 240 Pre-ART clients, 938 ART Clients, 73 TB clients served, over 90% of clients
succesffuly linked to care, 96.4% of ART clients alive and on treatment one year later
The center of Cabrinis HIV and TB program is effective and accessible treatment. Over
1,200 clients currently receive this care with yearly increases around 10% each year. Cabrini
nurses are trained and equipped to initiate clients on life-saving anti-retroviral treatment as
well as pre-treatment antibiotic prophylaxis (cotrimoxizole) for HIV+ clients. Treatment for
tuberculosis begins with screening and testing. Those testing positive for TB are provided
with treatment as well as education to prevent the disease from spreading. Clients on
treatment receive refills at regular intervals ranging from weekly to quarterly, along with
clinical assessments and personalized care.
On-going supportive Health Care

IMPACT: 73 clinically malnourished clients received supervised nutritional supplements
Because HIV suppresses the immune system, it often leads to a wide range of other health
issues. Cabrini integrates treatment for opportunistic infections and other complicating
disorders into its regular continuum of care. Clients who are HIV or TB positive will receive
access to the best comprehensive care possible. Additionally, for clients who are clinically
malnourished (as determined by body mass index), Cabrini will provide emergency food
services as part of its care provision.
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Prevention of Mother to Child Transmission (PMTCT)

IMPACT: 103 clients enrolled in PMTCT programming
Cabrini has a comprehensive education and support program to guide prospective mothers in
maximizing the potential for babies to be healthy and HIV negative. This program includes
counseling, support groups, and education. Participants also receive ongoing clinical
assessment and support, nutritional support, treatment of opportunistic infections,
prophylaxis, ART treatment for those with advanced HIV, and ante-natal care in cooperation
with partner organizations.
Medical Circumcision
IMPACT: 156 Medical Circumcisions
Men who are circumcised have a lower chance of contracting HIV; this ultimately reduces
the spread of the disease. To capitalize on these positive trends, Cabrini has partnered with
two other NGOs in the country to open a local MC clinic to meet the needs of men who
choose to participate in this prevention strategy.
Provide Psychosocial supports to HIV+ and TB+ patients to assure uptake
of services and good treatment outcomes
In supporting people with HIV and TB, it is more effective and efficient to promote positive
health seeking behaviors rather than trying to respond to negative behaviors. This front
end work is time consuming, but increases the overall impact of long-term treatment.
Cabrinis activities in this area include:
Clinical Support Care
IMPACT: 2,071 clients received support care
Cabrinis Health Care Services are not just focused

on the medical aspects of care. Every client, whether
new or returning, is provided with psychosocial
support and health education activities. This includes
adherence counseling, support groups, health
education, and adherence support. Intentional effort
is put into encouraging positive health seeking
behavior as the norm. In order to ensure that this
approach is integrated into all care services, Health
Care staff have undergone extensive training in
evaluating family situations and approaching any
care activities from a psychosocial perspective.
Routine care for HIV and

TB patients by Sr. Etegegn
20
Missed Appointment Follow up (including partner clinics)

IMPACT: 963 missed appointments followed up (439 at partner clinics), 91.5% of clients
returned to care
Cabrini recognizes that initiating treatment is only effective if the patient remains on
treatment. For this reason, the organization employs one of the most aggressive missed
appointment tracking protocols in the country. Cabrini has found that while this level of
client tracking is very time and resource intensive, it has resulted in return rates much better
than the national average. The process also provides insight into our clients needs and
challenges that would not be possible to uncover otherwise. In addition to tracking regular
Cabrini clients, Cabrini has entered into partnership with three government clinics (Sinceni
and Siphofaneni) and two private clinics (Tambuti and Ubombo Sugar) to provide default
tracking and community linkage support. These clinics lie on the outer edge of the Cabrini
catchment area and many clients live on homesteads already receiving care from the
organization.
One of the most effective measures of a treatment program is its rate of clients who are
still alive and on treatment one year after initiation. A figure over 80% is considered
acceptable by international standards. Cabrini is proud of its success in this area as
most cohorts of clients in recent years have maintained at least a rate of 90% alive and
on treatment. In the most recent quarter where full data was available, 100% of clients
initiated were still on treatment at Cabrini. The organizations emphasis on counseling
and a commitment to follow up are the greatest factors in this success.
21
Provide home based care and health provision at mobile/remote sites

Providing access to health care services does not end with having them available; they must
also be accessible. For that reason, Cabrini provides the following:
Homestead Visits
IMPACT: 429 clients visited on their homestead
for health issues
Often, clients are too sick to make it into the clinic

for their refills and appointments. In these cases,
Cabrini sends nurses into the catchment area to
provide clinical support for the most vulnerable on
their homesteads. These sessions are designed to
provide the same level of care offered at the clinic,
but are utilized in the direst of situations. Nearly
every day, a nurse is out doing these visits. During
homestead visits, patients are provided with
treatment (pre-ART, ART, TB, opportunistic
infections etc.), nutritional supplements, and
psychosocial support.
Remote Refill Locations
IMPACT: 4 dedicated remote refill locations,
210 clients treated at these sites
Cabrinis catchment area is approximately 50km in

A Cabrini Nurse providing homelength and width and covers terrain with only
based care with a student intern.
rudimentary dirt roads. Because of this, many
clients find it difficult to come to the clinic for regular service. In order to alleviate this
burden, Cabrini initially began offering a shuttle service to clients in remote locations.
However, as the number of clients served steadily increased, it became essential to create a
new solution. The result was mobile refill stations. Every week, a nurse, counselor and
support staff member head to a remote section of the catchment area on a regular schedule to
provide medication refills and on-site clinical care. Cabrini currently offers four refill
locations throughout the region. These mobile sites provide the same services as the drop-in
clinic (HIV testing and counseling, TB screening, treatment, care and support), but are
designed to meet the needs of clients in the most effective and accessible way possible.
Link patients to specialized medical care through referrals, material help
with fees, transportation, and patient advocacy
IMPACT: Over E45,000 provided to patients for medical fees
Because Cabrinis current Health Care focus is on HIV and TB, not all medical treatments are
available onsite. However, because of the long-term commitment our organization has with
its clients, we are dedicated to connecting patients to other clinics that can provide the
services they need. On a weekly basis, clients are transported to other hospitals and care
providers; in emergency situations, they are provided with transportation to the closest
emergency care facility. This includes care for MDR-TB clients, cancer patients, and anyone
else requiring specialized services. On-site, Cabrini provides access to sexual and
22
reproductive health services through a partner service provider. In addition to transportation,

financial assistance may be provided to help defray costs and Cabrini employees provide
client advocacy where necessary.
Transfer knowledge and develop skills, values and attitudes to increase the
uptake of services and contribute to the well-being of communities through
Community Education
IMPACT: 664 individuals attended community education events
Cabrini firmly believes that successful

prevention, treatment and impact
mitigation strategies must be built on
education and community engagement. In
addition to the on-going education which
occurs within regular programming,
Cabrini hosts regular community education
sessions in a variety of settings and
targeting a diverse audience.
Cabrini has offered quarterly education
Mbonisi Siziba, a Cabrini nurse, provides
and dialogue sessions with the traditional
education in a community setting
leaders of area chiefdoms. Topics
include HIV/AIDS and TB education, medical circumcision, treatment adherence and child
protection. By reaching the people who have the most influence in the community, we can
ensure the issues are taken seriously by the larger populous. The leaders are encouraged to
direct their communities towards healthy living for the common good of their chiefdoms.
Because traditional values and cultural norms are involved, the
process is always deliberate and respectful. Change does not
come quickly and will take years of building trust to see the
full benefits of these efforts.
Community members arrive

for education event
in a community setting
Spirituality, including traditional beliefs, is an integral part of

daily life in Swaziland. Because of the significant influence
spiritual leaders have on people in the area, Cabrini works
regularly with traditional healers and local pastors to educate
and empower them and those with whom they work. Regular
education sessions address positive health seeking behavior as
well as societal issues such as gender equality and child
protection. This approach acknowledges the holistic nature of
community wellbeing and the role of spirituality. It also
maximizes Cabrinis impact by utilizing existing trust
relationships, especially among Cabrini staff who hold
community leadership positions.
23
On a quarterly basis, the Health Care Department hosts an education day in different
communities in its catchment areas for current HIV+ patients. The clients invited are those
who are the most adherent in caring for themselves and have seen the value of entering into
treatment. They are encouraged to bring a relative or neighbor who has not yet tested. The
day consists of education on positive living, health related discussions, encouragement for
testing for newcomers. The day ends with a full meal and time for socializing. These well
attended events have sought to recognize and encourage those who have adopted a healthy
life style and also to educate new community members about positive living.
Child Care
Actions carried out through the Child Care Department are designed to mitigate impact of
HIV / TB, poverty and other social challenges through direct care provision to OVCs.
This work is aligned with the national service standards and seeks to offer a continuum of
care to assist all OVCs based on need. This work reached 880 and includes the following
activities:
Provide Co-Parenting to OVCs through comprehensive care including
shelter, nutrition, health care, education, economic strengthening, legal and
protection services, economic strengthening and psychosocial support.
IMPACT: 143 at risk youth received comprehensive care including 108 on-site at St. Philips
Mission
The co-parenting approach of OVC

care was developed through a
consultative process with local leaders.
This collaborative arrangement ensures
social safety nets are maintained by
partnering with extended family to
delivery comprehensive care; this
occurs on-site and off-site. The on-site
hostel for orphans and vulnerable
children is the most intensive program
of care. Participants receive support in
a co-guardian structure wherein
children live the 9 months of the school year at the Cabrini hostel with 24 hour care, and
return to their families or homesteads during school breaks. In addition to daily meals, all
participants receive regular primary health care which includes checkups, screenings and
additional health referrals when necessary. All children living at the hostel participate in
afterschool education enhancement activities four days per week. Additionally, if necessary,
school fees, uniforms, etc. are provided. Each child receives legal and/or protection services
through assessment for and assistance with essential documents (birth certificates, parents
death certificates, IDs, etc.). The residential childcare staff and case management workers all
provide children with ongoing emotional and social support. This is delivered through
prayer, counseling, support groups and ongoing love; this aspect of our psychosocial
24
approach is deeply integrated into all aspects of the program. In addition, some students in
this group are offered economic strengthening opportunities through skills training programs.
Off-site care is provided through Cabrinis Supported Independent Living program for
students in a variety of living situations. Cabrini pays for many of these students to attend
boarding or trade schools as they continue their education. Additionally, older students are
offered life transition activities that provide them with a safety net of care while adjusting to
life on their own. All services offered to the hostel participants are also offered to these offsite participants.
Child Care Client Services

450
400
350
300
250
200
150
100
50
0
Male
Female
Provide educational support services tailored to a students needs and

abilities.
IMPACT: 474 students received educational services
The elimination of poverty in Swaziland is dependent upon education and job opportunities.
Cabrini assists students at the hostel and living on homesteads through the following
supports:
Academic Support & Sponsorship
IMPACT: 172 students beyond those in comprehensive care received assistance with school fees
Students who are enrolled in Cabrinis Academic Support program are usually children who
have their basic needs met, but require support for things like school fees and uniforms. Even
with expanding assistance from the Swaziland government, many families simply cannot
afford to send their kids to school since regular tuition costs can easily be several months
salary for a general laborer. Because most children in our catchment area struggle with more
25
than just academic problems, these children are also assessed for nutritional, health and
protection needs. Students progress is regularly monitored by the education staff.
Bridge School
IMPACT: 15 students enrolled in the Bridge School
Traditional education settings are not always appropriate for all students. In Swaziland,
students are often much older than their classmates due to delayed initial enrollment. Other
students require alternate teaching approaches in order to succeed. Cabrini seeks to overcome
these challenges by offering a unique learning setting. This provides them with immediate as
well as long term educational opportunities.
CARE Tutoring & Outreach Education
IMPACT: 102 students participated in outreach
education enhancement
As part of its comprehensive care package,

Cabrini provides educational enrichment
opportunities for students living on-site.
This program is known as CARE: Cabrini
Arithmetic and Reading Enhancement.
Math and language skills have consistently
been identified as areas where students
struggle, thus the intentional focus of the
program. In order to deliver high-quality
educational services, several educators and
tutors are employed. While initially these
Students engaged in focused education groups
teachers worked exclusively with the
students at the hostel, in the last few years this program has been expanded to children from
area communities at two off-site locations as well. These students have their basic needs met
on their homesteads, but need some additional instruction and nutrition. This targeted
support is essential to overcoming the detrimental effects of trauma and disintegrating
families.
Specialized Education Opportunities
IMPACT: 35 students were enrolled in
specialized education opportunities
In cases where a traditional education setting is

not appropriate due to a childs capabilities or
environment, Cabrini connects students with
educational opportunities designed to meet their
needs and abilities. This includes trade schools
for some students, alternative learning
After-school classes for younger children
environments for children with disabilities, and
enhanced learning opportunities for gifted children. Cabrini facilitates the connections
through referrals and assistance with material need if necessary.
26
Provide psycho-emotional support to children

IMPACT: 880 children received some form of psychosocial support
Cabrinis approach to care is holistic and seeks to appropriately address the psychological,
emotional and spiritual needs of all clients. Individualized counseling and referrals are
available to all receiving services. Additionally, several targeted approaches are deployed to
address specific challenges in the community and within Cabrinis current clients. This is
essential due to the extended impact of HIV / TB and poverty. Cabrini focuses on using
psychosocial approaches to care to assist with life transitions to promote well-being.
Activities in this area include:
Life Skills Camps
IMPACT: 319 unique youth attended 4 camp events
Cabrinis work with orphans and vulnerable children is not just about delivering services, but
also about providing positive environments where youth can learn, experience love, be safe
and ultimately thrive. This atmosphere is encouraged and facilitated through Cabrinis interterm camps. We have observed that the most significant issues our children face come about
when they are away from school, including teen pregnancy and abuse. Cabrini provides these
short-term camps during the three annual school term breaks. By providing a safe
environment, the risks to children during these breaks are reduced. These camps are offered
to both students regularly in Cabrini programming as well as area children.
Youth during inter-term camp
27
Therapy and Support Groups

IMPACT: 53 youth were enrolled in long term support groups with over 100 more attending
short term opportunities
In addition to academic enrichment groups, Cabrini also regularly offers therapeutic and
psychoeducational support groups. These groups provide a safe environment for peers to
learn and engage on important issues. In the past year, groups have been created around life
transition support and living with HIV. These groups are led by trained staff and volunteers
in the areas of their expertise.
Improve community childhood health through routine physicals
IMPACT: 284 children received physicals and additional referrals if needed
Cabrini provides routine physicals to children in the catchment area to catch illnesses early
and provide access to care. The health checkups include assessments for malnutrition and
common conditions, as well as TB screening and the opportunity for HIV testing. Basic
clinical care is offered when possible; for clients with more complicated issues, referral and
assistance in accessing care is provided.
Cabrini is currently developing programs specifically to address the

needs of girls like these in our Child Care Program
28
STRATEGIC DIRECTION
6.
The future of Cabrini Ministries has never been more exciting as we head into our second
decade of service with a refreshed strategic direction, and a renewed dedication to the clients
we serve.
In the ten years since its formation,
Cabrini Ministries has evolved to meet
the needs of its community and to take
advantage of the assets available.
Improvements in access to health
services as well as new economic
opportunities have resulted in a shift
from crisis response to chronic care
management. This has allowed the
organization to focus attention on some
of the factors that affect the prevalent
challenges in health care and child care
Strategic Planning Team
such as the disintegrating family
structures, persistent poverty, and lack of access to essential services. This transition has
been gradual; however, the launch of the Family Services Department in 2013 represented a
significant step forward in addressing the broader needs of the local community.
Cabrini Ministries initiated a series of dialogs and planning sessions in late 2013 to assess the
future needs and work of the organization in light of the evolving situation. These sessions
brought together all departmental employees, key stakeholders and beneficiaries to discuss
recent and expected changes both within the organization and within the broader Swazi
context. The following conclusions were the result of these consultations:
Cabrini is at a critical transitional moment in its understanding of itself and needs

to evaluate its mission, vision, values, and work as it moves into the future.
o All of the services offered by the organization are related to providing support
and care for the community.
o Cabrinis work is transitioning to be more focused on social services with
Health Care and Child Care being expressions of that. Therefore there is a
need to develop the framework for social services to function within and
throughout the organization.
o Cabrini must evaluate departmental work and structure in light of changing
priorities.
o This transition requires renewed strategic planning.
This mandate served as the impetus for the organization of a full strategic planning retreat
which occurred in March of 2014. This meeting brought together the Cabrini Executive
29
Team, other leaders in the organization, the Advisory Board, and key stakeholders for a four
day meeting. This team of high-capacity contributors set out to utilize the consultative work
of earlier meetings in order to evaluate the organizations Vision, Mission and Values and to
set a three to five year strategic plan to guide Cabrini Ministries into the future.
Vision, Mission and Values:

The strategic planning team affirmed the direction the organization has been heading and
unanimously agreed that the Vision, Mission and Values should be reassessed to reflect this
transition. Ultimately the vision statement remained the same, the mission statement was
updated, and two additional values were added. The resulting statements are as follows:
Vision:
Restoring Life
Kubuyisela Imphilo
Mission:
Cabrini Ministries is a faith based community care organization serving the Lubombo
Lowveld with a mission:
To share the love of Jesus Christ by promoting the well-being of individuals and
families through comprehensive integrated health care, child care, education and
social services to the most poor and vulnerable.
Values:
The values of Cabrini Ministries are informed by the Cabrinian Charism and include:
Hope
Kwetsemba
Mercy
Sihawu
Passion
Kutinikela
Quality
Lizinga
Justice
Ubulungiswa
Ubuntu
Respect / Empathy
Strategic Goals
With the new strategic direction set, the planning team
considered five pillars under which individual goals
were developed in order to guide the organization
forward. These pillars covered discussions pertaining
to beneficiaries, workforce, partnerships, resources and
leadership. Each pillar was defined in the context of
Cabrini Ministries. The strategic goals for the next
three to five years are as follows:
Mzamo, Sharon, Ben and
Mr. Mamba discuss priorities
30
Pillar 1: PEOPLE WE SERVE / BENEFICIARIES: The most poor and

vulnerable children, adults and families in the communities we serve.
Health Care
Improve the health and overall well-being of the people Cabrini serves by
providing integrated and comprehensive primary health care in the
community.
Decrease the incidence of TB and mortality due to TB infection in the people
Cabrini Ministries serves through the development of a TB unit for intensive
case finding, prevention, screening, treatment and follow-up within the Health
Care Program.
Family Services
Improve the overall well-being, family strength and self-reliance of the people
Cabrini Ministries serves through the ongoing development and
implementation of services of the Family Services Department.
Child Care
Increase wellbeing of girls and young women (including reduction of

pregnancy and vulnerability to HIV/AIDS) through activities that increase
their ability to make informed choices, promote empowerment and strengthen
social networks.
Help youth and young adults successfully transition to adult life through the
development and implementation of a life transition program focusing on the
cultural issues impacting the health, education, work and self-determination of
those students linked to Cabrini Hostel Care.
Provide temporary emergency response through the continued development of
short term shelter options.
Education
Increase knowledge and awareness of healthy behaviors of the people Cabrini

Ministries serves through a comprehensive Community Education Program
which focuses on social and behavioral change communication for the whole
community.
Increase the knowledge and skill development of the students Cabrini
Ministries serves through education enhancement and support programs.
Pillar 2: WORKFORCE: Cabrini staff and organizational volunteers

All staff
Support the Cabrini Ministries workforce to achieve the Mission and Values
of the organization through ongoing education and critical skills/competency
training and development.
31
Enhance the capacity of Cabrini Ministries workforce to meet the needs of the
communities served through a focus on the integration of the Cabrini Vision,
Mission and Values into each departments understanding of its work.
Health Care, Child Care, Family Services Staff
Provide ongoing education to enhance capacities of Cabrini staff to meet the

needs of the communities served with a Christian based family centered
approach
Enhance capacity of staff to recognize and cope with the traumatic effects of
working with the most poor and vulnerable in the community by developing
and providing a staff wellness/debriefing program.
Pillar 3: STRATEGIC ALLIANCES: Collaborations that help Cabrini

Ministries and her partners to achieve improved outcomes
Improve the overall well-being of the people Cabrini serves as well as the
Kingdom of Swaziland by identifying and strengthening all health related
alliances on local, regional, national and international levels both public and
private.
Improve the overall well-being of the people Cabrini serves as well as the
Kingdom of Swaziland by developing and/or strengthening working
relationship with social welfare entities at the local, regional and national level
both public and private.
Increase the longevity, sustainability and depth of Cabrinis community care
by developing and strengthening relationships with all funders, domestic and
international as well as relevant government entities.
Increase the well-being of the most poor and vulnerable through sharing
Cabrinis best practices with other government and non-government
organizations.
Pillar 4: PROCUREMENT AND STEWARDSHIP OF RESOURCES: The

procurement, good use, maintenance and protection of Cabrini Ministries
resources for the implementation of the programs
Develop a mechanism for the routine and ongoing cataloguing of the care and
refurbishing of all material resources of the organization.
Ensure the stability and sustainability of Cabrini Ministries through ongoing
fund raising and development.
Improve the working conditions of the Cabrini Ministries workforce through
procurement of necessary tools and materials for every day work.
Ensure adequate capital investments (vehicles, building, etc.) are available to
do the work of the organization
32
Pillar 5: GOVERNANCE AND MANAGEMENT: All bodies of authority over

the Vision, Mission and values of Cabrini Ministries and those charged with
executing the Vision, Mission and Values.
Reconfigure the organization and/or departments to align service delivery with

established programmatic goals and to ensure that all departments provide
quality services in a timely manner.
Ensure key staff and leadership stability through succession planning.
Enhance the engagement of the Advisory Board in all areas of their
responsibility.
Continue development of M+E systems to allow for better understanding of
outcomes and impact in evaluating and sharing our work.
Ensure a skilled and motivated workforce that is aligned with Cabrini
Ministries current and emerging programmatic goals through the effective
recruitment, development and retention of staff.
The strategic goals outlined above have been integrated into organizational and departmental
action plans. The executive team and advisory board review progress as part of regular
meetings to ensure things are moving forward and to adjust implementation as necessary. As
is evidenced by the work already reported on in this document, many initiatives are already
well under way. We look forward to the work that is to come.
The future of Swaziland: Cabrinis recent high school graduates
33
GET INVOLVED
7.
The work of Cabrini exists through the support of numerous foundations, organizations and
individuals across the globe. If you would like to get involved, please consider one of the
following:
Sponsor a Strategic Project
Our development team would love to work with you or your organization to sponsor one of
the new projects envisioned by the strategic plan and outlined above. To find out more,
please contact the Cabrini staff at info@cabriniministries.org.
Donate as an individual.
Regardless of your desired level of involvement, you can make a tangible impact in the lives
of people served by Cabrini Ministries Swaziland. Please consider the following:
Provide hope to marginalized youth by sponsoring a child

For $100 per month, you are able to provide for all the needs of one of Swazilands
most at-risk youth. This will cover food, shelter, clothing, education and healthcare
for a child. You will receive periodic photos and updates on your child.
Give life to the sick by supporting essential medical care
For $90, you can provide a years worth of comprehensive health care for someone
suffering from HIV or Tuberculosis. This includes testing, counseling, treatment,
transportation and follow-up support.
Offer the promise of a better future through education
For $400 per year, you can sponsor the education of a child in Swaziland. This
includes all of the costs associated with schooling for a Swazi child including tuition,
uniforms and exam fees.
34
Donation Information
To support the work of Cabrini Ministries in the United States, please send your taxdeductible payment and contact information to:
Swaziland Donation
C/O Cabrini Mission Foundation
222 East 19th Street, Suite 5E
New York, New York 10003
If you wish to make a direct online donation, please consider donating through GivenGain by
visiting http://cabrini.givengain.org.
Please note GivenGain is a non-tax-deductible contribution platform which
allows you to quickly and easily support the various needs of Cabrini
Ministries with one-time or reoccurring donations.
In Australia, staff at Cabrini Health Australia can work with their employer to make one-time
or ongoing contributions to the work in Swaziland including child sponsorships. Please
contact Kate Barker for more information: kbarker@cabrini.com.au
For more donation information, please visit: www.cabriniministries.org/donate
35
APPENDICES
Analysis of Health Care Services ........................................................................................ 37
Child Care Services and Enrollment .................................................................................... 43
Family Services Assessments and Interventions ................................................................. 45
Total Organization Impact for 2013-2014 ........................................................................... 46
36
Analysis of Health Care Services

Report for the period of Oct 2013 - Sep 2014
TOTAL Clients Served
Pre-ART Clients Served
Female
Male
Grand Total
<18
216
194
410
18+
971
690
1661
Grand Total
1187
884
2071
TOTAL HIV+ Clients Served
Female
Male
Grand Total
<18
13
19
18+
150
71
221
Grand Total
156
84
240
CD4 Tests
Female
Male
Grand Total
Female
Male
Grand Total
<18
62
62
124
<18
92
92
184
18+
636
354
990
18+
1003
478
1481
Grand Total
698
416
1114
Grand Total
1095
570
1665
Female
Male
Grand Total
TOTAL Visits
CD4 Individuals
Female
Male
Grand Total
<18
846
783
1629
<18
49
47
96
18+
4640
2604
7244
18+
558
291
849
Grand Total
5486
3387
8873
Grand Total
607
338
945
Female
Male
Grand Total
<18
164
142
306
TOTAL Services
Visits with OI Treatment
Female
Male
Grand Total
<18
1755
1639
3394
18+
11714
6079
17793
18+
2159
896
3055
Grand Total
13469
7718
21187
Grand Total
2323
1038
3361
Female
Male
Grand Total
Female
Male
Grand Total
<18
56
55
111
<18
50
53
103
18+
529
298
827
18+
571
289
860
Grand Total
585
353
938
Grand Total
621
342
963
Female
Male
Grand Total
ART Clients Served
Clients with OI Treatment
ART Initiations
TB Clients Served
Female
Male
Grand Total
<18
<18
12
18+
51
26
77
18+
26
35
61
Grand Total
53
33
86
Grand Total
33
40
73
37
TB Clients Served by Type
Total Clients on INH
Ordinary
MDR/XD
R
Grand Total
Female
28
33
<18
18+
23
26
Male
36
40
<18
18+
32
35
Grand Total
64
73
Female
Male
Grand Total
18+
22
20
42
Grand Total
25
24
49
Male
Grand Total
<18
18+
14
16
30
Grand Total
20
18
38
MDR/XD
R
Grand Total
Female
19
20
<18
18+
14
Male
17
<18
18+
Grand Total
<18
18+
39
15
54
Grand Total
43
19
62
Female
Male
Grand Total
52
45
97
18+
71
50
121
Grand Total
123
95
218
Female
Male
Grand Total
Sputum Tests
<18
61
53
114
18+
160
121
281
Grand Total
221
174
395
Clients with Sputum Tests
TB Initiations by Type
Ordinary
Grand Total
<18
TB Initiations
Female
Male
TB Suspects
HIV + TB Clients Served

<18
Female
Female
Male
Grand Total
<18
58
49
107
18+
127
97
224
Grand Total
185
146
331
HIV+ Clients with Sputum Tests

Female
Male
Grand Total
<18
10
16
14
18+
82
57
139
18
Grand Total
92
63
155
16
16
36
38
HIV Tests by Age / Gender
TB Initiations of HIV+ clients

Female
Male
Grand Total
<18
18+
10
18
Grand Total
12
10
22
Male
Grand Total
<18
18+
38
13
51
Grand Total
42
17
59
Male
Grand Total
<18
111
92
203
18+
380
370
750
Grand Total
491
462
953
Female
Male
Grand Total
<18
109
91
200
18+
360
355
715
Grand Total
469
446
915
HTC Individuals
INH Initiation
Female
Female
38
Total HIV Tests by Result

Negative
% of New HTC Positive
Positive
Grand Total
Female
Male
Grand Total
Female
441
50
491
<18
1.9%
4.5%
3.1%
<18
109
111
18+
18.5%
12.2%
15.1%
Grand Total
13.7%
10.4%
12.0%
Female
Male
Grand Total
0.0%
0.0%
0.0%
18+
332
48
380
Male
419
43
462
<18
88
92
18+
331
39
370
Grand Total
860
93
953
% of Re-Tests Positive
<18
New HTC Only by Result

Negative
Positive
315
50
365
<18
104
106
18+
211
48
259
Male
344
40
384
<18
84
88
18+
260
36
296
Grand Total
659
90
749
Female
4.1%
1.5%
3.8%
1.5%
% of HTC Individuals Positive

Female
Grand Total
126
126
<18
Male
Grand Total
<18
1.8%
4.4%
3.0%
18+
13.3%
11.0%
12.2%
Grand Total
10.7%
9.6%
10.2%
Female
Male
Grand Total
<18
18+
40
28
68
Grand Total
40
29
69
Female
Male
Grand Total
Blood Sugar
HIV Re-Tests Only by Result

Positive
0.0%
0.0%
Grand Total
Female
Negative
18+
Grand Total
18+
121
121
Male
75
78
<18
18+
71
74
<18
Grand Total
201
204
18+
26
31
57
Grand Total
28
34
62
Female
Male
Grand Total
<18
18+
26
31
57
Grand Total
28
34
62
Nutrition Services
HTC Individuals by Result

Negative
Positive
Transfers in
Grand Total
Female
419
50
469
<18
107
109
18+
312
48
360
Male
403
43
446
<18
87
91
18+
316
39
355
Grand Total
822
93
915
Female
Male
Grand Total
<18
1.8%
4.3%
3.0%
18+
12.6%
10.5%
11.6%
Grand Total
10.2%
9.3%
9.8%
% of HIV Tests Positive
39
Breakdown by Site
Exits
<18
18+
Grand Total
Visits
Defaulted
Bhadlane
51
Female
Home visit
522
429
Male
Mconcwane
237
36
235
47
667
118
6854
1312
307
307
8873
2258
Transfer out
10
46
56
Ncandweni
Female
32
36
Sinyamantulwa
14
20
St Phillips
Male
Refused
treatment
Community Site
Female
Male
Lost to
follow up
Female
Male
Selfreferred
Female
Male
18
21
10
13
15
77
92
Female
Male
Grand Total
FY14 RHM Education Figures

Q1 Unique RHMs
Q2 Unique RHMs
Q3 Unique RHMs
Q4 Unique RHMs
FY14 Unique Total RHMs
Avg Visits per RHM
Max Visits Individual
% RHMS w. Multiple Visits
1
1
RIP
Grand Total
Clients
*Note: Exits do not include clients who did not vist

during the reporting period
40
83
36
106
39
135
2.54
8
64.4%
Cascade of Care for New Clients
Cabrini HIV Testing > CD4 > ART Cascade

October 2013 through September 2014
HIV Tests
915 100.0%
Negative
818
Positive
97
ART Eligible
89.4%
10.6%
63
Initiated
64.9%
46
73.0%
Via CD4
32
Via Staging
3
Other
11
Not Initiated
17
27.0%
Exit
8
Dead
Default
Transfer
Need Int
9
In Process
No longer eligible
Refusing Treatment
ART Ineligible
34
35.1%
W/ CD4
15
44.1%
W/o CD4
19
55.9%
Exited
11
Dead
Default
Transfer
Need CD4
9
In Process
Needs Follow-up
69.6%
6.5%
23.9%
47.1%
1
1
6
52.9%
1
5
3
57.9%
0
0
11
47.4%
1
8
90.2% Successful ART initiation Rate

Total initiated divided by ART eligible minus dead, transferred and no longer eligible
90.7% Successful Pre-ART follow up Rate
Total w/ CD4 or initiated divided by total positve minus dead and transfer w.o CD4
Alive and on treatment rates 1yr after ART initiations by age

Age Range
1-4
5-9
10-14
15-19
20-24
25-49
50+
Grand Total
Alive and on Treatment

Total
Yes
8
8
9
9
5
5
2
2
6
5
99
95
10
10
139
134
41
No
1
4
5
Percent
100.00%
100.00%
100.00%
100.00%
83.33%
95.96%
100.00%
96.40%
12.5%
12.5%
75.0%
11.1%
55.6%
33.3%
0.0%
0.0%
100.0%
11.1%
88.9%
Missed Appointment and Defaulter Follow Up Results
Sinceni
Lost to Follow Up
Refused Treatment
Returned to Care
Tracking
LTF 90+
Siphofaneni
Lost to Follow Up
Refused Treatment
Returned to Care
Tracking
LTF 90+
Cabrini
Lost to Follow Up
Refused Treatment
Returned to Care
Tracking
LTF 90+
Grand Total
ART
99
3
66
13
17
340
8
1
305
8
18
291
1
5
266
5
14
730
ART,
TB
CTX
53
2
36
10
5
87
2
6
1
7
75
1
9
67
61
1
5
207
42
CTX,
Unknown OTHER TB OTHER
3
4
2
1
2
1
1
1
3
1
1
4
10
2
1
3
Grand
Total
159
3
2
105
24
25
430
10
1
382
10
27
374
1
5
334
9
25
963
Child Care Services and Enrollment
Child Care Unique Clients receiving Services

Psycho
Total
Legal /
Social
Economic
Clients Nutrition Shelter Health Education Protection Support Strengthening
Male
439
283
100
285
224
178
439
141
<15
267
170
35
140
73
46
267
117
15+
143
92
58
125
128
118
143
24
Unknown
29
21
7
20
23
14
29
0
Female
441
268
100
299
250
193
441
124
<15
258
144
40
142
89
49
258
90
15+
165
116
58
143
152
139
165
34
Unknown
18
8
2
14
9
5
18
0
Grand
880
551
200
584
474
371
880
265
Total
Total Enrollment (including discharges during the period)

Female
<15
15+
Male
<15
15+
Grand
Total
Hostel
55
32
23
53
28
25
Off-site
Comprehensive
16
3
13
19
1
15
Academic
Support
94
7
87
78
3
75
Bridge
7
1
6
8
1
7
Transition
8
108
35
172
15
18
8
10
Respite
Care
1
1
3
3
10
4
Grand
Total
181
44
137
171
39
132
352
Community Education and Health Events
Female
<15
15+
Unknown
Male
<15
15+
Unknown
Grand
Total
Healthy
Child
Physicals
144
114
20
10
140
109
25
6
284
C.A.R.E. Outreach
(Sibetsaphi)
31
23
8
15
13
2
46
43
C.A.R.E.
Outreach
(Mamisa)
24
16
4
4
32
16
7
9
School
Feeding
Program
84
84
56
199
115
115
Grand Total
283
237
32
14
302
253
34
15
585
Camp Attendance
Female
<15
15+
Unknown
Male
<15
15+
Unknown
Grand
Total
Path to the
Future
Camp
40
6
34
Education is
Key to
Success
Camp (Term
1)
62
1
61
26
2
24
40
1
39
66
102
Healthy
Body
Healthy
Mind (PreTeen
Camp)
26
20
4
2
16
16
42
44
Education is
key to
success
(Term 2)
38
2
36
38
1
36
1
Cabrini
Teen Club
18
9
7
2
15
10
2
3
Grand
Total
184
38
142
4
135
30
101
4
76
33
319
Family Services Assessments and Interventions
TOTAL Homestead Assessments:

Individuals Assessed
<18
18+
Unknown
Grand Total
Unknown
11
11
14
36
207
Female
269
306
51
626
TOTAL Interventions: 583
Male
253
286
49
588
Unique Individuals: 463

Nutrition
Othe
r
Psychosoci
al
Shelte
r
Gran
d
Total
150
271
72
136
16
66
111
12
24
Child
Protection
Educatio
n
Healt
h
Lega
l
Female
14
47
34
<18
30
16
18+
17
Unknown
Male
<18
13
53
47
116
11
260
10
22
20
58
126
29
21
51
112
22
25
52
18+
Unknown
Unknown
Grand
Total
533
603
114
1250
<18
18+
Unknown
23
Grand Total
34
125
87
17
275
45
5
3
8
21
43
16
583
Total Organization Impact for 2013-2014
Male 18+
Male <18
Female 18+
Female <18
18+
<18
Total
Nutrition Shelter Health Education Legal PSS

Economic TOTAL
142
39
766
76
77
1092
13
1092
295
61
403
148
125
835
128
835
141
21
1031
62
71
1378
12
1378
310
79
455
188
149
896
112
896
283
60
1797
138
148
2470
25
2470
605
140
858
336
274
1731
240
1731
888
200
2655
474
422
4201
265
4201
46
Cabrini Ministries would like to express their gratitude to

all who have made this program report possible:
To executive team and managers for their leadership and

guidance in pursing the mission of the organization
To all the staff who implement activities daily caring for
and loving their neighbors
To Phindile Tfwala, Tanele Mdluli and rest of the data
management team for their data compilation
To Ben Kickert, Katie McCaskie and Beth Kickert, for
narrative composition and editing
To Ashley Block for capturing the hope and passion of the
community through the photographs in this report
CABRINI MINISTRIES SWAZILAND

St. Philips Mission
Mhlatuze, Lubombo
Box 5183
Manzini, M200
Swaziland, Africa
(o) +268.2343.4944
(f): +268.2518.5598
info@cabriniministries.org
www.cabriniministries.org
A ministry of the Missionary Sisters of the Sacred Heart

Cabrini Ministries 2014 Program Report

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Program Report

A special thanks to our supporters:

Cabrini Ministries Program Report // 2013-2014

Letter from Executive Director .......................................................................................... 4

Cabrini Ministries Program Report // 2013-2014

LETTER FROM EXECUTIVE DIRECTOR

Dear Colleagues and Friends of Cabrini,

Sr. Diane DalleMolle, MSC

Cabrini Ministries Program Report // 2013-2014

Mcolisi Gwebu, delivering

Cabrini Ministries is a faith-based community care organization serving the

Cabrini Ministries Program Report // 2013-2014

Sr. Barbara saying good-bye

Cabrini also experienced a major transition in leadership

A total of 4,201 individuals received direct care from Cabrini.

Cabrini Ministries Program Report // 2013-2014

Cabrini Staff 2014

Cabrini Ministries Program Report // 2013-2014

Cabrini Ministries Swaziland is a Catholic faith-based and community-based not-for-profit

Cabrini Ministries Program Report // 2013-2014

Staff and Leadership

Cabrini Ministries Program Report // 2013-2014

NEW AND EXCITING

Local Teen Club for HIV+ Students

Children participating in group activities

Self-medication program for youth

Cabrini Ministries Program Report // 2013-2014

ownership of their own health. Participants

Cabrini Ministries Program Report // 2013-2014

New Database System

Full Primary Health Care

Cabrini Ministries Program Report // 2013-2014

Expanded Community Education and HIV Testing

Cabrini Ministries Program Report // 2013-2014

High school Graduation Rates

Cabrini Ministries Program Report // 2013-2014

Cabrini Ministries Program Report // 2013-2014

PROGRAMMATIC OVERVIEW AND IMPACT

Complete comprehensive needs

Cabrinis work with vulnerable populations is homestead-centered, recognizing that

Cabrini Ministries Program Report // 2013-2014

Develop individualized plans of intervention to provide basic services such

Delivering services to impoverished and vulnerable communities is often hampered by a lack

Cabrini Ministries Program Report // 2013-2014

Cabrini Ministries Program Report // 2013-2014

Pre-ART / ART / TB Initiation and Treatment

On-going supportive Health Care

Cabrini Ministries Program Report // 2013-2014

Prevention of Mother to Child Transmission (PMTCT)

Cabrinis Health Care Services are not just focused

Routine care for HIV and

Cabrini Ministries Program Report // 2013-2014

Missed Appointment Follow up (including partner clinics)

Cabrini Ministries Program Report // 2013-2014

Provide home based care and health provision at mobile/remote sites

Often, clients are too sick to make it into the clinic

Cabrinis catchment area is approximately 50km in

Cabrini Ministries Program Report // 2013-2014

reproductive health services through a partner service provider. In addition to transportation,

Cabrini firmly believes that successful

Community members arrive

Spirituality, including traditional beliefs, is an integral part of

Cabrini Ministries Program Report // 2013-2014

The co-parenting approach of OVC