Capable Partners Program (CAP) South Africa
- South Africa
South Africa has one of the highest HIV-prevalence rates in the world. In 2010, a South Africa Department of Health survey estimated that more than 30 percent of pregnant women 15–49 years old had HIV. FHI 360’s Capable Partners Program (CAP) developed, tested, refined and implemented a model of capacity strengthening to help address the problem. CAP South Africa integrated evidence-based best practices for prevention of mother-to-child transmission (PMTCT) of HIV, maternal health, and infant and young child feeding into health care facilities and community services in all nine provinces. The program also integrated South Africa Department of Health guidelines into these same health services.
CAP’s work included encouraging the strengthening and expanding of integrated PMTCT programming at national, provincial, district, subdistrict, clinic and community levels. CAP trained facility and community health care providers in integrated PMTCT, counseling and negotiation skills in infant and young child feeding, and social and behavior change communication. The program used the Baby-Friendly Hospital Initiative as a strategy to ensure the quality of maternal and child health services. A key aspect of the program was mobilizing nongovernmental organizations and communities to influence social norms and encourage community adoption of healthy behaviors related to reproductive health, PMTCT, and infant and young child feeding. CAP also involved mentoring and coaching facility and community health care workers in implementing the integrated approach.