Implementing Philani Outreach Programme

Model implementation summary last updated: 2014

The information in this profile reflects feedback, if provided, from this model’s developer as of the above date. The description of the implementation of the model(s) here may differ from how the model(s) was implemented in the research reviewed to determine this model’s evidence of effectiveness. Inclusion in the implementation report does not mean the practices described meet the HHS criteria for evidence of effectiveness. Similarly, models described here may not all have impact studies, and those with impact studies may vary in their effectiveness. Please see the Effectiveness button on the left for more information about research on the effectiveness of the models discussed here.

Model overview

Theoretical approach

Philani means be healthy in isiXhosa, the mother tongue of most of Philani’s mothers and staff. The Philani Outreach Programme is designed to alleviate child malnutrition and other child health and development problems in South Africa’s informal settlements. It is modeled after the Nurse Family Partnership home visiting program and World Vision’s Positive Deviance/Hearth malnutrition program. The program builds on existing community expertise by recruiting “positive deviants,” women who have raised well-nourished and healthy children despite living in poverty. Through the Philani Outreach Programme, the positive deviant women, known as outreach workers or mentor mothers, share their experiences with and support other women in the community around issues related to child health. After observing that many of the malnourished children served had been born with low birth weights and noting an increasing prevalence of HIV-positive pregnant women, Philani Outreach Programme added a component to support healthy pregnancies, called the Mother-To-Be Program.

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Implementation support

The Philani Child Health & Nutrition Project, an international nongovernmental organization, administers the Philani Outreach Programme, a home visiting program, in coordination with the South African government’s health care system.

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Intended population

Among those living in South Africa’s informal settlements, the program seeks to identify and serve all pregnant women; malnourished children; and children at risk of malnutrition, abuse, neglect or HIV/ AIDS.

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Targeted outcomes

The Philani Outreach Programme aims to improve child and maternal nutrition and health and prevent the mother-to-child transmission of HIV. The Mother-To-Be Program component aims to improve the nutrition of pregnant women and thus the birth weight of their children, and prevent mother-to-child transmission of HIV.

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Model services

Outreach workers, also called mentor mothers, identify families with malnourished children in their communities and invite them to participate in the home visiting program. The outreach workers share their own experiences and educate the women on health issues. They also foster mothers’ coping skills and empower them to identify the resources they need to care for their children. The outreach workers refer children who need additional medical attention to the local medical clinics.

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Model intensity and length

No information is available.

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Location

The Philani Outreach Programme currently serves more than 4,500 women and children living in informal settlements of Cape Town and the Eastern Cape in South Africa. Pilot programs have been initiated in Swaziland and Ethiopia.

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Adaptations and enhancements

No information is available.

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Implementation notes

The information contained on this page was last updated in April 2014. Recommended Further Reading lists the sources for this information.

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