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	<title>Tshikululu Social Investments</title>
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	<link>http://www.tshikululu.org.za</link>
	<description>Corporate Social Investment Management CSI Agency South Africa</description>
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		<title>Tshikululu CEO wins financial services award</title>
		<link>http://www.tshikululu.org.za/news/tshikululu-ceo-wins-financial-services-award/</link>
		<comments>http://www.tshikululu.org.za/news/tshikululu-ceo-wins-financial-services-award/#comments</comments>
		<pubDate>Fri, 30 Jul 2010 10:32:52 +0000</pubDate>
		<dc:creator>Tshikululu</dc:creator>
				<category><![CDATA[News]]></category>
		<category><![CDATA[Tshikululu]]></category>
		<category><![CDATA[Tshikululu Social Investments]]></category>

		<guid isPermaLink="false">http://www.tshikululu.org.za/?p=3768</guid>
		<description><![CDATA[Tshikululu Social Investments is pleased to announce the awarding of its CEO, Tracey Henry, as financial services category winner in the “2010 Most Influential Women in Business and Government Awards” at a ceremony at Midrand’s Gallagher Estate today.
“This recognition is especially pleasing as it shows an appreciation of the CSI fund and trust management that [...]]]></description>
			<content:encoded><![CDATA[<p>Tshikululu Social Investments is pleased to announce the awarding of its CEO, Tracey Henry, as financial services category winner in the “2010 Most Influential Women in Business and Government Awards” at a ceremony at Midrand’s Gallagher Estate today.</p>
<p>“This recognition is especially pleasing as it shows an appreciation of the CSI fund and trust management that has been undertaken by Tshikululu on behalf of major South African corporations for the past 12 years”, notes Henry. “Gratifying too is that it should be made for the work of our not-for-profit company, despite our being bracketed with top range financial services institutions.”</p>
<p>Tshikululu managed R495 million of corporate social investment funds in 2009, and acts as grantmaker manager to community development initiatives throughout South Africa. Clients whose CSI trusts are managed include Anglo American, De Beers, the FirstRand Group, Discovery, and UTi.</p>
<p>This work saw Tshikululu undertake 241 individual project site visits last year, and process more than 3 000 applications for NGO funding. Tshikululu is South Africa’s largest private sector vehicle for corporate social investment grantmaking.</p>
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		<title>Can South Africa really reduce its carbon footprint by 34%?</title>
		<link>http://www.tshikululu.org.za/thought-leadership/can-south-africa-really-reduce-its-carbon-footprint-by-34/</link>
		<comments>http://www.tshikululu.org.za/thought-leadership/can-south-africa-really-reduce-its-carbon-footprint-by-34/#comments</comments>
		<pubDate>Fri, 30 Jul 2010 09:41:40 +0000</pubDate>
		<dc:creator>Tshikululu</dc:creator>
				<category><![CDATA[Thought Leadership]]></category>
		<category><![CDATA[carbon footprint]]></category>
		<category><![CDATA[climate change]]></category>
		<category><![CDATA[green industry]]></category>
		<category><![CDATA[greenhouse emissions]]></category>
		<category><![CDATA[south africa]]></category>

		<guid isPermaLink="false">http://www.tshikululu.org.za/?p=3759</guid>
		<description><![CDATA[For SA policy makers pressured to put the economy onto a stronger job growth trajectory, meeting ambitious climate-change goals will add to a tricky balancing act.
This is an extract from an article written by Carol Paton for the Financial Mail, published in the 30 July 2010 edition and online on 29 July 2010.
On December 6 [...]]]></description>
			<content:encoded><![CDATA[<div id="attachment_3760" class="wp-caption alignleft" style="width: 338px"><a href="http://www.tshikululu.org.za/wp-content/uploads/2010/07/TSI_website-pics_carbon-footprint-300710.png"><img class="size-full wp-image-3760 " title="Can South Africa really reduce its carbon footprint by 34%?" src="http://www.tshikululu.org.za/wp-content/uploads/2010/07/TSI_website-pics_carbon-footprint-300710.png" alt="Can South Africa really reduce its carbon footprint by 34%?" width="328" height="245" /></a><p class="wp-caption-text">For SA policy makers pressured to put the economy onto a stronger job growth trajectory, meeting ambitious climate-change goals will add to a tricky balancing act.</p></div>
<p><em>This is an extract from an article written by <span class="inlineHeading">Carol Paton</span> for the Financial Mail, published in the 30 July 2010 edition and online on 29 July 2010.</em></p>
<p>On December 6 last year, just before President Jacob Zuma jetted off to Copenhagen to meet 110 other heads of state, his office issued a press statement: South Africa would reduce its greenhouse gas emissions by 34% by 2020, and by 42%  by 2025. Emissions were expected to rise until 2020, when they would  peak, plateau for a decade, and then decline in absolute terms.</p>
<p>As the summit unfolded it became clear what must have happened: just as  developing countries wanted to pressure developed countries into binding  targets, the richer nations wanted the same from the emerging world.  Allied with emerging powerhouses China, India and Brazil — which had all  come forward and made pledges — and eager to play in the major league,  SA had to commit to targets even if it did so in a rush and without a  plan on how it would do it.</p>
<p>Therein lie the problems. SA’s commitment to an ambitious target will  motivate more and bigger mitigating actions, which will be good for SA’s  competitiveness in the long run. But the targets are far away from  commercial and macroeconomic reality. Unlike China, India and Brazil,  whose booming economies mean abundant resources are available for  mitigation actions, the SA state does not have similar affluence.</p>
<p>What will the targets mean for the economy and business?</p>
<p>SA has a dirty economy, given its historical dependence on cheap coal to generate electricity. On a per capita basis, GHG emissions in SA are as much as the UK’s and  close to Germany’s, despite being a smaller economy. Though the last GHG  inventory in SA has the year 2000 as a baseline, it is now estimated  that in terms of scale, the SA economy emits 500Mt of carbon dioxide in a  year.</p>
<p>The Energy Research  Centre (ERC) is the group that did the technical work that informed the  34% target. Three years ago the centre was asked by the then minister  of environmental affairs &amp; tourism, Marthinus van Schalkwyk, to  develop a set of long-term mitigation scenarios.</p>
<p>As it happened, there were significant differences between what in 2007  was assumed would happen and what is believed will happen now. For  example, the growth assumptions in the “business as usual trajectory”  were very bullish. As the economy slowed quite unexpectedly from 2009,  it’s likely that the actual emissions were not as high as expected. But  the 34% target remained.</p>
<p>A second difference was that much of what businesses like Eskom and  Sasol believed was possible was based on the assumption that technology  to do carbon capture and sequestration (CCS) — which amounts to  capturing emissions, turning them into solid form and then burying them  in the ground or in sludge dams — would be well-developed. But though  CCS pilot projects have begun, the technology is a long way from being  established.</p>
<p>In short, how SA will reach its 34% mitigation target from “business as usual” by 2020 is vague. Two processes are under way in government that will begin to tackle this. The first is to compile the climate change  green paper, and then the white paper that will lead to legislation. The second is the compilation of the second Integrated Resource Plan  (IRP2) by the department of energy, which will determine what SA’s  energy mix will be for the next 25 years.</p>
<p>Trade &amp; industry minister Rob Davies is looking to new green  industries as job creators. The problem is that SA’s industrial policy  aims to put SA on a path on which it beneficiates its mineral resources.  Beneficiation is not compatible with a low-carbon future.</p>
<p>For SA policy makers pressured to put the economy onto a stronger job  growth trajectory and speed up the delivery of social services, meeting  ambitious climate-change goals will add to an already tricky balancing  act.</p>
<p><a href="http://www.fm.co.za/Article.aspx?id=116438" target="_blank">Read the full article</a> at the Financial Mail.</p>
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		<title>The power of cellphones in the classroom</title>
		<link>http://www.tshikululu.org.za/news/the-power-of-cellphones-in-the-classroom/</link>
		<comments>http://www.tshikululu.org.za/news/the-power-of-cellphones-in-the-classroom/#comments</comments>
		<pubDate>Fri, 30 Jul 2010 08:20:20 +0000</pubDate>
		<dc:creator>Tshikululu</dc:creator>
				<category><![CDATA[News]]></category>
		<category><![CDATA[books]]></category>
		<category><![CDATA[Education]]></category>
		<category><![CDATA[south africa]]></category>

		<guid isPermaLink="false">http://www.tshikululu.org.za/?p=3755</guid>
		<description><![CDATA[A South African education company has figured out a way to allow  children to access electronic books (e-books) even when they do not have  access to desktop computers.
In South Africa, the government is still unable to ensure that the  12- million-odd pupils in public schools get all the textbooks they  need. [...]]]></description>
			<content:encoded><![CDATA[<p>A South African education company has figured out a way to allow  children to access electronic books (e-books) even when they do not have  access to desktop computers.</p>
<p>In South Africa, the government is still unable to ensure that the  12- million-odd pupils in public schools get all the textbooks they  need. Only 14,8% of households, and only 33% of schools, have computers  that are used for teaching and learning.</p>
<p>However, a University of SA survey of Gauteng high school  pupils showing 75,4% access the internet via cellphones, suggests the  ability to open a textbook using a device many pupils have opens up  great possibilities.</p>
<p>Star Schools, which provides extra tuition to 37000 children nationally,  and 22000 by distance tuition, is to launch this technology nationally  through its technology division, My Star, next month . The system will  also allow children to pay only for the parts of the e-books they need .</p>
<p>Maths teacher Guy Hees, who moderated Star Schools’ maths e-book,  says while the new technology has not yet been widely used, or stood the  test of a matric exam, he expects it to be “hugely effective”. Children  like modern technology that is “accessible 24/7” , he says. “They can  hugely benefit from this … at this stage, there are universities in the  US, but not schools, that are using this type of technology,” says Prof  Hees, who taught in a Los Angeles district five years ago.</p>
<p>English teacher Karen Ehlers, who has used the Grade 11  English First Additional Language e-book , says her pupils have welcomed  it . “They love it. They are excited and they want to come to class….  It’s not chalk and talk any more, they want interactivity.”</p>
<p><a href="http://www.businessday.co.za/articles/Content.aspx?id=116500" target="_blank">Read the full article</a> at Business Day.</p>
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		<title>Political will can solve malnutrition in Africa</title>
		<link>http://www.tshikululu.org.za/news/political-will-can-solve-malnutrition-in-africa/</link>
		<comments>http://www.tshikululu.org.za/news/political-will-can-solve-malnutrition-in-africa/#comments</comments>
		<pubDate>Wed, 28 Jul 2010 07:58:24 +0000</pubDate>
		<dc:creator>Tshikululu</dc:creator>
				<category><![CDATA[News]]></category>
		<category><![CDATA[Africa]]></category>
		<category><![CDATA[children]]></category>
		<category><![CDATA[food security]]></category>
		<category><![CDATA[hunger]]></category>
		<category><![CDATA[malnutrition]]></category>
		<category><![CDATA[nutrition]]></category>
		<category><![CDATA[UN millennium development goals]]></category>

		<guid isPermaLink="false">http://www.tshikululu.org.za/?p=3732</guid>
		<description><![CDATA[&#8220;Children  don&#8217;t vote,&#8221; said Dr Robert Mwadime, of Uganda Action for Nutrition, at  a session on the subject before the three-day African Union (AU)  meeting opened in Kampala, Uganda. This means that political leaders in  Africa often pay scant attention to the millions of children who die  every year of [...]]]></description>
			<content:encoded><![CDATA[<p><span style="text-align: justify;"><span id="Body">&#8220;Children  don&#8217;t vote,&#8221; said Dr Robert Mwadime, of Uganda Action for Nutrition, at  a session on the subject before the three-day African Union (AU)  meeting opened in Kampala, Uganda. This means that political leaders in  Africa often pay scant attention to the millions of children who die  every year of malnutrition-related causes. Most of the audience nodded  in agreement; many clapped. </span></span></p>
<p><span style="text-align: justify;"><span id="Body">The  theme of the AU meeting was &#8220;Maternal, Infant and Child Health and  Development in Africa&#8221;, so it was an apt opportunity to wave the flag.  &#8220;Nutrition is practically an orphan,&#8221; Mkandawire commented. About 40  percent of children younger than five in Africa are chronically  malnourished. <span id="more-3732"></span></span></span></p>
<p><span style="text-align: justify;"><span id="Body">The  food price crisis of 2006-08 pushed the number of malnourished children  to shocking levels and put a new focus on nutrition. </span></span></p>
<p><span style="text-align: justify;"><span id="Body">Africa&#8217;s efforts to deal with malnutrition and hunger have been dismal.  Only nine African countries are on track to meet the UN Millennium  Development Goal to halve hunger and malnutrition by 2015, according to a  2009 <a href="http://www.unicef.org/publications/files/Tracking_Progress_on_Child_and_Maternal_Nutrition_EN_110309.pdf" target="_blank">report</a> by the UN Children&#8217;s Fund (UNICEF).</span></span></p>
<p><span style="text-align: justify;"><span id="Body">More  than 70 percent of Africa&#8217;s population is rural and depends on  agriculture for food and income, so the solution to food security seems  easy and logical: people can grow enough nutritious food to feed  themselves. </span></span></p>
<p><span style="text-align: justify;"><span id="Body">Yet  Africa has some of the world&#8217;s highest levels of vitamin and mineral  deficiencies, especially among pre-school aged children: about 68  percent suffer from anaemia caused by a lack of iron, found in green  leafy vegetables like spinach; up to 40 percent lack vitamin A, found in  vegetables like carrots and pumpkins. </span></span></p>
<p><span style="text-align: justify;"><span id="Body">Overall, around 40 percent of Africa&#8217;s population suffer from iodine  deficiency, which can be corrected by adding a pinch of iodated salt to  the diet. A lack of iron and iodine affect the mental growth of a child;  vitamin A is critical to the immune system and can reduce the risk of  dying from illnesses by nearly 23 percent, according to UNICEF.</span></span></p>
<p><span style="text-align: justify;"><span id="Body">Knowing  the problem and the solution is only half the job. Most experts at the  event agreed that nutrition could not get the attention it deserved if  it remained closeted in health ministries. </span></span></p>
<p><span style="text-align: justify;"><span id="Body">At  the end of the three-hour long session, key  messages</span></span><span style="text-align: justify;"><span id="Body"> were put together</span></span><span style="text-align: justify;"><span id="Body"> for political leaders. When the AU assembly opened the  following day, no political leader mentioned nutrition in their address.  The main theme &#8211; maternal and infant health &#8211; got little mention. A  substantial portion of the speeches were devoted to the conflicts raging  in the continent.</span></span></p>
<p><span style="text-align: justify;"><span id="Body">Mkandawire added optimistically, &#8220;We just need the political will to drive the process, and it can happen.&#8221; </span></span></p>
<p><span style="text-align: justify;"><span><a href="http://www.irinnews.org/Report.aspx?ReportId=89970" target="_blank">Read the complete article</a> at  IrinPlus News.</span></span></p>
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		<title>Activist argues against South Africa&#8217;s mass HIV testing campaign</title>
		<link>http://www.tshikululu.org.za/news/activist-argues-against-south-africas-mass-hiv-testing-campaign/</link>
		<comments>http://www.tshikululu.org.za/news/activist-argues-against-south-africas-mass-hiv-testing-campaign/#comments</comments>
		<pubDate>Wed, 28 Jul 2010 07:27:51 +0000</pubDate>
		<dc:creator>Tshikululu</dc:creator>
				<category><![CDATA[News]]></category>
		<category><![CDATA[health]]></category>
		<category><![CDATA[HIV testing]]></category>
		<category><![CDATA[HIV/Aids]]></category>
		<category><![CDATA[human rights]]></category>
		<category><![CDATA[south africa]]></category>
		<category><![CDATA[XVIII International AIDS Conference]]></category>

		<guid isPermaLink="false">http://www.tshikululu.org.za/?p=3725</guid>
		<description><![CDATA[South Africa’s campaign to test 15 million people for HIV in one year risks being implemented in a way that undermines people’s human rights, the activist Mark Heywood told the Eighteenth International AIDS Conference in Vienna. Incidents of coercive testing have been recorded but the lack of effective monitoring procedures means that it’s impossible to know [...]]]></description>
			<content:encoded><![CDATA[<p>South Africa’s campaign to test 15 million people for HIV in one year risks being implemented in a way that undermines people’s human rights, the activist Mark Heywood told the Eighteenth International AIDS Conference in Vienna. Incidents of coercive testing have been recorded but the lack of effective monitoring procedures means that it’s impossible to know whether those incidents are widespread or not.<span id="more-3725"></span></p>
<p>South Africa’s testing campaign is one element of the country’s dramatic reorientation of its HIV policy. It aims to help the country to provide treatment to 80% of people in need by 2011, by encouraging take-up of voluntary testing at existing health facilities, routinely offering HIV tests at both inpatient and outpatient facilities and organising ‘testing days’ in specific districts. Health workers have been reallocated from other duties or brought out of retirement.</p>
<p>Heywood made it clear that he thinks the testing campaign is justifiable and necessary. As well as having the potential to reduce the number of people starting treatment at very low CD4 counts, the programme will also offer people health screening for other conditions and link people to health services they need.</p>
<p>Moreover, he said the programme has been an opportunity to kick start long overdue changes in the country’s health system. Stronger infrastructure and task shifting has been necessary for the campaign to be successful.</p>
<p>However, he has a number of concerns. “From a human rights perspective, there is no monitoring at all of what we can call adverse events,” he said. “There is no system to monitor whether a person who is diagnosed with HIV then suffers discrimination, suffers violence or gains access to treatment.”</p>
<p>He said that research has already shown that HIV counselling and testing is frequently poorly delivered, with breaches in the protocols of how testing should be delivered. In many cases, the poor physical infrastructure of healthcare facilities made it extremely challenging to provide a confidential service.</p>
<p>The testing campaign is only a means to an end, he said. Its intention is to give people access to treatment and to other healthcare services. However, if treatment is not actually provided, then the means cannot be justified, he concluded.</p>
<p><a href="http://www.aidsmap.com/page/1496528/" target="_blank">Read the full article</a> at Aidsmap.</p>
<p>A webcast of this session is available <a href="http://globalhealth.kff.org/AIDs2010/July-22/Putting-HIV-Testing-to-the-Test.aspx">on the website of the Kaiser Family Foundation</a>.</p>
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		<title>South Africa &#8216;failing in child health&#8217;</title>
		<link>http://www.tshikululu.org.za/news/south-africa-failing-in-child-health/</link>
		<comments>http://www.tshikululu.org.za/news/south-africa-failing-in-child-health/#comments</comments>
		<pubDate>Wed, 28 Jul 2010 07:06:41 +0000</pubDate>
		<dc:creator>Tshikululu</dc:creator>
				<category><![CDATA[News]]></category>
		<category><![CDATA[children]]></category>
		<category><![CDATA[development]]></category>
		<category><![CDATA[health]]></category>
		<category><![CDATA[hunger]]></category>
		<category><![CDATA[poverty]]></category>
		<category><![CDATA[south africa]]></category>

		<guid isPermaLink="false">http://www.tshikululu.org.za/?p=3721</guid>
		<description><![CDATA[South Africa is one of 12 countries that has failed to reduce child  mortality since 1990, according to the 2009/10 SA Child Gauge released  on Tuesday.
Children were paying the price for the country&#8217;s failure to progress  towards the Millennium Development Goals (MDGs), which aimed to reduce  poverty, hunger and disease by [...]]]></description>
			<content:encoded><![CDATA[<p>South Africa is one of 12 countries that has failed to reduce child  mortality since 1990, according to the 2009/10 SA Child Gauge released  on Tuesday.</p>
<p>Children were paying the price for the country&#8217;s failure to progress  towards the Millennium Development Goals (MDGs), which aimed to reduce  poverty, hunger and disease by 2015 and to ensure children&#8217;s rights to  survival, health and development, it said.<span id="more-3721"></span></p>
<p>The report found that while South Africa was making progress on a number  of MDGs, the targets for reducing child hunger, HIV, tuberculosis and  child mortality were not being met.</p>
<p>Over one in three children did not have access to basic sanitation or adequate drinking water on site.</p>
<p>The growth of nearly one in five children was stunted, according  to the most recent national food consumption survey in 2005.</p>
<p>Mortality audits by the Child Healthcare Problem Identification  Programme indicated that more than 60 percent of children who died in  hospital between 2005 and 2007 were underweight.</p>
<p>Director of Management Sciences for Health in SA, Nomathemba Mazaleni  said community-based services were important in improving healthcare for  children.</p>
<p>Community health workers were being trained, in rural areas where  clinics were faraway, in preventing and treating childhood illness, and  were trained to recognise when to seek emergency care, she said.</p>
<p>Given sufficient funding, these initiatives should have a positive impact on child health.</p>
<p><a href="http://www.iol.co.za/index.php?set_id=1&amp;click_id=125&amp;art_id=nw20100727163418730C698471&amp;singlepage=1">Read more</a> at Independent Online.</p>
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		<title>More Gauteng clinics set to provide ARVs</title>
		<link>http://www.tshikululu.org.za/news/more-gauteng-clinics-set-to-provide-arvs/</link>
		<comments>http://www.tshikululu.org.za/news/more-gauteng-clinics-set-to-provide-arvs/#comments</comments>
		<pubDate>Tue, 27 Jul 2010 08:23:15 +0000</pubDate>
		<dc:creator>Tshikululu</dc:creator>
				<category><![CDATA[News]]></category>
		<category><![CDATA[ARVs]]></category>
		<category><![CDATA[Gauteng]]></category>
		<category><![CDATA[health]]></category>
		<category><![CDATA[HIV/Aids]]></category>

		<guid isPermaLink="false">http://www.tshikululu.org.za/?p=3717</guid>
		<description><![CDATA[The number of clinics in Gauteng providing Anti-Retroviral Treatment to  HIV positive patients is set to increase by 61 by the end of the month.
Health and Social Development MEC Qedani Mahlangu has ordered that all  clinics should provide the treatment by September, in line with the new  treatment guidelines that came into [...]]]></description>
			<content:encoded><![CDATA[<p>The number of clinics in Gauteng providing Anti-Retroviral Treatment to  HIV positive patients is set to increase by 61 by the end of the month.</p>
<p>Health and Social Development MEC Qedani Mahlangu has ordered that all  clinics should provide the treatment by September, in line with the new  treatment guidelines that came into effect in April. ARV treatment was  previously available in hospitals and community health centres.<span id="more-3717"></span></p>
<p>&#8220;The provision of anti-retroviral therapy in clinics will make treatment  easily accessible to the community and will contribute to the saving of  lives,&#8221; said Mahlangu.</p>
<p>To date 295 785 (including 22 830 children) patients are currently on  treatment in the province with about a million more having being  assessed and will gradually be brought into the treatment programme.</p>
<p>In June over 30 more clinics started providing treatment. These include Lenasia;  Diepkloof; Tladi; Orlando and Boipatong.</p>
<p>By the end of July treatment will be available at Bristlecone, Barney  Molokoana, Michael Maponya, Itireleng, Greenvillage, Protea South,  Eldorado Park, Kocksoord, Fochville, Martinutz, Rietvalley, and  Toekomsrus.</p>
<p>Treatment will also be available at the Boitumelo, Vosloorus, Calcot  Dlephu, Phillip Moyo, Spartan, Mamelodi West, Holani,Karen Park, Plot  175 clinic, De Wagensdrift, Refiloe, Rethabiseng, Ubuntu Day,   Onverwacht, Ekangala and Bronkhorstspruit  clinics.</p>
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		<title>Monumental AIDS breakthrough &#8211; or is it?</title>
		<link>http://www.tshikululu.org.za/thought-leadership/monumental-aids-breakthrough-or-is-it/</link>
		<comments>http://www.tshikululu.org.za/thought-leadership/monumental-aids-breakthrough-or-is-it/#comments</comments>
		<pubDate>Mon, 26 Jul 2010 07:39:40 +0000</pubDate>
		<dc:creator>Tshikululu</dc:creator>
				<category><![CDATA[Thought Leadership]]></category>
		<category><![CDATA[health]]></category>
		<category><![CDATA[HIV/Aids]]></category>
		<category><![CDATA[south africa]]></category>

		<guid isPermaLink="false">http://www.tshikululu.org.za/?p=3708</guid>
		<description><![CDATA[Action needs to be taken to eradicate HIV/Aids, not just treat its victims or attempt to control its spread.
John R. Talbott is the bestselling author of eight books on  economics and politics that have accurately detailed and predicted the  causes and devastating effects of the current financial crisis. In 2007,  Talbott authored [...]]]></description>
			<content:encoded><![CDATA[<div id="attachment_3709" class="wp-caption alignleft" style="width: 193px"><a href="http://www.tshikululu.org.za/wp-content/uploads/2010/07/aids-ribbon.png"><img class="size-full wp-image-3709   " title="Monumental AIDS breakthrough - or is it?" src="http://www.tshikululu.org.za/wp-content/uploads/2010/07/aids-ribbon.png" alt="Monumental AIDS breakthrough - or is it?" width="183" height="240" /></a><p class="wp-caption-text">Action needs to be taken to eradicate HIV/Aids, not just treat its victims or attempt to control its spread.</p></div>
<p><em><span class="inlineHeading">John R. Talbott</span> is the bestselling author of eight books on  economics and politics that have accurately detailed and predicted the  causes and devastating effects of the current financial crisis. In 2007,  Talbott authored two articles on achieving Aids prevention and the need  for confidential and compulsory universal testing in the most infected  countries after having spent three months living in Aids-ravaged  Botswana. This article was first published by <a href="http://www.huffingtonpost.com/" target="_blank">Huffington Post</a>.<br />
</em></p>
<p><em> </em>A vaginal gel applied by women prior to sexual encounters has been  found in a double blind field test conducted in South Africa to reduce  AIDS infection rates by 39%.  Upon first hearing this, it would be  natural to conclude that use of this gel would reduce reported cases of  AIDS in Africa by 39%; or, if you were a woman living in Africa you  might conclude that use of this gel might dramatically help you from  getting infected in the future.  You would not be alone in thinking this  was a groundbreaking discovery as the announcement of these test  results brought a standing ovation from the audience of scientists and  NGO&#8217;ers at the International AIDS Conference in Vienna. <span id="more-3708"></span></p>
<p>But, do we really understand the significance of this test&#8217;s actual  reported results?  As we all know, statistics can be used in very  creative ways that sometimes misleads the reader as to the effectiveness  of a new drug or procedure.</p>
<p>It turns out that the test did result in 39% fewer infections, per  year.  The annual incidence rate for the treated group was 5.6 % more  infections per year, while the control group that was administered a  placebo experienced an annual rate of new infections of 9.1%.  5.6% is  indeed 39% lower than 9.1%, in percentage terms, but sometimes measuring  things in percentage terms can be deceiving.</p>
<p>In fact, when one looks behind the percentages at the actual numbers  of people tested in the study the story is much less convincing.  This  was a very small test with only 843 women completing the study and they  were evenly split between a treated group and a placebo, or control  group that received no treatment.  The actual number of new infections  then were 38 women in the treated group and 60 women in the control  group in a little over a year.  You can see that there was a difference  of only 22 women infected between the two groups, a very small number,  especially relative to the 22 million of Africans who are infected with  HIV/AIDS.  If as few as ten less women in the control group had not  contracted the disease, the study would have reported a minor 24 %  decline in incidence and the entire story would have lost its  newsworthiness.</p>
<p>Second, even with these reported lower rates of incidence of 39%, this  improvement is an annual figure.  The study does not say that over your  lifetime you will be 39% less likely to get AIDS with this treatment,  only that at the end of one year, you will have a 39% better chance of  having not contracted it.</p>
<p>If you look over a woman&#8217;s entire sexually active lifetime of, say  twenty years, say age 15 to age 35 in Africa, even the treated women in  this study in this highly infected AIDS environment would end up with  over 70% of their members becoming infected.  The good news is that the  treated women do better than the untreated, the bad news is that 5.6% of  them are still getting infected every year and this compounds to  infection rates of over 70% of the entire population over a sexually  active lifetime.  Yes, the non-treated will see infection rates of over  85% over their lifetimes, but is this really as big a difference as the  news headlines and news stories suggest.  It is sort of like saying that  smoking cigarettes is 39% safer per year than smoking crack, but what  difference does that make if both end up killing you in the end.</p>
<p>Finally, for those of you who have not understood what moral hazard  is when discussed in the financial crisis literature, here is a  beautiful example.   South Africa has announced they do not want to wait  for more and bigger studies or for FDA approval, they want to  immediately pursue distributing the gel to their female population as  soon as possible.  But, have they thought this through?  What if as a  result of the women in South Africa using this gel before intercourse,  their boyfriends or husbands decide it is not necessary to use a condom.  Condoms have been found to be very strong preventative measures against  AIDS transmission, so if condom usage declined by just 30% it would  completely wipe out any reported benefit associated with this new gel.</p>
<p>UNAIDS and the WHO are anxious to report some success in their fight  against AIDS given that their attempts at finding a vaccine so far have  failed and their donors are getting impatient.  To date, they are  betting on this gel for women and circumcision for men as tools to  prevent AIDS transmission. But, their circumcision studies suffer the  same problem with statistics that this gel study has, a 50% reported  reduction in annual transmission rates with circumcision does not mean  you will be 50% less likely to get the illness over your lifetime, just  50% less likely to be ill at the end of the first year.  Because people  have many sexual encounters over many years, such reductions in annual  infection rates will do little to reduce the incidence of AIDS in Africa  over a lifetime.  In addition, the circumcision field studies are  suspect because for obvious reasons it was impossible to conduct double  blind experiments when circumcision is the treatment being examined, men  have a way of knowing if their genitals have been cut and so may change  behavior accordingly.</p>
<p>Because the infection rates in many Southern African nations have  reached epidemic proportions with more than 20% to 25% of all adults  becoming infected, I concluded that these highly infected nations  should institute universal, compulsory, but confidential testing of all  of their citizens over the age of 12.  While you might argue that  patient rights are violated by such compulsory testing, this minor  social cost is more than outweighed by the social benefit of stopping an  indiscriminate killer in the community.  Once people know their status,  they can act accordingly, or anti-viral drugs can be taken to  dramatically lower the transmission rates and hopefully, over time,  completely eradicate this scourge of death on the continent of Africa.   Action needs to be taken to eradicate this killer, not just treat its  victims or attempt to control its spread.</p>
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		<title>Finding the missing link in HIV battle</title>
		<link>http://www.tshikululu.org.za/news/finding-the-missing-link-in-hiv-battle/</link>
		<comments>http://www.tshikululu.org.za/news/finding-the-missing-link-in-hiv-battle/#comments</comments>
		<pubDate>Mon, 26 Jul 2010 07:07:50 +0000</pubDate>
		<dc:creator>Tshikululu</dc:creator>
				<category><![CDATA[News]]></category>
		<category><![CDATA[health]]></category>
		<category><![CDATA[HIV/Aids]]></category>
		<category><![CDATA[south africa]]></category>

		<guid isPermaLink="false">http://www.tshikululu.org.za/?p=3704</guid>
		<description><![CDATA[South Africa is moving fast to consolidate the scientific breakthrough  announced last week by local HIV and Aids experts, who showed that a  vaginal gel containing the antiretroviral tenofovir could prevent HIV in 40 percent  of women.
Dr Mamphela Ramphele, chairwoman of government&#8217;s Technology Innovation  Agency (TIA) said TIA&#8217;s affiliate, LifeLab, would [...]]]></description>
			<content:encoded><![CDATA[<p>South Africa is moving fast to consolidate the scientific breakthrough  announced last week by local HIV and Aids experts, who showed that a  vaginal gel containing the antiretroviral tenofovir could prevent HIV in 40 percent  of women.<span id="more-3704"></span></p>
<p>Dr Mamphela Ramphele, chairwoman of government&#8217;s Technology Innovation  Agency (TIA) said TIA&#8217;s affiliate, LifeLab, would work with the private  sector to produce the gel containing tenofovir for further use.</p>
<p>Pharmaceutical company Gilead owns the patent for tenofovir, but donated  21kg of the active ingredients of the antiretroviral (ARV) to the South  African study. A research company, Conrad, then made the gel for the  South African study.</p>
<p>The researchers, all from the Centre for the Aids Programme of Research  in SA (Caprisa), say another independent study is necessary to test  whether the tenofovir gel could work in other areas.</p>
<p>Health Minister Dr Aaron Motsoaledi said the government &#8220;will do  everything in our power  to take this forward and to make sure that  everyone in our country and in the world, benefits from  this study&#8221;.</p>
<p>&#8220;Women bear the brunt of this epidemic and all our weapons so far, have  been weapons controlled by men,&#8221; he told the International Aids  conference in Vienna this week.</p>
<p>&#8220;The condom is only used when men want. The female condom is also only  used when men want. With male circumcision, again, it is young men who  are protected. So, for the first time, we are dealing with the missing  link.&#8221;</p>
<p><a href="http://www.iol.co.za/index.php?set_id=1&amp;click_id=125&amp;art_id=vn20100725072221621C138883" target="_blank">Read more</a> at Independent Online.</p>
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		<title>There is more to social investment than giving money</title>
		<link>http://www.tshikululu.org.za/thought-leadership/there-is-more-to-social-investment-than-giving-money/</link>
		<comments>http://www.tshikululu.org.za/thought-leadership/there-is-more-to-social-investment-than-giving-money/#comments</comments>
		<pubDate>Wed, 21 Jul 2010 12:59:51 +0000</pubDate>
		<dc:creator>Tshikululu</dc:creator>
				<category><![CDATA[Thought Leadership]]></category>
		<category><![CDATA[agriculture]]></category>
		<category><![CDATA[corporate social investment]]></category>
		<category><![CDATA[CSI]]></category>
		<category><![CDATA[Education]]></category>
		<category><![CDATA[poverty]]></category>
		<category><![CDATA[social grants]]></category>

		<guid isPermaLink="false">http://www.tshikululu.org.za/?p=3696</guid>
		<description><![CDATA[Sizwe Nxasana is the CEO of the FirstRand Group, and Chairman of the FirstRand Foundation. This article was originally published by Business Day on 21 July 2010.
For many companies, corporate social investment means writing out cheques. These companies fulfil their corporate social investment requirements but have little real involvement in the initiatives which they fund.
But [...]]]></description>
			<content:encoded><![CDATA[<p><em><span class="inlineHeading">Sizwe Nxasana</span> is the CEO of the FirstRand Group, and Chairman of the <a href="http://www.tshikululu.org.za/our-clients/the-firstrand-foundation/">FirstRand Foundation</a>. This article was originally published by Business Day on 21 July 2010.</em></p>
<p>For many companies, corporate social investment means writing out cheques. These companies fulfil their corporate social investment requirements but have little real involvement in the initiatives which they fund.</p>
<p>But the partnership approach, whereby companies approach corporate social investment in a far more consultative manner, means greater involvement on the company’s part, and usually results in more sustainable solutions for its beneficiaries.<span id="more-3696"></span></p>
<p>As I grew up in the townships, and still know many people who live in underserved areas, it is only logical to me that you should consult with the intended beneficiaries about the fundamental issues and the solutions they may have.</p>
<p>Using the partnership approach, companies talk to and listen to the communities, understand the intricacies of each of their initiatives and then design solutions for the communities, rather than imposing solutions created by companies or nongovernmental organisations (NGOs).</p>
<p>There is no doubt that the partnership approach takes far more time to set up, implement and follow through. But it also ensures the beneficiaries are more likely to be able to look after themselves .</p>
<p>Using this approach, it is often easier for companies to gain a deeper understanding of their particular areas of involvement, if they choose only a few areas of specialisation on which to focus.</p>
<p>At FirstRand, we have taken a programmatic approach in which we have reduced the number of focus areas so we can spend more time and money on selected ones and defined programmes within those areas. We have 12 programmes at the moment and have committed to all of them for the next few years so we can really get to know each other and build trust with our beneficiaries.</p>
<p>As a large company, we are able to have a properly staffed department focusing only on corporate social investment. We also use an NGO, which has developed a great deal of knowledge and community experience in our areas of focus and speaks for communities that may not be able to speak for themselves.</p>
<p>NGOs play an important role as the intermediary between the company and communities in terms of fundraising and initiating proposals. Companies should negotiate with the NGOs they deal with to ensure their funds are spent in the best possible way. Some NGOs have created bureaucratic structures that detract from serving the needs of the communities. By negotiating with them, companies can ensure that these structures are removed.</p>
<p>It is also important to be patient as many corporate social investment programmes take many years to show results.</p>
<p>Companies need to be dedicated to their programmes for the long term. For example, improving the quality of education cannot happen overnight; it will take many years. We have found, over the past three years, our involvement in the education sector has given us a far greater understanding of the problems it endures and we have been able to pilot a number of innovations from which we are still getting results.</p>
<p>We have also found our involvement in agricultural livelihoods has meant that local communities have once again started living off the land, rather than relying on social grants. By establishing a level of trust, introducing best practices and working closely with the communities, we have been able to show them that agricultural enterprises can help alleviate poverty.</p>
<p>By becoming involved in such consultative ways, business can play a role that shows it does not exist only to make profits but also to ensure the environment in which it operates is sustainable for the long term.</p>
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