Community-Based Health Programme


Structural and social factors, such as poverty, population mobility, gender inequality and human rights violations may not be easily measured yet they increase people’s vulnerability to HIV, TB, Malaria and other communicable diseases. Migrating mineworkers, their families and communities are the most vulnerable group. Mineworkers are characterised by a transient lifestyle and a vulnerability to HIV that can be exacerbated by their living and working conditions. Different studies have shown that it is not just an individual’s behaviour that creates risk and vulnerability, but the migration process itself creates conditions that make migrants vulnerable to HIV, TB and Malaria. Thembalethu Development created a community-based health programme that is a direct response to the health needs of mineworkers, ex mineworkers, their families and the communities they interact with. The programme is also implemented in other areas with high HIV and AIDS prevalence in partnership with governments, the private sector, international donors and communities.


  • Thembalethu Development aims to address the individual, social and environmental drivers to health vulnerabilities through community dialogues, increasing availability, accessibility, acceptability of services that improve health, capacitating communities to address harmful cultural practices and helping communities to access basic needs, such as water and food security.

Current and past experiences

  • From 2011  to  2016  we implemented a US$7 million community-based response project to HIV, TB, Malaria, family planning and needs of orphaned and vulnerable children in southern Mozambique, with funding from United States Agency for International Development (USAID);
  • In SA we implemented an integrated TB, HIV, STI and Silicosis prevention and treatment support project in the North West, Eastern Cape and KwaZulu-Natal provinces, funded by University Research Council/USAID South Africa; 
  • Funded by the International Organisation on Migration (IOM), we implemented a community-based HIV prevention project in Leribe District of Lesotho, integrating migration and gender; and
  • We implemented a mineworkers’ home-based care project, providing treatment support and care to medically boarded mineworkers, funded by the South African mining industry.
  • With funding from AngloGold Ashanti, we are implementing a TB and HIV Health Programme in the Kingdom of Lesotho (Mafeteng and Mokhotlong district) and in Mozambique (Gaza Province). The overall goal of the project is to provide prevention, treatment and care support to mineworkers, ex-mineworkers, their families and strengthen communities they interact with through education, awareness raising and food production for proper nutrition.

Pepfar Project Mozambique: HIV Counseling and Testing