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Based on years of formative research in KZN the Isihlangu Health and Development Agency and the Population Council developed and piloted a life-orientation program Siyakha Nentsha (isiZulu for “building with young people”) to improve the lifelong skills and well-being of young people. Focus group discussions with guardians and traditional leaders led to inclusion of both girls and boys in the program. Girls were a primary target population because of their vulnerability to HIV and early pregnancy; boys were included with the goal of building their knowledge and skills and to allow girls and boys to work together interact socially learn to respect one another and thus move beyond objectification of the opposite sex. This gave the program a unique opportunity to measure outcomes for both females and males in a setting where gender relations are often strained. Both the streamlined and full versions of Siyakha Nentsha led to important changes in young people’s attitudes and behaviors though the impacts differed between versions and between males and females. Compared to the control group all Siyakha Nentsha participants (regardless of sex or version of the program) were more likely than those in the control group to know of a place to get condoms reported a large increase in knowledge of social grant requirements and criteria had improved budgeting and planning skills and were more likely to have attempted to open a bank account. Siyakha Nentsha girls (compared with girls in the control group) reported feeling higher self-esteem and greater confidence in their ability to obtain a condom if necessary. Siyakha Nentsha boys were more likely to have remained sexually abstinent between survey rounds and Siyakha Nentsha boys who did have sex reported having fewer sexual partners than did boys in the control group. Among those of eligible age boys participating in Siyakha Nentsha were more likely to have a South African ID than boys in the control group. (Excerpts)

Siyakha Nentsha: Building economic, health, and social capabilities among highly vulnerable adolescents in KwaZulu-Natal, South Africa