OVC Phase One Report

“If it was just one wish for every young South
African, especially orphans, it would be that

they have just one person that tells them that
they will make it. Because if that person tells
you that all the time you start believing it, and it
starts becoming part of who you are.”
– Sibulele Sibaca
Orphans and Vulnerable Children

in South Africa
Problem, Perceptions, Players… and Possibilities for Change
An investigation into the creation of a multi-stakeholder leadership and

innovation initiative to address the situation of orphans and vulnerable children
in South Africa
April 13, 2007

Table of Contents
EXECUTIVE SUMMARY 3
INTRODUCTION 5
MAP #1: PROBLEM SITUATION 7
DYNAMIC COMPLEXITY 7
SOCIAL COMPLEXITY 8
GENERATIVE COMPLEXITY 9
MAP #2: PERCEPTIONS 10
MAP #3: PLAYERS 15
CHILDREN’S VOICES 15
INSTITUTIONAL PLAYERS 16
READINESS FOR COLLABORATION 21
MAP #4: POSSIBILITIES FOR CHANGE 23
BUILDING ON EXISTING SUCCESSES 23

FOUR APPROACHES TO STRATEGIC INTERVENTION 24
FOUR AREAS OF L EVERAGE 28
WAY FORWARD 31
1. ASSUMPTIONS 31
2. AIMS 31
3. AREAS FOR INNOVATION 32
4. METHODOLOGY 34
5. PARTNERSHIPS 37
6. RESOURCES 38
7. RISK ASSESSMENT 38
CONCLUSION 41
ANNEXURES 42
ANNEXURE 1: INITIATING PARTNERS 42

ANNEXURE 2: PHASE ONE METHODOLOGY 43
ANNEXURE 3: STAKEHOLDER INTERVIEWEES 45
ANNEXURE 4: DESK RESEARCH BIBLIOGRAPHY 46
Africa Leadership Initiative 2 OVC: Perceptions, players, and possibilities

Executive Summary
South Africa is living a situation without precedent. Never before in history have
so many children been without parents or caring for parents who are ill. The
HIV/AIDS crisis, complemented by other social factors, is contributing to a reality
where millions of children are in need of support and care. One of the most
pressing questions our country faces is how to provide a response that can be both
loving and sufficiently large in scale.
This project stems from a desire of certain Africa Leadership Initiative fellows to
support the convening of a series of multi-stakeholder dialogue- and action-based
interventions on different tough social issues facing South Africa. Given that South
Africa’s future as a country is dependent on her children, it was decided in
consultation with various stakeholders that an intervention focused on Orphans and
Vulnerable Children (OVC) was a priority for the country.
Phase One of this project has been an assessment of the readiness of the major
stakeholders in the Orphans and Vulnerable Children system to participate in a
multi-stakeholder change process, as well as whether or not this process would be
appropriate to the current situation. To this end we conducted forty “deep
dialogue” interviews, desk research, several advocacy meetings, and a multi-
stakeholder session. Our detailed findings are found in the body of this report.
Central to the report are four different “maps”. The first map outlines the dynamic,
social, and generative complexities of the problem situation. The second charts the
perceptions stakeholders have of the system, according to whether they are focused
more on what we have now or on what we can create, and whether they focus on
individuals and institutions or on the system as a whole. This leads to four different
but overlapping categories of perceptions, which are described and substantiated by
quotes.
The third map in the report is a map of the players – the stakeholders, their
position in the system, their readiness for change, the challenges they face, and their
burning questions. The final map outlines the possibilities for change - existing
successful interventions, four different approaches to strategic intervention in the
OVC system, and a set of key leverage points that must be considered if a multi-
stakeholder process is to be successful.
We found an almost universally high level of readiness for change. We found a great
readiness in the system from all sectors to try and do things differently and better.
The need for collaboration, innovation, leadership, and scale were repeatedly
mentioned.
Based on the results of our investigation, an initial proposal for a way forward has
been designed and presented here. This proposal combines a series of events
(“Innovation Labs” and networking events) with an OVC innovation fund and
OVC leadership fellows programme. The Hollard Foundation has provided funding
for an initial Innovation Lab to take place in the second half of 2007.
A risk assessment is included at the end of this report, covering advice received
from stakeholders, key risks, and strategies for overcoming these towards a
successful project. Most important to this is the need to work with existing
processes, build on existing successes, and to ensure involvement of all key

stakeholder groups including children and communities.
Through this project we aim to build living examples of what it means to create a
loving response at scale to the OVC crisis.
This report was put together by Mille Bojer, Ann Lamont, Cassie Janitsch, Busi Dlamini, and
Zaid Hassan on behalf of the Africa Leadership Initiative. Phase One of this project was funded
by a pooling of resources by the fellows of the ALI “Kilimanjaro Class” and the Hollard
Foundation.
This report is only the beginning. Please send your comments on it to Ann Lamont on
annlamont@telkomsa.net and Mille Bojer on mbojer@pioneersofchange.net.

Introduction
“There can be no keener revelation of a society’s soul than the way it treats its children.”
- Nelson Mandela
South Africa’s strength and resilience as a country is dependent on the well-being

and health of her children. The HIV/AIDS crisis, complemented by other social
factors, is contributing towards a complex situation where an overwhelming and
unprecedented number of children require care and support.
One of the most pressing questions our country faces is how to provide a response
that can be both loving and sufficiently large in scale. The challenge with this
situation lies in ensuring that the most vulnerable children in our society receive love
and care and have their various needs met, without being further damaged by overly
institutionalized responses, often deployed to meet an issue at scale.
Motivated by this question, the Africa Leadership Initiative (ALI) recently

commenced an investigation into the creation of a multi-stakeholder OVC
initiative. The initiative proposes to convene multi-sectoral groups, comprising
participants from national, provincial, local and community levels in order to
generate innovations related to orphans and vulnerable children (OVC) and develop
leadership among stakeholders working in this field.
The first step of this project was to investigate the appropriateness of such an
intervention, as well as the readiness of the stakeholders who would need to
participate. In addition, the activities of Phase One were to create a solid foundation
for, and to inform the design of such a process should all sectors wish to move
forward.
At the center of this phase of the project was a series of 40 “dialogue interviews”
with stakeholders from government, business, NGO’s, CBO’s, FBO’s, media, and
research institutions, as well as sessions with sixteen affected children. The focus of
the interviews was to understand broadly the dynamics, patterns, players,
perceptions, blockages, innovation areas, and leverage points in the system as well as
to assess the stakeholders’ levels of commitment, interest, and readiness for a multi-
stakeholder initiative. Each interview began with asking the interviewee about their
own background and life story, in order for us to better come to see the situation
from their perspective.
Our approach was designed to create a firm knowledge base. At the same time, the
emphasis was not to conduct a research exercise in the traditional academic sense.
The process deliberately focused on multi-sectoral complexity, systemic and
leadership issues. We went beyond traditional “feasibility studies” in that the aim
included generating commitment and engagement among stakeholders through the
interviewing process and group dialogues. In this respect, Phase One was an
intervention in itself, and has already had some impact on the system.
The discoveries resulting from this initial investigation are presented in this report in
the form of four “maps” labeled “Problem”, “Perceptions”, “Players”, and
“Possibilities”. These maps are followed by a proposed way forward.
Please note that throughout this report we use quotes from the stakeholder
interviews to illustrate, enrich, and substantiate what we have written. In the interest

of confidentiality the quotes have not been
attributed to individuals or sectors. We have
however paid attention to ensuring that the
quotes are representative of the various
categories of interviewees. Also most of the
quotes have been kept word for word, though
some have been edited slightly purely for the
sake of comprehension. We have also included a
few photos in the report, taken by the children
who participated in Phase One.1
1
The children have consented to our use of quotes and photos for the project. Please see appendix to understand the
ethics and strategy of our approach to engaging with the children.

Map #1: Problem Situation
There are multiple studies from organisations such as the Human Sciences Research
Council (HSRC), the Medical Research Council (MRC), the UN Children’s Fund
(UNICEF), Save the Children, and others, which detail the position of orphans and
vulnerable children in South Africa today. Our intention with this report is not to
duplicate this work.2 Rather, this first map of the “problem situation” aims to
demonstrate the complex nature of the OVC situation as a foundation for designing
a multi-stakeholder initiative.
The OVC situation can be illustrated by three types of complexity3:
Dynamic
Complexity
Systemic approach
Generative Social
Complexity Complexity
Creative approach Participative approach
Dynamic Complexity
Cause and effect in relation to the OVC issue are far apart in time and space, and
causal connections are not easily mapped out and controlled. Although the
HIV/AIDS pandemic is the major contributor to the situation, it is not the only
cause. The increasing number of children in need arises from a series of inter-related
factors, resulting in a situation unprecedented in complexity.
The boundaries of the “OVC” issue are thus

ill-defined. There is no common definition “I heard anecdotally that the kids
of “OVC”, and it is very difficult to single out were saying ‘we wish we were
orphans or children made vulnerable to orphans, we’d be getting all this
HIV/AIDS in a situation where many attention’. Not all orphans are
children in a community may be vulnerable vulnerable and not all vulnerable
due to poverty. Providing special care or children are orphans.”
programmes for children orphaned or
vulnerable due to HIV/AIDS often leads to them being stigmatised or rejected by
2
We have included a brief bibliography on the situation in the annexure.
3
This typology of complexity is from Kahane after Senge and Scharmer

their peers or community members. In some cases a child who is orphaned but
taken care of by an extended family may be better off than a child with an abusive
parent or living in a household with no income. There is currently no national
system for accurately tracking how many of these children are receiving care and
support, how many of them are absorbed into extended families, and how many are
not.
One of the most central “dynamically complex” issues

concerns the child support and foster care grant “The grants are sometimes
schemes and school exemptions. Many government exploited by foster families
grants are not reaching the groups they are intended and family members. Some
for. Children are required to present a birth certificate families don’t declare.
and their parent’s death certificate to receive the Sometimes people foster
grants, but often this paperwork is not available. children just for the
Schools in remote areas are also not always aware of money.”
the children’s rights. These programmes depend on
the Departments of Home Affairs, Health, Education,
and Social Development all working together.
Because the needs of vulnerable children are so immediate, many interventions at

community level tend to be reactive and focused on the short-term as opposed to
being holistic, systemic and sustainable
in the long-term. The reality of
providing care to vulnerable children
often means that it is difficult for
caregivers and community workers,
regardless of their position within
organisations, to grasp the emerging
situation holistically and fully. They are
thus not deploying the full range of
tools, methods and processes available
or using resources efficiently.
While direct support has to be continued in order to provide short-term and

immediate support to and by community organisations, more systemic efforts that
address issues of capacity, reach and sustainability in an integrated way also need to
be launched. Dynamic complexity demands a strategy that is sy stemi c in nature.
Social Complexity
Orphans and vulnerable children are a concern that cuts across sectors, and is
essentially a societal responsibility. This means that no one group or institution
can solve this problem on their own. Government, civil society, business,
communities, individuals, media, academics, faith-based groups, and children
themselves all have to be involved. These players have diverse perspectives on both
the problems and the solutions, and do not always agree on how to approach this
issue. This is what is meant by social complexity.
One of the implications of this social complexity is that solutions must make sense
to diverse people who hold different perspectives or have different frames for
viewing the situation. The interviews we conducted for this project therefore
focused in part on understanding the interviewee’s perceptions and mindsets. The
interviewers practiced “suspending their judgment” in order to redirect and be able
to see from the interviewee’s perspective. This was facilitated by asking each
interviewee about their life story at the beginning of the interviews. In addition, the
need to understand the social complexity led us to ask several questions about who

is who in this field, what role they are playing, what challenges they face, and what
influence they have – emphasizing the importance of players as highly as the need to
understand social patterns and the problem situation. The outcomes of these
explorations are mapped out in the following two sections on “perceptions” and
“players”.
Social complexity demands a strategy that is pa rt ici pat ive in nature.
Generative Complexity
“The great plague wiped out a third of Europe but it was so highly infectious that a
whole village would disappear. If you look at war, obviously millions have been
killed in some of the significant wars of our past, but it was the men who died so you
always had the mother and child left behind. If you look at famine, in some of them,
particularly in Africa, it’s the weakest and the most vulnerable who get taken out,
so the children go first in a famine because the adults will be stronger and survive for
longer. But with HIV/AIDS it’s the first time ever on a scale of those pandemics
that the people left behind are the children.”
- Anthony Farr, Starfish Foundation4
As mentioned earlier and illustrated by the above quote, the current situation is
without precedent. The idea of “generative complexity” is that the situation is
emerging, the future is unfamiliar and undetermined, and old solutions are
no longer sufficient. The problem is unfolding in unpredictable ways and the
consequences of interventions are uncertain. We do not have all the answers.
The Medical Research Council estimates that the number of orphaned and
vulnerable children in South Africa will rise to over 5 million by 2015. Whilst there is
progress in dealing with the current challenge, simply continuing current efforts to
improve the outreach of existing services will not be enough to avert the crisis we
know is coming. Due to the unprecedented nature of the situation these efforts are
also not enough to ensure that a greater unforeseen crisis does not materialise.
What are the “old solutions”? The traditional informal system of the extended family
integrating orphans and vulnerable children has shown a remarkable absorption
capacity beyond expectations, but is not sufficiently resilient to tackle the numbers.
Many grandparents are weak or too old to cope. The other “old solution”, the
orphanage, is also widely recognised as unrealistic for dealing with the current
situation. The sheer numbers make it impossible to build
“We don’t have the institutions, but more importantly, extensive research has
answers; we need to shown that institutions are not a healthy place for a child to
find new ways of grow up, and that they conflict with African cultural values.
doing this.” While institutions are needed in limited circumstances, they
are not a viable scale option.
Due to this generative complexity, we listened in our interviews for context,

unintended consequences of initiatives, interesting innovations, new challenges, and
“blind spots” We found that much innovation has already happened in this field in
recent years, and we need to continue to innovate, developing new interventions and
systems to meet the needs of these children and the communities that support them.
Generative complexity demands a strategy that is c rea tiv e in nature, and an emergent and
learning-oriented approach.
4
Farr in “From Dust to Diamonds”, a recent publication by the Gordon Institute of Business Science. This is the only
quote in the report that is not directly from our own interviews, though we did interview the Starfish Foundation.

Map #2: Perceptions
In speaking to stakeholders, it became clear to us that there is not one uniform and
objective view of the situation around orphans and vulnerable children in South
Africa. As mentioned, the situation displays “social complexity” meaning that
individual players do not have the same picture of the problem or of the solution.
Rather, they experience the system in different ways, depending on their own
experience and position.
One way to illustrate these different perceptions is to look at two dimensions:
o Are the stakeholders focused at the level of individuals and institutions or

seeing the system as a whole?
o Are they focused on current reality of what we have now, or are they
thinking about potential and future possibility?
When mapped into a diagram as below, the two dimensions result in four different
ways of thinking.5 We have chosen to call these “Delivery”, “African market”, “Jazz
band”, and “Ubuntu”, and we elaborate on these terms in the following. The
diagram is intended to be one map of the thinking in the system around what is
going on with respect to the OVC. The perspectives are not mutually exclusive and
stakeholders may express several of them at different times.
Focus on
potential
“UBUNTU” “JAZZ
BAND”
Focus on the Focus on

system as a individuals and
whole institutions
“DELIVERY” “AFRICAN
MARKET”
Focus on
what is now
We have described each of these types of perspectives below with quotes from our
interviews to illustrate the perspective. It is important to note that we are presenting
stakeholder perceptions of the issue as they were expressed to us, as opposed to a
scientifically-tested objective reality.
5
This diagram and the similar one in the “Possibilities” chapter draw on an underlying four-quadrant model developed
by Otto Scharmer at MIT and its use in a previous analysis report (“Health Care in Franklin County”) by Adam Kahane,
Ursula Verstegen, Zaid Hassan, LeAnne Grillo, and Grady McGonagill from Generon Consulting on the state of health
care in Columbus, Ohio, USA.

I. “Delivery”
The stakeholder voices from this “The policy is there, it just doesn’t happen. It’s
perspective focus their attention on the brilliant in Pretoria.”
current reality and on the OVC system
as a whole in South Africa. “The minister is not unaware of the problems but
it’s a massive pipeline you’re trying to push policy
These voices point out that there is through”.
strong OVC-specific policy, and high-
level political will in certain “There is a grandmother living in rural KwaZulu
departments. While some delivery is Natal. She has 16 of her grandchildren living
happening and strides have been made with her. She doesn’t have the right paperwork
however, implementation is still to get the relevant grants. The children are
insufficient, and failing many many starving and this has been going on for three
children. years.”
Key reasons offered for insufficient “The funding requires extensive reporting back
delivery include lack of leadership and and accounting - our CBO had to hire a
capacity, referral systems not working, consultant to help, which cost a lot of money.”
lack of integration and coordination,
lack of innovative and “out-of-the-box” “This is the most intimidating document, to apply
thinking, lack of documentation, and for the actual funding. But we know why,
cultural issues across sectors, because we get asked all those questions in cabinet
institutions, and communities. In and from the media. So we’re not prepared to
addition, grants and funding flows often have a simplified process… There are a lot of
do not reach communities and the delays in release of funding. If there’s one
processes for accessing global and document that’s not there my hands are tied.”
national institutional donor funds is too
complex. “We all think like this – this is the system and
this is how we are going to do it. Instead of
Because the issue is cross-cutting and saying these are our problems, what are our
spans multiple government departments resources, what system can we devise that will
and sectors, it poses a significant utilise our resources to address these problems?
coordination challenge. Stakeholders We have a system in place. This mindset that
often are overwhelmed by the numbers says we are South Africa – we are better than the
of children in need of care, and feel they rest of the world, we will have the best system
have little control over this situation as possible, rather than recognising that we actually
individuals. have the same problems as the rest of the world,
and we are not being creative in finding solutions
The emotions expressed from this to those. We can’t think differently because this is
perspective include frustration, the system.”
“compassion fatigue”, and sometimes
despair.
II. “African Market”
From this perspective, the focus is more “The NGO’s are doing good work but we
on individuals and organisations than on compete for funding. If we have a funding lead we
the system as a whole, while still centred keep it secret.”
on what already exists as opposed to
what could be. We use the image of an “People are still working towards their own
African market here because the story is agenda. I don’t see why. For me it’s about
about the success of individual reaching more children. If we can do that with
organisations doing what they believe more partners that would be wonderful. As a
works, in interaction, negotiation, sector, it’s extremely competitive out there.”

competition and collaboration with
other players. “At least 6 different manuals had been developed
by 6 different NGOs. That’s a waste of
Although people may be dissatisfied resources. This is one of the areas we need to
with the system overall, they feel there look at as Civil Society. It’s stupid.”
are many individual projects and
initiatives which are successful. They “Either you have to work with the territorialism,
believe the solutions are there and that stake out your area, and do it damn well, and
getting it right requires fine-tuning these we’ll do ours. Or is there a way for all of us to
existing initiatives. Rather than work together on all of the things. To be open
despairing, the focus here is often on about that.”
small successes, helping the children
one-by-one and there is a feeling of “What has made sense to us has been to try and
reward for every individual life of a child keep it as lean as possible. To give a minimum
helped. amount of help. Quite a few of the other NGO’s
go incredibly deep into the child’s life and take
There is a lot of optimism at this level. responsibility until they go to tertiary education,
However, people here also point to they have trained staff, great data management
duplication and competition in the field. systems to track them on an individual basis, etc.
As a result, the market approach can I take my hat off to that, but I don’t know how
lead to outcomes that may be good for you scale that up.”
individual actors but are sub-optimal for
the system and miss many children. “Many people ask us, isn’t it depressing, isn’t it
There is sometimes competition or hard, isn’t it bringing you down? But I always
tension between different models, try to think of the 5 kids we fed today, I don’t
particularly between models that think about the 5000 we can’t feed. Otherwise I
emphasize reaching a larger number of wouldn’t be able to handle it”.
children with basic services
(“Checkers”) vs. deeper, holistic support “The care of OVC is becoming an industry.
(“Woolworths”). Setting up houses and employing foster parents to
Because the focus is on making take 6 children under their care. It becomes a
something work within limited capacity, financial enterprise – children should not be a
and succeeding by making one’s own business.”
part work better, this approach can also
mean unintended consequences and “We realize our model is a bit elitist. The care
long-term complexities of decisions are we give is true, the cost per child is high, the scale
not thought through. is far too low. But ‘Shoprite care’ is devastating
to the children.”
“I have had three different leaders in two and a

half years, all with their own objectives, visions,
and pet projects.”
“A lot of pressure has been put on South Africa

by PEPFAR, and what they’re saying is SA’s
cost per child is ridiculous. They say SA has a
Woolworth’s solution for a Checkers problem.
You can address the need of the children, but
instead of a 5-star solution, you need to reach the
millions.”
III. “Jazz Band”
In contrast to the previous perspectives, “A lot of the resources in OVC were focused at
this one focuses more on the potential the crisis/survival end, and less was being done to

and what we can create than on what we work with older orphans to help them make a
have now. We use the image of a “Jazz difference in their community… We thought, the
Band” because this is about experience of orphanhood actually develops
improvisation, experimentation and resilience, resourcefulness, taking responsibility
creating new approaches. It is also early, which equips them for leadership. If we
about collaboration, listening, and could identify some of these young people and
playing together in small groups and invest in their talent, they could develop long-term
relationships that are not necessarily solutions and be agents of change and
system-wide. The Jazz Band goes transformation.”
beyond reacting to seeing and
experiencing with possibilities, and to “Actually Tony Blair I don’t want your money.
being curious about, appreciative of, and I don’t feel like a basket case. I may be an
responsive to, what others are doing. AIDS orphan, but that’s not what I want people
However, as with “African Market”, the to remember about me. I’m telling you I can do
emphasis is at the individual and stuff on my own. Young Africans are full of life,
institutional level. much stronger than many kids from other
nations. I want you to show me how I can make
Voices from this perspective appreciate my own money – can you do that?”
the variety of models as something
positive that fosters innovation rather “If the individual catches a vision, their network
than being concerned about duplication is massive, the ripple effect is huge, you’re in an
of activity. They challenge thinking and organization, affiliated to other organizations…
ask questions about the non-obvious. If you catch the vision you can inspire all those
people.”
IV. “Ubuntu”6
The final perspective is focused both on “How do you make it a South African problem
the potential and on the system as a as opposed to an NGO problem or a government
whole. We call it “Ubuntu” because problem in a way that it remains top of mind for
from this perspective, children are a a very long time?”
societal responsibility, and there is a
great appreciation here for communities’ “The community is working, we are lucky we
ability to care for their children. When have that gift in our culture. Africans take care
experiencing the system from this of their own and watch each other’s backs. This
perspective people are looking to the is something we must celebrate.”
common good and new possibilities and
less focused on their own needs. They “The way in which communities on the ground
believe system-wide, cross-sectoral and have responded to children in need has been quite
cross-organisational collaboration is phenomenal”.
necessary and possible. They invoke the
tradition of Ubuntu, and celebrate it “We need to leave the politics behind.”
where it is still intact.
“One of the main lessons is that if we were
From this perspective, the boundaries of driving the provision for children affected by
the OVC or HIV/AIDS issues are very HIV/AIDS in a more integrated way, we
fluid because at a community level the would have more impact.”
integration and interdependence of
issues is clear. “KZN has stabilized the impact of the
pandemic because they have the extended family.”
This stance came out in the interviews
in the overall view that there are many “During apartheid, we had street committees,
6
Ubuntu is an African concept and worldview that can be translated as “I am because we are”. It signifies a deep inter-
dependent relationship between the individual and the collective, and a communal responsibility for challenges faced.

questions we don’t have the answer to, everyone had a role to play whether literate or not.
and we would need collective People had so much commitment, both black and
intelligence of all stakeholder groups as white.”
well as innovative approaches to find
the answers. “We talk about community based care more and
more, it’s a shift that’s occurring. When one
conducts community care you cannot only focus on
those made vulnerable by HIV/AIDS alone.
Community responses require that we focus on all
of it.”
“If my little Africa isn’t fine, then the rest of it

won’t be fine.”
As pointed out earlier these four perspectives are not pure and mutually exclusive,
but we believe this framework provides a useful “map” of perspectives and of the
options stakeholders have of how to look at the system. The perspective one comes
from largely determines how one acts in the system and what options one sees for
change. “What you see determines what you do.” This will be picked up again in
the section on “Possibilities for Change”.

Map #3: Players
No one group or actor can solve the OVC problem on their own. A wide variety of
players need to be involved and collaborating. The different stakeholder groups face
different broad systemic issues and internal challenges. Following the previous
section’s map of the prevailing perceptions, this section provides a map of the
players by sector groupings - who they are, their position and role in the system,
what they are contributing, and the challenges they face.
INSTITUTIONAL PLAYERS
GOVERNMENT NGOs
FAMILIES &
BUSINESS CHILDREN CBOs
CAREGIVERS
MEDIA FBOs
ACADEMICS INTERNATIONAL
DONORS
Children’s Voices
The people with the greatest stake in OVC interventions are the children
themselves. Unfortunately, children’s voices are often not taken directly into
account when developing solutions. Critically, children want to be heard and
recognised as individuals and contributors to society in their own right, and not just
as “orphans” or “vulnerable children”.
“The DoSD held a National OVC
conference in July 2006. Prior to this the It was clear when we spoke to 16 children
minister held a pre-conference dialogue infected or affected by HIV/AIDS who
with 90 children from around the country, ranged from 7 years to 16 years that the
over a weekend. Almost all of these issue was about honouring the children’s
children have lost both or one parent. rights. Though commitments have been
What came out very clearly during the made in various Children’s Rights
discussions is that they just want people to documents like the African Charter on
believe in them, they want to become a the Rights and Welfare of the Child, these
somebody in this world. They do not want are often not being met.
to become state problems but need support
and recognition, and their right as children The needs of the children affected by
to be honoured.” HIV/AIDS we spoke to are not
particularly different from any other child.

They all wanted a safe enviroment free of physical, emotional or sexual abuse. Most
were now placed in homes or with more responsible families and they cherished the
care and love in the new enviroment as they knew it is not a given for most children.
Almost all the children felt school was a place of safety partly because they had
teachers who cared and supported them but also because they felt education was
their only way out of their present circumstances.
Nutrition was another basic need that was clearly not

“I don’t like it when people
being met: Almost 90% of the children mentioned
tease those who eat out of
that having three meals a day was a privilege they
rubbish bins, because if you
don't take for granted. The children's wish lists further
tease them they have
included having friends, a family, a complete school
nothing to eat”
uniform, access to computer labs and various other
reasonable requests.
The psychological impact of being infected or affected

“The children said they are
angry with the adults by HIV/AIDS is not sufficiently dealt with. Only a
handful of the children had had any therapy or
because they don’t disclose
to the children. My avenues where they could talk about what they had
children asked me when experienced and what they felt or ways to cope with
I’m testing. ‘What’s yourtheir day-to-day reality. For this reason most of the
status? What’s your children are not able to articulate their feelings.7 This is
story?’” further exacerbated by children missing school due to
being exposed to some form of trauma - the death of a
parents, neglect, or being "home sick"
after being raped. As a result, many of
the children are unable to read or write
or perform at the same level as their
peers.
These children don’t ask for any

preferential treatment but what is
rightfully due to every child in South
Africa. In the words of young person
who has overcome the challenges of being an AIDS orphan and is now a
motivational speaker:
“It wasn't money that I needed. That wasn't the gist of the problem. The problem was
that people had labeled me and it wasn't my fault. I had nothing to do with it. I just
didn't get it. Why was I being punished for my parents' problems? I figured I was
being labeled for something I wasn't responsible for. These kids don't want their entire
lives to revolve around that. Having lost your parents at a young age is stressful
enough. They don't want to be reminded constantly of the fact that they are orphans. I
wanted someone to concentrate on me...”
Institutional Players
The stakeholders most directly connected to the children are their families and
caregivers. Beyond this immediate circle are a group of institutional players who
affect the lives of orphaned and vulnerable children in a variety of ways, and are
crucial to addressing the children’s crisis in South Africa:
7
Here group activies like drawing helped

Government
Role: Current policy and programming interventions “We in government want

directed at supporting children affected by HIV/AIDS are to be seen as driving
guided by the principles set out in the “2004 Framework everything.”
for the Protection, Care and Support for Orphans and
Vulnerable Children Living in a World with HIV and “We say government
AIDS”. The National Action Committee for Children should be doing this,
Affected by HIV and AIDS (NACCA), which includes government should be
members from the various departments involved, has been doing that, but this
mandated to coordinate the implementation of the situation is really
framework. NACCA recently hosted a large conference on complex.”
OVC.
“The DoSD, Local
While the Department of Social Development facilitates Government and DoH
overall service delivery for the fulfilment of rights of OVC, for instance do not work
the issue is cross-cutting and involves a large number of together on the delivery of
departments, principally: the Presidency Office of the service to these children;
Rights of the Child, The Department of Education, the the system of delivery is
Department of Health, the Department of Justice, and the not integrated.”
Department of Home Affairs.
“We are so piled up with
Government has a crucial role to play in opening up our own admin.”
linkages between sectors, institutionalising successful
approaches and taking them to scale, and coordinating a “You must appreciate
national response. this issue is cross-
cutting… I rarely have
Challenges: While the OVC-focused policy frameworks in time to go to other
South Africa are highly progressive, and political will and departments. The two-
budget are largely in place, government faces significant day workshop is a life-
challenges in implementation, integration, and leadership. saver. Then I see them.”
Because the issue is cross-cutting, it is unclear where the
responsibility for the “whole child” sits. Inter-department “The NACCA working
competition is not uncommon and there are difficulties with groups are having more of
inter-department and intra-department communication and an impact than ever
coordination. before, but it’s a lot less
than we’d hoped for.”
There is also a huge reliance on NGOs and CBO’s for
service delivery, and success often depends on whether there
is local leadership.
Data management and documentation pose serious blocks

to government systems working. Government officials are
under a lot of pressure from complex accountability
structures, internal administrative tasks, and other demands
on their time. Finally, government players often feel
misunderstood by other sectors.
Community-based Organisations
(CBO’s):
Role: Thousands of community-based organisations are “Let business, government

responding to the crisis. Their key role is in providing home- and international funders
based care, strengthening family and community coping see things from a child’s
systems, identifying children in need of care, providing perspective and from a
psychosocial support, spiritual guidance and material community worker’s point

assistance. of view.”
The majority of CBOs are run by local women from the “Typically CBO’s will be
community. While CBOs often have limited capacity they made up of 10 women,
are highly respected by other sectors for the work they do very grassroots, we need to
on the ground, often on a pure volunteer basis. skill them up to manage
their own accounts and
Challenges: CBO’s are generally under-resourced, run by run operations.”
volunteers, and in need of small amounts of steady funding,
as well as organisational capacity-building. They are also “You can’t go to scale on
welfare-driven, often trying to do everything, and tend to be passion alone.”
more short-term in their outlook as they aim to meet
immediate needs. There is a high turn-over of CBO’s as they
struggle to sustain themselves financially.
Non-governmental Organisations (NGO’s):
Role: The NGOs mobilise and disburse resources, “Biggest questions –

advocate, develop and implement models for care, and Noah, Save the Children
facilitate coordination of service delivery. They are and SOS – they are all
significant players in driving the agenda around orphans and doing slight variations,
vulnerable children. Some are focused on home-based care, but what’s the most
while others run community centres, community childcare effective way of reaching
forums and/or even children’s homes. They often liaise and the millions?”
partner actively with CBO’s and community structures
helping to channel resources and build capacity. Major “They just weren’t aware
national-level NGOs include NOAH, Heartbeat, and of how much needed to be
Starfish, while key international NGO’s active in South done. I’m not a
Africa include Save the Children, WorldVision, and SOS procedures and systems
Children’s Villages. type person, but even I
could see, holy smoke
Challenges: Challenges faced by the NGO sector include we’ve got to do something
competition for funding, duplication of activity, short-term here. Even the most basic
planning, as well as limited capacity and skills. In addition, data and other
the NGO’s often are not using resources efficiently as they mnagement wasn’t there.”
focus on helping individual children rather than on systemic
solutions, and their main formal accountability is to their “Business points fingers
donors. Sometimes they need to juggle conflicts between the at NGOs – you can’t get
donor requirements and what they see as their beneficiaries’ your act together, you
real needs. don’t talk to each other,
you're territorial, actually
Because their primary resource is the passion of their that’s not true, the general
leaders, volunteers and staff, their management systems are rule is that the NGOs
often weak, and they can be highly dependent on their are talking to each other
founders. The situation of NGOs is however very diverse a lot”.
and it is difficult to generalize.
Faith-based organisations (FBO’s):
Role: Faith-based organizations are formed by people who “Church activities have
share a common religious belief. They often have a high focused on helping folks
degree of trust and legitimacy among their communities. out there, but without
Faith-based communities can play a vital role in looking inward first, at
communicating important messages to communities as well the stigma, and the
as providing material and spiritual support to people in need. discrimination and their
own attitudes and

One of the key strengths of FBO’s is their reach – there is a behaviours before going
church, mosque, and/or temple in practically every out to help. So even a lot
community. of the help isn’t done
from a paradigm free of
Challenges: FBO’s often work purely within their own discrimination.”
constituencies and have minimal interaction, collaboration
or information exchange with CBO’s and NGO’s which “Churches don’t cooperate
tend to be more secular in their approach. In addition, with each other. Also,
because of their focus on values and good behaviour, stigma most CBOs adopt a
towards victims of HIV/AIDS can be rife in these secular position and work
communities. with people of various
faiths and deliver services
to all those people. The
church may have a
problem with that.”
Business:
Role: Businesses are active through their foundations, “We’ve played a role in
Corporate Social Investment programmes, employee giving terms of trying to educate
and volunteering schemes. They help to provide key corporates that it’s a long-
resources, such as financial support and mentoring, as well term commitment.
as providing support structures for their own employees and Investing in the children
families, and getting involved in the communities because they are the future
surrounding their business. of South Africa means
walking the road with
Business logic further has a useful role to play in them. That’s taken a
contributing more efficient ways of working to the system as while, but it’s starting to
a whole, and identifying opportunities for income-generating change now.”
activities.
“Business is blasted by
Business activity varies significantly depending on the government and civil
specific individuals who are in a position within the business society. They can do
to drive social engagement. One industry that seems to be pilots but government
particularly engaged with the OVC issue is insurance and needs to take it to scale.
financial services, perhaps because of their long-term They feel their efforts are
perspective. wasted, rejected, and
criticized.”
Challenges: While some businesses are driven by a long-
term perspective, OVC activity is often seen as only “Business leaders are
peripherally connected to their core business, with explicit removed from the issue.”
links not being made between the business world and the
OVC situation. “The social investment
people don’t belong there.
Sometimes the priorities of business are driven more by legal Send the people who are
compliance and PR opportunities than by a motivation to responsible for the bottom
see impact on the ground. Efforts to address the OVC issue line. We’re bringing our
may also not take into account current research or thinking bottom line, please bring
about the best approaches to the issue. your bottom line. Don’t
bring your excess profits.”
There is also little communication across businesses which
would serve to align approaches, and there is significant
distrust between business and government.

International donors:
Role: A number of bilateral and multilateral donors are “OVCs are the interest
active in South Africa. A positive trend is that the resources of the decade for donors,
devoted to this issue are increasing. OVC is “in fashion” and are in the public eye
among donors. internationally. People
are interested, they have a
The international donors often have a close relationship heart for OVC.”
with government, and are dependent on government
partnerships. They may provide funding or technical “When people sponsor a
support through government. child, we educate them
that it’s going to
Challenges: A key challenge for big donors is how to community projects and
channel funding to the local level. As the grant amounts not to the individual
offered are usually large, there are time lags between child. But obviously if
proposal submission and disbursement of funds. you have a picture of that
Application procedures and reporting requirements are child on your fridge, you
often too complex and too much of an administrative want to know how they
burden for small organisations to meet. In addition grants are doing.”
are often only given for a year which makes long-term
planning difficult. When cooperation and communication “Donors and other
among global donors is limited, they can inadvertently foster international
competition rather than cooperation among their grantees. organisations have been
very helpful. Sometimes
Some international donors are in turn funded by individuals they say negative things
or other institutions to which they are accountable, which about government though
means they may have restrictions in terms of where they can when information was
allocate funds. Sometimes these donors are not as well- given to them well
informed as local organizations on where the true needs lie, meaning. As
and so projects may be criticized for being “donor-driven”. a result programme
managers have been
reluctant to share
information with
international partners.”
“A lot of funding is not

need-based, it’s donor-
perception-based.”
Universities and Research Institutions:
Role: The academic community researches and publicises “Solutions are not
issues related to OVC, and does advocacy work. More systemic enough.”
research is required on the impact that the dramatic increase
of OVC will have on South Africa’s social fabric, but more “NGOs and academics
importantly the research that is already there needs to be – information doesn’t
more widely shared. Information often doesn’t reach people reach across the
at the frontline. boundary.”
Challenges: There is a general lack of academic research on

how complex social innovations go to scale at the national
level beyond normal centralised policy approaches. Also,
universities and research institutions may be heavily biased
towards prescribing approaches that are more formalised
and based on specialised knowledge (such as medical or
psychosocial training). Such approaches may be ill-suited to

the context of communities and be over-critical of the
effective, informal approaches that communities have no
choice but to develop and employ.
Media:
Role: The media has a crucial role to play in raising “The media only covers
awareness around the issue. In particular, media helps to horrible stories so the
reach out at a societal level to bring the issue to the attention media also needs to play
of members of the broader public who are not directly a more constructive role”.
affected but who do have power to help.
“The media had such an
Challenges: The OVC issue is rarely profiled, and the important role to play
children have little if any voice. This results in an increasing during apartheid. On
stratification of the worlds of those coping with the OVC this new struggle, the
issue and those oblivious to the situation. In addition, media should be getting
insensitive media strategies can cause damage by over- information out, more
sensationalising individual OVC stories. than they are now.”
See Annexures for a non exhaustive list of the specific institutions within each of
these categories and a list of all interviewees.
Readiness for collaboration
We found that most interviewees expressed a need for much greater coordination
and collaboration. The interviews assessed the readiness for collaboration among
stakeholders by seeing if the interviewees were ready to:
o move beyond their own personal positions to look at the common good,
and
o move beyond what currently is happening towards more innovative
approaches.
“Government wants to stay in power, There were many statements from our
to win the next election, NGOs want interviews that reflected a general readiness
to stay alive, companies wants to for a multi-stakeholder collaboration initiative.
make money, so to bring those three A set of illustrative quotes from each sector
partners around a table is exemplify this:
challenging, you need a strong
facilitator who can connect people and Business : “Business and government need to move
focus on the similarities and the beyond a territorial approach and work together
strengths rather than the differences”. without any predetermined agendas. We need to have
an open book.”
Government : “One of the main lessons learned is that if we were driving the provision of
children affected by HIV/AIDS in a more integrated way we would have had more impact.”
NGO: “How do you make it a South African problem as opposed to an NGO problem or a
government problem.”
International Donor: “There needs to be a uniformity at a national level with all sectors for
example, government, donors, faith based organisations etc, having a common vision.”

Burning Questions
A key determining factor of stakeholders’ readiness for something new is whether

there are questions they cannot answer on their own. We asked stakeholders what
questions “keep them up at night”. What are the things they don’t have the answer
to? These questions reflect the need to stand back, reflect innovate and ensure we
are thinking of long term systemic solutions. We grouped the questions under the
following themes.
The Future
“Have we looked strategically at what is best for the country in the long-term?”
“How do we know what we have achieved?”
“Will this problem ever be solved? For how long will it go on?”
“What’s going to happen to this generation of children?”
“Where will it stop? The virus is not stopping at children. How are these children
thinking of the disease? How is it affecting the child as a human being?
Scale and Capacity
“How do we deal with all the children we should be dealing with?”

“How do we decide what is enough when nothing will ever be enough?”
“The last year we’ve really looked at what keeps us up at night. While we can say we
support 22 000 children, there are 1 million orphans in SA today and it’s just a drop in
the ocean. Between all the NGO’s that are working out there, I don’t think we’re getting
to more than 1-200,000 children today”
“The issue of capacity required to deliver services to vulnerable children is a major
obstacle, its small scale and is donor funded still. We don’t have the answer to this.”
Quality of Care
“Does what we do speak to the needs of the children?”

“What are the essential services a child needs and what are the nice-to-haves?”
“How do we deal with child abuse?”
“Are we doing it right?”
“We all say children shouldn’t be taking care of their dying parents and children
shouldn’t be heading households but they are, so how do we support them?”
Resources
“Can South Africa sustain the system of grants, with an ever increasing number of people
in need of social support?”
“How do we get the maximum impact with the money we have?”
“What are the cost implications? Is there something we should be aiming for?”
“How do we get communities to mobilize resources and take responsibility?”
“How do we get resources into rural Limpopo when donors want their names up in visible
places”
“How do we begin to work together to expand the pie instead of competing for scarce
resources?”
While we found excitement about a multi-stakeholder initiative, there was also

hesitation as to whether we would be able to produce something different from
existing initiatives. The advice we received from stakeholders to ensure the success
of a multi-stakeholder process are detailed in the section on “Way Forward”.

Map #4: Possibilities for Change
Building on Existing Successes
Any intervention in the OVC field must recognize the good work that is already
happening and build on what is currently working. There are many existing and
successful interventions, and much research work has been done on models of care.
One of the central questions asked during the interviewing process, and at the OVC
stakeholder meeting on October 30, 2006 was what is already working, that could
potentially be taken to scale.
It is important here at an overall level to acknowledge all the informal work that is
happening and helping in communities. The capacity of communities and extended
families to absorb vulnerable children has been beyond all expectation.
At the more formal level, stakeholders pointed to the following initiatives that could
be considered “seeds of the future”:
Isibindi model of home-based care: The Isibindi

child care programme run by the National Association “The Isibindi thing
of Child Care Workers emphasizes caring for children really struck me. These
and child-headed households in their homes. They help teenage boys that are
often distant were
with grant applications, food, medical treatment,
completely accepting of
psychosocial support, and provide a holistic service these women coming
depending on the specific children’s needs. Several into their homes.”
NGO’s such as Heartbeat provide a similar care
worker service. Providing a stable caregiver, keeping
families together, and caring for
children in their homes - as opposed
to taking them out of their homes
and into institutions or foster care - is
recognized by many as the least
damaging model of care for the
majority of children.
CBO/NGO networks like the

CINDI network: The CINDI
concept is to bring CBO’s, NGOs,
government departments and
individuals working for OVC into a geographically focused consortium, where they
can jointly do CBO training, fundraising, reporting, advocacy, and coordinate
referral systems, etc. This strategy helps to overcome capacity issues faced by many
CBO’s, and to ease the flow of knowledge and resources in the sector.
Intermediary NGOs to help channel funding to CBOs: A number of NGO’s

like the Starfish Foundation and Heartbeat help to channel funding to CBO’s by
taking over some of the burden of proposal-writing
“Now, when you speak and reporting, as well as supporting CBO’s with
to the children it’s the capacity-building.
first thing that comes out
of their mouth – they Peer education programmes: Children’s ability to
love their support group, support each other has been underestimated, and there
it’s so nice to go to the is a need to increase the number of peer-to-peer
after-school centre”. support programmes. Hope Worldwide and Hope

HIV are two examples of NGO’s working in this area.
Schools as centers of service and data-collection:

“The challenge we
The schools and school teachers are often the first to
face is that schools
recognize that a child is in difficulty, and they are have become an
present in all areas of the country. Some schools partner extension of the
with NGO’s, have social workers available, have school family.”
feeding schemes for OVC, and collect data on the status
of the children, but most schools do not currently have
the capacity to serve as such centers. Because practically every community has
access to a school, finding a solution for schools to become more functional as
centres of service and care seems to have high potential.
Community childcare forums: Different

NGO’s and institutions have tried a variety of
forms of community childcare forums, some
more successfully than others. The idea is to
develop community ownership of the children’s
issue, by bringing together in a regular forum
those members of the community who can help
service the children’s needs. This helps to
develop community self-reliance, mobilizing
internal resources, and lessening dependence on
outside organizations. This is essential because it
is hard to imagine a “loving response at scale”
without strengthening the ability of communities
to absorb and care for their vulnerable children.
Income-generating activities: Income-

generating activities for child-headed households and for caregivers can help to
reduce dependency and alleviate poverty.
There are of course many other models of care and service provision besides those
listed here, but these are the primary ones highlighted by stakeholders during our
process as strong models to be supported. In addition, there is wide agreement that
a holistic, community-based approach is what is needed, and that existing structures
should be strengthened. It is also clear that any intervention would need to
acknowledge and collaborate with existing national efforts at coordination such as
NACCA and SANAC.
Four Approaches to Strategic Intervention
At a broader level, four different possible approaches to intervention can be mapped

in a similar diagram8 corresponding to the earlier one related to perceptions of the
system (“delivery”/ “African market”/ “jazz band”/ “ubuntu”). How you perceive
the system will influence how you choose to act in and on it.
As with the earlier diagram, it’s important to emphasise that these strategies are not
mutually exclusive, but usually complementary. We suggest that these four strategies
can be labeled as follows:
8
Once again, this diagram and the previous one draw on an underlying four-quadrant model developed by Otto
Scharmer at MIT and a previous project of Generon Consulting on the state of health care in Columbus, Ohio, USA.

Creating
something new
and better
“REGENERATE “INNOVATE
WHOLE AND
Focus on the SYSTEM” IV III REDESIGN” Focus on
system as a parts
whole I II
“WORK “OPTIMISE AND
HARDER” INTERACT”
Making what
we have work
better
I. Work Harder
We have labeled the first approach to “Six million children currently receive child
improving care for children “work support grants. The target is to reach 7 million
harder”. Here the system is taken for children this year, and we think we will exceed
granted, and the strategy employed is to the target.”
do more of the same, and to do it better.
Invest more resources, make things “To improve the treatment rate of children with
more efficient. We also include here the HIV, the clinic staff actually walk around the
strategy often taken of training and wards trying to “identify” cases and actually
informing people on how to navigate personally take them to the clinic to ensure the
and work with the existing system, and commencement of treatment.”
of creating intermediary organizations
that can do the work on behalf of “You absolutely have to have a national
CBO’s that don’t have the capacity to database – otherwise no one has a
succeed within the current system. comprehensive national understanding of the
Where local leadership is present, local situation… Pepfar has started a database,
success stories happen. where they have all their projects mapped on a
GIS system. It’s just basic overlaying of
Efforts to change the system from this databases.”
perspective look to tighten up the
existing system. As such, it’s not a “There are just too many government
transformative approach and doesn’t departments and other sectors involved. We
deal with underlying dynamics need a military plan. We are just not getting
preventing optimal delivery in the first things done efficiently.”
place.
“To be successful in working with government
A lot of “work harder” is happening departments, it is necessary to have hard facts
across the OVC system. This approach and data to support your case. Also we have
is currently making a significant created a relationship with a person in home
difference and increasing the number of affairs who supports our application.”
children reached through expanding
delivery.

II. Optimize and Interact
The second approach to improving the “Business can’t operate on its own effectively
situation still takes the existing system but has tried to create coalitions such as
for granted. Stakeholders try to SABCOHA and Business Trust”
optimize it through improving the
impact of individuals and institutions “We used the schools to access street children
and through interacting and negotiating and orphans and vulnerable children and use
with other players. They learn from community based organisations to support these
each other about “best practices” in children in a collaborative partnership. I have
order to make their own parts work had lots of fights with [our primary NGO
better. They generally negotiate interests partner] because they think they can do
from their own point of view rather everything. When we have the right model we
than as a collective trying to serve the will take the blueprint to government to roll out
system as a whole. at scale.”
Sometimes the changes can be carried “If you achieved just one thing and that was
out by individual actors who figure out a better collaboration the intervention would be
better way to do what they do. But this successful.”
strategy sometimes has unintended
consequences. It can lead to “There are other NGOs working where we’re
innovations welcomed by some but seen working. Often though, project areas are
as destructive by others. A common chosen in collaboration with other NGOs, so
example is donor organizations favoring we’re covering one locality and Save the
AIDS orphans over other children and Children for example is in another. But where
creating conflict among children and in we are in the same area, for example they
the community. might have money for OVC, then we can cover
prevention, because our private funding is often
A change initiative within this strategy more flexible. So we dialogue with them so our
could involve creating a space where activities are complementary.”
stakeholders could communicate,
negotiate partnerships, and learn from “I want to get a better understanding of who’s
each other. To some extent, NACCA doing what, and how we fit; and relationships
and SANAC achieve a space for such with other stakeholders so we can work together
networking, but they are more focused cohesively.”
on coordination of policy
implementation and so are limited as a
space where stakeholders can bring their
own agenda as well. Some donor
organizations also host networking
meetings among their grantees but their
ability to host a neutral space is limited.
Stakeholders expressed a need for more
and freer spaces to meet and interact.
III. Innovate and Redesign
In contrast to the above two strategies, “Some people are just looking for more concrete
the third is focused more on innovation outcomes today. They say how can you think
and creating something new. However, about leadership when the kids have nowhere to
it remains focused on parts of the sleep and nothing to eat? The urgency of the
system rather than the system as a current crisis overwhelms most peoples
whole. Some of the innovations that thinking. We think that is critically
have already happened from this important, but if all the resources go there, you
approach include a shift to focus on don’t actually change anything long term.”

peer support groups, community
ownership and childcare forums, “We go to the community thinking we have the
creative approaches to income- answer - wait until they lead you through the
generation, holistic care, linking projects process and you realise they have the answer.”
with sustainable livelihoods, and
children’s empowerment. “Where are these children going to be 20 years
from now? We have linked with business to
The complexity here is that while these create sustainable living projects.”
innovations are often making a
significant impact on one area of the “We are putting our energy into the end of the
system and serving children well, this road. Let’s look at preserving parenthood.
isn’t expanded to the rest of the system Rollout ARV’s to parents. Prioritise food to
as a whole. Stakeholders particularly in parents, keep them healthy and coping.”
the NGO and sometimes business
sectors often feel they know how to “The corporates duplicate and don’t partner.
solve the problem innovatively at small To change this, we would need to change the
scale, but feel at a loss when it comes to paradigm and mindset.”
the enormous numbers. However,
sometimes these innovations do add up “Government needs to make a rapid paradigm
to form a new trend or fundamental shift in reconfiguring relationships and
shift: Initiatives here are generally encouraging others to focus on OVCs.”
shifting fundamentally from a welfare
approach to a developmental approach.
A change initiative for the system within

this strategy would involve promoting
innovation and generation of new
models and ideas within specific areas of
the sector. Stakeholders pointed to new
areas where innovation was needed
including: unblocking funding flows,
building community capacity, the role of
schools, access to documentation and
media strategies (see section on ‘way
forward’).
IV. Whole system regeneration
The final improvement strategy takes “Hollard tried to get all businesses together but
the approach of attempting to it didn’t work.”
regenerate the whole system. Here is
the view that you need to go beyond “NACCA is not really a forum for
piecemeal reform to more fundamental innovation. Also the right people are not in the
transformation. room.”
Such a strategy would focus on the “We have to find a way to resolve some of the
Orphans and Vulnerable Children questions we don’t have answers to. We all
system as a whole and seek to move need to work together to make the existing
towards a new system. It would entail a system better.”
multi-stakeholder approach, bringing
players from all parts of the system “Look at the fight against TB… it was a
together, in a deep effort to re-perceive state of emergency. The health status for every
and transform the system. individual in every household was checked and
followed through. This was done and won by
While stakeholders were crying out for a systems, there was military precision.”

more “big picture” and systemic
approach to the issue, overall they “We need a common vision that everyone has
thought a lot is already working, and bought into. We all need to have an allocated
that the time and resources required to bit of that plan that matches our skills.”
invest in a “whole system regeneration”
was not necessarily justified at this stage.
Four Areas of Leverage
An area of leverage in a system is a strategic intervention area that has potential for
greater impact due to its connection to multiple parts of the system. During our
interviews, our synthesis sessions, and primarily our stakeholder dialogue session, we
identified together with stakeholders a set of four such underlying areas of leverage
in the OVC field.
These four leverage points mirror four strategies for improvement, and serve as key
enablers of each of these strategies. However, they also overlap and reinforce each
other, and each of them is needed for all four quadrants.
Systems
thinking Innovation
Leadership Collaboration
I. Leadership
The need for leadership development at “I keep wanting the leaders in government to
all levels and across sectors was a know they can do it. I want them to know they
common theme in nearly all the can do it, and be inspired by that ability. It’s
interviews. To succeed with improving stressful and difficult but it’s not impossible.”
the system (“work harder”), leadership is
the key area of leverage, but leadership is “Teachers are doing a sterling job – they are the
also important for innovation, unsung heroes.”
optimization, collaboration, and systems
regeneration. “I think there’s a desperate need for leadership at
all levels.”
Further, it was interesting to note how

much work in the OVC field is driven “Don’t be afraid to speak. Especially for
by passion and long-term commitment. children – they are relatively voiceless. Children
A major insight from the interviews was are not heard in the way they should be. We
that nearly all the interviewees had a life- have to sometimes be brave enough to say the
long or min 5 year commitment to things nobody wants to hear.”
working with children. This means that
investing resources in their leadership is “In government, if you find a person who cares
a long-term investment in children. and makes things happen, anything is possible.”
II. Collaboration
Many stakeholders pointed to the lack of “In South Africa, the government tends to think
coordination and the competition they can do it. Real engagement with civil society
between sectors, departments and and NGOs has been lukewarm.”
organizations as a key obstacle, and so
collaboration was a second area of “When you look at multi-stakeholder
leverage. partnerships, the question of multi-stakeholder is
not really an issue, but the partnerships and the
This includes creating common purpose extent to which the partners will get recognition is
and collaborative action across and an issue. The real engagement only happens
within sectors as well as improved between state and private sector. Community
coordination and information initiatives don’t get the recognition.”
management.
“The Business Trust initiative is inspiring.
Since that was possible there is a light of hope –
business and government can join hands to
address it.”
III. Innovation
While there is significant creativity in the “I’d really like to look for inspiration outside
sector, there is a need for innovative OVC, treatment, care and support. How do you
solutions in key focal areas where look to other ways of solving problems?”
stakeholders don’t have all the answers.
If South Africa is going to manage to “We shouldn’t take the huge projections as a
provide both quality and quantity of given. We should say this is what we are dealing
care, stakeholders will have to be with now, and this is what we mi ght be dealing
thinking much more innovatively. with in the future.”
Meanwhile, we mentioned earlier that a

limitation to the “Innovate and
Redesign” approach is that innovations
are often limited to one part of the
system. Innovation needs to be
combined with collaboration and
systems thinking to have a wider impact.
IV. Systems Thinking
As mentioned earlier, the situation “Global donors have specific programme areas
around orphans and vulnerable children they fund and in very few cases would those
in South Africa is incredibly complex. programmes address children’s issues holistically.
Unclear causal relationships, positive There isn’t a big picture around helping children

and negative forces bearing on the issue, in need.”
diverse perceptions, and unintended
consequences of well-intentioned “We are so busy we never get to raise our heads
initiatives are all characteristics of this and look at the big picture and where are we
system. Because it is a crisis, it is often going ten years from now.”
difficult for stakeholders to lift their
heads from their work to look at the big “No one looks at the bigger picture, and it’s
picture, but many believe that having a really frustrating.”
more systemic approach could make
their work more effective.
The OVC multi-stakeholder initiative needs to act on all four of these leverage
points. As such it would also live up to the criteria of a systemic, participative, and
creative approach as defined in our previous section on the “problem situation”.
The Way Forward has been designed with this in mind.

Way Forward
1. Assumptions
Based on our many conversations with stakeholders during Phase One, we have come to
the following observations which serve as underlying assumptions for our multi-
stakeholder initiative:
o Many interventions are working - there is a lot of movement and energy in the
OVC field in South Africa and solutions do exist. The overall system is not
dysfunctional.
o There are specific areas of work

related to OVC that are burning
questions keeping stakeholders up at
night, and which require collective
innovation and systems thinking.
o Policy is strong. There is not currently

a need for a new system-wide process
or structure focused on national decision-making or policy.
o The boundaries of the “OVC system” are ill-defined and unclear. A big part of
the problem relates to implementation problems that are cross-cutting beyond
the OVC issue: capacity, leadership, collaboration.
o Collaboration, networking, and learning across sectors and organizations is

weak, and there are many misunderstandings or negative perceptions across
sectors. The comparative advantages of different sectors are not being
harnessed.
“I go through cycles. Every year there’s a time
o Most people working actively in where I think I should do something different. I
this field have a life-long or explore other options. Then I realize this is just
minimum 5 year commitment to plastic. It’s not real. In the end, what we’re
this work. It therefore makes doing at Heartbeat is real. I think if I move
sense to invest in the from here, I will go to an international
individuals’ capacity and organization in the same field, but I don’t see
relationships among that happening for a while.”.
individuals.
o There is a high level of readiness for change. No one thinks the OVC system
can remain where it is and still meet the needs of ever increasing numbers of
children.
2. Aims
Based on the above assumptions, our aims with an initiative moving forward are:
o To develop leadership and capacity among OVC stakeholders,
o To enable stakeholders to re-perceive the system, taking a “big picture”

approach and navigating the complexities,

o To enable stakeholders to innovate collaboratively on specific challenges related
to OVC,
o To build transformative relationships among stakeholders, enabling ongoing

collaboration and networking,
o To incubate - financially and operationally - specific innovation initiatives that

can be institutionalised in the system through cross-sector partnerships.
The specific outcomes for this process would be defined in collaboration with
stakeholders, but the overall impact expected from launching this process must
include both increasing:
o Quantity of support to OVC in the sense of more children being reached

[Scale], and
“Children need a
o Quality of support in the sense of the holistic and friend. Someone
human experience of the affected children [Love]; who can help them
become adults”.
thus coming closer to creating a loving response at scale.
3. Areas for Innovation
The following topic areas were identified by stakeholders as key areas in need of
innovation. This is not a definitive list and will be further refined in planning Phase
Two of the project.
I. Unblocking funding flows
As mentioned several times throughout “It’s not so much the quantity as the reliability of
this report, funding often does not reach funding. If you know this is what we’ve got for
its intended destinations. While overall the next 3,4,5 years. Particularly with children.
funding is increasing there are problems You’ve got to think about children in 18-20 year
in getting it channeled to the community cycles. We’ve got to start thinking like that, and
level where small amounts of funding we need leadership that thinks about it in terms
are needed on a very stable and long- of 20 years, and funding that says we will work
term basis. How to transform the form on a programme for 20 years.”
of big amounts of funding into such
small, steady flows is a major challenge, “There’s still red tape in accessing funds. It seems
which requires stakeholders to think there’s favoritism with funders supporting a few
creatively and innovatively. select organizations and there have to be
intermediaries.”
II. Building Community Capacity
The future around this issue depends “The issue of c ap acit y required to deliver
largely on the ability of communities to services to vulnerable children is a major obstacle,
absorb their vulnerable children. its small scale and is donor funded still”.
Developing capacity and leadership was
highlighted as a major need. The most “Human resource capacity is a deeper problem.
important aspect of this was building There need to be innovative ways of addressing
community and CBO sustainability and the capacity issues”
capacity to both manage operations,

mobilize resources, and to care directly “Volunteers who are often in the poorest
for the increasing numbers of children. communities now have to be this social sponge
One key approach that was highlighted that absorbs all these problems.”
was to strengthen business support for
skills development.
Any activity to build community

capacity must be founded on respect for
the community, and build on the
existing leadership and initiatives that
are already there.
III. Media Strategy and Awareness
Given that the children’s crisis should “It is not about showing the poor children on
really be a societal responsibility, it is TV and asking for money. People will give but
crucial to find better ways of mobilising then they will flip away from the problem.”
awareness and creating opportunities for
involvement, and a broad sense of “From where I sit now, in my organization, I
ownership of the problem. know what the state of affairs is around orphans
and vulnerable children. Had I been somewhere
Media are increasingly covering the else my life would carry on and I would not know
OVC crisis, but NGOs and CBOs about this problem we have to deal with. I would
pointed out that the approach taken by probably read a snippet in the paper and think
media can have negative unintended good charity work, good people.”
consequences. Also, there is
“compassion fatigue” among the public, “These kids have become white noise. The first
and lack of sustained involvement. time you hear the million OVC, your head
stands on end, you think you can’t be serious;
I've got to help them. When you've heard it the
20th time and it's somewhere in the paper in
between 40% unemployment and the highest
murder rate in the world it’s just more white
noise of living in this country.”
IV. Information flow in the sector
Access to documentation is a serious “Now I’ve asked school principals to take copies
bottleneck when it comes to children of birth certificates, so if something happens at
accessing grants and school fee least the child knows the principal has it. My
exemptions. biggest problem is access to documentation.”
This links to a broader challenge around “There isn’t a one-stop shop where people can go
information flows and knowledge and get the papers they need. It’s the frustrations
management, including how to of people in rural areas, informal settlements,
intelligently use database systems, where they can’t afford the busfare to get to home
research, and existing knowledge. affairs, and then when they get there, they find
abuse and corruption.”
“There are lots of delays in the release of funds. If

there is one document that isn’t there, my hands
are tied.”
“All sectors complain about the lack of a

database and this has been scuppered by politics.”

V. Schools as nodes of care and
support
Across the NGO, Business, and “There are isolated incidences where they are
Government sectors, there is increasing operating well, but on the whole they are
clarity about the value of using schools struggling because it takes time and money to
as nodes of care, support, and referral, establish these systems. Teachers have their
as well as as community centers and for hands full and a lot of people don’t want to face
capturing documentation. Meanwhile, the issues.”
school management and teachers are
overloaded, and it is often difficult to “There’s huge potential to work through a system
get this approach functioning optimally. that is already there, instead of trying to recreate
A variety of models are being tested for something that won’t be sustainable. When there
this approach. is a flood or war, a school is the first thing to be
recreated because people want their children in
school, and children want to be in school. We
underestimate how important children are to each
other.”
“Certain messages are not being taken down

properly. Schools should be a circle of care for
orphans.”
VI. Scaling Up
The most burning question across the “The risk is that they are so focused on
system seems to be “how do we reach quantitative results that a lot of the community
the millions?” Innovative thinking mobilization that’s needed for ownership gets
needs to be applied to devise ways to rushed or skipped.”
scale up successful initiatives without
sacrificing quality. “The Isibindi model is working but how do we
take it to scale?”
4. Methodology9
The methodology we intend to apply for this initiative combines several elements:
4.a. The Innovation Lab
We propose starting over the course of 2007-2008 to host a series of “Innovation

Labs” convening cross-sector groups of stakeholders to innovate in the above-
mentioned areas. The idea is to unlock innovation in specific parts of the system
that are stuck, and which have a large impact on the broad reality. As these keys are
turned, new patterns may arise across the solutions generated which can lead to new
system-wide approaches.
Each “Innovation Lab” will run over the course of 3-5 days, convening a diverse
stakeholder group who together have the capacity to see the system as a whole and
to effect significant change. Over the course of this lab, the group will work
together to:
9
This methodology draws on the theory of the “U-Process”, developed by Jaworski and Scharmer, and
on its application as the “Change Lab” , developed by Generon Consulting specifically for problems that
are dynamically, socially and generatively complex.

o understand the complex dynamics of the current reality around the theme,
connecting both intellectually and at a heart-level with this reality. This will
be done through interviewing each other, participating in experiential
“learning journeys” and engaging in systems mapping.
o take a step back from the system and focus on uncovering individual and
shared purpose and knowing about the theme.
o design innovations in the form of “prototype” initiatives they themselves

can be involved in implementing.
Output:
Preparation: “Innovation Lab” Initiatives
Input documents Leadership
Participant Relationships
interviews Learning documents
Institutionalizing
Introduction
and
dialogue
Prototyping
Learning
Journeys
Design
Sense- Innovation
making Retreat
Critical to this approach is that the members come to see and understand themselves
as a part of the problem and thus also part of the solution. The team also learns to
look beyond their past experiences and to identify emerging solutions and
opportunities. rather than passing recommendations on to others.
Each Innovation Lab will be held in a venue that is aesthetic and conducive to
dialogue and reflection. Prior to each Innovation Lab, participants will be
interviewed about their ideas and perspectives, and input documents will be
prepared to create a shared foundation for the work.
The Innovation Lab will be different from “talkshops” and the current conferences
in that it will involve immersion in an issue and facilitated activities that enable
innovation. Further, the work will be part of an ongoing programme and initiatives
emerging from the labs will receive financial and operational support so participants
are not left saying “so what”.

4.b. Innovation Fund
During the Innovation Labs, participants will identify high-leverage opportunities

and quickly create models of solutions. The ideas which have traction with the group
will be taken forward. A secretariat will help to coordinate this follow-up work and
a fund will be set up to provide financial support for prototyping and
institutionalising the ideas. Teams of participants will test their models on the
ground with target stakeholders and partner communities over a period of several
months. This approach enables team members to build, test, improve, and re-test
interventions in the real world.
Innovations that, on the basis of this prototyping, hold the greatest promise for
effecting systemic changes will receive seed funding for further implementation and
institutionalisation. The Innovation Fund will include independent screening of
proposals to ensure accountability, quality assurance, and adequate grant-making
oversight.
2007 2008
Innovation
Lab #5
Innovation
Lab #4
Innovation
Lab #3
Innovation
Lab #2
Innovation
Lab #1
Ongoing sec ret ar iat s upp ort and i nnov atio n fund to
incubate prototype initiatives
Ongoing k no wle dg e-shari ng and net wor king m eetin gs
4.c. Leadership Network / OVC ‘Fellowship’
In addition to the Innovation Labs, participants in the OVC multi-stakeholder

programme will be invited to regular facilitated networking events. They will

become members of an OVC “Leadership Network” or “Fellowship”.
The leadership development approach through the innovation labs and networking
events will combine training with experiential problem-solving work. Capacities will
include leading in complex systems, creative thinking and innovation, dialogue and
listening, cross-sector communication and partnership, implementation skills,
prototyping, stakeholder engagement, and accessing deeper personal purpose and
commitment.
High-trust relationships among participants from across sectors and organisations

will develop, enabling participants to overcome issues of inter-sectoral/-
departmental/-organisational competition and duplication of effort, and enabling
improved communication, learning, and partnership. The sustainability of these
relationships beyond the process will further enable participants to continue to
create and implement innovations to OVC and related vital societal problems.
4.d. Community-level Work
In addition, preparations are underway for planning, resourcing and running

potential longer “Change Labs” at community and municipal levels, as well as for a
more extensive national-scale “Change Lab” process in partnership with
communities.
This combination of elements has been designed to combine work on the

leverage points describe earlier and focus on the areas of innovation
identified. It is thus a direct outcome of the Phase One results.
Unblocking Building Information Media & Schools as Scaling

funding community flows Awareness nodes Up
flows capacity
Leadership
Collaboration
Innovation
OVC Multistakeholder Initiative
Systems
Thinking
5. Partnerships
In order to create a successful multi-sectoral dialogue intervention the Africa

Leadership Initiative will have to enter into certain partnerships. These partners
were identified through the interviewing and research process. The Africa
Leadership Initiative is in a process of discussion with these partners.
Convening Partners: The most critical convener in South Africa today is the South
African Government. Therefore ALI needs to partner with government in
convening the multi-sectoral process, specifically with The Presidency and The
Department of Social Development. The reason for The Presidency is that this
issue spans multiple departments and therefore needs a central authority to convene.
Content Partners: HSRC have been identified as valuable content partners, given
their significant research work and planned scenario work in the area of Orphans

and Vulnerable Children. HSRC will provide content support to the multi-sectoral
dialogue process, specifically helping with input and output documents for the
Innovation Labs and documenting project learning.
Process Partners: Reos Partners10 have partnered with the Africa Leadership
Initiative on Phase One of the project and would design and facilitate the multi-
sectoral process on Phase Two of the project. Reos Partners have committed to
building further capacity in South Africa to do this work.
Governance and Innovation Fund Partners: Synergos Institute would be

governance and convening partners, as well as supporting the Innovation Fund.
Synergos have considerable experience in the developmental and governance issues
of a multi stakeholder dialogue process as well as with the field of grant-making.
They will partner on the design of, resource mobilization for, and accountability
practices of the Innovation Fund.
Champions Group: A group of champions with significant credibility, in each

sector will be identified to help support and advocate the process.
Steering Group: A group of experienced senior advisors from all sectors will need
to be convened to give input on the project.
6. Resources
There has been some indication of stakeholders who would be willing to contribute
financially to a multi-sectoral change and leadership capacity development process.
These are primarily from the business and global donor sectors. The Hollard
Foundation has committed to funding the first Innovation Lab.
7. Risk Assessment
In assessing the risk of convening a multi-sectoral change initiative, stakeholders

were asked in the interviews what advice they would have for ALI in convening such
a process. Implementing this advice will significantly reduce the risks.
Advice Risk Mitigation
Don’t duplicate. Work with Duplication of what is already Work with NACCA and
and differentiate from some happening. SANAC leadership.
of the processes that are Lack of legitimacy.
already underway such as Existing structures boycotting
SANAC and NACCA. or trying to control the
process, thus complicating the
power dynamics.
Ensure the participation and Government doesn’t arrive on Critical to work closely with
support of high-level leaders the day. Participants are too government and if possible
in the system. Involve the junior to effect change. to co-convene with
10
See description of Reos Partners in Annexure. Note that Reos Partners is a spin-off company of the former Generon
Consulting, and that the team partnered with ALI on Phase One as part of Generon. The team of people assigned to the
project remains the same.

people who can make government.
decisions. Invest in convening and
advocacy meetings to ensure
senior participation from all
sectors.
Equalize power dynamics Process compromises Skillful facilitation and

and make sure community powerless organizations and ensure participation of
and children’s voices are fails to access collective community and children.
heard. intelligence from those most
directly affected.
Acknowledge time Process compromised by time Shorter more frequent

constraints of participants, limitations. Participants interventions. Advocacy to
particularly government and dropping out or not legitimize the process and
therefore ensure that participating fully. justify time involvement.
stakeholder time is well used.
Don’t create another Participants feel they have Focus on action, experiential
“talkshop” or conference; it heard it all before, don’t learn learning, and uncommon
needs to be result-focused or act in a new way. conversation.
and brought alive. Implementation lacking.
Emphasise the leadership Leadership issues are not Make leadership

development aspect of the improved. Participants do not development transparent.
process. change at a personal level, and
so the wider system cannot
change.
Involve resource holders and New ideas are generated but Ensure mix of invitees.
influential decision-makers cannot be institutionalized Ensure commitment from
(“scalers”) as well as because of lack of high level government, media, and
innovators. commitment. donors.
Involve high-level Champions don’t go through Invite group of champions

champions to support the full change process and end up to participate.
process who are not afraid hijacking the process.
to talk.
Look beyond immediate Process becomes either too Include content partners.
cause and effect of OVC simplistic or too complex. Design process to involve
treatment, care, and support systemic thinking beyond
to more complex the obvious.
connections. Bring in
scenario planning and
demographic modeling.
Create space for thinking
outside funding restrictions.

Keep focus on OVC. Not addressing definition Define scope.
issues.
Work on complementarities Unable to get participants to Enable participants to see

and comparative advantage. move from turf. complementarities and each
other’s value through
facilitative process.
Create African solutions to Process is seen as coming Fit process to local context
African problems. from the outside. and explore African
solutions.

Conclusion
“We need to generate a generation of children that are exciting and that are also excited about life.”
The Africa Leadership Initiative Orphans and Vulnerable Children Programme is

focused on a process that is multi-sectoral and action-based. The purpose of the
project is to achieve concrete impact on the quality and quantity of care received by
orphans and vulnerable children.
The project mirrors the needs as expressed by the key stakeholders in the system for:
o Leadership
o Collaboration
o Innovation
o A Systemic Approach
It is hoped that we will through the project make visible a loving response at scale,
for, in the words of Nelson Mandela, “there can be no keener revelation of a society’s soul
than the way it treats its children”.
This is only the beginning. We invite you to get in touch and get involved. Send us
your comments on this report and our proposed approach. Please join us in making
it happen.
For more information on this project, please contact Ann Lamont (ALI) on annlamont@telkomsa.net
and/or Mille Bojer (Reos Partners) on mbojer@pioneersofchange.net

Annexures
Annexure 1: Initiating Partners
About the Africa Leadership Initiative
The Africa Leadership Initiative (ALI) seeks to develop motivated, effective, and
responsible leaders across Africa who are capable of guiding their countries as they
struggle to align the demands of globalization with local visions of “a good society."
In addition to its current fellowship programme, ALI intends to become the
convener of a series of dialogue- and action-based interventions on different tough
social issues facing South Africa and eventually Africa as a whole. These
interventions would help to develop collective leadership among people working
within a specific field, as well as generating innovative, practical, and systemic
approaches to dealing with societal challenges. ALI has to this end established a
partnership with the international consultancy Generon Consulting, whose partners
and associates have decades of experience with multi-stakeholder work on complex
social issues. The first initiative of this nature is focused on Orphans and Vulnerable
Children (OVC).
About Reos Partners
Reos Partners is a South-African based company, linked to a global network. Reos

associates globally have spent much of the past twenty years working with civil
society groups, corporate clients, governments, networks, and cross-sector
coalitions, to generate leadership and innovative solutions to complex social
problems.
Reos Partners grew out of the former global firm Generon Consulting. Reos
partner Adam Kahane has served to inspire and inform the company’s current
systemic, emergent, and participatory multi-stakeholder approach. Adam’s work in
South Africa began with the Mont Fleur Scenarios process in 1991-92, which
brought together key leaders who represented a microcosm of the new democracy
being born at that time. Reos partners Mille Bojer, Marianne Knuth, and Colleeen
Magner have also worked in South Africa for seven years in the field of dialogue
facilitation with diverse groups across sectors.
About The Synergos Institute
The Synergos Institute is an independent, non-profit organization founded in1987

by Peggy Dulany to develop effective, sustainable and locally-rooted solutions to
poverty. Synergos works in partnership with institutions in Southern Africa,
Southeast Asia and Latin America. Synergos and its partners mobilize resources and
bridge social and economic divides to reduce poverty and increase equity around the
world.
The primary goal of Synergos is to build social capital and ‘connectivity’ that fosters
effective cooperation between local communities, civil society organizations,
government, and the private sector – in order that stakeholders may realize their
social and economic development goals.

Annexure 2: Phase One Methodology
In exploring the appropriateness of a multi-stakeholder project, the team undertook

a variety of activities:
Dialogue interviews: Over 40 dialogue interviews were conducted with

stakeholders from different sectors. The dialogue interview is a conversation of up
to 3 hours, through which we seek to come to “see through the eyes” of the
interviewee. The interview covers the personal, organisational, and societal
perspectives, and is built up around a set of questions developed for understanding
complex, systemic issues. While these questions provide a basic framework, the
conversation is allowed to unfold naturally to go deeper into the issues the
interviewee has energy for. Key to understanding the dialogue interview is that it is
not purely a data-gathering exercise. It starts to build relationships, create new
perspectives, and generate energy.
Dialogue interview guide Key lessons learned – Unintended

what has been consequences
Organisation’s of your work?
most/least effective? What would you love to
story, philosophy,
Life Story of Why? (Listen for see happen that’s not
and strategy re.
interviewee context and patterns) already happening?
OVC’s
What might work Why do you think this
better? will work? What
external forces might
affect the success of
these efforts? What are
The wider situation beyond the blind spots?
your own organization: Positive external Negative external
What’s working, interesting forces affecting your forces? Barriers to
innovations, where are the work? How do they success/ systemic
seeds of the future? Why affect you? blockages?
are they not being adopted
at a larger scale?
What are the most

What should we be burning questions you
aware of in don’t have answers to
initiating cross- in relation to working
sector dialogue and in this field?
What mindsets would collaboration in this
The wider situation you like to see shift in area?
beyond your own this area? Are there
organization: Challenges, vested interests that
systemic blockages? deter progress?
What’s not working? Returning to the
Who should we be personal – what do
talking to? Who you have energy
are the influential for? Where is your
stakeholders? future?
Children’s voices: Given that the lack of children’s voice on this issue nationally is
a key challenge, we wanted to ensure that we included children’s voices early in the
process. We were, however, aware of the ethical issues involved in interviewing
children, and that going to interview them in a standard way can add to their trauma.
An interactive, artistic, and pedagogic process was therefore designed that enabled
children to tell their stories, take photos with disposable cameras, and share through
drawing the things that lift them up or bring them down. This process was designed
in collaboration with experienced community/child development facilitators, and
was conducted in two communities in the children’s own language. Part of this
intention was to ensure the process was useful to the children as a standalone

experience. (Note: the photos interspersed in this report are those taken by the
participating children and the children consented to their use.)
Desk research: The desk research consisted of a literature review, development of a

bibliography, and an analysis of the key policy documents related to Orphans and
Vulnerable Children.
Synthesis: Initial synthesis meetings were held within the team after having
transcribed and read all the interviews, as well as the desk research. These meetings
focused on bringing together a bigger picture of what stakeholders had named as the
problems, lessons learned, causal connections, possible solutions, and external forces
in this field.
Stakeholder meeting: On October 30, a 3-hour stakeholder meeting was held with
25 stakeholders. The invitation went out to all the individuals who had been
interviewed, some of whom attended personally while others sent representatives.
The session was designed to present back some initial findings as well as to broaden
the conversation and engage the stakeholders in the process of synthesizing the
outcomes of Phase One. A number of interactive ‘workmats’ and cards were
developed drawing on the data from the team synthesis, which the stakeholders then
worked with during this session.
Fundraising and advocacy: A number of advocacy meetings were held in

addition to the deeper dialogue interviews, and a fundraising process was initiated.
Hollard Foundation committed to funding a part of the process moving forward,
and several other institutions have expressed an initial interest in partnering and
providing financial support.
Capacity building: An important by-product of the process is the training and

capacity development of a growing corps of practitioners, capable of applying the
dialogue, facilitation, partnership-building, and other skills entailed in the
methodology to a wider range of social and development challenges. This capacity
development is not only about nurturing ‘new capacities’ but also about
rediscovering or tapping into age-old African traditions of dialogue and problem-
solving, as well as the extraordinary capacities that were forged in the South African
transition to democracy. Through Phase One, we held one-day dialogue interview
training, a 3-day Change Lab training, and an evening movie screening and
discussion session with local practitioners.

Annexure 3: Stakeholder Interviewees
In-depth interviews of up to 3 hours or advocacy sessions were conducted with

individual stakeholders from the following organisations:
Government Business and Media

-Deputy Presidency -Coca Cola
-Dept of Social Development -Hollard
-Dept of Education -Investec
-NACCA -Virgin
-Ethekwini Municipality -Unilever
-Social Cluster -Old Mutual
-Bharagwanath Hospital -SABCOHA
South African Civil Society International Institutions

-Nelson Mandela Children’s Fund and NGOs
-NOAH -UNICEF
-Starfish -Save the Children
-Heartbeat -Oxfam
-Ikageng Itereleng -John Hopkins University
-Sizanani -USAID
-Soul City -World Vision
-CINDI -Hope Worldwide
-Childline -Hope HIV
-Children First
-Friends4Life Academic
-Wings of Love -HSRC
-Agape Skills Development -Children’s Institute
-Albert Luthuli Home-based Care -Wits Pediatric
-Ekusizaneni Children’s Home
-Sizanani (KwaZulu Natal CBO)
-Sizanani (Soweto)
Plus 16 children in Gauteng and KwaZulu Natal

Annexure 4: Desk Research Bibliography
“Africa’s Orphaned Generations”. 2006. UNICEF.
“Bottlenecks and Dripfeeds: Channelling resources to communities responding to

orphans and vulnerable children in southern Africa.” 2005. Save the Children.
“Children on the Brink: A Joint Report of New Orphan Estimates and a Framework
for Action.” 2004. UNICEF.
“Multiple Vulnerabilities: Qualitative data for the study of orphans and vulnerable
children in South Africa.” 2006. Human Sciences Research Council.
“Policy Framework for Orphans and Other Children Made Vulnerable by HIV and
AIDS in South Africa”. 2005. Department of Social Development.
Richter, L., Foster, G. and Sherr, L. 2006. “Where the Heart is: Meeting the
Psychosocial Needs of Young Children in the Context of HIV/AIDS.” Bernard
Van Leer Foundation.
Richter, L. and Sharmla. 2006. “Building Resilience: A Rights-Based Approach to

Children and HIV/AIDS in Africa.” Save the Children, Sweden.
Skinner, D. et. al. 2006. “Defining Orphaned and Vulnerable Children.” Human
Sciences Research Council.
“Strengthening National Responses to Children Affected by HIV/AIDS: What is

the Role of the State and Social Welfare in Africa?” 2005. UNICEF.
“Strengthening Systems to Support Children’s Healthy Development in

Communities Affected by HIV/AIDS: A Review.” 2006. World Health
Organisation.
Additional References
Kahane, Adam. 2004. Solving Tough Problems: An Open Way of Talking,

Listening, and Creating New Realities.
“Health Care in Franklin County: Readiness and Options for Change.” Generon
Consulting 2005.
Scharmer, Otto. Forthcoming. Theory U: Learning from the Future as it Emerges.

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“If it was just one wish for every young South

African, especially orphans, it would be that

Orphans and Vulnerable Children

An investigation into the creation of a multi-stakeholder leadership and

April 13, 2007

MAP #1: PROBLEM SITUATION 7

MAP #2: PERCEPTIONS 10

MAP #3: PLAYERS 15

MAP #4: POSSIBILITIES FOR CHANGE 23

BUILDING ON EXISTING SUCCESSES 23

ANNEXURE 1: INITIATING PARTNERS 42

Africa Leadership Initiative 2 OVC: Perceptions, players, and possibilities

Africa Leadership Initiative 3 OVC: Perceptions, players, and possibilities

Africa Leadership Initiative 4 OVC: Perceptions, players, and possibilities

South Africa’s strength and resilience as a country is dependent on the well-being

Motivated by this question, the Africa Leadership Initiative (ALI) recently

Africa Leadership Initiative 5 OVC: Perceptions, players, and possibilities

Africa Leadership Initiative 6 OVC: Perceptions, players, and possibilities

The OVC situation can be illustrated by three types of complexity3:

The boundaries of the “OVC” issue are thus

Africa Leadership Initiative 7 OVC: Perceptions, players, and possibilities

One of the most central “dynamically complex” issues

Because the needs of vulnerable children are so immediate, many interventions at

While direct support has to be continued in order to provide short-term and

Africa Leadership Initiative 8 OVC: Perceptions, players, and possibilities

Social complexity demands a strategy that is pa rt ici pat ive in nature.

Due to this generative complexity, we listened in our interviews for context,

Africa Leadership Initiative 9 OVC: Perceptions, players, and possibilities

One way to illustrate these different perceptions is to look at two dimensions:

o Are the stakeholders focused at the level of individuals and institutions or

Focus on the Focus on

Africa Leadership Initiative 10 OVC: Perceptions, players, and possibilities

II. “African Market”

Africa Leadership Initiative 11 OVC: Perceptions, players, and possibilities

“I have had three different leaders in two and a

“A lot of pressure has been put on South Africa

III. “Jazz Band”

Africa Leadership Initiative 12 OVC: Perceptions, players, and possibilities

Africa Leadership Initiative 13 OVC: Perceptions, players, and possibilities

“If my little Africa isn’t fine, then the rest of it

Africa Leadership Initiative 14 OVC: Perceptions, players, and possibilities

BUSINESS CHILDREN CBOs

Africa Leadership Initiative 15 OVC: Perceptions, players, and possibilities

Nutrition was another basic need that was clearly not

The psychological impact of being infected or affected

These children don’t ask for any

Africa Leadership Initiative 16 OVC: Perceptions, players, and possibilities

Role: Current policy and programming interventions “We in government want

Data management and documentation pose serious blocks

Role: Thousands of community-based organisations are “Let business, government

Africa Leadership Initiative 17 OVC: Perceptions, players, and possibilities

Non-governmental Organisations (NGO’s):

Role: The NGOs mobilise and disburse resources, “Biggest questions –

Faith-based organisations (FBO’s):

Africa Leadership Initiative 18 OVC: Perceptions, players, and possibilities

Africa Leadership Initiative 19 OVC: Perceptions, players, and possibilities

“A lot of funding is not

Universities and Research Institutions:

Challenges: There is a general lack of academic research on

Africa Leadership Initiative 20 OVC: Perceptions, players, and possibilities