Institute for Social and Health Sciences (ISHS)

Home Visitation in Low-Income Communities

Name of project:

Home visitation as a tool for the control and reduction of childhood injuries in low-income shack communities. Implementation, evaluation and costing of a multifaceted programme.

Consortium partners

  • UNISA ISHS- Prof. Mohamed Seedat, Ashley van Niekerk, Royal Lekoba
  • Karolinska Institutet- Prof. Lucie Laflamme, Karin Engström, Marie Haselberg, Marjan Vaez
  • Child Accident Prevention Foundation of South Africa (CAPFSA, Cape Town)- Nelmarie du Toit
  • Parents' Centre (Cape Town)- Fouzia Ryklief


The aim of the 3-year project (2002 - 2004) is the development of an injury risk assessment index, as well as the reduction of childhood injury rates in poor communities. The programme will be fully evaluated and costed. The HVP will be implemented in two low-income settlements: Thembilihle (Gauteng) and Nomzamo (Western Cape). During the course of 2001 some preparations are already taking place. A costing pilot study will be conducted during 2001, followed by the full implementation of the programme in the following years.

Costing pilot study

An injury intervention-costing pilot will be conducted during the months of August to December 2001. The aim is adaptation of a Swedish intervention-costing matrix to South Africa.

The HVP programme

The home visitation programme has several components:

  1. Development of a replicable home visitation programme: The HVP consists of 10 monthly home visits. Volunteers from the communities will conduct the home visits, after comprehensive training. Training will take place in conjunction with collaborating partners such as CAPFSA and the Parents' Centre for the Western Cape project.
  2. Primary injury prevention: Injury prevention is expected as an outcome of programme content that uses a combination of educational, engineering, environmental, and enforcement methods.
  3. Injury risk identification: This will form part of the educational methods of the content, and will lead to risk assessment index.
  4. Development of a risk assessment index
  5. Process evaluation: This will take place via a number of channels, to improve the programme, and identify progress on several different levels of goal-setting.
  6. Surveillance: Injury rate surveillance will serve the outcome evaluation.
  7. Outcome evaluation
  8. Intervention costing: Using the adapted costing matrix, the HVP will be comprehensively costed.

Last modified: Sun Oct 09 08:56:12 SAST 2016