SHAWCO

Students' Health and Welfare Centres Organisation (SHAWCO)

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Founded	July 1943
Founder	Andrew Kinnear, Golda Selzer
Type	Student-run NGO
Registration no.	NPO 002-830
Focus	Health, Education, Social Entrepreneurship
Location	Braemar Cottage UCT Medical School Anzio Road Observatory 7925 South Africa
Area served	Cape Town metropolitan area
Employees	30
Volunteers	2,000
Mission	To improve the quality of life of individuals in developing communities within the Cape metropolitan area.
Website	www.shawco.org

SHAWCO, the Students' Health and Welfare Centres Organisation is a student-run NGO based at the University of Cape Town, that seeks to improve the quality of life for individuals in developing communities within the Cape Metropolitan area.

SHAWCO was founded in 1943 by Andrew Kinnear, a medical student who was moved to action by the need which he saw in the impoverished communities of Cape Town. The organisation has grown over the years and now has 1200 student volunteers running over 15 health and education projects in 5 SHAWCO centres as well as other locations around the Cape Metropolitan area.

SHAWCO is divided into 2 main sectors: Education and Health. A third "staff sector" coordinates the SHAWCO community centres, transport, resource development, administrative oversight and project support.

History

SHAWCO was started in July 1943 by Andrew Kinnear, a University of Cape Town medical student, who spent the vacation driving an ambulance to earn money to pay for his medical training. Andrew Kinnear asked Dr Golda Selzer of the Pathology Department at Groote Schuur Hospital to assist him in establishing a clinic. Dr Selzer became one of the cofounders of SHAWCO and remained SHAWCO honorary life president until her death in 1999. In 2001, Mrs Graca Machel agreed to become SHAWCO's new life president.

What started as a one-man initiative has grown into one of the largest student volunteer organisations on the African continent, attracting over 900 UCT students, close to 300 foreign students, as well as about 20 community volunteers every year. SHAWCO's developmental strategies include healthcare projects and multi-purpose community centers with skills training and recreation projects.

SHAWCO Health

File:Shawco Health Logo.jpg

Since 1943, SHAWCO has developed a reputation of delivering quality primary health care in under-resourced communities. The Free clinics run by SHAWCO rely on volunteer medical and allied health science students in all years of study and qualified doctors.

What happens on the clinics?

During clinics, around 25 patients are seen by medical students under the supervision of a qualified volunteer doctor who oversees the proceedings, verifies diagnoses and provides advice. Clinical year students are responsible for clerking, examination and treatment of the patients, while also guiding and teaching pre-clinical students who observe and examine patients under guidance.

Services offered

SHAWCO provides a primary health care service, treating conditions such as diarrhoea, respiratory tract infections, sexually transmitted infections, muscular-skeletal ailments and other non-specialty disease. The clinics provide holistic management, which includes care provided by physiotherapy, occupational therapy, speech therapy, dietetics and audiology students who have great dedication to helping provide an appropriate service to the community. The pharmacy offers free drugs to patients attending the clinics. Students work very closely with community health workers within the community. These community health workers contribute to decisions made concerning the various clinics and help educate patients around specific health issues. When confronted with a patient requiring a higher level of care or a patient for whom facilities to treat are not available, the patient is referred to the local day hospital or secondary hospital.

Clinics

Evening Clinics

SHAWCO Health co-ordinates six clinics which operate at night on a weekly basis in various Cape Town communities.

Monday:

Newrest (in Gugulethu)

Simthandile (in Khayelitsha)

Tuesday:

Masiphumelele (in Noordhoek)

Brown’s Farm (in Nyanga)

Wednesday:

Joe Slovo (in Milnerton)

Du Noon (in Dunoon, Milnerton)

Paediatric Clinics

The Saturday morning paediatric clinic alternates every 2 weeks between Imizamo Yethu, an informal settlement in Hout Bay, and Du Noon.

SHAWCO also runs a Wednesday morning paediatric screening clinic, in collaboration with the School of Child and Adolescent Health at the University of Cape Town. These clinics often serve as the only port-of-call for community members who work during the day, or who cannot make the trip to the neighbouring day hospital. The clinics either operate from permanent health facilities or from SHAWCO Health’s three fully equipped mobile clinics.

Statistics

Year	Number of clinics	Number of local student volunteers	Number of international student volunteers	Total student volunteer sessions	Number patients
2011	251	600+	200+	2600+	5,130+
2010	248	644	180	2515	5,488
2009	180	557	No record	1970	4,806
2008	160	477	No record	2093	4,208
2007	134	No record	No record	No record	3,596
2003	115	+/- 150	No record	No record	2,005
1963	3 fixed sites	63% of all medical students at UCT	No record	No record	14,716

2009

In 2009 a new data capturing system was introduced to track student attendance, patient demography and disease characteristics.

Two-thirds of patients seen on the clinics were female, with the average age of patients 22 years. Approximately 44% of patients seen on the clinics were under the age of 18. The leading complaints on the clinics were respiratory tract infections (29.5%), skin rashes (16.5%), gastro-intestinal disorders (14.9%), Orthopaedic and Rheumatological complaints (9.6%) and sexually transmitted diseases (5.3%).

Additional Projects

International Students Programme

2009 was the first year Shawco Health ran an international students project. In January 2009 a group of 12 Australian medical students from the University of New South Wales in their final year came over to South Africa for their elective block and ran the clinics. Traditionally, UCT students only begin SHAWCO clinics in February, thus the Australian students were able to add one extra month of services to the communities.

In June/July, 12 Norwegian Students came to run the clinics during UCT’s 3 week vacation, adding another 3 weeks to SHAWCO's services.

Rural Health Programme

In July 2009, nine medical students, an audiologist and a nursing sister from Mowbray Maternity Hospital traveled to Coffee Bay in the Eastern Cape, an extremely rural part of South Africa where people have to travel for many hours to access health care. The team worked in partnership with Zithulele Hospital, running health promotional and educational activities in the local clinics, specifically pertaining to HIV and breastfeeding practices. Over 5 days, the students also ran clinics for over 360 patients, concurrently training around 60 clinic staff members regarding correct breastfeeding practices.

This was a pilot programme with the long-term vision being a multi-disciplinary intervention (health students, engineers, lawyers, social workers etc.) by students from various universities throughout South Africa.

The 2010 version of the Rural Health Programme brought with it some changes: the health focus was more on screening, with students offering blood pressure, weight, glucose, HIV and pap smear testing, as well as paediatric health screening. The UCT branch of Engineers Without Borders, EWB UCT, partnered with SHAWCO to develop and install rainwater-harvesting tanks, including filtration systems, at Zithulele Hospital.

Grand Ward Rounds

SHAWCO hosts grand ward rounds for all UCT medical students. These offer students the opportunity to report on cases they had seen on SHAWCO clinics and share their learning with their peers. In addition, there is always a guest speaker who addresses the students on a topic pertinent to primary health care (PHC). Previous topics have included "common dermatological problems encountered in PHC" and "PHC Paediatrics".

SHAWCO Response to Xenophobic Attacks, May 2008

On 12 May 2008 a series of riots started in the township of Alexandra (in the north-eastern part of Johannesburg) when locals attacked migrants from Mozambique, Malawi and Zimbabwe. Many African nationals were threatened, assaulted and displaced in the wave of Xenophobic violence that swept through South Africa, and in the following weeks the violence spread to Cape Town. SHAWCO responded to the needs of the people affected by this violence.

SHAWCO volunteers conveyed donated clothing, food and hygiene products which were distributed to the different sites of refuge around Cape Town. The Health sector, headed up by Thandi de Wit and Britta McLaren, working in partnership with other civil society organisations (Treatment Action Campaign and Médecins Sans Frontières), ran the first standardised assessment across 33 sites two days after the mass exodus of foreign nationals from the townships.

This assessment collected data on many things including numbers of men, women and children, shelter, food provision, health needs, health services and safety. The framework used for this data collection later adopted by the City of Cape Town Disaster Management Team. From the data gathered, SHAWCO was able to identify sites in need of extra health support. SHAWCO ran an additional 9 clinics to sites of refuge around the Cape Peninsula, treating over 600 people.

SHAWCO Education

SHAWCO Education is a UCT student-run development programme which facilitates tutoring of school learners in previously disadvantaged communities and the focus of all projects is to help children learn. Academic subjects such as Maths, English, Science and Life Orientation are taught, as well as extra-curricular programmes. There are also several special interest projects which run sessions on topics such as environmental awareness, legal education, and entrepreneurship.

SHAWCO Education runs 14 different educational projects:

Foundation Phase Projects

Little STEP

Little STEP works with Grades 1-3 in Khayelitsha at the K2 centre. It was founded in 2014 as the foundation phase project that feeds into STEP.

KenSTART

KenSTART works with Grades 1-3 in Kensington, Cape Town. The project began in 2015 and feeds into KenSTEP.

Little Moon

Little Moon (Nyangana) is a project which uses drama, storytelling, songs and games to make literacy come alive for Grade 1 learners at Walter Teka School in Nyanga. The lessons are bi-lingual, and the team is composed of volunteers from Nyanga and UCT. Sessions run every Wednesday from 14:30 to 16:30 at Walter Teka Primary School.

Little STAR*

The LittleSTAR* project in Manenberg was officially introduced to SHAWCO Education in 2014 as the feeder project for STAR*. The project uses fun and interactive lessons to help improve the literacy and numeracy levels of the children in Grades R-3. Play is also an important component of the project, with some sessions focused on improving the children's physical abilities such as balance and hand-eye coordination by using outdoor games and equipment.

Junior Projects

STEP

Student Tutoring Education Project (STEP) tutors Maths, English and Life Skills to around 80 primary school learners in Khayelitsha. Beyond the core numeracy and literacy academic content, this project aims to instill a love of learning in its young participants. STEP works with learners in Grades 4-7, with the Grade 7s who graduate from the project being encouraged to join Stepping Out in their Grade 8 year. It is one of the oldest of the SHAWCO Education projects and was founded in 1990.

KenSTEP

KenSTEP tutors Maths, English and Life Skills to primary school learners in Kensington, Cape Town. Similar to STEP, it incorporates as much fun and creative learning as possible. It also encourages its graduating grade 7s to enroll in KenSO in their grade 8 year.

Sitsaba

Sitsaba focuses on developing a love for literacy through English and isiXhosa song, drama, games and stories. This project works with Grade 5 learners in the Nyanga area.

STAR*

Sport Tutoring Art and Reading (STAR) runs in the Manenberg community. Historically an Arts project, STAR aims to teach numeracy and literacy in a creative way, to inspire learning and growth. Computers are also utilised in the learning process. The Project works with learners from Grade 4-7 and runs on a Tuesday and Friday.

Intermediate Projects

Stepping Out

Stepping Out tutors Maths, English and Life Skills to Grade 8 and 9 learners in Khayelitsha. Stepping Out participants have 3 contact hours with SHAWCO tutors over two sessions per week. This is divided between Mathematics, and English and Life Skills. An outing is also run each term, including a camp for the Grade 9 learners.

Learners from the STEP project (Grade 4 – 7) are channeled directly into the Stepping Out project (provided their high school is close enough to reach lessons on time) and Stepping Out learners are channeled into the SMART project (Grade 10 -12).

KenSO

Sixty grade 8 and 9 students from three different high schools in Kensington, Cape Town are tutored in Maths, English and Life Skills on Tuesday and Thursday afternoons at the Kensington SHAWCO centre. With exactly the same aims as Stepping Out, KenSO is a linchpin in SHAWCO's strategy of persuading students that learning is fun and that higher education is a viable option for their future.

Senior Projects

SMART

The SHAWCO Student Mentored All Round Tutoring (SMART) project aims to provide learners in Grades 10, 11 and 12 from disadvantaged schools in Khayelitsha, who have shown academic potential and an enthusiasm for learning, the opportunity for further educational and self-development. Learners who participate in the programme take maths and physical science at school and are tutored weekly by volunteering UCT students. Apart from developing the learners academically, the project also aims to create an environment which allows the volunteers to establish mentoring relationships with the participants such that the volunteers themselves may have a holistic SHAWCO experience.

KenSMART

Kensington Student Mentoring and All-Round Tutoring (KenSMART) tutors Maths and Physical Science to grade 10, 11 and 12 learners in Kensington. As in SMART, support is provided to ensure that all learners participating in the program are able to make as informed choice as possible about their future. KENSMART also hosts an exciting session named Tipping Point, which allows for a more dynamic approach to learning and creates the opportunity for learners to decide what they want to learn about.

Special Interest

Masizame

Masizame is a student project which works with a wide range of learners from the Imizamo Yethu community in Hout Bay. As well as providing the academic tutoring offered by other projects, special focus is put on individualised interaction with the learners. The aim of this program is to enrich the lives of children both academically and socially.

LAWCO

LAWCO (Legal Welfare Community Organisation) is a student initiative that runs legal workshops for grade 10-12 learners in the Cape Town metropolitan area around practical aspects of the law, giving them a foundation of knowledge as well as skills to use in their day to day lives.

Workshops are run at six schools: Aloe Secondary, Princeton High, Lavender Hill High, Masiyile High, Manyano High and Thandokhulu High. Themes at these workshops include aspects of basic South African law; human rights; civil and political rights; socioeconomic rights; labour law; family law; criminal law and consumer protection.

https://www.facebook.com/SHAWCO.Education

Leadership

Education Leadership

Year	President	Vice President
2016	Lebohang Mokoena	Nadia Solomon
2015	Ruth Urson	Pascal Despard
2014	Julia Norrish	Cleo Mazower
2013	Steven Bourhill	Senzo Hlophe
2012	Baveena Naidoo	Bakang Moetse
2011	Rachel Mazower	Maya Jaffer
2010	Yumna Moosa	Sheree Lang
2009	Jonathan Hodgson	Joanne Beckwith
2008	Jonathan Hodgson	Lauren Losper
2007	Nick Friedman	Dimakatso Morebudi

Centres

Kensington Centre on 12th Avenue

The iconic SHAWCO Kensington Community Centre was once the headquarters of the organisation, and is home to three academic projects (KenSTEP, Stepping Out So Live and Learn and KenSMART). In addition, it houses the SHAWCO adult Day Care Club, providing meals-on-wheels to approximately 45 people in the area, and also houses a number of local organisations: the Union of Jewish Women's crèche, a home-care training facility, a church group, a community newspaper, as well as the Provincial Administration of the Western Cape (PAWC) social services. After hours, the hall is used as a venue for Judo, ballroom dancing, a pension payout point twice a month and is also available for hire.

Manenberg Centre

SHAWCO Manenberg Community Centre. The Performing and Visual Arts Project, taking place at the centre, involves UCT students volunteer who help local primary and secondary school learners develop communication skills and leadership qualities through art and drama. The Manenebrg Sport Project also takes place at the centre. It involves more than 100 children participating in various sporting codes with the help from UCT students' volunteers. In addition, the centre houses a local crèche, family and child support services and serves as a pension payout point.

Nyanga Centre

SHAWCO Nyanga Community Centre is home to Masizikhulise (Let us help one another grow) Project. The Nyanga Sports Project takes place at a nearby community hall. The centre also runs an Adult Day Care Club for older and disabled people, and delivers meals-on-wheels to elderly and disabled residents in the area.

Khayelitsha Centres

SHAWCO Khayelitsha K1 Community Centre is home to the Noxolo Adult Day Care Club, as well as a number of local NGOs providing family and rape counseling, working with Aids orphans and offering other family-related counseling services. SHAWCO has raised funds in the name of the late Dr Golda Selzer, to upgrade and expand the centre in order to transform it into a UCT teaching site and therapy centre, where members of the Noxolo club, as well as other Khayelitsha residents can receive occupational therapy, physiotherapy and other kinds of therapy from UCT students.

SHAWCO Khayelitsha K2 Community Centre is home to the STEP, Stepping Out, SMART, Masifundisane, Masizikhulise and Sports projects.

External links

• SHAWCO Website
• LAWCO Website
• SHAWCO Photo Gallery
• Society of Student-Run Free Clinics
• RAG
• Social Responsiveness at UCT
• Student Services at UCT
• Monday Paper
• Monday Paper
• Backabuddy