Our Ongoing Projects

The Ithemba ward at Tygerberg Children's Hospital

HOPE Cape Town was instrumental in establishing the Ithemba Ward -- the first hospital ward dedicated to the treatment of paediatric HIV At Tygerberg Academic Children’s Hospital. The Ithemba Ward has been the base of our operations since the early days of HOPE Cape Town, and we still have offices attached to the ward today.

HOPE Cape Town facilitates and assists with the care and treatment of HIV positive children and adolescents in Tygerberg Children's Hospital, as well as with the support of the patients' mothers and caregivers. This includes, but is not limited to, the following:

Medical Services & Support

  • HOPE Cape Town doctors treat patients and attend weekly meetings to assess needs
  • Provides funding for paediatric ARV resistance testing

Psychosocial Services & Support

  • Facilitate skills training sessions for caregivers and older children
  • Provide counselling to children and caregivers in the ward
  • Educate children and caregivers about various health topics as identified by medical personnel (e.g., co-infections such as TB, hygiene & infection control)

Practical Services & Support

  • Provide children and caregivers with necessary nutritious foods, and supply microwave oven and kettle to facilitate adherence to treatment and continuing health
  • Provide clothing and extra blankets to children and caretakers as needed

Community Healthcare Workers

hope cape town usa workers
We employ 22 Community Health Workers based in healthcare facilities in 20 low-income communities and registered nurses who supervise them. Trained community health workers increase the capacity at health centres significantly with respect to ancillary medical treatment and care, and they also provide awareness and training services within their communities.

Our health workers have a significant community impact. As an example, during one year, our health workers had direct contact with 282,157 unduplicated clients. Most of them are women who are supporting their families through education and employment as well as being role models for communities that can reach multi-generations. HOPE Cape Town also provides training and certification programs for community health care workers, including various different courses in topics such as medical care, counselling, co-infections, crisis management, substance abuse, and early childhood development.

Hope To Home Program

After a child is initially diagnosed with HIV and treatment has begun, the child's transition back into the community after discharge is critical to their continued treatment and ultimate health. It is during these first few weeks and months after diagnosis that a child and his/her caretakers must adapt to this new diagnosis, integrate into their community health care facilities, and learn how to remain on his/her medications and in care. The HOPE to HOME Program strives to ensure that children and their caretakers have the resources, knowledge, and support necessary to do this. The Program is based in HOPE Cape Town's office in the Children's Ward of Tygerberg Hospital, and is led by Dr. Jayne Cunningham. Our trained community health workers help prepare children and their caretakers while in the hospital, and during their transition back into the community. We have found that approximately 300 children require this service every month.

Hope For Babies

Through our HOPE for Babies project at Tygerberg Hospital, HOPE Cape Town aims to address this on various levels by assigning two full time HOPE Community Health Workers / Counsellors to the following areas:

Labour Ward

  • Pregnancy and HIV related health talks / information sessions for expectant mothers
  • Counselling / guidance on feeding choices
  • HIV counselling and testing
  • Support of HIV+ mothers

Antenatal Clinic

  • Test / re-test all unbooked and previously HIV negative mothers when they present in labour (in accordance to the South African National Guidelines)
  • Support HIV positive mothers through the birthing process, ensuring that they take their treatment and that safe birthing practices are followed
  • Review feeding choices

Postnatal Ward And Clinic

  • Ensure that patients understand and commit to their own treatment regimens as well as the prescribed infant prophylaxis
  • Review feeding choices
  • Confirm the Community based health care facility where the mother/infant pair will continue their care


  • Community based follow-up via our HOPE to Home project

More South African based projects are found on the following webpage:


In Dallas / Texas we support already existing projects and initiatives as listed under “partners”.