HMH Key Priorities

These key priorities outline a focused approach to creating safer, healthier, and more supportive environments where children and teens can thrive.

Personal Identity

Build teenagers’ sense of identity, agency & connectedness.
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Education and Training

Increase participation in quality education & training and link school-leavers to work.
1 in 2 teenagers leaving school don’t find work [StatsSA. Quarterly Labour Force Survey (2024)]

Teen Health

Give teenagers good access to health care, including sexual & reproductive health.
South Africa also has a high rate of adolescent pregnancies. Approximately 132 000 deliveries to adolescents in 2022/3 – 14% of all facility-based deliveries, with 2.6% being to girls 10 to 14 years. [District Health Barometer 2022/2023 (2024)]

Child Safety

Protect children & teens from all forms of abuse, violence, injuries and harmful substances.
By 16 years one in 3 of our adolescents will have experienced physical or sexual abuse [Burton P et al. The Optimus study on child abuse, violence and neglect in South Africa (2015)]
Prevalence rates of Foetal alcohol syndrome disorders (FASD) are as high as 29% in some high-risk rural communities [Oliver, et al. (2016) ]
More than 1 in 10 children feel unsafe at home. [Savahl & Adams (2021)]
More than 3 in 10 children feel unsafe in their neighbourhood. [Savahl & Adams (2021)]
More than 13% of children indicate that they did not feel safe at school. [Savahl & Adams (2021)

Child Disabilities

Prevent disability in children and give those with disabilities the same opportunities as others.
In some parts of the country, 1 in 3 children are brain damaged because their moms drank alcohol when they were pregnant. [Louw JG et al. A multi-year, multi-site study of the prevalence of fetal alcohol syndrome in South Africa (2024)]

Early Learning

Grow children’s brain power through early learning & language development.
Less than half of 4- to 5-year-olds are on track for early learning. [DataDrive 2030 Thrive by Five data (2021)]

Child Nutrition

Improve child nutrition.
1 in 4 children under 5 years do not get enough nutritious food to grow their brains properly. [Simelane T, et al. National Food and Nutrition Security Survey: National Report (2023)]

Eliminate HIV transmission to babies

Eliminate HIV transmission to babies.
The rate of mother-to-child transmission of HIV has declined significantly – from 6.7% nationally in 2014 to 2.7% in 2022 – due to South Africa’s successful Prevention of Mother-to-Child Transmission programme. Children of adolescent mothers are particularly vulnerable to HIV exposure or acquisition. While antiretroviral coverage in children has increased, 60 it continues to lag behind adult coverage. [District Health Information System]

Child Health

Reduce infant & child deaths.
Only 1 in 3 children live with both their mother and father. [Hall K. Children Count (2024)]

Child Care

Strengthen families and enable parents & caregivers to care for their children.
The estimated infant mortality rate for 2022 was 30 deaths per 1 000 live births, while the under-five mortality rate reached 40. [Slemming, W, et al. South African Child Gauge (2024)]
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