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The need for Tholulwazi Uzivikele in Umhlabuyalingana:In South Africa, one of the major epicentres of the disease, an estimated 5.7 million people are living with HIV/AIDS (2007). The estimated HIV prevalence among African females in South Africa aged 20-34 is 32.7%. It is our estimate that prevalence is likely to be much higher in the area in which Tholulwazi Uzivikele operates, due to high levels of poverty and poor access to health care services.According to the SAIRR, South Africa´s life expectancy decreased from 62 years in 1990 to 50 years in 2007. This is ascribed to HIV/AIDS. Only Zimbabwe had a worse trend for life expectancy. Life expectancy in Kwa-Zulu Natal is much lower.Estimates are that by 2015, up to 5,700,000 or 32% of all children in South Africa, would have lost one or both parents due to HIV/AIDS. We have estimated that there are more than 3,000 orphans in the area.“The province that displays the worst health indicators overall is KwaZulu-Natal, with the highest mortality rates for both adults and children, the greatest number of HIV infections, the greatest number of AIDS deaths, the greatest number of reported cases of TB, and the largest number of people living without a medical aid. “Kwa-Zulu Natal had the lowest life expectancy at birth in 2009 at 43 years In Kwa-Zulu Natal, at least 25.8% of the population in the age group between 15 and 49 is HIV positive. In South Africa HIV testing below this age is restricted by legislation. Umhlabuyalingana“Over two thirds (68%) of the labour force of the Umhlabuyalingana district is not economically active.” This makes most households dependant on survival through subsistence agriculture and social support grants. Approximately 70% of all in-patient deaths of Manguzi Hospital are HIV- related TB and HIV/AIDS are both highly prevalent in the area.Of the population in the age group above 20 years, 69% has either had only primary level schooling (the minority), with most people from this population group having had no schooling at all.