DAPP Projects

 

“Only the people can liberate themselves from the HIV epidemic”

The ‘Total Control of the Epidemic’ (TCE) Project’s approach empowers people at-risk to take control of their own health, make informed decisions to reduce their vulnerability to HIV/AIDS, and decide to adhere to treatment.

In 2019, 472 Field officers (psycho-social counsellors) and 264 Community Health Workers (CHWs) were the back bone of the project.  They worked-out from each of the 223 Health Facilities, together with the community to achieve control of the epidemic. They worked in 18 districts, funded by the Eastern, Lusaka, Southern and Western Provincial Health Offices, that are funded by CDC.

The following is the various types of testing:

TCE activities to support PLHIVs:

All People Living with HIV (PLHIV) must receive HIV/AIDS treatment:

The project makes sure that every client who tests positive is linked to treatment and also follows up that the PLHIV stays on treatment. The project follow ups all patients with unsuppressed Viral Load and enrol them on Enhanced Adherence Counselling (EAC) in the community.

Care and support:

The purpose is for each PLHIV to achieve viral load suppression. He or she is forming a TRIO or joining a support group. In a TRIO, the PLHIV is at liberty to choose two members whom she/he is comfortable with as adherence buddies. In Community Art groups, they meet in a location, where they also fetch the drug refills. In support groups, people share information, ideas and can start vegetable production and savings groups. The programme also trains Teen club leaders in forming and leading clubs for adolescents on ARV treatment. Together with Field Officers they develop good programs for the meetings. 

Passionate volunteers:

The project trains ‘passionates’ (volunteers) to lead condom outlets, where people can always fetch them freely. Hundreds of traditional leaders have been trained as champions. The champions can be motivational speakers who create demand for HIV testing, condom use, VMMC, Pre-Exposure Prophylaxis (PrEP) and Post-Exposure Profylaxis (PEP). Men are trained as Voluntary Medical Male Circumcision (VMMC) champions in each district mobilise other young men to go for the procedure and encourage them to be using condoms consistently.

Sex workers on the other hand are provided services at night in some facilities where field offices conduct HIV testing services and give lessons on STIs. Some are trained to collaborate in social network HIV testing.

Collaborations and reporting:

Project staff attends program review meetings, which provide platforms for Field Officers to analyse program data, evaluate effectiveness, share best practices, identify gaps and develop interventions to effectively address the gaps. From these discussions develops a fruitful collaboration with health facilities and District health Offices by TCE leaders.

TCE main results during this financial year (at 1st April)

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