The TCE one on one approach proved to be popular amongst the visitors that stopped by the Humana People to People Stand. Humana People to People’s response to the UNAIDS’ 90 90 90 target was the major selling point, with TCE being the vehicle to achieving the goals.
TCE starts with testing the individual for HIV in the areas where there is high HIV prevalence and TB infection.

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Each person is engaged into dialogue where issues about HIV and AIDS are discussed in depth, addressing fears and concerns of each individual until a clear understanding with the person regarding why HIV testing is important as the entry point to HIV treatment, which may improve health and prolong life. The individual is offered HIV testing in the comfort of their homes by trained TCE Field Officers who walk or cycle from house to house. Each individual is tested for HIV based on their consent. The house to house approach also gives a chance to the individuals to engage their sexual partners so they are tested as couples. The TCE Field Officers are trained in couple counselling as well. It is very important for couples to make informed decisions about their sexual life together. Issues of disclosure amongst partners are made easier as they are dealt with in the household and up front.

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Humana People to People delegates are among the 5000 who are exhibiting and attending the ongoing 18th International Conference on AIDS and STIs in Africa which is being held in Harare,  Zimbabwe. The seven day conference has allowed Humana People to People an opportunity to showcase the TCE program to over 1500 delegates who have visited the stand so far. Delegates who visited the Humana People to People stand were impressed by the One on One People led approach used by TCE to fight HIV/AIDS among communities saying that community ownership is key to fighting the epidemic. Many delegates expressed that TCE as a unique program that has the potential of ending AIDS by 2030. “Your program seems to understand that many rural folk neither have the time nor will to visit health centres which are normally kilometres away from them”, Grace Arziki of Red Cross Nigeria, one of the many stand visitors expressed. She added that testing for HIV at home gives individuals the privacy they need as well as allowing for couples to test together in the comfort of their homes.

3 years in Brazil

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Humana People to People Brazil and the Child Aid projects make a differece together with people in Bahia State in Brazil. The report is now available.

Farmers' Clubs

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A brand new Farmers' Clubs booklet is now available.

Countdown Number 11

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HIV testing for all – an important part of HIV prevention
It was clear from the start of TCE (Total Control of the Epidemic) in year 2000 that to move the question of the people taking control of HIV, knowing ones HIV status is the starting point for the individual to take action on stopping the spread of HIV to other people if tested positive and as well to remain HIV negative if tested negative.

It has over the years been one of the priorities of the TCE and HOPE program to ensure that as many people as possible get tested. Constantly during the years we have raised the goals for mobilizing people for testing. Testing is also the entry point for HIV positive pregnant women to control the passing of HIV to the unborn child.

We have been advocating for the most radical way of testing, which is Home Based Testing, because it is the most effective way of reaching out to many people.
Today TCE is doing home based testing in Zambia and Mozambique and recently also in Malawi.

In Zambia, Malawi and Mozambique the Field officers have been trained in Counseling and prick testing following government regulations and here TCE Field Officers are going door to door to do Home Based testing for people who opt for testing.

Because of Home Based Testing many more people especially in rural areas are now getting access to HIV testing and are getting to know their HIV status and we can see the demand for treatment and other health services are growing. This has meant that we had to engage the Government and donors in assuring that people who test HIV positive get treatment and all the other services they deserve. This is a good development.

An example from Zambia
Development Aid from people to people Zambia (DAPP) introduced the Total control of the Epidemic (TCE) program in 2006. The project is funded by the Centres for Disease Control and Prevention (CDC Zambia). The project is based in Mazabuka District in the Southern province of Zambia covering the whole District with a population of 280.000.
The project has employed locals as Field Officers to provide house to house counselling and testing services to people in all the households. The project has partnered with the government to increase the uptake for counselling and testing services in the district. TCE Zambia has provided this service for the past four years in the district. Since we started doing house to house testing Field Officers have done 126.696 tests in the district of Mazabuka. 44.549 are people tested more than once which means that 82.147 are people having been tested first time. The people are tested as individuals as well as couples and all get the results there and then as the testing is performed with rapid test kits. It is a very high rate of people tested for a district where close to 60% of the sexually active population now knows their HIV status.
In the beginning more women were tested, but due to the analysis of our results done every week during the weekly Field Officers meeting the picture have changed completely as we decided to put more emphasis to also reach out to the me, and now more men are coming for the services and they are also volunteering to mobilize others to know their HIV status. The government has been providing technical assistance to make sure quality work is being done and they have also been providing most of the test kits and other supplies required.
After testing a lot of people in hard to reach areas through the home based testing, questions were raised on what will then be done after testing. This contributed to the introduction of us carrying out Mobile ART services and strengthening the referral system to care, treatment and support services. People are well counselled on behaviour and they have started to change behaviours which put them at risk of contracting the virus. The advantage of the Field Officers providing both counselling and testing is that it is the same person who does carry out the entire process in people's homes where they are more free and confident.
Many people are now accessing ARVs, because of the Mobile ART team and they are able to support their families through the income generating activities they start.

Countdown Number 12

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Fighting HIV & AIDS together with all the peopleThe world is soon to celebrate the World AIDS Day and this takes place at many places national as well local, rural as urban and Humana People to People join in this event. Preparations for the day are underway all over the world and we want to use this opportunity to raise the awareness be that more needs to done and look at the achievements so far. A lot has been done and the efforts of Governments, NGOs, Businesses, donors and the people have brought results. Countries have experienced the HIV prevalence dropping but of course we have not won before there are no more infections and all the people in need of treatment are getting HIV & AIDS.We are using this chance to write an article every day on our website on the programs that Humana People to People are carrying out. These are the TCE and HOPE programs.About TCE a 3 year HIV prevention campaignThe Total Control of the Epidemic program is now in its 10th year of implementation. TCE is a 3 year campaign which started with 1 area in year 2000 and since then been implemented in 113 Areas of each 100.000 people.

More than 10 million people have been reached direct or indirect by a TCE Field Officer in 11 countries. These are Angola, Botswana, DRC, Malawi, Mozambique, Namibia, South Africa, Zambia, Zimbabwe, India and China.

How to reach and mobilise many people The Field Officers are from the local area and they are usually organised as 50 in a TCE area. More than 5.000 Field Officers have been or are now carrying out the TCE prevention campaign. The TCE Field Officers are the key to reach every single person in the population systematically going house to house, person to person in each their field of 2.000 people. All the people are mobilised to take part in the fight against HIV, starting with changing their own life, their families, neighbourhood and even the community at large. In all more than 556.000 people have joined the Passion for People Movement in the countries and areas, where TCE works. The TCE Passionates are actively engaged in many different activities to help the people to prevent HIV and to cope with the Epidemic. Some examples of measureable achievements from 2000 to 2010:TCE Field Officers have during the 10 years had one-to-one interaction about HIV prevention with 7.7 million people above 10 years of age and mobilized them personally to take control of their life in the face of HIV & AIDS. Concretely the Field Officers assist them in making a personal HIV risk reduction plan and support them in the process of change. 6.5 million of the 7.7 million people have taken action to get in control of HIV/AIDS, by own determination and with each other's help changed their lifestyle to prevent HIV infection and prevent the spread of HIV as well.

The Field Officers and TCE Passionates (community volunteers) have distributed 174 million condoms over the 10 years, which has had its impact on prevention of new HIV infections and re-infections. As part of the prevention people have been mobilized to know their HIV status and 1.6 million people have been referred for HIV tests at VCT sites and health centers or through mobile and home based testing. This has meant that they have been able to take action according to their HIV status.
The Field Officers have reached about 489.000 pregnant women and talked to them about PMTCT and mobilized them to go for ANC clinic and join the Prevention of Mother to Child Transmission program to save their babies from HIV.

Humana People to People India’s Microfinance aims at ensuring that poor women get access to credit and become part of the economic development of their communities. There are now more than 3.700 women who have received a micro finance loan.

The project organizes the women in groups that vouch for each other, builds their capacity and provides access to loans of up to 250 USD for establishment of production or trade. The result is that the women get started with creating their own income, build their assets up gradually, develop their micro enterprises, thus enhancing their capacity to earn money, and enjoy an improved quality of life, possibilities for investments in their families and a higher status in the community. This is all very important for the future of the women and their families.

We can see now that family income for the particpating women has increased with 30-40%, the value of assets in the families has increased with 25-30% and the number of children who leave school untimely has dropped by 50%.

(Sept 2010)