TUNAJALI (We Care)
Country of Operation
- Family Health International (FHI)Not-for-profit
- Management Sciences for Health (MSH)Not-for-profit
Target income level
- Bottom 20%
SummaryTUNAJALI is a home based model designed to increase the uptake of counseling and testing services, especially targeting people who are the least likely to attend facilities due to access and fear of discrimination. The USAID and PEPFAR-funded program runs from October 2006 to September 2011.
The goal of the TUNAJALI Community Care for People Living with HIV/AIDS and OVC Program (2006-2011) is to strengthen the delivery of core palliative care and support packages to an increasing number of HIV/AIDS-affected households. The home based model is designed to increase the uptake of counseling and testing services especially targeting people who are least likely to attend facilities due to access and fear of discrimination and who are at highest risk of HIV.
Key program components
This initiative focuses on HIV patient index households, that is, households where there is already a known HIV case. By providing services in the home, the program is essentially adding an additional window for counseling and testing service delivery, bringing HIV prevention, care, and treatment services closer to the general population. Individuals diagnosed with HIV are referred to Care and Treatment Centers. The goal of the program is to enrolls clients into Care and Treatment Centers, where they receive health education, counseling, physical examinations, CD4 level counts twice annually, anti retroviral therapy if needed, and treatment for opportunistic infection. The program also offers referrals to patients for Prevention of Maternal to Child Transmission (PMTCT) and Orphan and Vulnerable Children (OVC) services. The program’s clients also receive socio-economic support through the creation of community peer HIV support groups. Counselors receive training in initiating support groups within their communities with the objective of providing a forum where clients can not only receive emotional support, but income generating opportunities as well. “When members don’t come to meetings, we go and find out why. If they’re sick, we can assist them with transportation from our collective saving to get to a CTC,” explains a volunteer in Iringa. Through home follow-up, clients also receive nutrition education, health and hygiene advice, and in case of need, material support, such as bed linens, buckets and soap, mosquito nets and other supplies. As part of a home visit, counselors educate family members who have tested negative about the importance of prevention. The home-based program is reaching clients at an earlier point in their disease progression, and is serving those who may never have come to a facility due to perceived stigma and/or transport inconveniences. Currently, the program is implementing HBCT in 17 districts. As of September 2009, a total number of 62,076 clients (25,144 male and 36,932 female) were counseled and tested. Among them, 2,935 (1,017 male and 1,918 female) tested positive for HIV and have been referred to Care and Treatment Centers (CTCs).