Housing for HIV remains in place and active , facilitating access to testing and treatment as needs be, and still on call for the many borrowers in the programme.
Without a doubt, the most vital step in the whole process is voluntary counselling and testing.
2. Innovation: some 18 years ago, H4H was the first programme to offer home testing. The home testing programme enables borrowers to be tested in the comfort and security of their own homes. Well qualified and experienced nurses contracted to H4H, visit borrowers in their homes countrywide, equipped with all the skills and tools for home based VCT. H4H has developed its VCT Protocol in line with international standards. The entire home based VCT programme is governed by this protocol without exception.
3. If a borrower tests HIV+, a CD4 count and viral load blood test is administered, with the required post testing counselling. The blood is delivered to the laboratory for urgent analysis. This means no unnecessary waiting time between testing, results and appropriate care.
3. A Case Manager is allocated, and contacts the patient within 24 hours. The Case Manager ‘hand holds” the patient, step by step through the treatment processes from there on in.
The HLGC programme was always intended to “top and tail” finance for treatment already available in the country. Clearly, the more people who can benefit directly from Government intervention, the more money will be available for those who will not benefit from it. Since programme inception, with the changing and improving environment, more borrowers are on medical aids, and more of these schemes have access to treatment programmes, without penalty to the borrowers. Many government clinics have also improved immeasurably over time, and access to medication and medical care has significantly improved. Therefore, primarily the programme now facilitates access to appropriate treatment rather than funding and only pays for treatment when there is no other avenue.