Humana People to People - TCE (Total Control of the Epidemic)

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Total control of the Epidemic
Only the People can
Liberate themselves from
AIDS the Epidemic
Humana People to People
Total Control of the Epidemic

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Introducing TCE - Total control of the epidemic 2
The TCE structure 4
The TCE Field Officer 5
Passion for People Movement 6
TCE areas in operation 7
TCE areas completed 8
TCE 2 Areas 9
TCE in Angola 10
TCM/TCE in Botswana 11
TCE in China 12
TCE in the Democratic Republic of Congo 13
TCE in India 15
TCE in Malawi 16
TCE in Mozambique 17
TCE in Namibia 18
TCE in South Africa 19
TCE in Zambia 20
TCE in Zimbabwe 21
Evaluation of TCE 23
Partnership in Development 24
TCE in Sub Saharan Africa 26
We invite you to join hands with us in a partnership in this fight 28
About Humana People to People 29
Contents

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Introducing TCE - Total control
of the epidemic
T
otal Control of the Epidemic – the TCE
program to fight HIV/ AIDS was created in
1999 by Humana People to People and first
implemented in Zimbabwe in the year 2000.
Today 10 years later the TCE program has been
implemented in 10 countries and reached out to more
than 10 million people at individual level through
more than 5.000 TCE Field Officers.
The fight has been intensified over the years, many
times the TCE Commanders leading the fight have
met at the Humana People to People Headquarters in
Zimbabwe to report, debate and develop the program,
to raise the goals and benchmarks and to demand
ever more from each other in this intense fight and to
confirm to one another never to rest until the virus is
beaten and AIDS is stopped.
TCE has so far covered half of the population of
Botswana, 2/3 of the population of Namibia, and
reached millions of people in Mozambique, South
Africa, Angola, Malawi, Zambia, Zimbabwe, DRC as
well as India and China. Humana People to People
is still in the process of approaching many partners
for funding for more TCE Areas in these and other
countries worldwide where there is a dire need for a
systematic and intensive intervention such as TCE
to work with the people, Governments and other
organizations to fight the epidemic.
Here we quote the TCE Book that was launched in
the year 2008 at the TCE Field Officer Gathering in
Maputo Mozambique where 2 366 Field Officers met
to share and exchange experiences.
“The Federation HUMANA PEOPLE TO PEOPLE
decided 10 years ago to partake in the popular front
against the HIV virus attacks. In ‘Total Control of the
Epidemic’HUMANAPEOPLE TO PEOPLE outlined
its TCE Program in which the central theme was and

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is, the necessary mobilization of the people’s own
powers, and in which the central efforts rests with the
people themselves as the fighting power against the
invisible foe.
During the last decade a Global Community has grown
strong and forces within it have developed a global
communion around fighting HIV/AIDS. It has been a
privilege of the Federation HUMANA PEOPLE TO
PEOPLE to become an active part thereof. “
It further says in the TCE Book about the program:
“The TCE program is characterized by its ingenious
and systematic approach to fight the world wide
serious calamity of HIV/AIDS – and emerging plague
threatening the lives of millions of people throughout
the world.
Humana People to People with the TCE Program
has developed an approach and a practice of how to
systematically wage war against the intricate virus
of HIV the ensuing disease of AIDS following in its
wake. HIV/AIDS is high profile and modern reaper
of death, especially in poor settings where conditions
are dire and treatment is scarcely available.
The main strategy of the TCE program against HIV/
AIDS is expressed in one simple sentence:
“Only the people can liberate themselves from AIDS
– the epidemic.”
This philosophy is formulated from the experience
and insight that in poorer countries the “normal”
health system itself – although harboring the best of
intentions – is no match for the challenge of the HIV
virus. Thus, other defense systems have to assist in
arresting and eradicating the infection and the disease
in its tracks. It also stems from the well known
and often proved fact, that the people themselves,
when knowledgeable and mobilized, are capable of
acquiring a crucial impact on the proliferation and
the process of transmission of any disease. Also that
this is a factual and negotiable road open for people
who do not pose the necessary knowledge and means
to be able to avoid the HIV virus, let alone pay, for
the treatment needed to keep alive in the face of the
disease caused by HIV.”
Here we quote from the first pamphlet ofTCE from the
year 2000: “TheTCE program divides the country into
TCE Areas. The Areas – each of them incorporation a
population of 100.000 people – are then organized so
that the enemy – that is the HIV virus and the AIDS
illnesses following from the virus – can be intensively
battered until it is OUT OF control , and the people are
IN CONTROL. Thus the TCE program is a People’s
Liberation effort, mobilizing all the people and forces
of one Area after the other, across Southern Africa to
root out the virus.”
Today 10 years later we can say that TCE has made its
impact and played a role in the concerted fight against
HIV/AIDS, but much more has to be done in order to
gain control in Southern Africa.
We invite you to read this report and join us in
the fight with funds for more TCE, with technical
support and with your personal support so together
we can root out the enemy once and for all.

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The TCE structure
T
he TCE Program is an intensive campaign
running over 3 years.
A TCE Area is defined by its population size
of 100.000 people. The TCE Area is divided into 50
fields of 2.000 people. 50 locals are recruited and
trained as Field Officers in charge of implementing
the TCE program in all the fields and thus each Field
Officer has the responsibility to reach 2.000 people.
The 50 TCE Field Officers form a Troop together
and are further divided into 5 Patrols, each Patrol
consisting of 10 TCE Field Officers and led by one
from its own who doubles as a Field Officer and a
Patrol Leader.
Five TCE Areas form a Division. A TCE Division
covers a population of 500.000 people, thus comprises
a total of 250 TCE Field Officers. There is a Division
and Communication Center to lead and inspire the
function of the Division. The Division is led by a
Division Commander and two deputies.
Five Divisions form a Corps. A TCE Corps covers
a population of 2,5 million people. The Corps level
work is led by a Corps Commander.
Six Special Forces at each level assist with the
monitoring and evaluation of Field Officers and all
the TCE work.

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TCE ORGANIZATIONAL STRUCTURE
TCE CORPS COMMANDER
2 Deputy Corps Commanders
6 Special Forces
DIVISION
COMMANDER
2 Deputy
Division
Commanders
6 Special
Forces
TCE DIVISION
COMMANDER
2 Deputy
Division
Commanders
6 Special
Forces
DIVISION
COMMANDER
2 Deputy
Division
Commanders
6 Special
Forces
TCE DIVISION
COMMANDER
2 Deputy
Division
Commanders
6 Special
Forces
TCE DIVISION
COMMANDER
2 Deputy
Division
Commanders
6 Special
Forces
TROOP
COMMANDER
TROOP
COMMANDER
TROOP
COMMANDER
TROOP
COMMANDER
TROOP
COMMANDER
250
FIELD
OFFICERS
250
FIELD
OFFICERS
250
FIELD
OFFICERS
250
FIELD
OFFICERS
250
FIELD
OFFICERS
2.500.000 people

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social services, and raises the demand as well for available
ARV and PMTCT treatment.
During the counselling sessions, the Field Officer gains the
confidence of the person to be tested, the test is made in the
person’s home in countries like Zambia, Mozambique and
Angola, and effective referrals to VCT are conducted in
other countries. The Field Officer is available for post test
counselling and support for those who test HIV positive.
Besides carrying out counselling, testing, follow up
and referral to existing health services, TCE mobilizes
Passionates, who are local volunteers, to start activities
to support HIV infected and affected persons and families
in the local community. TCE mobilizes Passionates (local
volunteers) to start positive living clubs, income generation
from food-producing small gardens benefiting HIV
infected and affected persons and families, HIV lessons in
schools and work places to mention some of the activities.
The Passionates play a vital role in overcoming the stigma
and discrimination surrounding HIV. Often Passionates,
who are HIV positive, set examples by revealing their own
status.
Due to its unique design, TCE has been successful in
reaching almost 10 million people in Africa and Asia since
2000 and has been funded by diverse international agencies
and organisations worldwide.
The TCE Field Officer
T
CE sees every individual as an essential building
block in collectively turning the tide against HIV/
AIDS. The programme equips every person in the
targeted area with the knowledge and tools to take control
of HIV/AIDS in their own lives. The model is systematic,
cost-efficient, comprehensive, and easily scaled up. By
drawing upon local participation, TCE ensures that each
community becomes mobilized and organized in the fight
against AIDS.
The program builds on a TCE area of 100,000 people. 50
Field Officers from local communities are recruited and
trained to conduct three-year, house-to-house campaigns.
Each Field Officer has responsibility for a Field of 2,000
people, averaging 350 to 400 households. The Field Officer
moves from house to house with the goal of guiding
each individual towards ‘TCE Compliance’. To be TCE
Compliant requires each individual to: know the basic facts
of HIV/AIDS and its transmission; commit him/herself to
stay HIV-free if HIV-negative through abstinence or safe
sex; proactively and healthily manage their infection if
HIV-positive; and participate in the community response
to HIV/AIDS. TCE provides a crucial linkage between the
people and the available treatment and care facilities in
the country. TCE creates awareness about the disease and
encourage people to know their HIV status. The one to one
interaction increases the uptake in all existing health and

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Passion for People Movement
T
he many people informed, mobilized and
organized to go into action, and this mass
movement, the TCE Passion for People
Movement combined with many other programs from
Government the private sector and other organizations
work towards a joint effort to eventually combat the
epidemic and gain TOTAL CONTROL.
The TCE Movement is comprised of the Passionates,
who have the real inner drive of passion that influences
many people to work towards Total Control of the
Epidemic.
The Passionates are involved in different TCE
activities that address the consequences faced by many
people because of the HIV epidemic. They assist the
Field Officer in reaching more people in the field, lead
orphan programs and income generating activities and
establish support groups. Passionates are trained to be
lay counselors and to continue the fight against HIV/
AIDS.
Passionates join and work with TCE because they
want to do something for their own community. Being
a Passionate is based on what the person really feels
about the epidemic and what action they want to take.
This can be in form of assistance to the Field Officer to
reach all people, leading group activities like positive
living clubs, sports clubs, etc; or simply manning a
condom outlet or TCE library.
A Passionate should be creative, full of ideas and has
good suggestions for how to overcome even difficult
questions and finds ways to get into contact with every
one around him or her.
A Passionate should be good in creating networks
among people, building confidence in the whole
community and is able to build defense against HIV
both literally and spiritually.
A Passionate should be compassionate, meaning that
he/she treats people with dignity and gently coming
up with helpful solutions for fighting stigma and
discrimination within the community.
Over the years, the Passion for People Movement has
seen well respected and dedicated Passionates who
fight shoulder to shoulder with the TCE Field Officers
and are ready to continue even when TCE phases out.

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TCE areas in operation
Country Areas
Population
Covered
No of Field
Officers
Partners
DRC 3 300,000 150 World Bank/PLMLS
Malawi 4 400,000 100 US Department of Agriculture (USDA) and NAC
Mozambique 14 1,400,000 700
USAID New Partnership Initiative, USDA, Johnson &
Johnson, Criança a nossa futuro
Namibia 5 500,000 250 Centers for Disease Control and Prevention (CDC)
South Africa 19 1,900,000 950 PEPFAR/USAID, Global Fund, Amathole District
Zambia 3 300,000 150 Centers for Disease Control and Prevention
Zimbabwe 1 100,000 25 DAPP in Denmark
India 1 100,000 20 Johnson & Johnson
Total 50 5,000,000 2,345
Zimbabwe
Malawi
Mozambique
Angola
Angola
Zambia
South africa
Namibia
Botswana
India
Democratic
Repblic of Congo
A TCE area covering 100.000 People
50 TCE Areas are in Operation at present
5.000.000 people will be covered with TCE in 2010

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Zimbabwe
Malawi
Democratic
Repblic of Congo
Mozambique
Angola
Zambia
Namibia
Botswana
TCE areas completed

Country Areas
Population
Covered
No of Field
Officers
Partners
Angola 5 500,000 250
STATOIL, EXXON, Provincial Government, INLS,
UNICEF
Botswana 9 900,000 450
Government of Botswana (NACA & Centers for Disease
Control & Prevention (CDC)
Malawi 4 400,000 200 US Department of Agriculture (USDA)
Mozambique 7 650,000 328 MOZAL, US Department of Agriculture, Kenmare, CNCS
Namibia 9 1,146,000 438
Global Fund through Ministry of Health & Social Services,
CDC
South Africa 11 1,054,000 537
Johnson & Johnson, PEPFAR/USAID, Bohlabela
Municipality, Global Fund
Zambia 1 100,000 50 Centers for Disease Control and Prevention (CDC)
Zimbabwe 8 800,000 250
Population Services International (PSI), DAPP Denmark,
Plan International, JICA, UNICEF
China 3 300,000 60 Asian Development Bank, Yunan Poverty Alleviation
India 1 100,000 20 Irish Aid
Total 58 5,950,000 2,583
India
China
A TCE area covering 100.000 People
58 TCE Areas have completed the campaign
5.950.000 people have been covered over 3 years

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TCE in Angola
The HIV prevalence rate in Angola is estimated at
3.9%. It is a relatively low prevalence compared
to the other countries in the region of Southern
Africa, but as the war in Angola has ended and people start
to move freely around and with a lot of border traffic to its
neighbours Zambia, Zimbabwe, Namibia and the DRC this
could easily rise quite fast and it is therefore crucial that
TCE expand especially along the borders and corridors to
stop the spread of AIDS before it escalates out of control.
TCE Angola started late 2005 with the preparations to
implement TCE with the training of the TCE Leadership,
which took place in Mozambique, Botswana and Namibia
to prepare them to start TCE in Angola.
In April 2006, the program then took off in Bengo
Province reaching the first 100,000 people in Angola.
2 oil companies, Exxon and Statoil and the Provincial
Government of Bengo funded the program. The program
ended in June 2009.
In October 2006, the Minister of Health launched the
second TCE program in Cunene Province. After putting
everything in place TCE Cunene started the fieldwork in
February 2007 and has since then reached 400,000 people
in Ondjiva, Xangongo, Evale and Cahama areas. The
program was funded by UNICEF Angola, and the National
Institute for the fight against AIDS. The 3 year program in
Cunene ended in October 2009.
When TCE started in Angola close consultations were held
with the local leaders in the areas where the program was
to be implemented as well as to identify local candidates to
become Field Officers. In this way the local leaders were
involved in the program from its inception.
The recruited Field Officers started by conducting a house-
to-house introduction and counting the number of people
in the areas. This process was carried out in order to be
able to have the actual population figures and to map out
the Fields and Areas of TCE.
TCE in Angola has phased out and the responsibility
for the ongoing campaign is in the hands of the local
authorities and the Passionates who were recruited and
trained by TCE. The program has shown a great impact
on the people’s lives as they have changed their perception
of HIV. Quite a number of those who tested HIV positive
have been open about their status and have joined TRIOs
and Support Groups.
The people and leadership in the districts where TCE was
implemented (Bengo and Kunene), appreciate the work
that TCE has done over the three years. The one-on-one
approach has made a big difference and more people felt
free to discuss about HIV in the families. Pregnant women
got a lot of knowledge on how to prevent their unborn
babies from HIV infection. This has been reflected by the
number of women who were mobilized for Prevention of
Mother to Child Transmission of HIV.
TCE ANGOLA 2009
Output figures Total
1 Visited and registered 1. time 515,757
2 Total number of visits 1,182,579
3 Total number tested for HIV 44,609
4 Active as TCE Passionates 12,088
5 Made an individual plan PES 344,535
6 TCE Compliant 223,432
7 Number of lessons given 16,577
8 Number of people in lessons 278,789
9 Condoms distributed 3,051,459
10
Pregnant women received info
about PMTCT
24,737
11 No. House hold registered 79,008
12 Non. House registered

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TCM/TCE in Botswana
I
n Botswana Total Control of the Epidemic was
known as Total Community Mobilization. The
program covering 900,000 people started in
January 2001 and was completed in March 2005.
The TCM Field Officers have been assisting 489.406
people or 54% of the people covered by TCM to
make individual plans of action to take control of
HIV/AIDS. 60% of the people or 298.459 who had
made plans and changed their lifestyle have complied
with the demands of being in control of HIV/AIDS
referred to as TCE Compliance.
The TCM Field Officers have been the link to the
hospitals and health services. They have counseled
and mobilized 118.700 people to go for HIV Testing.
The mobilization included referral to the Governments
ARV program if needed and to join TRIO and support
groups.
TCM BOTSWANA 2005
10
about PMTCT 23,770
12 Non. House registered 26,331
According to TCM’s management staff’s own
experiences there are a number of aspects, which have
made the TCM program work:
* The capacity to identify, timely recruit and
appropriately train the right Field Officers.
* The solid structure that makes the frame of the TCM
program complete with its military derivatives, and
the complimenting philosophy of being in command
without commandeering, the humble belief in the
human spirit as embodied by the humane motto that
“Only the people, can liberate themselves from AIDS
the Epidemic”.
* The program tools are a combination of thorough
thinking, shared ideas and life experiences.
* The mix of international volunteers, experienced
and solid regional staff with many years of community
development experience and the ambitious national
staff, who are all eager to see results.

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Y
unnan is one of the provinces in China where
the HIV prevalence is higher than the rest of
China due to drug abuse and many migrant
workers from the bordering area with Laos and
Burma, which is part of the golden triangle of opium
production. HIV has started to spread in the general
population, who are not aware of the dangers of HIV
and AIDS.
The idea of the TCE Linxiang project was to cover
the whole population of 300,000 people in Linxiang
District with HIV/AIDS information, prevention,
behavior change and support and at reaching all
individuals face to face, in smaller or bigger groups
during the project period, resulting in
• Reduction of new HIV infections
• Reduction of stigma and discrimination
• Increased community mobilization to respond to
the HIV/AIDS epidemic
• A substantial number of people being tested
• A substantial reduction in Sexually Transmitted
Diseases
• IncreasedsupportprovidedtoHIV/AIDSpatients
and their families
• To mobilize a network of TCE Passionates
TCE in China is different from TCE in Africa as it
has less Field Officers to a population of 100.000
people. In China a TCE Area has 20 Field Officers
TCE in China
instead of the 50 Field Officers in a TCE Area in
Africa. This was decided due to the lower prevalence
as the epidemic is not as intense.
The beneficiaries of the TCE project were the
population in the whole District with special focus on
migrant workers, commercial sex workers, injecting
drug users, pregnant women, HIV/AIDS affected
children and people living with HIV/AIDS.
It took some time for the Field Officers to mobilize
people for testing and to become Passionates as
many people in the general population did not think
it was relevant to them. It was only after repeated
visits that people started to change their perceptions
about HIV and got in line for testing.
There is a very good system for family planning in
China, but most of them prefer to use injections or
tablets instead of condoms. Therefore, condom use
is not viewed as a preventive measure for unwanted
pregnancies as well as sexually transmitted diseases.
TCE Field Officers in China had a task to educate
people about condom use but at the end of the three
years many had accepted to use them. People made
risk reduction plans with assistance from the Field
Officers.
TCE CHINA 200?
2 Total number of visits 601,808
8
Number of people in lessons
(Events) 56,332
9 Condoms distributed 164,203
10
Pregnant women received
PMTCT info 3,125
11 Household registered 342,508
12
Registered in non-HH reg.
ONLY 139,718

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TCE in the Democratic Republic of Congo
People in the Democratic Republic of Congo have
for decades been victims to wars and instability,
though there are improvements. WHO has recently
expressed concern over a possible quick increase of
new incidences on HIV in DRC, because of border
conflicts, movement of troops, and many hundreds of
thousand misplaced people.
Based on this prospective, Humana People to People
engaged into discussions with the government of DRC
to find ways to radically fight theAIDS epidemic. The
agreement for TCE in DRC was signed on the 13th
of May 2009 in Kinshasa. TCE in DRC is funded by
the World Bank through PNMLS – the National Aids
Council.
TCE is currently operating 3 Areas covering a
population of 300.000 people. One area is based
in the middle of Kinshasa, Kingabwa. In that Area
TCE is also covering a military base besides the
general population. The other 2 Areas are placed in
the Katanga province covering parts of Lubumbashi,
more precisely Kenya and Kibushi. Lubumbashi has
a good number of miners and migrant workers from
DRC and from Zambia. The 3 Areas are carefully
chosen because of circumstances which put more
people at risk of contracting HIV.
Local people were trained as TCE Field Officers.
They started the field work by August –September
2009 and have gained interesting results in the past
8 months. The mobilization of people to actively
prevent themselves from HIV infection has been a
very new experience to the population, as well as the
Field Officers themselves, who have learned to show
an example, as they were the first to be tested for HIV
and to introduce condoms to their spouses and family
members.
Both in Kinshasa and in Katanga the baseline showed
that there is low condom use. The interesting news
is that many people have learned to use condoms in
this short period that they have been mobilized to use
condoms for HIV prevention. Condom outlets have
been established in the TCE Areas and the condom
use has doubled. The challenge is now to supply the
outlets with enough condoms as they are on demand
by both married and unmarried men and women.
Because of the history of the country, public health
services are still far from available to the general
population. TCE has reached a break through with the
mobilization for HIV testing and the available test kits
get exhausted every week. In Kingabowa, Kinshasa
TCE is working with the Force Naval (the military) to
mobilize the soldiers to go for HIV testing and many
police officers have been tested for HIV to show a
good example for others. TCE Field Officers have
been trained in counseling by PNMLS in Katanga and
are making very good use of this knowledge in the
community.
TCE Field Officers work daily with the nurses in
the clinics to mobilize the pregnant women for HIV
testing in order to save their unborn children.Although
many women are willing to get tested for HIV and
join PMTCT if found positive, the services are simply
not enough or do not exist at all in other areas.
TCE in the
Democratic Republic of Congo

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The schools are happy with the lessons given by TCE
Field Officers and are continuously inviting them to
address the youth and to engage the youth in debates
around HIV.
TCE has trained volunteers (Passionates) to work hand
in hand with the TCE Field Officers and both the TCE
Field Officers and the Passionates are known for their
commitment and care for people in the community.
Among the TCE Passionates mobilized you find
people from all walks of life such as young men,
mature women, local leaders, policemen, nurses from
clinics, headmasters, business people, etc. The Mayor
of Kingabowa in Kinshasa has declared himself a
TCE Passionate and support the TCE Program fully.
The TCE Field Officers mobilization and presence in
the areas has changed the atmosphere in the Areas.
People are now open to talk about HIV. People living
with HIV are treated better by their neighbors and
community. TCE has included positive living groups
in Passion for People Movement and they join in as
TCE Passionates to mobilize people to fight stigma
and discrimination.
TCE Field Officers are trusted in the community and
people reveal their HIV status to the Field Officers.
People know the TCE Field Officers all over and
households, which were afraid or hostile at first are
now inviting the Field Officers in. The Field Officers
have become able to reach out to the city-gang
members in Lubumbashi, who take their time to listen
and learn about HIV prevention.
D.R. Congo 2009
1 Visited and registered 1. time 234411
2 Total number of visits 240459
3 Total number tested for HIV 2787
4 Active as TCE Passionates 454
5 Made an individual plan PES 3650
6 TCE Compliant 428
7 Number of lessons given 428
8
Number of people in lessons
(Events) 6706
9 Condoms distributed 37024
10
PMTCT info 203
11 Household registered 43428
12 NON House registered 111
TCE Field Officers assist the people to make personal
risk reduction plans. The mobilization is going
well according to plan and people have started to
practice safe sex. People have started to go for HIV
test whenever the kits are available. The process of
behavior change has started firmly and progressing
well.
The current challenge in the TCE areas is the lack
of public health services, test kits and ARV’s. The
majority of the population is ready for HIV testing
when the HIV test kits are available. Most people are
well mobilized and can now see the need to know
their HIV status.

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I
nIndia,TCEisimplementedintheBaddiindustrial
Area in Himachal Pradesh with an aim to reach
all the immigrant workers and their partners with
mobilization for sexual behavior change.The idea is to
work towards a decrease in the number of non-regular
sexual partners and an increase in consistent condom
use by people who have risky sexual behavior. The
migrant workers leave their families and come to earn
money in the industrial area. Therefore, chances of
indulging into unprotected sex with commercial sex
workers are high.

Field Officers target individuals during their tea or
lunch breaks, but they also follow them to the places
where they stay. They mobilize individuals to get
tested for HIV and also make follow up visits to
provide support regardless of their test result. People
are also met in smaller groups and given lessons about
HIV/AIDS and other sexually transmitted infections.
Field Officers assist people to identify their own risks
and thereafter make plans together with them.

The Field Officers are trained in counseling by
qualified health professionals. More and more people
come to the TCE Office to seek information about
different health issues and they eventually get tested
for HIV. The Field Officers form support groups for
those who test HIV positive. The people in the TCE
area, who are mostly men, appreciate what TCE is
doing in the industrial area. There is full support from
the management of the factories as they can see that
prevention of HIV is crucial for their workers.

Many people from different professional spheres have
volunteered to become Passionates. Many of them
control the libraries and distribute condoms.

The Field Officers are also working with schools, both
government and private schools. TCE has reached
out to more than 15 schools in the Area. The grown
up students have formed HIV school clubs. The
school management has been appreciative of the TCE
programs in the schools and has shown this by writing
recommendation letters.
TCE in Baddi conducts street plays every Saturday at
various places such as the Trucker Unions and Auto
Unions. Now, many factories have started to invite
the Field Officers to perform these plays within their
compounds so that their workers can learn about HIV.
This is also effective and creates awareness about the
disease among the workers.
TCE in India
TCE INDIA 2009
1
Visited and registered 1.
time 264,179
5
Made an individual plan
PES 167,500
8
Number of people in
lessons (Events) 119,300
9 Condoms distributed 704,244
10
PMTCT info 2,283
11 Household registered 24,971
12
Registered in non-HH reg.
ONLY 7,507

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T
CE Malawi started as a direct response to
the raising rate of new HIV infections in
Malawi. Total Control of the Epidemic is an
HIV/ AIDS prevention program implemented by
Development Aid from People to People (DAPP)
Malawi in cooperation with United States Department
of Agriculture (USDA). The TCE programme started
in Malawi in July 2006 with the experiences from
other countries, where TCE has been implemented
successfully in mobilizing the population to take
control of HIV prevention.
TheTCEprograminMalawiwascoveringapopulation
of 400.000 people in Blantyre and Zomba districts
covering 8 Traditional Authorities mainly Nsomba,
Kapeni, Kunthembwe, Kuntaja, Lundu, Makata,
Chikowi, STA Ngwelero and Mwambo. The 3 year
programme ended in December 2009 and in January
2010 4 new TCE Areas were started in Blantyre and
Thyolo Districts.
TCE has partners at various levels with various
commitments. The principal partner is the United
States Department of Agriculture (USDA). Planet
Aid Inc., USA, Macro (Mobilie testing partner),
National Aids Commission and Ministry of Health,
BASICS, SAFINTRA, UNFPA, Banja La Mtsogolo,
MANASO, DREAM and various Community Based
organizations.
TheTCE program in Malawi has been accepted well in
Malawi and the cooperation with the local authorities,
other AIDS service providers and the people has been
overwhelming. The interaction amongst the people
and their response to HIV/AIDS, especially HIV
testing and joining the Passion for People Movement
has been a good indicator for program acceptance.
TCE Malawi mobilised thousands of Passionates who
work tirelessly in cooperation with the Field Officers
to ensure that their communities understand the need
to take control of HIV.
People have made risk reduction plans with the
eventual result of being TCE compliant. HIV testing
has been brought to people’s homes through mobile
testing. People have been referred for Home Based
Care and Positive Living Clubs have been formed.The
community has cleared the myths and misconceptions
surrounding HIV/AIDS and has become open about
their HIV status. Stigma and discrimination has been
a thing of the past as HIV/AIDS is now an issue for
public debate.
TCE in Malawi successfully incorporated a malaria
program covering all people in the first 4 TCE Areas
in Blantyre and Chikowi. People got information
about Malaria and pregnant women received mosquito
nets. Campaigns on malaria were carried out and this
partnership has been good for the people in Malawi.
TCE in Malawi
TCE MALAWI 2009
8 Number of people in lessons 1,200,514
10
Pregnant women mobilized for
PMTCT 27,623
12 Non. House registered 685

18
T
CE is being implemented in 14 Areas in
Mozambique with funding from PEPFAR,
USDA, Johnson and Johnson and the Criança
a nossa futuro in many Provinces of the country.
Although we are almost 30 years into the epidemic,
a lot of people are still not talking about HIV/AIDS
within their families and in their villages. TCE in
Mozambique, in cooperation with the Ministry of
Health, has brought testing services to the people’s
homes through home based testing. Home based
testing is being implemented in TCE in Nacala.
FieldOfficersaregoingfromhousetohouse,withtheir
test kits, counseling people and providing services to
thosewhodecidetotakeatestforHIV.Theyencourage
people to get tested and to disclose their HIV status
to their spouses and family members. Disclosure of
HIV status is a critical component in the fight against
HIV/AIDS. The TCE Field Officers mobilize those
who test HIV positive to join support groups so that
they provide each other with psychosocial support.
TRIOs are formed for those who are taking ARVs so
that they adhere to treatment. 849 TRIOs have been
formed and 76 Support Groups Established.
People in Mozambique still feel that condom use is
only for those who are out of marriage, therefore;
married couples do not discuss the use of condoms.
Field Officers are going from house to house assisting
people to make risk reduction plans and to clear the
misconception about condoms. A lot of couples are
happy with their plans as they now look at condom
use as a way of preventing themselves from HIV
infection. They plan with all other risks like treatment
of STIs, alcohol, multiple partners, etc.
TCE in Mozambique is striving to increase the uptake
of VCT, PMTCT and condom use and to assist people
to make risk reduction plans. Field Officers are in
the forefront of mobilizing people to take an active
stand against HIV/AIDS. The Field Officers are also
fighting for prevention of malaria and cholera in
Mozambique. They work together with the Ministry
of Health to make the campaigns successful.
TCE in Mozambique
TCE MOZAMBIQUE 2009
1 Visited and registered 1. time 2,148,090
5 Made an individual plan PES 1,457,494
6 TCE Compliant 1,312,629
10
Pregnant women mobilized
PMTCT 178,167

19
assistance in agreement with the people on treatment.
Field Officers trace ARV or TB treatment defaulters
and encourage them to resume and complete their
treatment.
TCE creates a strong link between the people and
the health services available. People who test HIV
positive are followed up, counseled and referred for
CD4 count and ARV treatment. This creates increased
demand on the health system to cope with an increased
number of people who seek treatment and this saves
more lives.
Because the partners have seen the progress that
TCE has brought to Namibia, a further step has been
taken to continue the program and address more
issues. In the areas where TCE completed 3 years of
implementation, Field Officers are going in again to
address other issues like alcohol, family disclosure,
adherence to treatment, etc. People respond very
well to the Field Officers and they create trust with
the Field Officers. Many people are comfortable to
reveal their HIV status to the Field Officers. The Field
Officers follow up on the Support Groups; the TRIOs
formed and provide continuous support and education
to those who tested HIV negative to remain negative.
T
he population of Namibia is approximately 1.8
million people. Total Control of the Epidemic
(TCE) has covered 1.4 million of the people
with a systematic one to one dialogue about sexual
behavior change. TCE in Namibia is funded by the
Global Fund to fight HIV/AIDS, TB and Malaria
through the Ministry of Health. Another big partner
is the Centres for Disease Control, which is funding
3 areas and TCE 2 as a follow up program. This is
a very crucial partnership as the people of Namibia,
even those in the most remote areas are getting
knowledge and support through the work of the TCE
Field Officers.
More than 650 Field Officers have been trained to
systematically go from house to house, talking to each
individual about taking control of HIV/AIDS in their
own lives. Leveraging on the large coverage through
the house to house approach, other organizations have
used the TCE program to deal with some emerging
challenges. For instance, in the evaluation done by
Global Fund in the Northern Region of Namibia,
staff of clinics/hospitals showed lists with names and
cell phone numbers of TCE Field Officers, whom
they would call for ARV or TB defaulter tracing
TCE in Namibia
TCE NAMIBIA 2009
Total for the Campaign
10
Pregnant women info about
PMTCT 44,802

20
A
n estimated 5.2 million people were living
with HIV and AIDS in South Africa in
2008, more than in any other country.
National prevalence is around 11%, with some age
groups being particularly affected. Almost one-
in-three women aged 25-29, and over a quarter of
men aged 30-34, are living with HIV.
HIV prevalence among those aged two and older
also varies by province with the Western Cape
(3.8%) and Northern Cape (5.9%) being least
affected,andMpumalanga(15.4%)andKwaZulu-
Natal (15.8%) at the upper end of the scale. HIV
in South Africa is transmitted predominantly
heterosexually between couples, with mother-to-
child transmission being the other main infection
route.
Humana People to People’s Total Control of the
Epidemic program in South Africa was started in
2002 with funding from Johnson & Johnson and
the Department of Health covering a population
of 60,000 people in Braamfisherville, Soweto.
Since then, the TCE program has systematically
covered more than 3 million people in Gauteng,
Mpumalanga, Limpopo, KwaZulu Natal and
Eastern Cape Provinces.
The major funding partners for TCE in South
Africa have been Johnson & Johnson, The
Global Fund to fight HIV/AIDS, TB and Malaria,
PEPFAR, the Department of Health and District
Municipalities.
With more and more people having knowledge
about HIV andAIDS, the TCE Field Officers play
a crucial role of assisting people to take that extra
mile to reach individual sexual behavior change.
The Field Officers focus more on making risk
reduction plans with each individual.
TCE in South Africa works in close cooperation
with the local clinics and hospitals to conduct
mobile testing campaigns, to mobilize and refer
people to use government programs like VCT,
and ARV, they start support groups, implement
defaulter tracing and support adherence to
treatment. The Field Officers meet and counsel
pregnant women and their spouses and parents
in law, in the homes about the PMTCT program
in an effort to reduce child mortality. They give
health lessons to pregnant women who come for
antenatal clinic. TCE in South Africa also assists
in the control of TB.
Field Officers have made home visits where they
informed and educated people about ARV and the
TRIO program. The idea of the TRIO program
is to provide support to people who have tested
HIV positive and enrolled into the ARV program,
so that they adhere to the treatment. The TRIO
program assists the individual who test HIV
positive to become open about their status and to
share it with two other people who can be family
membersorfriends.Thishascreatedalotofimpact
in the TCE Areas as stigma and discrimination is
dealt with in common. Myths and misconceptions
about positive living are addressed.
TCE in South Africa builds individual capacity
to both the community members and the Field
Officers themselves. TCE creates a lot of jobs for
the young people.
TCE in South Africa
TCE SOUTH AFRICA 2009
5 Made an individual plan PES 1,783,457
6 TCE Compliant 1,330,692
10
info about PMTCT 76,350

21
T
CEinMazabukaisaprojectunderDevelopment
Aid from People to People in Zambia. It is
funded by CDC (Centers for Disease Control),
and cooperates with the Ministry of Health at the
local level. The programme is now covering 3 TCE
areas with a total population of 300.000 people, one
Area of 120.000 people has been completed and in
this Area there is follow up program which focuses on
HIV testing and treatment.
A total of 150 TCE Field Officers in the 3 Areas
have been trained to perform home based testing for
HIV following the Ministry of Health standards in
Zambia. The Field Officers go from house to house,
person to person and engage them into dialogue about
HIV/AIDS and sexual behavior change. People are
counseled and tested for HIV in their own homes.
Getting tested for HIV is the entry point to follow
up services like treatment and care, and when tested
negative decide to remain negative
With home based testing, people do not have to wait
for weeks to get their results as the Field Officers are
using rapid test kits that give results after 15 to 20
minutes. Home based testing in Mazabuka has given a
chance to those who would otherwise not think about
getting tested for HIV. About 62,489 people were
tested in the first TCE Area in Mazabuka. Each Field
Officer is attached to a clinic or hospital for quality
control purposes.
The people in Mazabuka appreciate the way TCE
has brought the testing services to their door steps.
Because more people have been tested and know their
status, TCE Mazabuka together with the Ministry of
Health funded by CDC have taken a step further and
engaged six medical staff to implement mobile ART/
PMTCT/TB services in the places that are hard to
reach. The Mazabuka District where TCE is operating
is characterized by islands and swamps where people
live far away from the health services. Many people
from these areas who used to spend time and money
to reach the services are now able to stay at home and
get their ARVs and other services from TCE.
When people are tested for HIV, those who test
positive have fear of revealing their test result because
of stigma and discrimination. In Mazabuka, TCE has
managed to break the silence. The Field Officers have
established Positive Living Clubs even in the remote
areas around the Kafue Gorge. People who are HIV
positive come together and share their experiences,
learn more about nutrition and provide each other
with psychosocial support.
TCE has also taken a step further towards openness
by forming TRIOs. A TRIO is made up of 3 people;
the person on treatment and two others who can be
family or friends or Passionates. The objective of
the TRIO is to ensure adherence to treatment and to
provide support to the person who is HIV positive.
In Mazabuka TCE has also trained Passionates to
be ARV Adherence Counselors and others to be TB
Treatment Supporters. These people are attached to
the local clinics and deliver a lot of support to people
on ARV and TB treatment as they move around in the
community daily.
The Field Officers in Mazabuka have also established
condom outlets so people have easy access even in
the most remote areas.
There is a relative culture of openness about HIV/
AIDS and people in the area are becoming more
relaxed about the issue. The people have realized that
they can change the situation if they take action. The
leadership of the area is in full support of the TCE
program in Mazabuka.
TCE in Zambia
TCE ZAMBIA 2009
Total for the Campaign
10
info about PMTCT 6,811

22
Z
imbabwe’s adult HIV prevalence rate is
continuing its downward trend, showing a
drop from 14.1 percent in 2008 to 13.7 percent
in 2009, according to new estimates released by the
Ministry of Health and Child Welfare. The 2009
Antenatal Clinic (ANC) Surveillance Survey, based
on blood specimens collected from 7,363 pregnant
women anonymously screened at 19 clinic sites
throughout the country, estimated that 1.1 million
Zimbabweans in a population of around 11 million
were living with HIV.
Aslowdown in Zimbabwe’s HIV/AIDS epidemic was
first observed in the late 1990s and was supported by
data from a 2005/06 population-based survey. The
prevalence rate is expected to continue decreasing;
investigationshaveshownthatthedecline“mostlikely
resulted from a combination of an increase in adult
mortality and a decline in HIV incidence, resulting
from adoption of safer sexual behaviours”, said Dr
Douglas Mombeshora, Deputy Minister of Health
and Child Welfare (PlusNews – Sept 29 2009)
Development Aid from People to People has
contributed to the government efforts of reducing
HIV infection among the people in Zimbabwe. The
Humana People to People TCE program has been
part of the concerted efforts to fight HIV/AIDS by
engaging each individual among a population of
800,000 divided into 8 TCE Areas of 100,000 people
in Bindura, Shamva, Zhombe, Mabvuku/Tafara,
Mazowe and Guruve Districts.
Currently, TCE is operating in one TCE Area in
Guruve District. The people in TCE Guruve are
highly mobilized for the prevention of HIV infection.
More and more people have volunteered to become
Passionates. The realization that it’s only the people
themselves who can turn the tide against HIV/AIDS
has been highly felt in Guruve. The people of Guruve
have decided to work in close cooperation with the
TCE Field Officers to educate themselves, take the
reins and move the open debates about HIV/AIDS.
The local leaders are the driving force in the fight
against HIV/AIDS.
One local leader, Mr L Kafungura from Ward 4 in
Guruve said, “Through the efforts of TCE, people
from my ward have responded very well and we can
already see behaviour change. Long back people did
not like to come together and discuss HIV/AIDS
issues, but today they can engage into public debates
about HIV/AIDS. This is through the efforts of TCE
Field Officers. People are forming learning groups,
schools have established clubs and many meetings
are being organized by the people themselves. People
in my ward are open to tell about their HIV status.
This was not possible before TCE. Those people who
are HIV positive are happy with the TCE program
because now they have gained strength; they are
linked with their families and friends for support
and can go about and do their work because they are
healthy and strong”.
The community shows a big interest in knowing their
status by getting tested for HIV.
The District Nursing Officer for Guruve District, Mr
Francis Muvhiiwa, said; “The one on one strategy that
TCE uses creates demands for services. In Guruve
TCE in Zimbabwe

23
before TCE came only Guruve District Hospital was
providing HIV testing. Since the coming of TCE, all
our clinics, 18 of them, are providing conseling and
testing. This is a good example of how TCE creates
demand to services and compliment our efforts
to prevent HIV. We have also noted a tremendous
increase in PMTCT”.
TCE organizes, in cooperation with Population
Services International, that people can get the testing
services through mobile testing.
The establishment of Positive Living Support Groups
has shown that men and women in Guruve have taken
the issue of HIV/AIDS into their own homes. One
TCE Passionate gave a testimony that he was tested
HIV positive after being mobilized by TCE. He had
only tested once and thought he was HIV negative
some years back but when he went for VCT again,
he found that he was HIV positive. He has two wives
who both tested HIV negative. Through the education
by TCE, he is now using condoms with his wives.
People can now talk about condom use, an issue
which used to be a taboo in Guruve. They have opened
condom outlets and Passionates are controlling that
only people who can demonstrate the correct use of
condoms can get them.
It was not just easy for the Field Officers to talk about
HIV/AIDS, condom use and that people stick to one
partner because of the religious beliefs in Guruve. In
the course of the three years, it has shown that people,
including those who are religious, are becoming
knowledgeable and can talk about the disease freely.
TCE ZIMBABWE 2009
10
about PMTCT 54,904

24
T
he effectiveness of TCE has been measured
over the years since the year 2000. A number
of external evaluators have assessed how
effective the TCE program is since it is an intensive
mobilization program. The Global Fund to Fight HIV/
AIDS, TB and Malaria and the Ministry of Health
in Namibia have been funding the TCE program in
Ohangwena, Oshana and Oshikoto and wanted to
assess the effectiveness of the TCE program in these
Regions. This qualitative evaluation was done by the
New Dimensions Consultancy (NEDICO) and the
Royal Tropical Institute (KIT) Consortium in 2008.
The evaluators believe that it would be appropriate
and useful to expand the TCE face to face approach
to other regions in Namibia because:
• House to house approach: The door to door
approach has been widely recognized as an
effective approach to discuss sensitive issues.
Through the door to door approach, the
TCE program reaches out to “far corners” of
the areas they cover, areas that can only be
reached by foot as they are not accessible by
road.
• Because Field Officers move from door to
door, they also get in contact with people
who were initially not interested in discussing
HIV.
• Acceptance of Field Officers: Field Officers
in general are well respected by the community
and their gender and age does not seem to
make a difference in their functioning.
• The program: The TCE program is very well
managed and the management structure well
thought out. The supervisory and monitoring
structure is one of the strongest the evaluators
have come across so far within community
based programs. All of this ensures that the
program can be implemented according to
plan and that the monitoring data collected are
of high quality.
• Uptake of VCT: When respondents at the
household level were asked if they were
tested, many said yes.This is very encouraging
especially since a sizeable number of the
people reported being tested after meeting
with a Field officer.
• Condom distribution: Members of especially
remote communities, have now much better
access to condoms because of the condom
outlets which are being stocked up by Field
officers on a weekly basis.
• Stigma and Discrimination: Almost all the
people we spoke to report a high level of
acceptance towards PLHV and part of this
is attributed to the work of the TCE Field
officers.
• Employment creation: Many of the Field
Officers selected had been young and
unemployed for a number of years. Many
stakeholders interviewed mentioned that
they had seen the Field Officers become very
confident and capable over the 3 years.
• Leveraging on the large coverage through the
door to door approach, other organizations
have used the TCE Field Officers to deal with
some emerging challenges.
• Finances: Although the evaluation team
did not specifically look at the financial
management capacity of TCE, it was evident
from the discussion with management that the
organization has sufficient capacity and a solid
structure to expend financial resources.
• Monitoring and evaluation: The monitoring
system put in place has the potential to become
a very reach information base. Field Officers
have household registers with a special page
for each household visited.
Evaluation of TCE

25
Evaluation of TCE
From the HSRC Evaluation
The TCE South Africa evaluation was conducted by
the Social Aspects of HIV/AIDS and Health (SAHA)
research program of the Human Sciences Research
Council (HSRC).The Human Sciences Research
Council was commissioned by Humana People to
People to conduct an impact evaluation of the TCE
program in South Africa. The impact evaluation is
answering questions about the short-term effects or
benefits of the TCE program.
This evaluation used a quasi-experimental, mixed
quantitative qualitative design comparing intervention
and a matched control/comparison community for
evaluating the TCE intervention. The communities
chosen for this evaluation are Greater Tubatse
Municipality (intervention area) and Elias Motsoaledi
Municipality (non intervention area) in Limpopo
Province.
Findings and discussion:
An overwhelming majority 91.9% of respondents in
the Greater Tubatse Municipality (intervention area)
said that they could take control of HIV which entails
having a thorough knowledge of the HIV virus,
knowing how to avoid being infected, and possessing
the ability to decide never to get infected by HIV. This
self-report implies that the majority of respondents
wereTCEcompliantintermsofthecriterionstipulated
by TCE and is an endorsement that TCE had done its
job in making people in Greater Tubatse Municipality
feel totally in control of the epidemic.
This endorsement was confirmed by another
overwhelming finding.About 90.9% of respondents in
the Greater Tubatse Municipality (intervention area)
said they had thorough knowledge of the virus and
knew how to avoid being infected with HIV. Again,
87.2% said they had decided never to get infected.
TCE has done very well on these three indicators of
compliance.
An overwhelming 92.9% of respondents in the Greater
Tubatse Municipality area said TCE had made lasting
changes in their lives in relation to HIV/AIDS, 94.8%
said TCE campaign was accepted in the community,
94.4% said TCE was helpful to people on HIV/AIDS,
93.8% said TCE increased their resolve to know their
HIV status, 94.2% said one-to-one approach helped
them take total control of the epidemic and 90.2% said
TCE had impact on their sexual behavior and practice.
These results are an overwhelming endorsement of
the impact of TCE in the GTM community.
Conclusion: We conclude that TCE had impact on
people in GTM taking control of the HIV epidemic.
The findings show that the respondents:
• Know all about HIV/AIDS. They have thorough
knowledge of the HIV virus, how it works and
spreads and the AIDS disease.
• Know how to avoid being infected. They have
general knowledge of sexual life, sexually
transmitted diseases, the strategy for abstinence,
the use of condoms, sexual abuse of children and
the eventual risk for themselves for this.
• Can decide for themselves. Most of them have
decided never to get infected by HIV and have
concretely specified how to act so that it cannot
possibly happen.
• Made decisions about their first sexual encounter.
Most have decided consciously about their first
sexual encounter, either to postpone it or to
manage it so they do not get infected.

26
Partnership in Development
A
ddress by Deputy Minister of Social
Development –Dr Jean Swanson-Jacobs of
South Africa at the launch of the TCE Areas
funded by Global Fund.
She said: “For those of you who are not aware, TCE
is a systematic and radical community mobilization
approach centered on the concept that HIV/AIDS is
100% preventable and that only the people can liberate
themselves from the epidemic. It is a comprehensive
strategy aimed at empowering communities for
behavioral change whereby every single person is
reached with face to face education through a three
year long campaign.
TheTCEprogramhaschangedpeople’slivesandithas
proved to be an effective way to implement knowledge
and change attitudes towards HIV infection.
FieldOfficersthemselveshavechangedtheirlifestyles
the way of looking at the AIDS epidemic during the
whole progress of mobilization. Field Officers reach
out to people by conducting one to one educational
sessions about the disease. During these sessions
they assist people to assess their own situation by
discussing when and how they have been at risk and
then assist them to make an individual plan for how to
be in control. They also assist those who have tested
positive to adapt a positive and healthy life style in
order to live longer.
However, TCE is more than dissemination of correct
HIV/AIDS information. It goes to the core, where
each and every individual has to make a personal plan
for how to reduce the risk of infection with HIV. It
centers on behavior change. People are mobilized for
HIV test, stick to one faithful partner use condoms
and they are encouraged to inform other people about
the AIDS epidemic. This I feel set it apart and gives it
the edge over all other HIV prevention programs.
TCEisoperatinginmanycountries.InSouthAfricathe
program was first launched in 2002 in Bramfisherville,
Soweto and one year later the second area started in
Waterberg, Limpopo. Today the program reaches
1.1 million people in their homes one by one, in a
huge effort to make people take control of HIV/AIDS
and organize communities to support those who
are affected. 550 Field Officers are carrying out the
campaign daily.
Humana People to People’s TCE initiative is the
perfect sample of thinking globally and acting
locally. The international program has been adapted
to local conditions with much success. This project
has done its bit to ensure the future for many large
and otherwise marginalized communities is bright,
safe and rewarding. It also ensures that women are
empowered through AIDS education, in the progress
inspiring them to achieve their full potential.”
Our former President Nelson Mandela stated:
“AIDS is no longer just a disease. It is a human rights
issue. The work of Humana People to People’s TCE
program goes a long way to restoring these rights. It
demonstrates that we share a common humanity of a
common destiny and together we can work to build a
better South Africa.”
Part of the letter written by Dr B. U. Chirwa, Director
General of National HIV/AIDS/STI/TB Council in
Zambia says:
“TCE program aims at giving people knowledge
about HIV/AIDS and mobilizing them to know their
status through house to house counseling and testing,
couple counselling and child counseling. People who
are tested positive are referred to Mazabuka General
Hospital for CD4count and ART programs.
To date, TCE in Mazabuka has tested 12,326 using
Field Officers as lay counselors who go from house
to house testing using finger prick testing in their
areas. This is helping the people of Zambia to free
themselves from the HIV. The TCE Field Officers are
working together with local clinics, DHMT and all
stakeholders.
They report their figures to the DHMT and the clinic
every week. This is a very good networking system to
support the efforts of the Government.
During my visit to TCE, I am happy to say this is

27
a good grass-roots program, which deals with the
effects and consequences of HIV/AIDS. The structure
of TCE links all the communities, stakeholders and
Health Institutions to combat HIV/AIDS.
Due to the creativity and innovative approach of
engaging and involving people at grass-roots level in
advocating for HIV/AIDS Prevention and mobilizing
communities for voluntary counseling and testing and
impact mitigation, the TCE program in Mazabuka has
achieved a lot of positive results since its inception.
It is against this background we recommend DAPP in
Zambia to scale up TCE on national level in order to
intensify the fight against HIV/AIDS in Zambia.”
The Honorable Governor of Omusati Regional
Council, Mr Sackey Kayone, “There could be
no better and radical educational intervention
(awareness raising methodology) in addressing the
ignorance against HIV/AIDS, amidst its devastating
destruction, than the introduced TCE line of attack,
which promises a house to house , house to house and
person to person enlightens impetus. The Omusati
Regional AIDS Coordinating Committee (RACOC)
in particular and the Regional Council in general have
observed and monitored the gradual and professional
advances made in establishing the TCE Program in
Omusati. I would fail my clean conscience not to
announce that our eagerness to see the realization of
this project is draining our patience as we are very
much convinced that the intended TCE strategy could
spell a breakthrough in fighting the epidemic.
We would be immensely touched if any complications
derail or hamper or delay this tested approach and
would therefore plead to every avenue, which could
ensure the timely commencement of the total control
of the epidemic (TCE) dynamic to realize the genuine
nature of the program.
The Omusati Regional AIDS mechanism is well
informed and updated with the TCE program,
since the committed partnership and membership
of DAPP to RACOC, and therefore has no doubt
in recommending the entrustment of DAPP to the
timely implementation of the intended TCE program.
Finally I strongly encourage International Partners
and in specific The President’s Emergency Plan for
AIDS Relief (PEPFAR) to support the scaling up
of the important TCE program in Namibia to reach
national scale.
ActingProgramDirectorfortheProgramManagement
unit of Global Fund within the Ministry of Health and
Social Services in Namibia wrote in her letter.
“DAPP, a member of Humana People to People has
been in partnership with the Ministry of Health and
SocialServices,asthePrincipalRecipientoftheGlobal
Fund resources, since 2005.The organization has been
implementing the Total Control of the Epidemic in the
northern regions of Oshana, Oshikoto, Ohangwena
and Kavango since this partnership began.
To date, the DAPP management team has been very
effective and efficient in implementing the project.
Reports, both Progress and Financial are always
submitted on time. Worth noting is that during data
verification exercises, which are conducted by the
Program Management Unit (PMU), it has been
observed that the supporting documents for the reports
submitted are always readily available and that the
data submitted is of high degree of accuracy.
Due to the creativity and innovative approach of
engaging and involving people at grass-roots level
in advocating and mobilizing communities for HIV/
AIDS prevention, treatment and impact mitigation
which has been demonstrated by DAPP, the
organization’s approach has been documented several
times , not only by the Namibia Global Fund Program
but by other donors as well.
It is against this background that we recommend
DAPP as a committed partner in the fight against
HIV/AIDS.”

28
TCE in Sub Saharan Africa
Swaziland
1 Million People
500 Field Officers
6 US$mill
Angola
16 Million People
8000 Field Officers
96 US$mill
Zimbabwe
13 Million People
6500 Field Officers
78 US$mill
Mozambique
19.8 Million People
9900 Field Officers
120 US$mill
South Africa
47.4 Million People
23700 Field Officers
285 US$mill
Lesotho
1.8 Million People
900 Field Officers
10.8 US$mill
Malawi
12.9 Million People
6450 Field Officers
77.4 US$mill
Zambia
11.7 Million People
5850 Field Officers
70.2 US$mill
DRC
57.5 Million People
345 US$mill
Congo Brazzaville
4 Million People
200 Field Officers
24 US$mill
Madagascar
18.6 Million People
9300 Field Officers
112 US$mill
Tanzania & Zanzibar
38.3 Million People
230 US$mill
Burundi
7.5 Million People
2750 Field Officers
45 US$mill
Somalia &Somaliland
8.2 Million People
4100 Field Officers
49.2 US$mill
Sudan
36 Million People
216 US$mill
Ethiopia
77.4 Million People
464.4 US$mill
Gabon
1,3 Million People
650 Field Officers
7.8 US$mill
Eq. Guinea
0.5 Million People
250 Field Officers
3 US$mill
Cameroon
16.2 Million People
8100 Field Officers
97.2 US$mill
Central African Rep.
4 Million People
13.5 Field Officers
24 US$mill
Burkina Faso
13.2 Million People
6600 Field Officers
79.2 US$mill
Cote D’lvoire
18.1 Million People
9050 Field Officers
108.6 US$mill
Guinea Conakry
9.4 Million People
4700 Field Officers
56.6 US$mill
Guinea Bissau
1,5 Million People
750 Field Officers
9 US$mill
The Gambia
1,5 Million People
750 Field Officers
9 US$mill
Kenya
34 Million People
204 US$mill
Siera Leone
5.5 Million People
2750 Field Officers
33 US$mill
Nigeria
131 Million People
786 US$mill
Liberia
3.2 Million People
1600 Field Officers
19.2 US$mill
Benin
8.4 Million People
4200 Field Officers
50.4 US$mill
Namibia
2 Million People
1000 Field Officers
12 US$mill
Rwanda
9 Million People
4500 Field Officers
54 US$mill
Botswana
1,8 Million People
900 Field Officers
10.8 US$mill
Uganda
28.8 Million People
1440 Field Officers
172.8 US$mill
There is need forTCE in the entire Sub SaharanAfrica as well as in someAsian countries where the Epidemic is on its rise.
TCE is effective in creating action at the individual level.TCE mobilises and organises the people to take action in the fight
against HIV/AIDS.Organised so that the enemy - that is the HIV virus and theAIDS illnesses following from the virus - can
be intensively battered until it is OUT OF control, and the people of the Area are IN control.Thus theTCE Program is a
People’s Liberation effort, mobilising all the people and forces of one Area after the other across Southern Africa to root
out the virus.

29
We invite you to join hands with
us in a partnership in this fight
S
o much good is being done - the problem is just
that it is only a fraction of what is needed in the
years to come.
In a quote from the interview with the former President
of the Republic of Botswana, His Excellency Festus
Mogae said:
‘And we need all the assistance we can get and it
requires that we mobilize the whole region. Therefore
we needed the assistance of people like you.
Humana People to People, you are experts in
community mobilization, and that’s what we were
looking for. We gratefully accepted your offer to assist
us in mobilizing the community. We realized that it
requires the mobilization of our nation as a whole.
That’s why Total Control of the Epidemic is called
for in all countries of the region. That’s the way to
achieve Total Control in the region as whole.”
We as Humana People to People can do our part by
creating the basic mobilization of every single person,
thereby creating a basic and robust organization of the
efforts of the individual, the people and the community
to achieve Total Control of the Epidemic.
Itisinproducingideasandintheactualimplementation
of these that we have our capacity and our strength.
We invite partners to pay us$ 250.000 per year during
the three years to gain Total Control of the Epidemic
in an area of 100.000 people.

30
About Humana People to People
H
umana People to People is the short name of
The Federation of Associations connected to
the International HUMANA PEOPLE TO
PEOPLE Movement. The Federation forAssociations
connected to the International Humana People to
People Movement has 42 member associations world
wide dedicated to improving the living conditions
of the poorest through community development,
health, education, agriculture, relief aid and care for
the environment through mobilizing people across
continents to join hands in a common effort.
The activities started in 1977. Since then Humana
People to People has grown into a movement
employing more than 8,000 people worldwide.
The organization has spread to several continents
to join hands with more people in an effort to
foster development.
The first officialAfrican member organization was
established in 1980 when Development Aid from
People to People was registered as a charity in
Zimbabwe. Since then the organization has grown
into a major movement. Today there are national
member organizations across southern Africa
creating development and running more than 250
development projects of crucial importance. They
now stand as examples of how to make the world
a better place for some of the most disadvantaged
groups.
Humana People to People takes part in combating
the HIV/AIDS epidemic.

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The TCE Programme is run by:
Humana People to People
Headquarters at Murgwi Estate, Shamva, Zimbabwe
Email: hqchair@humana.org
Website: www.humana.org
Phone:+263 912420 420 and +263 912 401 292

Humana People to People - TCE (Total Control of the Epidemic)

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