TCE – Fighting HIV/AIDS on the Community Level
The Total Control of the Epidemic (TCE) is an intensive HIV prevention and care, community mobilization and behavior change program that relies on door-to-door campaigning, free and voluntary HIV-testing and interpersonal counseling given by specially trained TCE Field Officers in the intimacy and confidential atmosphere of people's homes.
The objective of the TCE Program is to give a halt to the spread of the virus by raising awareness of whole communities about the prevention and treatment of the disease and by encouraging people to take responsibility of their own health and of those around them.
The TCE approach can be summarized in the following words: "Only the people themselves can liberate themselves from the epidemic". It is based on the idea that changing behaviour is a complex process that requires time and the commitment of both the individual and the surrounding community. This is why the raising of awareness should start as close as possible to the everyday life of the people: in their homes and in places where they most interact in the community. In order to ensure all the necessary support for change to happen, all activities are carried out in close collaboration with the local government and the health centers and the traditional leaders and the specially trained community volunteers (the "Passionates") are given a key role in mobilizing the community members to participate in the program.
The TCE Program has proven to be an effective way of gaining "total control" over the HIV epidemic on the community level. By the end of 2014, it has reached more than 4,200,000 people in 7 different provinces of Mozambique.
In order to ensure the expected impact, the TCE programs are designed to be implemented over a period of at least 3 years. A TCE area covers 100,000 people and each of the 50 TCE Field Officers working in the TCE area are responsible for an area covering 2,000 people. All people in the selected area are reached in a systematic manner through the door-to-door campaigning. They are given information on HIV/AIDS and encouraged to know their HIV status and, in case diagnosed HIV-positive, given counseling and, if necessary, assisted in initiating the antiretroviral (ARV) treatment. Each and every community member is also supported in designing their own HIV-prevention plan, which, when implemented by all community members, will ideally result in a "Total Control of the Epidemic".
In addition to HIV prevention and care, the TCE Program also gives special focus to raising the awareness on how to live a healthy and positive life with the virus and includes various activities related to fighting HIV-related stigma and discrimination in the schools, workplaces and homes. This is done through advocacy campaigns, trainings and thematic cultural events that engage the whole community.
Results in 2014
- 931,518 people reached by the TCE Program of which 21,056 mobilized for HIV-testing
- 7,031,189 condoms distributed
- 1,469 women mobilized for PMTCT (Prevention of Mother-to-Child Transmission), 12,868 men mobilized for circumcision and 3,016 orphans supported through extra-curricular and nutrition activities
- 5,766 vulnerable fishermen families trained in nutrition
For more information about TCE activities please see the photo gallery.