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Our Goals

The primary goal we seek to achieve is to transform a killer disease into a manageable condition in the rural poor, remote areas we serve. As Dr. Williams was able to achieve in Bwinidi, Uganda we seek to change perceptions and stigma surrounding HIV/AIDS such that community members are no longer concerned when coming forward to be tested, and that those who are HIV positive have access to treatment and can live a normal life free of stigma. These effects, as achieved by Dr. Williams in Bwindi, translate into communities where the tide has turned in favor of one day eliminating the disease. Our advisors at the Joint Clinical Research Centre (JCRC) in Uganda train Community Liaison Volunteers (CLVs) each year to assist with adherence to HIV/AIDS treatment. We plan to use our Village Healthcare Promoters to also achieve optimal adherence to treatment.

As mentioned, over time our mobile HIV clinics will transition from mainly providing HIV testing to providing treatment and care. As they do so we will employ the same pay-by-incentive methods to insure that patients on ARV are adhering to treatment. The outcome to greater adherence is reduced transmission and greater prevention within the entire population.

In conclusion, it is important to observe that without our mobile HIV clinics, the communities we serve would otherwise have little or no access to testing or treatment, let alone improved adherence. Our strategic goal is to field 96 of our mobile, adaptable clinics to provide HIV testing, counseling & healthcare throughout the region to alter the HIV equation in sub-Saharan Africa in support of the UN Millennium Development Goal of halting and reversing the spread of HIV. Because of the adaptability and flexibility of our mobile healthcare platform, we can adjust our programs to accommodate regions requiring emphasis on different aspects of our diagnosis and treatment options.
 


Project Expense Ratios Over 3 Years

Our Objectives


Perhaps our main objective is best summed up by our Chairman of the Board, Dr. Paul Williams. When commenting on the work of the mobile HIV clinic and outreach program he implemented at Bwindi Community Hospital, on the edge of the Impenetrable Forest in western Uganda he said: “The face of HIV has been radically changed for 100,000 people living in the Bwindi area. A killer disease has become a manageable condition, stigma is improving all of the time, and HIV in newborn babies has almost been eliminated.” We seek to achieve these same objectives throughout rural sub-Saharan Africa. With this statement in mind these are our measureable goals and objectives for each Mobile HIV clinic we deploy:

 - Each mobile HIV clinic will serve a catchment of 150,000 people (this number will be verified by census)

 - Our census will reveal the number of households that remain untested for HIV in the catchment, households with residents who have not tested for HIV in the previous year and the location and concentrations of these households: (this information will be used to guide our response). Census will be carried out by our local indigenous community based partners who will train Village Health Promoters in the use of smart phones equipped with Open Data Kit. This is based on the census model our Chairman, Dr. Paul Williams, employed at Bwindi Community Hospital in western Uganda.

 - We intend to achieve 80% coverage of the entire catchment within 3 years. That means of the 150,000 people living in the catchment, 120,000 will have been tested for HIV by our program. This translated into goals of achieving:
   o 45,000 HIV tests per year
   o 135,000 HIV tests over 3 years (some duplication of testing will occur)

 - Predicting an HIV prevalence rate based on current WHO reporting on Uganda of 5.40% we plan to have 6,480 + patients on care by the end of the project, when we will transition to public, as well as other private means of support. For example, Dr. Williams employed a simple HMO system at Bwindi Community Hospital (BCH) that has been effective in helping to underwrite costs there, helping to insure sustainability. As our mobile clinics proceed they transition from mainly providing HIV testing to mainly providing treatment and care.

 - As with Dr. William’s Bwindi project we plan to reduce incidence of PMTCT in the region to 1% by the end of the project.
 
 - Our mobile HIV clinic program expands testing, counseling, treatment and prevention to remote, rural communities beyond the reach of traditional healthcare where they live. It increases capacity by delivering these services at POC where they are virtually non-existent, while gathering a continually expanding data set that can be used to monitor the disease and direct response.

Our Funding Goals


The World Initiative for Science & Healthcare (WISH) seeks funding to deploy 5 mobile HIV clinics in the African sub-continent, for a three-year period at a total cost of $5.9 Million USD. This amount includes funding of the census project, clinic & support staff, vehicles, fuel & maintenance, insurance, mobilization & sensitization costs, rapid HIV test kits, CD4 analytics for those who test HIV positive, condoms, indicator-based data system, program support & management costs. Our current funding request is presented as fully burdened. However, we intend to seek in-kind donations utilizing our status as a 501(c)(3) non-profit. Donors can also scale financial participation based on the number of clinics and years funded.

We invite you to join us in the drive to turn the tide against the devastation of HIV/AIDS in sub-Saharan Africa. By employing mobile clinics we will bring testing, treatment and care to vulnerable populations where they live, no matter how remote.


In Kind Donations


Our current funding request is presented as fully burdened. However, we intend to seek in-kind donations utilizing our status as a 501(c)(3) nonprofit.

Here is some of what we plan to secure:

 - All-terrain-vehicles for our mobile clinics
 - Laptop computers & smart phones to run our data system in the field
 - Computers for office staff
 - Airline tickets for staff travel
 - Hotel accommodations for staff travel
 - Office Supplies
 - Legal Services
 - Program T-Shirts for in the field
 - Tents, chairs & tables for our mobile clinics


Future Initiatives


As funding progresses for our projects, we hope to introduce tuberculosis and malaria diagnostic tests and treatment programs to our mobile clinics. The flexible and adaptable platform on which we operate will allow us to address these additional and pressing healthcare concerns, reaching more and more groups of infected and untreated patients.

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