The World Initiative for Science & Healthcare (WISH) is a
registered non-profit organization comprised of recognized international
leaders in mobile HIV/AIDS clinics and outreach, brought together to deliver
the full package of HIV testing, counseling, prevention and treatment to rural,
remote and vulnerable communities in sub-Saharan Africa.
Our endHIVnow program follows the example of previous successes implemented by
our team members. This includes the work of our Chairman, Dr. Paul Williams,
who implemented a mobile HIV clinic & outreach program providing testing,
counseling, CD4 diagnostics & treatment with support from the Elton John
Foundation to a community of 100,000 residents in western Uganda and our Chief
Advisory, Dr Peter Mugyenyi, Director of the Joint Clinical Research Centre,
who was present at the inception of PEPFAR and has a long history of working
successfully with the U.S. Agency for International Development.
Providing diagnosis, treatment and prevention skills to rural communities
throughout sub-Saharan Africa will dramatically decrease the spread of the
HIV/AIDS virus. We utilize fully-equipped mobile HIV clinics to which local
healthcare systems, including several private healthcare providers, are
generously supplying HIV counselors, test administrators and patient care
We have partnered with local non-government organizations who assist in the
design and implementation of our program, and, with their collaboration, we are
overcoming the cultural barriers surrounding testing.
There are four key elements to our program:
We partner with local non-government organizations (NGOs) who
assist in the design and implementation of our program using a franchise based
- We use mobile technology to conduct census to identify and map
households that remain untested for HIV.
- Using all-terrain vehicles outfitted as mobile HIV clinics we deliver
HIV/AIDS testing, counseling, prevention and treatment on the spot to those
access no matter where they live.
- We employ a results based, pay-by-performance incentive model to insure
the effectiveness of our program.
COMMUNITY BASED PARTNERS
Our indigenous collaborators are deeply rooted in their communities. They tell
us what they need for the program to succeed. Some are established private
healthcare providers while others are partnered with their local healthcare
systems for which they provide HIV services. All are frontline leaders in the
battle against HIV/AIDS. They play an important role in battling stigma through
supporting networks of people living with HIV/AIDS and employing HIV positive
patients as educators and clinicians. These networks play a key role in
mobilization and sensitization; transforming the perception of HIV from a
faceless killer to a manageable condition. Our partners build consensus among
local stakeholders and tailor programs to local context to insure success.
SMART PHONES TO ACQUIRE CENSUS DATA
Our local collaborators are trained in the use of census-acquiring technology,
which will allow our teams to identify households that have yet to undergo
testing. These mobile phones are equipped with Open Data Kit (ODK), a program
which allows our partners to conduct medical surveys and acquire census data
while providing our company database with updates in real time. These updates
will help us to further refine our program to track the regions that require
the most medical attention.
ALL-TERRAIN MOBILE HIV CLINICS
Our all terrain mobile clinics deliver the full package of HIV testing,
counseling, prevention and treatment to remote and vulnerable communities no
matter where they are located. Over time our clinics transition from mostly
providing HIV testing to mostly delivering treatment. They present the ability
to respond where healthcare is most needed and infrastructure is most lacking.
They grant us flexibility to adapt and expand our healthcare platform and
patient networks to address other health promotion intercessions linked to HIV
interventions, such as male circumcision, as well as other related and pressing
matters including tuberculosis and malaria. Our clinics represent the ultimate
“hub-and-spoke” decentralized model, allowing us to extend HIV/AIDS services
and commodities where healthcare infrastructure is lacking or completely
INDICATOR-BASED DATA SYSTEM & PAY-BY-PERFORMANCE MODEL
Our indicator-based data system is equipped with fingerprint verification and
barcode scanning to avoid duplication while insuring anonymity. It allows us to
operate a pay-by performance incentive model. We insure that our local partners
have enough working capital to meet startup costs. Local partners are then paid
for each unique individual they test for HIV, as verified by our data system.
We use incentive based payments in other ways to achieve optimal outcomes. For
example: mobilizers are incentivized to turnout key demographic groups (such as
men) who are less inclined to test. As our mobile clinics transition from
mostly testing to mostly treatment we plan to develop incentives for adherence
to treatment regimes using our results based model.
Each mobile clinic will be equipped with the tools necessary to
test for and treat HIV/AIDS:
VOLUNTEER HEALTH PROMOTERS
Our local partners recruit and train Volunteer Health Promoters (VHP) in the
use of the smart phones' Open Data Kit system so we can continuously expand our
support network. We conduct a census of each catchment we enter, recording GPS
location & survey information to determine locations and concentrations of
households that remain untested. These are electronically reported and mapped
to evaluate the need for our intervention and then direct the response of our
mobile HIV clinics. In general we seek out communities beyond the reach of
traditional healthcare services that are less likely to receive any HIV/AIDS
Once identified as untested, these households can be tested and diagnosed in a
matter of minutes with blood- and saliva-based HIV test kits, and, if
diagnosed, point-of-care CD4 diagnostics will be used to assess the progress of
the disease to determine what form of treatment is required.
EDUCATION & PREVENTION COUNSELING
Each mobile clinic will test, counsel and provide prevention education to over
49,000 sub-Saharan Africans annually. Our fully-equipped
mobile units will each serve an average population of 150,000 over
the course of 3 years, thus achieving coverage of 80% of those requiring
testing and/or treatment. The mobile clinics also supply each region with
condoms, healthcare and prevention counseling.
TRAINING & SUPPORT
Our team of network advisors provides training, support and technical
assistance to our local collaborators and VHP. The core of our team includes
some of the world's most prominent names in mobile HIV intervention and
research, and with their help, our goal to build communities centered around
healthcare and sustainable wellness is finally within reach.
PIONEERS IN THE FRONT LINE STRUGGLE AGAINST HIV/AIDS
All our local partners are engaged in the frontline struggle against HIV/AIDS.
They have pioneered programs in their communities including HIV & AIDS
counselor training, roll out of mobile HCT, the use of rapid HIV testing,
home-based testing and more. They have been recognized for their programs and
best practices by their ministries of health and their programs have been both
scaled up and taken up. Those that are not private healthcare providers have
strong ties with their local healthcare systems that rely on them to provide
HIV counselor and volunteer training; as well as to provide prevention,
testing, counseling, treatment adherence and other support services and
personnel all of which increases capacity. These ties are important to our
program because our NGOs will work with their healthcare systems to drive both
treatment and healthcare infrastructure to those we serve. Both individually
and collectively our NGO partners come equipped with a wealth of experience in
confronting the HIV epidemic at the community level. They are innovative and
apply this innovation to launch new interventions.
STRONG LEADERSHIP WITH AN ABILITY TO ACCOMPLISH GOALS
Our NGO partners possess strong leadership and dedicated staff. When we think
of our NGO partners we think of people like Thandi Nhlengethwa, Director of
TASC in Swaziland, of Zingui Xavier of ASSEJA in Cameroon and Eric Agyemang at
Cheerful Hearts Foundation in Ghana. We think of their personal encounters with
HIV/AIDS and how they have turned adversity in their own lives into strength
and benefit to their communities. Thandi has kick started numerous first time
HIV programs in Swaziland since 1990. ASSEJA not only carries out HIV testing
and counseling services but has provided educational and material support to
orphans and single mothers living with HIV, as well as bringing potable water
to their community. The long list of accomplishments and ability to achieve
goals in resource poor settings speaks volumes about the staff and leadership
of our NGOs.