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Our Solution

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 packages.

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.

Key Elements


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 model.
 - 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 without
   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 healthcare
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 absent.
 

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.

Implementation


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 services.

TEST KITS
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.


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