The Power of One: Expanding Home-Based Care in Tanzania

Develini, a home-based care provider, is proud of her 125 clients. She knows what a difference treatment and support can make because she, too, is living with HIV.

Develini uses her personal experience and the training she received from Pathfinder to help Mohamedi and Doto. Here, she delivers integrated services—HIV care and family planning—in their home.

The couple’s health has improved since beginning anti-retroviral therapy. They are feeling better and, thanks to testing through the project, they know that their children are “free from HIV.”

Still, poverty weighs on them, and Doto does not want to have any more children. So, in addition to providing HIV and AIDS services, Develini counsels the couple on family planning.

As Develini says, “For all who have lost hope, they should know they can work, and be active as normal people. I am happy and ready to assist anyone like me, to encourage them that an HIV-positive diagnosis is not the end. There is more life.”

Develini might be the most powerful woman in Ukonga. Twelve years ago, she was so ill she could not walk. Now she treks across her community, on the outskirts of Dar es Saalam, Tanzania, bending beneath crumbling doorframes to reach her neighbors.

They call her “the village doctor,” a title that speaks to her importance, though it is not entirely correct. Develini is a volunteer. Pathfinder trained her to visit her neighbors in their homes, educating them about importance of HIV testing and prevention, including how to protect their children from the virus. At the same time, she counsels women on family planning and distributes contraceptives. Develini knows how important it is to receive these services in one location. She understands her clients need privacy and want support because she, too, is a survivor.

For the past 20 years, Pathfinder has been at the forefront of the response to HIV and AIDS because our projects across the globe all stem from a simple idea: that the people you know best are the ones who can encourage you to change your life.

With one hand, Develini removes her glasses. With the other, she wipes her tears quickly before anyone can see them. “In 2000, the clinic told me I was HIV positive,” Develini said. At that time, anti-retroviral therapy (ART) was not subsidized for the public in Tanzania, so there was no treatment available to her. “They told me ‘you could die at any time’ and ‘to sell everything I own.” Develini was shocked. Despite her weight loss and failing health, she thought she was safe. She trusted her husband when he said he did not have HIV.

But the truth is Develini’s husband knew he was HIV positive even before they got married. “He knew his status and was taking medicine every day, but I didn’t know what they were,” she said. “When I asked him about the pills, he lied.” He invented an ailment. Perhaps most painful—“I even took the initiative to remind him to take the medicine,” Develini admits, “without knowing they were ART.”

When Develini finally learned the truth—that she is HIV positive—her husband left. She has not seen him since. She had to rely on her parents and doctors to save her life. And with treatment, her health dramatically improved. It is a debt she repays every day as a home-based care provider.

“For all who have lost hope, they should know they can work, and be active as normal people. I am happy and ready to assist anyone like me, to encourage them that an HIV-positive diagnosis is not the end. There is more life.”

Develini shares this message with her 125 clients, including Mohamedi and Doto.

TO BE FREE: One Family’s Story

In 2009, no longer afraid of the repercussions, Mohamedi decided to disclose his HIV-positive status to his wife. “I had to tell Doto,” he said. “Otherwise, she would have lost her life. It is important.”

Mohamedi had begun anti-retroviral therapy, and his health was improving. So whatever the fallout, however angry she might become, he believed that at least he could make her healthy by getting her treatment. What he did not expect was that, after hearing his news, Doto would not even get tested.

“She kept saying, ‘tomorrow, tomorrow, tomorrow,” Mohamedi said. He glances at his wife, for her assurance to go on. “Doto was afraid of seeing people at the clinic, of their eyes.”

Mohamedi sought help from the one person who had openly discussed their HIV status, who was known to everyone—Develini. Develini arranged for Doto to get tested in her home. When she arrived, she was greeted by 10 other family members, all wanting to find out their status, too. 

That day, Doto privately learned she was infected with HIV, as did four other relatives. Perhaps most critically, Doto and Mohamedi confirmed that their three children “are free from HIV.”

The couple wants to keep it that way; they want to get healthy and avoid pregnancy. So, along with anti-retroviral therapy, Doto uses contraception. She receives pills from Develini, who provides family planning in the privacy and convenience of her client’s homes and is never far away. Even now, as her clients bravely tell their story, Develini sits beside them, beaming from behind her glasses, giving them strength.
 
“I am not the type to share a lot of things. Having Develini is so important. I need her,” Doto says, looking at her friend. “After all, she is just like me.”

THINK OF DEVELINI’S IMPACT. NOW MULTIPLY IT BY 1,250

Develini is just one of 1,250 home-based care providers for the Tutunzane project (meaning "Let's take care of one another" in Kiswahili). Led by Pathfinder, the project relies on the talent of local individuals to stop the AIDS epidemic where it starts, one person at a time. And they are succeeding.

In 2011 alone, the project supported 44,000 clients by reaching people in their homes. This means that the person-to-person approach has been so effective that it has grown to support communities across five regions of Tanzania. It is what sets Pathfinder apart.

For the past 20 years, Pathfinder has been at the forefront of the response to HIV and AIDS because our projects across the globe all stem from a simple idea: that the people you know best are the ones who can encourage you to change your life.

Country: Tanzania
Focus Area: HIV & AIDS

Alden Nouga

Alden Nouga is Pathfinder International's Director of Institutional Giving.

Leave a Comment

* Change

Comments

perspective increased director spending parties check credit score for free secure divergent parties
Name October 31, 2014
Because i do an online job thats why i need fast Internet connection, i search how to bost internet speed then ireach at a right place. high pr backlinks
jams123 October 31, 2014
Tutorial untuk permasalahan pada iphone . iPhone wajib menggunakan aplikasi - aplikasi yang terbaik Aplikasi iPhone Terbaik dan sering anda gunakan dengan mudah, untuk lebih lengkapnya anda bisa membacanya Disini . Untuk wanita yang ingin Menjadi Cantik Alami . anda wajib memiliki tubuh yang indah dengan Cara Diet Yang Baik dan memiliki wajah yang cerah berikut adalah cara mencerahkan wajah secara alami Baca selengkapnya . untuk membeli Baju Distro Online tidaklah sulit, cukup mengunjungi website ini Di SINI Menggunakan jam tangan bisa meningkatkan ketampanan dan kecantikan pada diri anda, ada banyak Model Jam Tangan yang bisa anda gunakan dan jika anda ingin membeli jam tangan, baik jam tangan original dan kw super silahkan kunjungi Websitenya Disini di daerah anda. your style is your passion Nice Style Bisnis online shop untuk sekarang ini sangat berkembang mulai dari bisnis Baju Bola Murah maupun bisnis lainnya, untuk melihat bisnis unik lainnya anda bisa melihat disini Read More . social media yang sedang booming saat ini adalah twitter, Twitter untuk membuak akun twitter baru juga tergolong mudah dan bisa daftar akun twitter baru hanya dalam waktu 5 menit saja. Android selalu melakukan revolusi terhadap OSnya dan membuat blog iyan untuk penggunanya
ipo October 30, 2014
I am very much pleased with the contents you have mentioned. I wanted to thank you for this great article. www.tubo tax
jams123 October 30, 2014
I'm impressed. brisbane houses for sale Thanks for publishing about this. property for sale sydney You've done a big job with this website. houses to rent in perth australia Thanks for writing about this. houses for sale in perth australia
Sylvain Weeks October 30, 2014
ejaculation trainer emergency tactics download Ejaculation Trainer: Matt Gorden Reveals His Step-By-Step "Ejaculatory Science" Techniques For Ending PE And Giving Your Woman An Unforgettable Sexual Experience Anytime, Anywhere... Written for consumers by a consumer, this fan site includes a fun and informative Ejaculation Trainer review, ebook FAQ, and PDF download guide that provides an insider's look at the program and answers frequently asked questions about Matt Gorden's unique and highly popular premature ejaculation treatment guide. Please visit https://www.rebelmouse.com/ejaculationtrainerreview/ ...
website October 28, 2014
There is lot of information and they are very innovative and informative. I have read the article very well and it seems to me awesome. click here
click here October 28, 2014
I am hoping the same best work from you in the future as well. I wanted to thank you for this websites! Thanks for sharing. Great websites! appliances for home
jams123 October 27, 2014
Produk Mobil chevrolet yang beredar di Indonesia terdiri dari :Mobil Chevrolet Spin, Aveo, Captiva, Orlando, Colorado, Trailblazer. Mobil Murah Chevrolet memberi informasi lengkap tentang Harga, spesifikasi, dan fitur, semua kendaraan . info lengkap kunjungi kami di : Mobil Murah Chevrolet Produk Mobil Honda yang beredar di Indonesia terdiri dari : Jazz, Civic, City, Accord, Mobilio, Brio Satya, CR-V, CR-Z, dan Odyssey. Harga Mobil HondaHarga Mobil HondaHarga Mobil suzuki memberi informasi lengkap tentang Harga, spesifikasi, dan fitur, semua kendaraan Honda. info lengkap kunjungi kami di : Harga Mobil suzuki Harga Mobil Suzuki
gates October 27, 2014
Produk Mobil chevrolet yang beredar di Indonesia terdiri dari :Mobil Chevrolet Spin, Aveo, Captiva, Orlando, Colorado, Trailblazer.

chevrolet Bandung memberi informasi lengkap tentang Harga, spesifikasi, dan fitur, semua kendaraan Honda. info lengkap kunjungi kami di : Mobil Murah Chevrolet Produk Mobil Honda yang beredar di Indonesia terdiri dari : Jazz, Civic, City, Accord, Mobilio, Brio Satya, CR-V, CR-Z, dan Odyssey.

Honda Bandung memberi informasi lengkap tentang Harga, spesifikasi, dan fitur, semua kendaraan Honda. info lengkap kunjungi kami di : Mobil baru Honda Produk Mobil Suzuki yang beredar di Indonesia terdiri dari : Ertiga, Karimun Wagon R, Swift, Splash, APV, SX4, Grand Vitara, dan Carry.

suzuki Bandung memberi informasi lengkap tentang Harga, spesifikasi, dan fitur, semua kendaraan Honda. info lengkap kunjungi kami di : Harga Mobil Suzuki

gates October 27, 2014
my blood pressure is really high what should i do Restore My Blood Pressure: Michael Warner Reveals His Weirdly Effective System For Quickly Lowering Bad Cholesterol, Permanently Restoring Blood Pressure, And Maintaining Heart Health Naturally... Written for consumers by a consumer, this fan site includes a fun and informative Restore My Blood Pressure review, ebook FAQ, and PDF download guide that provides an insider's look at the program and answers frequently asked questions about Michael Warner's unique and highly popular hypertension guide. Please visit website https://www.rebelmouse.com/restoremybloodpressurereviews/ ...
website October 26, 2014
Mobile wallets are the future of transactions and advertisements alike. They have the potential to change the way we shop Passbeemedia just as ATM cards did for the banking system. Mobile wallets such as google wallet, Samsung wallet and passbook allow you to store the bits and pieces of paper carried around in our wallet.
Passbeemedia October 23, 2014
https://rebelmouse.com/teethwhitening4youreviews/ Teeth Whitening 4 You: Lucy Bennett Reveals Her Weirdly Effective And All-Natural Solution For Getting A Whiter, Brighter Smile From Home... Written for consumers by a consumer, this fan site includes a fun and informative Teeth Whitening 4 You review, ebook FAQ, and PDF download guide that provides an insider's look at the program and answers frequently asked questions about Lucy Bennett's unique and highly popular teeth whitening guide. For more info, visit our website https://www.rebelmouse.com/teethwhitening4youreviews/ ...
web site October 22, 2014
mehr Infos The Diabetes Protocol: Dr. Kenneth Pullman Reveals His Breakthrough, Day-By-Day "Insulin Ignoring" System To Balance Blood Sugar Levels And Reverse Diabetes Right From Home... Written for consumers by a consumer, this fan site includes a fun and informative Diabetes Protocol review, ebook FAQ, and PDF download guide that provides an insider's look at the program and answers frequently asked questions about Dr. Kenneth Pullman's unique and highly popular diabetes cure. For more info, visit my site https://www.rebelmouse.com/thediabetesprotocolreviews/ ...
click here site October 22, 2014
https://rebelmouse.com/winningtheone/ Winning The One Ebook: How To Attract The RIGHT Man And Have Him Crazy About You Forever. This site is a leading resource for information about the Robert Ford Winning The One PDF book and commitment guide that teaches you how you can take almost any relationship and turn it around and have a life full of passion, love, caring, and fun with a man who is fully committed and willing to do anything to keep you. Includes a collection of Robert Ford Winning The One reviews, PDF download information, and tips from around the web on finding love, and more importantly keeping it. Please visit my website https://www.rebelmouse.com/winningtheone/ ...
web October 22, 2014
https://rebelmouse.com/blackbeltblueprintreview/ The Black Belt Blueprint: Nicolas Gregoriades Reveals His Cutting-Edge, Step-By-Step System For Mastering Brazilian Jiu Jitsu Techniques And Becoming A BJJ Black Belt In Record Time... Written for consumers by a consumer, this fan site includes a fun and informative Black Belt Blueprint review, ebook FAQ, and PDF download guide that provides an insider's look at the program and answers frequently asked questions about Nicolas Gregoriades' unique and highly popular jiu jitsu guide. Please click here site https://www.rebelmouse.com/blackbeltblueprintreview/ ...
website October 22, 2014
Ethical online hackers are also qualified to preserve a program from risks send to eliminate the program through damaged applications. real racing 3 hack
williama October 22, 2014
This is such a great information for me, because i do an online job thats why i need fast Internet connection, i search how to bost internet speed then ireach at a right place. home cleaning
jams123 October 21, 2014
Hi, I find reading this article a joy. It is extremely helpful and interesting and very much looking forward to reading more of your work. High PR Links
jams123 October 21, 2014
Hi, I find reading this article a joy. It is extremely helpful and interesting and very much looking forward to reading more of your work. High PR Links
jams123 October 21, 2014
Scroll to top