The Good Life Project
In 2013, The HIV Foundation partnered with APMGlobal Health to establish The Good Life Project in Bangkok because rates of HIV among high risk men here are now equivalent to some countries in Africa. Thanks to the generosity of the American people through USAID we aimed to dramatically increase the number of high risk men who know their HIV status. With between 4-6 staff we went out in to the community and accompanied over 1,600 men for HIV testing in 16 months. We supported nearly 400 who were newly diagnosed. The loss-to-follow-up to the health system for newly HIV diagnosed men was ZERO. We wonder whether this model can work to promote care seeking in Ebola stricken areas of Africa.
The Good Life model helps people with HIV to know their HIV status quickly and facilitates and ensures ongoing linkages to care with the aim of encouraging lifelonghealth seeking among those newly diagnosed with HIV. In this way, the project seeks out HIV positive people using traditional outreach techniques previously used to keep HIV negative people HIV free. We're put up a detailed description of the rationale, internal management systems and the results of this project here:
We have also uploaded a community-based case coordination manual in the hope that this might offer some further ideas for the fight against Ebola in Africa. Our project goals include:
a) Ensuring early knowledge of HIV status;
b) Preventing loss-to-follow-up among newly diagnosed PLHIV and those ‘lost’ to service;
c) Preventing morbidity and mortality in PLHIV; and,
d) Preventing onward transmission and ensuring treatment compliance through group and online education.
We very much hope that this method, perhaps joined with others that many wonderful organizations are delivering in other places, may go some way to mobilize local communities and provide the needed knoweldge to do so.