Development action with informed and engaged societies
After nearly 28 years, The Communication Initiative (The CI) Global is entering a new chapter. Following a period of transition, the global website has been transferred to the University of the Witwatersrand (Wits) in South Africa, where it will be administered by the Social and Behaviour Change Communication Division. Wits' commitment to social change and justice makes it a trusted steward for The CI's legacy and future.
 
Co-founder Victoria Martin is pleased to see this work continue under Wits' leadership. Victoria knows that co-founder Warren Feek (1953–2024) would have felt deep pride in The CI Global's Africa-led direction.
 
We honour the team and partners who sustained The CI for decades. Meanwhile, La Iniciativa de Comunicación (CILA) continues independently at cila.comminitcila.com and is linked with The CI Global site.
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Testing Millions

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In advance of World AIDS Day (December 1) 2008, the AIDS Healthcare Foundation (AHF) launched this annual effort to facilitate the provision of free HIV tests to millions of people around the world throughout the months of November and December. AHF seeks to do so by mobilising a worldwide coalition of non-governmental organisations (NGOs), local and national governments, international relief agencies, faith-based organisations, medical providers, civil and corporate society, and the media to make a commitment to find ways to increase access to testing through streamlined and large-scale testing events, group pre-test counselling, a variety of rapid testing products, and increased referrals to care or antiretroviral treatment (ART).
Communication Strategies

Testing Millions is an action campaign based on the conviction that "We can no longer wait for people to take themselves to inaccessible VCT [voluntary counselling and testing] centers. We have to find ways to bring testing to the people – where they are, where they work and where they live. [This entails:] Confidentiality maintained, quality testing modalities utilized, safer sex and prevention information provided and support and treatment referrals immediately offered to positive clients post disclosure."

AHF extends a call each year for current testing programmes around the world to step up their efforts, "break[ing] the mold and do[ing] things differently." To that end, the campaign website is designed to help partners prepare their World AIDS Day strategies with resource information and links to outreach and promotional materials, training modules and testing data reporting, as well as lessons learned and success stories from around the world. For instance, AHF's 1-day training curriculum is detailed here. Designed to be universally applicable and capable of being adapted to suit the needs of each community, the curriculum is split into 5 modules containing general information about HIV transmission and prevention, and group facilitation, rapid testing processes, tailored to the approved algorithm in each country and disclosure of test results. In addition, a regional supplement is offered, detailing legal issues and cultural considerations faced by those performing testing services in those individual parts the world. Participants from each country who sign on to the campaign also receive information regarding medical referrals for those who test positive.

Development Issues

HIV/AIDS.

Key Points

According to AHF, the World Health Organization (WHO) estimates that 33 million people are living with HIV/AIDS. AHF claims that the "vast majority of positive people worldwide are unaware of their HIV status." AHF has incorporated bioLytical Laboratories' rapid HIV diagnostic product, the INSTI Kit. It is billed as an accurate, simple-to-use device which uses blood, serum, or plasma to identify HIV infection. At 60 seconds for a reading, "[i]t has played an important role in streamlining HIV testing to accommodate the demand for free and accessible testing services."

AHF claims that 1,603,272 people were tested worldwide as a result of the 2008 Testing Millions campaign. For example, in a testing event held at the plaza by the Metro Insurgentes rapid transit stop in Mexico City, Mexico, more than 500 people tested during a six-hour free health clinic. Six individuals were found to be HIV-positive and linked to follow-up care and treatment. And at a one-day testing event in the town of Masaka, in Uganda, 1,941 individuals were tested. AHF's Uganda CARES spearheaded a mass mobilisation effort and conducted group pre-test counselling for the daylong event, which followed an AIDS awareness march of thousands of citizens marching through the town led by government, health, and military officials. For other examples and images, visit the campaign website.

Located in Los Angeles, California, United States (US), AHF provides medical care and services in 22 countries worldwide in the US, Africa, Latin America/Caribbean, and Asia.

Sources

Testing Millions website, accessed on October 7 2009.

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