TCE Project Description

HIV prevalence remains high, with 20% of people (one in five) living with HIV. In 2002, Humana People to People took on a journey that did not only assist the government to reach its mandate, but that also aided to curb the spread of HIV by making sure that everyone knows their status through its unique one on one approach with HIV Testing Services and linkage to care and treatment services widely known as TCE – Total Control of the Epidemic.

The Total Control of the Epidemic, widely known as TCE programme, today funded by USAID, KFW via Foundation for Professional Development (FPD) supported by the National Department of Health, is based on the idea that “Only the people can liberate themselves from HIV and AIDS epidemic”. TCE is a unique and systematic approach designed to reach the hard-to-reach populations and vulnerable communities and empower them to fight the challenges of HIV and AIDS and TB and non communicable diseases. TCE Field Officers are recruited from the operation areas and are trained and equipped to run an effective people-to-people campaign.

In 2019, the programme was implemented in 2 provinces; Mpumalanga, covering 2 Districts: Ehlanzeni District (Nkomazi and Bushbuckridge sub-districts) and Gert Sibande District (Mkhondo and Chief Albert Luthuli sub-districts); Eastern Cape covering districts OR Tambo, Chris Hani and Nelson Mandela Bay Municipality. TCE is working with Departments of Health at both provincial and district level and builds up a close network with local clinics.


The TCE programme can be described in the following three main elements:

1) Raising Awareness: The Door-to-Door Campaign - Field Officers conduct the 3-year person-to-person/door-to-door campaign involving every household in a TCE area during which each Field Officer is mandated to visit 2,000 people (+/- 400 households). The objective of the visits is to mobilize individuals in each household towards TCE compliance. Field Officers use a TCE Risk Reduction and Decision Making Tool called The Perpendicular Estimate System (PES) which is designed for them to estimate the status of the TCE Programme in achieving its goal - Total Control of the Epidemic – as well as assessing the status of every person in the Field in terms of reaching TCE Compliance. The PES builds on each person assessing their own progress in knowledge and ultimately control of HIV and AIDS. The TCE Field Officer assists individuals in making individual risk reduction plans with each person with regards to them becoming TCE compliant.

2) Mobilization for HCT, PMTCT, ART and TB screening - TCE conducts community mobilization for HCT at designated HCT sites in collaboration with local health authorities or other NGOs that carry out HCT, as well as encourages mobile testing actions at TCE sites. The Programme shares best practice and provides a strategy for improving the integration and linkages with key health services, such as PMTCT, ART and TB treatment services. TCE thus educates pregnant women about PMTCT and HCT before referring them to antenatal clinics for testing and support. PMTCT advice and encouragement will be given to both the pregnant woman and her partner. Post-test support and counselling is offered by Field Officers. Once people have been referred for examination/treatment services, Field Officers keep regular contact with both the service providers and the patients throughout the programme duration.

3) Supplementary Interventions - TCE also initiates specific interventions tailored to the specific needs of each area. Many of the interventions will be carried out by the Passionates (community volunteers) who work with Field Officers to organize communities to promote prevention, reduce stigma and provide care for people infected by HIV, including AIDS orphans and other vulnerable children.  



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