For the past five years, World Education has been fighting the spread of AIDS in southern Africa through AIDS education and a “training of trainers” effort. The result of this effort has been a significant increase in the number of HIV counselors and home-based care providers in local communities, particularly in Namibia where World Education’s approach has been extremely successful. The program has a strong multiplier effect by strengthening the training capacity of government and NGO health workers so that their knowledge is transferred to local communities where services are most needed. By targeting health professionals already employed in the health system, World Education helps institutionalize counselor and home-based care training at the ministry level so that new skills become an integral part of regular health care delivery. Combining participants from different ministries and the NGO sector has created a way for participants from multiple sectors to share their experiences and skills. Building stronger links between the government and NGO sector and between different line ministries promotes a unified national approach to combat the epidemic across different sectors. By also emphasizing community level training, local capacity can be built to help fight the spread of AIDS.

UPSHOT of this article:

* Both education re: disease and training of trainers must be ongoing to keep the word spreading.

* This training is necessary on many levels, from the local, community level to the governmental level, professional organization level, and leadership of ministries.

* Counselors, home-based care providers, government workers, health care professionals and workers, must be trained and cross-trained to ensure a unified approach.

* Training of those already in the health professions and ministries serves to utilize the institutions already in place for the greatest impact.

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