A man dressed in a t-shirt and jeans walks through the timber market with a loud-speaker, addressing the area’s predominantly male workers in the local Twi dialect.
“Know your status. Come and test with us today, here in the market....” he begins.

Joshua is HIV negative, but his wife tested positive last year – a ‘discordant couple’ is the term used to describe them by health workers. Motivated by his wife’s status, he has volunteered for the last few months with the outreach programme run by the Ridge Hospital in Accra, and he regularly joins a team of nurses and counsellors taking a mobile testing unit out into the local community.

Dr Sally-Ann Ohene, one of the HIV and AIDS specialists in Accra attributes the enormous uplift in HIV testing and counselling take-up to just such programmes. The programme she works on, partly funded by (RED) money via the Global Fund and organisations such as the National AIDS Control Programme (NACP) has reached twice the number of people they had hoped with testing and counselling, over-delivering against their 2008 targets by more than 100%.
“People in Ghana do not go to hospital unless they are very sick – or visiting someone”, explains Kwadwo Asante, of the NACP. And so the medical staff from the hospitals, with the support of the NACP and Ghana Health Services decided to take the staff into the communities.
The Ridge Hospital outreach programme has been running for two months. The timber market where we watched them in action is a vast, busy industrial area, providing work for a large number of Ghanaians, many from rural areas who also live and sleep in the manufacturing area.

Four testing ‘centres’ have been set up, each providing broader sexual health information, HIV testing and counselling, often by people who are themselves HIV positive. They call these people ‘Models of Hope.’
Margaret is one such ‘Model of Hope’, and as well as volunteering at the Ridge Hospital, she is a key member of the outreach team. A large group of men were gathered around the testing table as we arrived, and one by one they took a number, sat themselves in the chair in front of her and were handed a plastic mouth swab. This relatively non-obtrusive means of testing – individuals vigorously rub the tooth brush-like swab stick around their mouths for half a minute - allows people to receive a result around ten minutes later.
Nearly 400 people were tested in total by this mobile unit on the day we visited; for those who test positive, immediate counselling was on hand and arrangements made to follow up with further testing at the hospital, and treatment being provided as required. People like Margaret, and Richard, another HIV positive counsellor, were able to give first hand advice and support. In Margaret’s words, “to make them know they are not alone.”
The professionalism, dedication and integrity of Margaret, Joshua, Richard, the medical teams and administrative staff is inspiring. They work tirelessly in the fight against HIV and AIDS, and their efforts are clearly being felt. The stigma of HIV within communities is still strong, but the prevalence levels of the virus are falling and the numbers of Ghanaians who ‘know their status’ is rising. For those infected, antiretroviral (ARV) treatment allows them to manage the virus and carry on living active lives. And the programmes funded by the Global Fund, with money from (RED) purchases are a significant factor in this huge shift. There’s a long way to go, but things are moving in the right direction, and with your support, these outreach teams will continue to play a fundamental role in helping to eliminate HIV and AIDS in Ghana.
Here’s to the teams in Ghana, and here’s to all of you for supporting (RED). Thank you. Buy (RED), Save Lives. It makes a difference.
Lisa @ (RED)