Even if...

Even if there is a clinic... many people do not have transport to get there.
Even if a mother finds out she is pregnant and is HIV positive... the hospital may be out of medication
Even if the doctor orders a CD4 count and HGB (to test for anemia)... the hospital is likely out of reagent.

Treating HIV in a resource poor setting has many challenges. As I learn about the complex issues I see over and over the need for Home Based Care. The medical facilities desperately need support to assure that the patients take meds and follow-up as they should. The staff is overwhelmed with the numbers of people, they are not able to council each person, to help each person understand what they can do to take care of themselves.

When I look at the hospital system my ray of hope is HBC and knowing that we are investing knowledge at the community level. HBC... oh so good.