From Outreach to Opportunity
One contact, a cascade of care, and a first step toward economic independence
Meeting People Where They Are
Mobile outreach is the front door of TWC's service model. Teams move through informal settlements and known gathering points, not with white coats and clipboards but with tea, conversation, and the offer of a blood pressure check or a wound dressing. No referral slip required.
It was on one such outreach that a young person, wary of clinics and distrustful of institutions, let a peer worker check their temperature. That single act of acceptance opened the door to HIV testing, then to care.
The Integrated Pathway
HIV Care — Same-day testing, immediate ART initiation where eligible, and peer-led adherence support. The gap between diagnosis and treatment shrank from weeks to hours.
Skills Training — Linkage to vocational training — tailoring, hairdressing, or basic business management — offered a pathway beyond dependence. Training was flexible, respecting the realities of unstable housing and income.
Enterprise Support — With seed capital from the Safaricom Ndoto Zetu partnership, the young person started a small retail enterprise. Income from the business covered basic needs and reduced the pressure to trade sex for survival.