Reaching people who never walk into a clinic.
Community TB outreach and youth HIV mobilisation.
A human-centred field story — community to follow-up.
Founder experience · FACT & the LIGHT photovoice work · 2017–24
Meeting people in the community, all the way to follow-up.
The problem
The people most affected by TB and HIV are often those least likely to present at a facility. Services that wait passively never reach them.
Why it was hard
It turns on trust, stigma and demand — especially among young people and men — none of which a clinical protocol alone creates.
The approach
- 1
Built a community outreach model for TB: community, trust, mobilisation, demand creation, screening, referral, treatment and follow-up.
- 2
Designed 'Bola ya Moto' ('A Ball of Fire'), using sports-based mobilisation to lift youth demand for and uptake of HIV services.
- 3
Led a participatory photovoice study capturing the lived experience of young people affected by TB and HIV in Lilongwe.
What was created
The Community Outreach Model for TB, adopted organisation-wide
The 'Bola ya Moto' youth HIV intervention
A photovoice body of work disseminated at the KUHeS conference and the Global Symposium on Health Systems Research (Nagasaki, 2024)
What changed
The model was institutionalised across FACT's health projects; the youth intervention improved demand for and uptake of HIV services among young people.
Frameworks & methods
What this demonstrates