BAFROW uses several strategies to address HIV/AIDS and promote VCT. A very effective strategy used is the "3-Step Approach", initiated by the organization and built on the already existing traditional system in The Gambia.
BAFROW believes that with VCT, it is possible to reduce the spread of HIV/AIDS, create self-assurance, and dispel doubt. It can help people get early access to treatment, care and support, and free drugs, encourage them to promote positive behavioural change, prevention parent to child transmission (PPTCT), plan their future carefully, and bring harmony in relationships.
This approach is implemented at District, Village, and Family levels.
At DISTRICT LEVEL, the HIV/AIDS District Committee, chaired by the District Chief, has been established in all selected districts, with two CBCs/ Community Leaders representing each participating village. Each district develops its annual community activity work plan. During community activities, HIV/AIDS and appropriate reproductive health information are disseminated and awareness creation materials distributed. BAFROW holds meetings with these committees for monitoring and feedback.
At VILLAGE LEVEL CBCs are selected and trained. Each village, under the supervision of the CBC and Health Workers (HW), develops its work plan and carries out sensitization activities with the involvement of community leaders and Village Development Committees (VDCs). Each CBC receives a special information package, and monitoring tools to record the village activities, e.g. home visits, condom use, and HIV/AIDS sensitization and counselling. Key CBCs have been issued mobile phones and bicycles to facilitate communication between one another, member of the communities as well as with BAFROW. As each CBC works in his or her community, sustainability and keeping the momentum can best be ensured. Monthly meetings, each time at a different village are held, and reports provided. CBC committee members meet regularly with other CBCs to share and compare experiences and best practices.
Other activities include community cinemas, "setsetal" (a periodic environmental cleaning exercise), TOT workshops, dramas, and competitions such as quizzes, which help CBCs, and BAFROW staff members monitor the amount of information assimilated by the villagers. Young people were also targeted in the project.
At FAMILY LEVEL, home visits are carried out separately both by Health Workers and individual CBCs, and records are kept on each family. Most families are encouraged to have a HIV/AIDS plan, which includes information and awareness creation materials as well as VCT, and a commitment plan to participate in the fight. Nearly all households have been visited in Kiang Central since the start of the program.