The first of its kind in the country, the Medical Centres/ family Clinics, which operate on a "One-Stop Shop" approach and also serve as an entry point for VCT, are multi-purpose in service provision and user friendly. For sustainability, a minimum fee is paid at the clinics for cost recovery purposes as well as to serve as revolving drugs fund, although all PLHIV receive free treatment.
Medical checkups for all women especially for PLHIV, such as cervical Pap smear, and (self)-breast examination for cancer, blood sugar, cholesterol, VDR, TB screening and blood pressure are encouraged and offered. Early treatment is promoted as precautionary measures against complications.
Other reproductive health and general clinical services include the syndromic management of STIs and partner management, treatment of opportunistic infections (OIs), Maternal and Child's Health (MCH) as well as laboratory services, which enhance the one-stop service. These clinics now hold a Cryosurgical Unit and an Operating Theatre.
Currently, the clinic's refer PLHIVs, including children, for Anti-Retroviral Therapy (ART) and Tuberculosis (TB) management but provide home-based care services to the chronically ill, including AIDS patients. All sero-positive clients who have received their result are post counselled and referred for ART.
Furthermore, BAFROW is implementing the Prevention of Parent to Child Transmission (PPTCT) program.All the antenatal mothers attending the clinic have undergone VCT to date since the project began.
BAFROW's clinics have a mobile team which offers outreach services to four communities and provides various services from clinical care on reproductive health problems to laboratory services, including VCT. PPTCT is also incorporated into the service.
Home based care for the chronically ill, including PLHIV, is carried out by a team, headed by a community health nurse, and family volunteers have been involved and trained. The average number of patients visited per month is 88.