In February 2018, TTF USA Board members Tom, Colleen, Kris along with young Tim took a trip to Zambia to reconnect with the staff and see what happening, on the ground.
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As always the trip felt way too short, but was a great way to witness how your donations are improving  the lives of the patients at the TTF clinic. Being physically present and witnessing the work first hand really makes us feel proud of the work that is being done. We are so fortunate to see the smiling faces of the children and the changes the work of TTF is having on these vulnerable individuals’ lives. 

One of the highlights of the trip was on a clinic day, where families come in for check-ups, counselling and to pick up their medication. We were able to hand out a food package of eggs, oil, flour, beans, onion, potatoes, rice and sugar to each of the families who are in the Nutrition Program. We heard stories from the team and patients about how this program had changed children’s lives. Your donations have made this possible. 

We saw many pregnant women who are supported with information and tools to prevent the transfer of HIV to their unborn child.  Alongside medication, TTF supports these women with birthing hampers.  Just a small hamper including a nappy, cotton wool, a blanket, latex gloves, an umbilical cord clamp and disinfectant can mean the difference between birthing at home – or safely at a clinic. It was great to hear the results and successes and that in 2016 & 2017, thanks to you, ZERO babies were born HIV+.

The staff and the patients are so very grateful for all of the donations from you, our supporters.  Because of you, TTF is able to provide a complete package medication, nutrition, counseling and social support for entire families.  Without your help these families would not be able to live normal healthy lives. 

We continue to be grateful to all of our donors for your support. Your donations are changing lives, we have witnessed it many times first hand, but after our visit feel even more compelled to continue our work . Together we can change lives and work towards a generation where no child has HIV.
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Thank you! ​

The staff and board at Tiny Tim & Friends are committed to continuing our work and developing programs to support even more HIV+ children and adolescents live healthy, positive lives. Our donors and supporters have enabled TTF to pilot many new interventions over the years which have allowed us to change the lives of thousands of HIV+ individuals. WE CONTINUE TO NEED YOUR SUPPORT IN CHANGING LIVES. 

Adolescent girls are twice as likely to get infected with HIV as their male counterparts. And many adolescents do not feel empowered to access contraception, do not feel empowered to ask their partner to wear use condoms, or do not know where to access contraception from in order to protect themselves from infection. ​

When some of our adolescent peer mentors came to us recently to suggest setting up youth friendly services at the TTF Clinic, we were excited to hear about their ideas.  Our aim is to support them to develop a youth focused project which could not only help us in retaining our existing adolescent patients into treatment but in identifying new patients to reach out to and providing a safe space for young people to come and access information and services.  

The purpose of the youth friendly center would be to provide youth led HIV testing, counselling, sexual reproductive health information, access to condoms and referral services for those in need of HIV treatment, or other health and counselling services. ​ We would also run community based outreach services, led by our teen mentors and youth counselors, with the purpose of encouraging HIV testing in the community around the TTF Clinic and to encourage individuals to come to the clinic for testing and information services. 

Finally the youth groups want to establish chess clubs, sports teams and activity groups to provide a much needed distraction from some of the vices, such as alcohol and drug abuse,  which are too easily accessible to the vulnerable populations we work with. ​

We are more than confident that with the right funding, and guidance from the TTF management and social work teams our peer mentors can set up services which supports adolescents in: 

• Understanding the importance of treatment and taking medication.  
• Attending their appointments at the TTF Clinic.
• Accessing information on HIV, Sexual reproductive health, contraception, and counselling services.
• Accessing HIV testing in a youth friendly environment where they feel comfortable with their peers.  
• Breaking down some of the myths and stigma around HIV which prevents people from accessing testing. 
• Achieving viral suppression so if/ when they become sexually active their risk of transmission is reduced to zero.
• Finding a safe space where they can form sports teams, chess clubs or other groups to provide 

BUT WE NEED YOUR SUPPORT. IT WOULD COST US LESS THAN $7,000 TO ESTABLISH AND RUN OUR YOUTH FRIENDLY CENTER FOR 6 MONTHS, DURING WHICH TIME THE YOUTH WOULD LOOK TO UNDERTAKE FUNDRAISING ACTIVITIES OF THEIR OWN IN LUSAKA TO SUPPORT THEIR CONTINUED OPERATIONS. PLEASE CONSIDER SUPPORTING OUR WORK BY DONATING TO TTF TODAY!(Please state the purpose of your donation on the donation page) 

Dr. Tim had such a great impact on the patients and people that we work with. So when one of our community volunteers gave birth to a little boy the day after Tim passed away last year, she decided to name her new born son Tim, to pay tribute to the work he had done to help her and others living with HIV to healthy lives and have healthy HIV negative children. 

In 2016 TTF ran a Crowd Funding campaign through Caring Crowd to support 50 of the most malnourished patients at Tiny Tim & Friends. Thanks to the support of 79 donors who came together to support our cause, and to Johnson & Johnson who matched every donation, we were successful in reaching our goal. 

So in early 2017 we spent time undertaking home visits, to understand the needs of our patients, and identifying those most in need of nutritional support. Finding 25 children and adolescents who were eligible was sadly not difficult. 

Many of the children were so malnourished and underweight they were suffering with opportunistic infections and alongside nutritional support also required supervised palliative care to help them get well. 

Supporting families with nutritional food packages is easy. But ensuring the children we are supporting are gaining weight and getting healthy is much more complex, involving regular counselling, home assessments, medical interventions and sometimes palliative care. 

Thanks to the support of 79 donors through CaringCrowd and from the hard work of our counsellors all of the  children gained weight, including one child who gained a massive 9kgs.  Stay posted for further stories of each of these children but in the meantime we hope you enjoy seeing the pictures of just a few of the children you have changed the lives of. 

By Jac Connell, Acting Country Director, Tiny Tim & Friends: 
A few weeks ago one of the social work team came to my office with a small child, Rachel (aged 2), who had been identified at the Clinic that day as HIV+ and at risk of TB. Weighing only 7.1kgs (15lbs), our counselor, Mwenda, was concerned about malnutrition and wanted to include Rachel on the list of patients who would benefit from our crowd funding campaign, should we be successful. 

She was incredibly tiny and I could tell from holding her that she had breathing problems and a persistent cough, a symptom we see often at the clinic and a primary indicator of TB. 

As with all of the patients we are considering supporting with nutrition the team usually sit with the family or undertake a home visit to assess what the household is like, how many people the individual lives with and what the income for the household is. 

As soon as we asked Elina, Rachel's mother, about food for the family she broke down in tears. She admitted that there was no food at home, as her husband was bedridden with TB and therefore had lost his job. They were totally reliant on her mother in law to provide food and often would survive on only one meal a day. 

Sadly, their story isn't particularly unique to us. They live in a two room house, sharing a pit latrine with their neighbors (17 people in total). Elina had never been to school as a child because her family couldn't afford it and therefore had never been able to get a job herself. Rachel's father is unable to work so they pay their rentals (approx $30 per month) through support from other family members.

Rachel has an older sister, who is 7 and in good health, but who has had to stop going to school after they could no longer pay the school fees. 

Rachel has been diagnosed with TB, but without food, both her and her father will struggle to take their medicine, recover and risk passing the disease to her mother. Having only recently started on HIV treatment, Rachel is in a vulnerable situation. Being underweight puts her at risk of picking up any number of illnesses which could prove to be fatal. 

We need all of our donors and supporters around the world to come together to support children like Rachel through our crowd funding campaign - by donating you will change a child's life: 

 Sadly, sometimes patients come to TTF and from their appearance you immediately you know there is a major health problem. This was the case for 19 year old Panji when he was brought to the TTF Clinic earlier this year. Panji is 1.73m (5ft 8) and weighs only 42Kgs (92lbs). He is significantly malnourished and currently undergoing tests to see if he is suffering from Tuberculosis. 

His malnutrition, alongside HIV and suspected TB puts his health at significant risk, and without boosting his immune system just a small infection could prove fatal. 

Panji's parents died when he was just a child and he now lives in a one room house with 6 other people (his sister (pictured below), brother in law, and four nieces and nephews),  sharing a pit latrine with 20 other people. Whilst food in the home is provided by Panji's brother in law, there isn't enough to support Panji in his current state and he is in desperate need of nutritional support. He needs your help to ensure he can go on to finish his education and lead a healthy, successful life. 

Panji, was identified in the community by one of our teen mentors. He had previously been tested for HIV but wasn't yet ready to accept his status. Our staff have been working closely with him to provide him with medical advice and emotional counselling to prepare him to start on medication. But because of his late access to treatment he is incredibly sick and because of his poor health, he has been unable to attend school for the past 6 months. He desperately wants to complete his education so he can make something of his life and help others. 

With the right medical, social and nutritional support Panji can go onto lead a healthy life, but we need your donations to support him and 49 other children and adolescents like him to reach our crowdfunding goal. So please consider pledging today and changing Panjis life around for the better!
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Esther is a single mother to three small children, living in one of the most urbanely dense compounds in Lusaka. Having not finished school, her employment prospects are limited. She came to our attention when her youngest child, 3 year old Samson, was brought into the clinic suffering with various health issues, he was incredibly underweight for his age. Without a job or a source of income Esther was struggling to feed her children this is her story: