Community Directed Initiative Plus (CDI+)
Empowerment of Beneficiaries + Equal Partnership = Highest Quality Care
HTH has pioneered a model to provide the highest standard of health care to individuals living in poverty. The Community Directed Initiative Plus (CDI+) empowers the local community through an equal partnership with medical professionals and international donors. The result is a dynamic structure guaranteed to respond to patient priorities.
Empowerment of Beneficiaries
The ‘+’ in the CDI+ approach pertains to the community members being directly implicated in every aspect of service delivery. These individuals serve as indispensable psychosocial support staff, home visit team members, program coordinators, custodial and clinic support, and rights advocates. The CDI+ approach builds and supports the capacity of a community to direct comprehensive medical and psychosocial services for individuals living with HIV/AIDS in poverty.
Equal Partnership
CDI+ calls for an equal partnership with an Initiative’s primary stakeholders or more specifically three constituents: (1) specialized or technical service staff, (2) the donor (3) and the community. In practice, a Medical Director, an HTH Liaison and three to five individuals living with HIV/AIDS represent these parties. All parties are involved in planning, implementing, and monitoring an Initiative’s activities and programs. A key component to the CDI+ approach is the use of donor liaisons to help mitigate field issues. HTH liaisons work in and with a community to develop its capacity to draft, plan, implement, and direct an Initiative.
Click here for a diagram of the organizational structure…









