Pathfinder has developed a two-way referral system for infections and serious complications. CHWs send clients to nearby health facilities with a referral note, which helps ensure that people living with HIV/AIDS are seen promptly and free-of-charge. In some cases, if the client is too weak to travel alone and has no family to accompany him, or is afraid of the stigma associated with being HIV-positive, the CHW escorts the client to the health facility. The service provider returns the referral note with information about diagnosis, treatment, and follow-up appointments, which CHWs use to help clients manage their care at home. CHWs estimate that they receive the.
