Juliana Charles, known as ‘Mama Nesi’, is a Peer Educator at Kambarage Health Centre in Shinyanga Region. Her goal is to ensure that all persons living with HIV receiving care at the health centre achieve HIV viral load suppression through their antiretroviral therapy (ART).
Juliana’s journey to becoming a Peer Educator began when she was diagnosed with HIV in 2009 as she suffered from severe tonsillitis. She started ART in January 2010 and soon experienced a remarkable recovery, which inspired her to become a beacon of hope for others in her community.
Her passion for helping others affected by HIV prompted her to lead efforts to educate community members about the available prevention, care, and treatment services. In 2021, Juliana received training from THPS through the PEPFAR/CDC Afya Hatua project, equipping her with the tools and knowledge needed to actively support other individuals living with HIV in their adherence to ART services.
With her acquired skills as a Peer Educator, she works tirelessly aiming for every individual enrolled in ART at the Kambarage Care and Treatment Clinic is not only virally suppressed but also in good health.
Juliana’s remarkable work has touched many lives, including that of Furaha Ngosha (not his real name), a five-year-old boy who was abandoned by his mother. When Juliana discovered that Furaha had missed his ART refill appointments at the health centre, she began tracing him and eventually found him in poor condition at his grandmother’s home.
It turned out that Furaha’s mother was divorced by her husband after he learned that both Furaha and his mother had HIV. Consequently, Furaha was left in the care of his grandmother, who was unaware of his condition and the medication he needed to stay healthy. As a result, Furaha’s health deteriorated, and his HIV viral load increased to dangerous levels.
Once Juliana, in her role as a peer educator, identified Furaha among the children who had missed their ART refill appointments, she made efforts to find him. Upon locating him, she found him in poor health at his grandmother’s house. Without hesitation, the clinic resumed Furaha’s treatment, and Juliana closely supported them to ensure he received the proper medication and care he needed to recover.
Thanks to Juliana’s intervention and dedication, Furaha’s health began to improve. His viral load started to decrease, and he slowly regained his strength and vitality. Furaha’s story is a testament to Juliana’s dedication and unwavering commitment to improving the lives of those in her community who are affected by HIV.
As of December 2023, the Kambarage Care and Treatment Clinic had served 2,066 clients enrolled in ART, including 89 children. Juliana is part of this remarkable achievement that has positively impacted the lives of many in her community.
Juliana’s resilience, compassion, and determination make her a true hero in the fight against HIV. Through her tireless efforts, she continues to save lives and inspire hope in the hearts of those she serves.
THPS
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To fulfill this, we aim to adhere as strictly as possible to the World Wide Web Consortium’s (W3C) Web Content Accessibility Guidelines 2.1 (WCAG 2.1) at the AA level. These guidelines explain how to make web content accessible to people with a wide array of disabilities. Complying with those guidelines helps us ensure that the website is accessible to all people: blind people, people with motor impairments, visual impairment, cognitive disabilities, and more.
This website utilizes various technologies that are meant to make it as accessible as possible at all times. We utilize an accessibility interface that allows persons with specific disabilities to adjust the website’s UI (user interface) and design it to their personal needs.
Additionally, the website utilizes an AI-based application that runs in the background and optimizes its accessibility level constantly. This application remediates the website’s HTML, adapts Its functionality and behavior for screen-readers used by the blind users, and for keyboard functions used by individuals with motor impairments.
If you’ve found a malfunction or have ideas for improvement, we’ll be happy to hear from you. You can reach out to the website’s operators by using the following email
Our website implements the ARIA attributes (Accessible Rich Internet Applications) technique, alongside various different behavioral changes, to ensure blind users visiting with screen-readers are able to read, comprehend, and enjoy the website’s functions. As soon as a user with a screen-reader enters your site, they immediately receive a prompt to enter the Screen-Reader Profile so they can browse and operate your site effectively. Here’s how our website covers some of the most important screen-reader requirements, alongside console screenshots of code examples:
Screen-reader optimization: we run a background process that learns the website’s components from top to bottom, to ensure ongoing compliance even when updating the website. In this process, we provide screen-readers with meaningful data using the ARIA set of attributes. For example, we provide accurate form labels; descriptions for actionable icons (social media icons, search icons, cart icons, etc.); validation guidance for form inputs; element roles such as buttons, menus, modal dialogues (popups), and others. Additionally, the background process scans all the website’s images and provides an accurate and meaningful image-object-recognition-based description as an ALT (alternate text) tag for images that are not described. It will also extract texts that are embedded within the image, using an OCR (optical character recognition) technology. To turn on screen-reader adjustments at any time, users need only to press the Alt+1 keyboard combination. Screen-reader users also get automatic announcements to turn the Screen-reader mode on as soon as they enter the website.
These adjustments are compatible with all popular screen readers, including JAWS and NVDA.
Keyboard navigation optimization: The background process also adjusts the website’s HTML, and adds various behaviors using JavaScript code to make the website operable by the keyboard. This includes the ability to navigate the website using the Tab and Shift+Tab keys, operate dropdowns with the arrow keys, close them with Esc, trigger buttons and links using the Enter key, navigate between radio and checkbox elements using the arrow keys, and fill them in with the Spacebar or Enter key.Additionally, keyboard users will find quick-navigation and content-skip menus, available at any time by clicking Alt+1, or as the first elements of the site while navigating with the keyboard. The background process also handles triggered popups by moving the keyboard focus towards them as soon as they appear, and not allow the focus drift outside it.
Users can also use shortcuts such as “M” (menus), “H” (headings), “F” (forms), “B” (buttons), and “G” (graphics) to jump to specific elements.
We aim to support the widest array of browsers and assistive technologies as possible, so our users can choose the best fitting tools for them, with as few limitations as possible. Therefore, we have worked very hard to be able to support all major systems that comprise over 95% of the user market share including Google Chrome, Mozilla Firefox, Apple Safari, Opera and Microsoft Edge, JAWS and NVDA (screen readers).
Despite our very best efforts to allow anybody to adjust the website to their needs. There may still be pages or sections that are not fully accessible, are in the process of becoming accessible, or are lacking an adequate technological solution to make them accessible. Still, we are continually improving our accessibility, adding, updating and improving its options and features, and developing and adopting new technologies. All this is meant to reach the optimal level of accessibility, following technological advancements. For any assistance, please reach out to