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Project HOPE began strengthening health care services and providing health education in Namibia in 2002 while implementing HIV/AIDS workplace education programs. HOPE's programs have since grown to include tuberculosis (TB) treatment and education, strengthening the coping capacities of households and communities caring for orphans and vulnerable children (OVC), working to prevent HIV/AIDS among young women and village health banks.

In 2005 HOPE implemented a program to address the increased economic needs of OVC households by providing economic strengthening opportunities, micro-credit loans or savings groups, along with health and parenting education. Project HOPE developed an OVC-targeted educational curriculum for caregivers, which addressed essential OVC care and support. In 2008 Project HOPE expanded on the program to specifically target OVC households headed by elderly women or older orphans themselves.

Also in 2008 HOPE began working to prevent the spread of HIV in selected regions of Namibia by providing economic opportunities and health education to young women. The program provided micro-credit loans to young women to prevent their engagement in cross-generational or transactional sex and also included a curriculum covering HIV/AIDS prevention.

That same year HOPE started a program to support community efforts to implement a comprehensive TB control strategy, improve detection, decrease treatment failure rates and decrease the overall TB burden in two regions of Northern Namibia. Through the community-based approach, Project HOPE is working to strengthen the links between the community members, TB patients, the clinics and the hospitals.

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