Blessings, 14, is shy. I can see she has a lot of potential if she was given the right opportunities in life. But she doesn't make friends easily. She stigmatizes herself and withdraws, denying herself the support network she desperately needs to shine.

I sit with her and talk to her about living with HIV. With support from TTF her mum told her she is HIV+. To help her understand what this means Blessings is attending a children's support group. She is learning about HIV and how to live healthily.

She is clever and explains brilliantly about the things she has learned. She says she feels better having made friends at the support group but I know she often sits to the side, quietly taking in the scenes around her, too shy to interact with her peers.

I ask Blessings how she feels about living with HIV. She tells me she feels bad. She says she hears people saying things about people living with HIV that make her feel bad about herself. Even with HIV education she continues to self stigmatize.

But it doesn’t have to be this way for Blessings.

Our staff take their time to get to know her needs beyond HIV treatment, they will help her find a way to feel good about herself.

We make the TTF clinic a place where confidence and independence can be gained. But this doesn't happen overnight and we cant do it alone. More than ever we need your help to change lives.This year we are aiming to raise $20,000 to support the Tiny Tim & Friends Clinic and we need your support.  

I urge you to give a child like Blessings a gift this Christmas by donating to Tiny Tim & Friends. Your support ensures Blessings, and many other children like her can get the right treatment, care and counseling they need to thrive in life.

Thank you

Jac Connell, Director, Tiny Tim & Friends Zambia. 

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) 

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. 

 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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As Tiny Tim & Friends grows in terms of patients, and the number activities we undertake to provide additional layers of support to those patients, we must also grow our support networks around the world. In Lusaka our community volunteers provide an essential part of our work in: helping us access individuals who would have been previously unknown to us; in allowing us to provide home based support to our patients across Lusaka; and in ensuring we can provide follow ups to everyone we test as HIV+ in order to ensure they are getting the right medical care and treatment they need to lead a healthy life.
 
We specifically work with HIV+ women in the community to help support our work and to provide HIV awareness and sensitisation. Their personal insight into living with HIV and their understanding of the issues the communities are facing enables us to have a much greater impact on the lives of the children, adolescents and pregnant women we work everyday to support.
 
One of our community volunteers is Margaret, 45, who after her diagnosis of being HIV+ decided she wanted to help others: 

Lonely, is one of our Social Workers and Adherence counselors at TTF. He runs our clinic and interacts with young people on a daily basis. He see's every day the issues that the young people living with HIV are facing. In celebration of National Youth Day in Zambia we interviewed him about some of the problems young people face and how TTF can help.