HOPE Cape Town recruits community members from areas where resources and services are scarce. HOPE Cape Town recruited and employed its first Community Health Worker in September 2002, and we now employ 16 Community Health Workers based at 14 community sites. They are based at their local municipal and provincial clinic, and are able to provide a wide variety of services, including HIV testing and counselling, Tuberculosis testing, family planning, sexually transmitted infections testing and counselling, and cervical screening. They are also involved with prevention (in the form of educational talks), as well as HIV treatment and management (including adherence support). The Community Health Workers each complete a tertiary-level distance learning course on HIV care and counselling, and they are provided with ongoing training to keep them up to date with the latest developments in their field. The work that the Community Health Workers do increases the treatment capacity at their local clinic, and they become an integral part of the daily functioning of their respective clinic.