In answer to this need, the Housing for HIV Foundation (H4HF), a 501 (c) 3 was created in Washington DC  to fund a pioneering programme of home based testing and treatment, as a risk management tool. In a global first it introduced home based Voluntary Counselling and Testing (VCT), enabling people to be tested in the privacy of their own homes eliminating the distress of the less than acceptable alternatives, which often included day-long queues in depressing environments.


In the political and social turmoil that was the late 1980’s a South African non- profit, Home Loan Guarantee Company NPC (HLGC) was created to facilitate home ownership for lower income South Africans. 

By the late 1990s a significant challenge, a proverbial hot potato, had been recognised by the HLGC as one of the perils facing lower income home ownership – the spectre of HIV. This potential threat to the health of individuals and families, would affect the ability of affected borrowers to keep their homes. 

The Housing for HIV Foundation increased its scope beyond HIV treatment in 2014, and with that metamorphosis, The Ngena Foundation emerged.