The Home Based Care Program was also another Christian portal of evangelization and charity work. This Christian group consisted of basically elderly women in villages who were taught how to take care of the sick especially those with HIV and AIDS. These women went about in their villages taking care of the sick, praying, and administering various other services to the family with the sick person as well as providing HIV and AIDS awareness. These women also brought with them basic needs to the family with an HIV and AIDS patient for instance, sanitary papers, toiletries, and gloves among other things. .
The Church faced and it is still facing great challenge in its response to HIV and AIDS. The challenge is firstly about the internal affairs whereby some conservative religious groups are giving their own disheartening responses which are contrary to other religious groups advocating for joint venture in fighting the virus. The HIV and AIDS pandemic has touched all religious groups, brought fear and shame, and raised disturbing questions about sickness, healing, death, and divine power. Initially, conservative religious groups around the world proclaimed HIV and AIDS as a divine judgment on this generation for its sins. In 1982, The Reverend Billy Graham said: "We have the Pill. We have conquered venereal disease with penicillin. But then along comes Herpes Simplex II. Nature itself lashes back when we go against God." The Reverend Jerry Falwell was more direct when he declared that HIV/AIDS was a punishment from God for sin, especially homosexuality: "AIDS is a lethal judgment of God on America for endorsing this vulgar, perverted and reprobate lifestyle" (Bongmba 22). Other religious leaders have rejected the view that HIV and AIDS was a punishment for sin. .
Response to HIV and AIDS by the church in Africa has not been without conflicts and controversies. Conservative religious voices continue to declare that HIV and AIDS is a punishment from God for sin.