From onset, DOMCCP has been empowering communities to offer home-based care services to the chronically sick. However, following the evolution of the impact of the AIDS pandemic, DOMCCP has managed to re-strategise its operations to address current needs of PLHIV, which evidently revolve around livelihoods, access to anti-retroviral treatment (ART), support and care.

Like any other sub-Saharan country, Zimbabwe has been heavily affected by HIV and AIDS with over 1 million adults living with the virus. The social and economic consequences of the pandemic have placed a double burden on poor households, which have apparently plunged deeper into the poverty trap. The need to cope with the growing demand for ART, reducing new HIV infections and caring for orphaned children are some of the several challenges that our government, civic society, corporate businesses and concerned individuals are facing. In view of this, it has become imperative for DOMCCP, as an AIDS services organization, to engage programmatic approaches that adequately address community needs and focus more on eradicating chronic poverty through up-scaling or strengthening livelihoods of target communities, especially PLHIV.
 
DOMCCP targets poor and vulnerable groups of the community identified through participatory methods involving perceived beneficiaries, relevant government ministries and agencies, community leadership and other civic organisations. These groups of vulnerable people include PLHIV, orphans and vulnerable children (OVC), people living with disabilities, the elderly, albinos and cancer patients. DOMCCP serves marginalised communities in rural areas and high density suburbs in Manicaland Province.