Objectives of the Helpline Helpline System overview Helpline performance to date SMS Activity report and progress

Transcription

1

2 Objectives of the Helpline Helpline System overview Helpline performance to date SMS Activity report and progress

3 By providing on going TREATMENT COUNSELING services, the helpline and SMS creates an enabling environment for those infected and affected by the virus to come to terms with it, adhere to treatment, manage undue stress, find ongoing support through referrals, and realize their overall emotional well being. The REFFERAL INFORMATION AND FOLLOWUPS component is designed to enable individuals to maneuver through the complex network of HIV/AIDS service providers and access the necessary information, care and support services they need. DISSEMINATION of INFORMATION through the helpline and SMS equips individuals with the necessary knowledge to protect themselves from HIV, make informed decisions, practice positive living if already HIV positive, change behaviors, encourage greater uptake of PMTCT and VCT, and support Tanzanians in accessing and adhering to antiretroviral therapy.

4 The hotline currently has 8 dedicated lines to serve the public. All counselors are hooked to the hotline through telephone set fitted with headset. The current system is selected to support a typical call centre with features including: Automatic Call Distribution (ACD) Keeps call records Reports call statistics

5 Information is recorded on two separate databases. The first database is filled by each counselor using an intranet web page back ended server. This database records specific information about each call counseling. All incoming call statistics (calls duration, call time, call status etc) are automatically recorded by the second database Man Callers ID are not recorded. The counselors obtain information from two sources: NB: Compiled electronic information from the intranet database and Hard copy reference.

6 Number of Calls for the Period of Sept 2013 to June 2014

7 Number of Calls By sex 12% 1% male Female Unspecified 87%

8 Number of Callers Number of Callers by HIV Test Results Unknown Positive Negative Discordant Series

9 Number of Calls by HIV Test Tested Not Tested

10 Number of Callers by Marital Status Number of Callers Series1 Complicated 1862 Separated 353 Married 8423 In relationship 2147 Single 47118

11 Number of Callers by Regions 14,000 12,000 10,000 Number of Calls 8,000 6,000 4,000 2, ,000

12 12,000 10,000 8,000 6,000 4,000 2,000 0 Number of Callers by Topics (Primary & Secondary Content Anal Sex Anti Retroviral Treatment (ART) Care And Support Client Of Sex Workers Correct/Consistent Use Of Condoms Counseling And Testing Cross Generational Sex Delay Sexual Debute Disclosure Discordant Result Gender Based Violence Refferal to Health Services HIV/AIDS Information Male Circumcision Medication Assisted Treatment Multiple Concurrent Partners Musterbation Mutual Fidelity Myth And Tradition Practice Oral Sex PMTCT Policy/Legal Issues Positive Prevention Rape Risk Behaviours Sex And Alcohol Sexual And Reproductive Health (SRH) Sexual Myths Sexually Transmitted Infections (STI) HIV Statistics Stigma And Discrimination Symptoms Transactional Sex HIV Transmission Treatment Tuberculosis (TB) Unwanted Pregnancies Others

13 SMS SYSTEM

14 SMS SYSTEM

15 Number of Text Messages sent on Different Topics HIV Info EMTCT CCS TB Drugs & HIV HTC GBV VMMC VMMC GBV HTC Drugs & HIV TB CCS EMTCT HIV Info No of SMS per Indidual No of Subscribers Number of SMS sent

16 Helpline and SMS Other Notable Success for the Period of 2013/2014 Worked with MoHSW (NACP) and Shinyanga Health Management Team to develop text messages to support HIV treatment in areas of ART, PMTCT, HBC and Clinical Service providers Developed text messages for GBV Awareness and norms (50 messages were developed) Helpline and SMS interventions were included in PMTCT Communication Strategy

17 SMS & Helpline plan for the Future With reference to Tanzania PMTCT Communication matrix TAYOA will use SMS and Helpline servicess to support emtct in the URT Increase use of Helpline and SMS to support HIV treatment services Number of young women and their male partners subscribed to free SMS services receiving messages that address young women s vulnerability to HIV Infection: 50,000 Number of people reached through Health Helpline services on promotion of healthy behaviors and reduce sexual risk behaviors as reinforcement and support service; 80,000

18 SMS & Helpline plan for the Future Develop SMS to encourage couples to test for HIV and AIDS regularly Use Helpline and SMS services for dissemination of information about general HTC services available as well as couple HTC Use SMS to support HIV treatment by improving uptake and adherence to ART and PMTCT and improve service provision by sending text messages to HBC and Clinical Service providers Use Helpline for Key population Number of men and women registered to receive SMS messages about gender/gbv SMS for Male Norms and Behaviors: Number of people reached by an individual, small group, or community level intervention or service that explicitly addresses norms about masculinity related to HIV/AIDS

19 SMS & Helpline plan for the Future TAYOA will Responding to PMTCT Communication Matrix by Developing Helpline and SMS contents responding to MoHSW objectives of: Increasing utilization of PMTCT/eMTCT services Increasing comprehensive knowledge and awareness among men and women of reproductive age leading to informeddecisionsonpmtctandemtct Increasing male involvement in RCH services Increasing health facility delivery Increasing ARV adherence among HIV infected pregnant women and breast feeding mothers Increasing early infant diagnosis and pediatric HIV testing

20 Helpline Outreach Activities

21 Helpline Outreach Activities Condom Distribution and Demonstration Outreach HTC Female Male Female Male 5,842 50,379 7,086 42,516

22 Helpline Outreach Activities General Population 70,000 60,000 59, ,000 40,000 30, ,000 10,000 0 Series1 Dar es Salaam Pwani Tanga National

23 Helpline Outreach Activities 35,000 Key Population 30,000 25,000 20,000 15,000 10,000 5,000 0 FSW Male IDU Female IDU MSM

24 DEBI Outreach Activities VMMC Reached more than 71,000 individuals Through POL & Cinema Van Increase of VMMC service uptake from 7% 37% In the first year.

25 DEBI Outreach Activities VMMC VMMS by Demand Creation Activities 55,675 35,997 10,766 SMS Outreach Self

26 DEBI Outreach Activities VMMC VMMC service by age 43,114 33,978 25,346 10<

27 DEBI Outreach Activities VMMC

28 Helpline HTC Activities Progress

29 Helpline HTC Activities Progress HIV TESTING BY SEX Male Female 31% 69%

30 Helpline HTC Activities Progress The HTC mobile services is targeting populations that have increased vulnerability to HIV due to a combination of behavioral, social, or environmental factors such as mobile populations (e.g. passengers, migrant workers, bus and truck drivers), clients of sex workers, and FSW. For the period of October 2013 to June 2014 TAYOA has managed to provide HIV testing and counseling a total of 12,291 (49.2%) clients (8,492 Male, 3,799 female) where tested and receive their test results. 387 (3.15%) tested positive

31 Helpline HTC Activities Progress NUMBER OF TESTS BY TYPE Age < 15 Couples Discodant GPY & KP TAYOA also has successfully managed to establish a good network with FSW and bar tenders for HTC services as they are most targeted group for HTC among KP example in June more emphasis was on testing KP in Kinondoni; Kawe, Mwananyamala, Mabibo and Hananasifu where we managed to test a total of 1,665 and 4.8% were tested positive

32 Helpline HTC Activities Progress TAYOA Mobile HCT positivity rate has increased from 2.15% APR FY 13 to 3.15% for the first three quarters of FY % 3.15% 3.00% 2.50% 2.15% 2.00% 1.50% 1.00% 0.50% 0.00% APR FY 13 FY 14

33 Shinyanga GBV Activities

34 Shinyanga GBV Activities

35 Shinyanga GBV Activities Bajaji to Support GBV one stop center activities in Shinyanga

36 Shinyanga GBV Activities Establishment of GBV OSC in Shinyanga Acquire office space Establish partnership MOU Start sending text messages Work plan Promotion material

37 Shinyanga GBV Activities - Plan Operate GBV OSC Provide service to survivors of GBV Develop a software that will allow continuity of care to GBV victims GBV/VAC awareness raising through outreach Facilitate referrals of GBV victims to appropriate services (Eg, CTC,PMTCT etc) Provide GBV victims with appropriate support when needed ( eg.transportation etc) Facilitate follow up of GBV victims/clients