Enhancing HIV service delivery for key populations at Reach Out Mbuya

Transcription

1 Enhancing HIV service delivery for key populations at Reach Out Mbuya Ms Sharon Nakanwagi MakSPH CDC Fellow Year 1 Dissemination workshop Golf Course Hotel, Kampala 11/02/2014

2 Mentors Host Mentor- Dr. Stella Alamo Talisuna Academic Mentor-Dr. Frank Kaharuza Other mentors (ROM&SPH)

3 About the host institution-rom Faith based Holistic care Started in 2001 with 14 clients Today cares for > 5,457 clients, 78% on ART

4 Socio-economic support

5 Satellite clinics(4)-kinawataka

6 The mobile outreach clinics- my placement

7 TOR- lead person Expansion of HIV/AIDS services offered by ROM with special focus on key populations

8 Needs assessment Number of key populations Existing service providers Possibilities for partnership Proximity

9 Creating partnerships Opinion leaders Local leaders Church leaders Community volunteers Red cross 6 meetings in total with an average attendance 10 members /meeting Mapping Mobilization

10 Creating linkages KCCC KCCA Other health facilities

11 Approval processes Different Levels BOD Meeting SMT Presentation BOD Discussion and negotiation Approval Church Actual implementation

12 New functional outreach sites Our Lady Consolata and St. Jude Naguru Outreach sites St. Mbaaga Tuzinde Outreach Site

13 Clients per Outreach Site Outreach Site Outreaches Accessed HCT Active Clients by End of January 2014 Our Lady of Consolanta- Bweyogere Parish St. Mbaaga Tuzinde Catholic Church St. Jude Catholic Church Total 28 1,674 78

14 Supporting outreaches in the new sites Assessing client flow Quality of records

15 Skills building for sex workers Needs assessment Trained research assistants Identified training institutions Data analysis Report writing including budgeting Dissemination Training approval Implementation

16 Training of peer educators Interaction with the sex workers Meetings with staff and VHTs Assessing selected members Reviewing the model Reviewing training materials Consultations(MARPI) Activity approval

17 Staff capacity building Training in M&E Mentorship

18 Abstract writing 5 staff supported to present abstracts at various conferences -2 MOV -1 counseling -1 community -1 Lab I had no one to push me into writing. Abstracts were pinned at the notice board without so much driving force. But now, I have been encouraged and assisted to write and present at national and International conferences. With this experience I will always be at the top, not even the sky is the limit. Picho Pauline(Mobile van supervisor)

19 Resource mobilization Proposal Writing French embassy proposal Review with the M&E Team Stephen Lewis Foundation proposal

20 Documenting project successes Media involvement Partnered with WBS to air ROM activities News paper article

21 Conference presentations Palliative care conference International conference on HIV&AIDS,STDs and STIs

22 Manuscript writing Achieving zero mother to child HIV transmission through community based approaches in an urban ART programme in Uganda Reviewed PMTCT data Supervised data entry Initial Literature review

23 Other activities-participated Staff interviews-2 Staff audit-1 Staff retreats-2 Budget reviews-4 Data quality assessment-1 SMT meetings- Chaired-(4) CDC meetings(key populations)-4 PMTCT technical working group

24 Supporting M& E Activities ROM Evaluation Monitoring activities in Kasaala

25 Data capture tools designed

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29 Moving forward-programmatic activity Factors influencing Linkage and retention in HIV care among sex workers receiving HIV/AIDS services at Reach Out Mbuya HIV/AIDS Initiative

30 Acknowledgement Reach Out Mbuya staff and clients Makerere University School of Public Health Centers for Disease Control and Prevention, Uganda Fellow Fellows God and my family

31 Thank you for listening to me