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
Mentors Host Mentor- Dr. Stella Alamo Talisuna Academic Mentor-Dr. Frank Kaharuza Other mentors (ROM&SPH)
About the host institution-rom Faith based Holistic care Started in 2001 with 14 clients Today cares for > 5,457 clients, 78% on ART
Socio-economic support
Satellite clinics(4)-kinawataka
The mobile outreach clinics- my placement
TOR- lead person Expansion of HIV/AIDS services offered by ROM with special focus on key populations
Needs assessment Number of key populations Existing service providers Possibilities for partnership Proximity
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
Creating linkages KCCC KCCA Other health facilities
Approval processes Different Levels BOD Meeting SMT Presentation BOD Discussion and negotiation Approval Church Actual implementation
New functional outreach sites Our Lady Consolata and St. Jude Naguru Outreach sites St. Mbaaga Tuzinde Outreach Site
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 16 814 47 8 540 19 4 320 12 Total 28 1,674 78
Supporting outreaches in the new sites Assessing client flow Quality of records
Skills building for sex workers Needs assessment Trained research assistants Identified training institutions Data analysis Report writing including budgeting Dissemination Training approval Implementation
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
Staff capacity building Training in M&E Mentorship
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)
Resource mobilization Proposal Writing French embassy proposal Review with the M&E Team Stephen Lewis Foundation proposal
Documenting project successes Media involvement Partnered with WBS to air ROM activities News paper article
Conference presentations Palliative care conference International conference on HIV&AIDS,STDs and STIs
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
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
Supporting M& E Activities ROM Evaluation Monitoring activities in Kasaala
Data capture tools designed
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
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
Thank you for listening to me