HIV

Goal: A community free from HIV/AIDS and TB transmission and with all infected clients accessing treatment programs in a safe, confidential and friendly environment.

The HIV/TB team is led Dr. Byamukama Elias, a medical officer; together with 1 clinical officer, 3 nurses, 2 midwives, 4 counsellors,3 peer educators, 2 data clerks and 2 linkage facilitators

The team works closely with USAID Regional Health Integration to Enhance Services (USAID-RHITES) and Health workers at lower Health facilities to offer high quality services.

The department conducts regular drama shows, dialogue meetings with different stakeholders and radio talk shows to improve awareness and demand for the services we offer.

We offer HIV testing services (both at the facility and outreaches) with those testing positive enrolled in HIV care as per national guidelines and those testing negative given preventive interventions like safe male circumcision, condoms among others.We also offer screening and treatment for Tuberculosis, sexually Transmitted Infections, and other HIV related illnesses (opportunistic infections); currently, we have 42 TB clients in our care and are all on community based directly observed therapy. Our case detection rate is 141.7% (MoH Uganda recommends 90%, WHO recommends 71%) and our case notification rate 366.7% (WHO expects 70%, MoH expects 90%)

Currently, 1067 clients are enrolled in the HIV/AIDS program and all of them are on Highly Active Antiretroviral Therapy (HAART) currently on Antiretroviral drugs (ARVs), with 90.8% of them virally suppressed. Sixty-seven of these HIV positive clients under 15 years.

We also have a robust PMTCT program with 111 HIV positive mothers currently enrolled under care. We offer ARVS, viral load monitoring, monthly interactions with these mothers in family support groups to address client specific concern and challenges like Gender Based Violence, stigma etc., that might hamper their adherence to medications; as well as Niverapine syrup and monitoring of HIV exposed babies to prevent them from contacting the virus. Only 3% of babies born from the mothers in this program are tested HIV positive over the last year. WHO expects infant positivity to be less than 5%

Top Achievements

Tested 2848 people for HIV in the last financial year, of those 89 tested positive.

Enrolled 100% of the newly identified HIV positive clients on ART ( from 90% in July 2018)

Achieved 99% coverage in viral load monitoring, suppression at 90.8%

100 % of HIV-positive mothers registered in our clinic delivered from health facilities.

Only 3 % of the babies born under PMTCT program tested positive for HIV. (would be about 30% without our interventions)

Conducted 39 Voluntary medical male circumcision camps and circumcised 1157 males

Started family support group meetings at Kayonza and Mpungu sub-counties.

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