Download - Goretti Nakabugo - TASO, Uganda
The AIDS Support Organization, TASO (U) LTD
THE AIDS SUPPORT ORGANIZATION (TASO),Email: [email protected]. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1,
Fax +256 414 541288
Gunning Down New Infections and Scaling up HIV Prevention, A case study of The Uganda
Uniformed Forces in collaboration with TASO Uganda.
Presentation at the : Second HIV Capacity Building Partner’s Summit ,Birchwood Hotel and
Conference Centre, Johannesburg SouthAfrica, 19th-21st March 2013Presenting Author: Goretti Nakabugo,
Co Authors: Maria Lukubo, Odoi Charles
The AIDS Support Organization, TASO (U) LTD
THE AIDS SUPPORT ORGANIZATION (TASO),Email: [email protected]. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1,
Fax +256 414 541288
Uganda Picture Population 32 million (UBOS 2010)
HIV Prevalence 7.3% (Uganda AIS, 2011)
2010 New infections 130,000 (UAIS,2011)
Highest among Most at Risk Populations/Key
Populations; CSW, Fishing communities and Mobile
populations (Uniformed forces)
Mainly because of risk-taking lifestyles; 89% of new infections
occur due to multiple concurrent partnerships
The AIDS Support Organization, TASO (U) LTD
THE AIDS SUPPORT ORGANIZATION (TASO),Email: [email protected]. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1,
Fax +256 414 541288
The AIDS Support Organization, TASO (U) LTD
THE AIDS SUPPORT ORGANIZATION (TASO),Email: [email protected]. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1,
Fax +256 414 541288
National HIV Prevention Strategy 2011-2015
Focus areas include; Reinvigoration of HIV Prevention in the country increase adoption of safer sexual behaviors
and reduce risk taking behaviors. Increase the coverage and effectiveness of HIV
prevention interventions to the known sources of new HIV infections
Target population groups that are most at risk
The AIDS Support Organization, TASO (U) LTD
THE AIDS SUPPORT ORGANIZATION (TASO),Email: [email protected]. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1,
Fax +256 414 541288
TASO Background Begun 1987 Mission: Preventing
HIV infection, restoring hope and improving the quality of life of PLHIV, families and communities affected by HIV infection and disease
Has 11 centers.
The AIDS Support Organization, TASO (U) LTD
THE AIDS SUPPORT ORGANIZATION (TASO),Email: [email protected]. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1,
Fax +256 414 541288
TASO’s Core Activities
Comprehensive HIV Prevention Services
HIV Counseling, Care and Support Services
HIV and AIDS Treatment
Training and Capacity Development
Advocacy and Networking
The AIDS Support Organization, TASO (U) LTD
THE AIDS SUPPORT ORGANIZATION (TASO),Email: [email protected]. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1,
Fax +256 414 541288
HIV Prevention Program among Uniformed
Civil Society Fund (CSF) supported TASO to conduct HIV Prevention interventions in 4 districts in Uganda
Started Sept 2011- 2012 Focused on 3 uniformed categories; Army,
Police, Prisons and their spouses Globally Uniformed services, face a serious
risk of HIV and other sexually transmitted infections (STIs)
The AIDS Support Organization, TASO (U) LTD
THE AIDS SUPPORT ORGANIZATION (TASO),Email: [email protected]. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1,
Fax +256 414 541288
Risk factors for Uniformed forces People in armed forces are often subject to
deployments away from home They are also often paid their salaries when
away from home Have liquid cash in pocket, it is easy to be
tempted to alcohol and casual sex. Risk of death at the battlefront instigates
fatalistic attitudes among soldiers therefore HIV Prevention is not a priority
The AIDS Support Organization, TASO (U) LTD
THE AIDS SUPPORT ORGANIZATION (TASO),Email: [email protected]. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1,
Fax +256 414 541288
Key interventions/Approaches used
Meetings with heads of uniformed institutions Selection of peers to cater for all category of cadre,
units in uniformed institutions 3 day initial training conducted Monthly follow up sessions Certification after 6 months End of project evaluation Continue to serve as Peer counselors for HIV
Prevention.
The AIDS Support Organization, TASO (U) LTD
THE AIDS SUPPORT ORGANIZATION (TASO),Email: [email protected]. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1,
Fax +256 414 541288
Interactive training methodologies
.
Value clarification Self risk assessment Condom game Body mapping exercise Story telling Stage Behavior change
model
Note :Respect ranks however ensure all participate
.
Spin the Beer bottle game to address alcohol
The AIDS Support Organization, TASO (U) LTD
THE AIDS SUPPORT ORGANIZATION (TASO),Email: [email protected]. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1,
Fax +256 414 541288
Results
153 Uniformed services trained
7383 Uniformed Peers and spouses reached with HIV
Prevention messages
Condom use and safe male circumcision have been adopted
as the main HIV prevention strategies for this target group.
Condom distribution points were established to ensure there
are no stock outs
HIV+ Peers are referred for care
The AIDS Support Organization, TASO (U) LTD
THE AIDS SUPPORT ORGANIZATION (TASO),Email: [email protected]. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1,
Fax +256 414 541288
Participant demonstrating use of female condom
The AIDS Support Organization, TASO (U) LTD
THE AIDS SUPPORT ORGANIZATION (TASO),Email: [email protected]. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1,
Fax +256 414 541288
Lessons Learnt Comprehensive HIV prevention services at
the workplace are necessary for this group Increased uptake of HCT and SMC Condom use is a major HIV prevention
strategy Intervention cost effective, training venue
was provided by Army TASO built new partnership with high-risk
communities and enrolled them into care Uniformed personnel are key change agents in their
communities
The AIDS Support Organization, TASO (U) LTD
THE AIDS SUPPORT ORGANIZATION (TASO),Email: [email protected]. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1,
Fax +256 414 541288
AcknowlegementSpecial Thanks to:
•Uniformed men and Women
•TASO
•Civil Society Fund (CSF)
•RATN for scholarship
•Summit Organizers
•Co-authors
The AIDS Support Organization, TASO (U) LTD
THE AIDS SUPPORT ORGANIZATION (TASO),Email: [email protected]. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1,
Fax +256 414 541288
Contact Author on :
Goretti Nakabugo
TASO Training centre
Email: [email protected]