Download - Teddy Chimulwa - TASO, Uganda
![Page 1: Teddy Chimulwa - TASO, Uganda](https://reader033.vdocument.in/reader033/viewer/2022061120/546cb2beaf795985298b50db/html5/thumbnails/1.jpg)
Innovating for effective HIV Prevention Outcomes: The TASO Capacity building peer-to-peer model for Key
Populations supported by Civil Society Fund, 2011-2012
Presentation at the 2nd HIV Capacity Building Summit, Johannesburg, South Africa
March 19-21, 2013
Author: Teddy N. Chimulwa (Ms.)Team Leader, Psychosocial Services,
TASO Uganda Limited
![Page 2: Teddy Chimulwa - TASO, Uganda](https://reader033.vdocument.in/reader033/viewer/2022061120/546cb2beaf795985298b50db/html5/thumbnails/2.jpg)
Background and context• HIV prevalence in Uganda was estimated at 7.3%, an increase
from 6.4% in 2004 (UAIS, 2011).
• New infections were estimated to be on the increase, with about 134,000 people newly getting infected annually (MoH, 2010)
• “Know your Epidemic’, ‘Know your Response’ 2009, clearly articulates key populations as one of the key drivers of the HIV epidemic in Uganda
• TASO Mission:– To contribute to a process of preventing HIV infection, restoring hope
and improving the quality of life of persons, families and communities affected by HIV infection and disease.
![Page 3: Teddy Chimulwa - TASO, Uganda](https://reader033.vdocument.in/reader033/viewer/2022061120/546cb2beaf795985298b50db/html5/thumbnails/3.jpg)
Intervention • In 2011, TASO with support from the Civil Society Fund (CSF),
implemented HIV prevention interventions in 4 districts of Wakiso, Masaka, Mbale and Masindi for 18 months.
• Key population groups targeted were: – Commercial Sex Workers (CSWs), – Uniformed populations (Police and Armed Forces), – Fisher folk, – Truckers, – Incarcerated persons (IDPS) and – Out-of school youths.
• The peer-to-peer model for capacity building of key populations was adopted.
![Page 4: Teddy Chimulwa - TASO, Uganda](https://reader033.vdocument.in/reader033/viewer/2022061120/546cb2beaf795985298b50db/html5/thumbnails/4.jpg)
Methodology and strategiesConsultation with
district health office
Linkage to key population group
contacts
Sensitization of key population group
leadership
As gate-keepersTo obtain buy-in
Selection of participants to attend
Peer Educator’s training
Selection criteria jointly developed
Initial training conducted
3-days focusing on risk-reduction
strategies
Target setting for performance measurement
10 peers per Peer Educator per month
1-day Monthly mentorship and
performance review
Delivery of HIV Prevention service package to peers
BCC, RRC, Condom education &
distribution & Referral & Linkage to Care &
Treatment
End of Project Evaluation
![Page 5: Teddy Chimulwa - TASO, Uganda](https://reader033.vdocument.in/reader033/viewer/2022061120/546cb2beaf795985298b50db/html5/thumbnails/5.jpg)
Resources used• Meals, stationery and transport during training-
($6 per day per person)
• Monthly transport refund and lunch for mentorship and refresher meetings (approx. $4 per person per month)
• Only Uniformed personnel shared the costs of the training venue
![Page 6: Teddy Chimulwa - TASO, Uganda](https://reader033.vdocument.in/reader033/viewer/2022061120/546cb2beaf795985298b50db/html5/thumbnails/6.jpg)
Results (1)- 340 trained
Peer Educators trained by Category
CSWs
Fisher F
olk
Incarce
rated
Uniform
ed
109
29 33
169
Peer Educators trained by sex
Male; 137
Female; 203
![Page 7: Teddy Chimulwa - TASO, Uganda](https://reader033.vdocument.in/reader033/viewer/2022061120/546cb2beaf795985298b50db/html5/thumbnails/7.jpg)
Results (2) - The Cascade
340 Peer
educators
trained
296,980 pieces
of condoms were
distributed
3,353 (1620 males and 1733
females tested for HIV
4.6% positive
100% positive linked
to care-
87,010 (47,835 males and
39,175 females
) reached
with Risk
reduction
messages
HTC being conducted for the Armed forces
![Page 8: Teddy Chimulwa - TASO, Uganda](https://reader033.vdocument.in/reader033/viewer/2022061120/546cb2beaf795985298b50db/html5/thumbnails/8.jpg)
Results (3)
HIV Prevalence among Key Populations
HIV Results
CSWFisher Folk
Incarcerated
Population
Truckers
Uniformed men
& Partners
Youths out of school
TOTAL
Positive Col %
44.8
314.1
136.9
268.8
104.9
703.8
1544.6
Negative Col %
7995.2
72495.9
17693.1
27191.2
19495.1
175596.2
319995.4
TOTALCol %
83100.0
755100.0
189100.0
297100.0
204100.0
1825100.0
3353100.0
![Page 9: Teddy Chimulwa - TASO, Uganda](https://reader033.vdocument.in/reader033/viewer/2022061120/546cb2beaf795985298b50db/html5/thumbnails/9.jpg)
Results (4)• Each peer educator
reached 256 peers with key prevention messages
• HIV Prevention service package comprised ;– safer sex, – Sexual and Reproductive
Health (FP/STI), PMTCT, – HCT and – ABC– Condom education and
distribution
![Page 10: Teddy Chimulwa - TASO, Uganda](https://reader033.vdocument.in/reader033/viewer/2022061120/546cb2beaf795985298b50db/html5/thumbnails/10.jpg)
Challenges and counter strategies (1)
• Commercial sex work is not legal in Uganda– Initial efforts targeted their leaders, who then mobilized
their peers
• Engaging CSWs in training interrupted income generation – TASO provided a transport refund and lunch to each CSW
each time they were engaged for a full day
• Penetration of the uniformed personnel is bureaucratic– TASO engaged the leadership of the various uniformed
personnel categories to counter this
![Page 11: Teddy Chimulwa - TASO, Uganda](https://reader033.vdocument.in/reader033/viewer/2022061120/546cb2beaf795985298b50db/html5/thumbnails/11.jpg)
Challenges and counter strategies (2)
• Transfers amongst the uniformed– Training new Peer educators has been prioritized
in the new project
• Condom and HIV testing kits stock-outs– Better ordering and forecasting by implementing
sites adopted
![Page 12: Teddy Chimulwa - TASO, Uganda](https://reader033.vdocument.in/reader033/viewer/2022061120/546cb2beaf795985298b50db/html5/thumbnails/12.jpg)
Lessons learnt (1)
• Civil-Military partnerships
• Modular training - convenient; enhances better acquisition of knowledge and skills and eases Monitoring of progress
• Increased acceptability and uptake of HIV Prevention services
• Sustainability
• Strengthened referrals and linkage for SRH services and prevention technologies
![Page 13: Teddy Chimulwa - TASO, Uganda](https://reader033.vdocument.in/reader033/viewer/2022061120/546cb2beaf795985298b50db/html5/thumbnails/13.jpg)
Conclusion • Targeting key populations where majority of new
HIV infections are occurring increases uptake of HIV prevention services,
• Focus on the most affected Key population group (Truckers)
• Peer to Peer methods radically enhance acceptability of HIV prevention interventions
![Page 14: Teddy Chimulwa - TASO, Uganda](https://reader033.vdocument.in/reader033/viewer/2022061120/546cb2beaf795985298b50db/html5/thumbnails/14.jpg)
Acknowledgements • Co-Authors: Celestine, Madina, Hannington & Gorretti,
TASO Uganda Limited
• The Uganda AIDS Commission (UAC)
• Civil Society Fund (CSF)
• TASO Management, Staff, and Volunteers
• District Health Offices in the 4 districts
• Target Population groups in the implementing sites
![Page 15: Teddy Chimulwa - TASO, Uganda](https://reader033.vdocument.in/reader033/viewer/2022061120/546cb2beaf795985298b50db/html5/thumbnails/15.jpg)
15