the work of mildmay international. worldwide prevalence 33.4 million people are living with hiv...
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The work of Mildmay International
Worldwide prevalence
33.4 million people are living with HIV worldwide
2.1 million are children under 15
There were 2.7 million new cases of HIV in 2008
2 million people died from HIV and AIDS in 2008
Since its initial recognition AIDS is believed to have killed 25 million people
The number of children living with HIV has been steadily increasing:
1990: 250,000 children 2000: 1,450,000 children 2007: 2,100,000 children
Every 15 seconds a child is infected with HIV
Treatment
About 34 million people are now living with HIV, of whom more than 30 million live in low- and middle-income countries.
WHO estimates that at least 9.7 million of these people are in need of ART.
As of the end of 2008, 4 million people had access to ART in low- and middle-income countries.
Role of FBOs
Faith Based Organisations provide 40% of care and treatment for people living with HIV+AIDS globally, and in sub Saharan Africa up to 70% of care is being given by Christians.
FBOs only receive between 5-7% of global funding.
Major International Players
International shift in policy
Change in USA funding policies impact health care around the world
Shift to utilize HIV+AIDS funds in a way that builds the capacity of the entire health care system of countries
"Even the best health services in the world cannot tackle AIDS alone. "AIDS funding can and does bolster health systems more widely-providing wins
for both AIDS and health in general.“
World Health Organization (WHO)
HIV in the UK
Diagnosed HIV-infected individuals accessing care by place of residence, UK
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Annual survey of HIV-infected persons accessing care : HPA data
The work of Mildmay International
Who we are
Mildmay is a not-for-profit international NGO (registered in Kenya, Tanzania, Uganda, Rwanda and Zimbabwe) and a UK-based charity with a non-denominational Christian foundation.
Where we work
Where we are currently working: UK, Uganda, Kenya, Tanzania, Rwanda, Zimbabwe, Ukraine, Russia, Moldova, Romania
Where we have worked before: South Africa, Botswana, Gambia, Malawi, Nigeria, Sudan, Zambia, India, Hong Kong, Japan, Belarus, Poland. Argentina, Brazil, Ecuador.
Our vision
A world in which everyone with HIV+AIDS can have life in all its
fullness
Our mission
Our mission is to improve the quality of life of those who live with HIV+AIDS through building in-country capacity to fight HIV+AIDS.
We do this through the creation and delivery of:– Comprehensive model holistic care services for adults and children, their
families and communities– specialist training and technical assistance to health workers and
institutions, thus empowering others to improve standards of care in their communities
History
1860’s –Christians responding to cholera outbreak, deaconesses going into slums, then starting the hospital
1940’s amalgamated into the National Health Service 1980s –NHS closed smaller district hospitals
1988 Christian trustees lobbied to re-open, responded to the then untouchables, people with AIDS – first hospice in UK, pioneering work
Visited by Princess Diana in 1991 Family AIDS care centre opened in 1993 – named Spencer
House. Mildmay Hospital based in Spencer House from Nov 2008
History
History – Our work expands to Africa
1998 - The Minister of Health of Uganda visited Mildmay and requested us to open a hospital and care centre in Kampala.
From there our work expanded to Kenya, Tanzania, Rwanda and Zimbabwe as well as other parts of the world.
We provide training in many parts of Eastern Europe, including Ukraine, Russia, Romania and Moldova
Our holistic philosophy
We have developed a patient-centred interdisciplinary approach to care for adults and children living with HIV+AIDS
Physical, emotional, spiritual, dietary, cultural, community & social needs
Well Being - holistic approaches Engagement to maximise independence Connecting to networks & circle of support
Our areas of expertise
HIV+AIDS palliative care and rehabilitation (including HIV-related Neuro Cognitive Impairment
Mildmay pioneered HIV+AIDS palliative care back in 1988 opening Europe’s first AIDS hospice Today, Mildmay provides one of the world’s only specialist rehabilitation unit for those with HNCI,
HIV-related neuro cognitive impairment, providing adult residential and therapeutic day care models
Mildmay’s centre in Kampala was Africa’s first dedicated HIV+AIDS care and training facility which has expanded to include capacity building within rural clinics
Mildmay now provides rehabilitation and palliative care training throughout sub-Saharan Africa and Eastern Europe
Our areas of expertise
Home-based care development Home-based care bridges the gap between mainstream health and community settings, providing primary
nursing and multidisciplinary care Mildmay has worked with the Ministries of Health in such countries as Kenya and Tanzania to create a
model that is Ministry of Health lead but community driven Linked to ART, it operates a unique two-way referral and follow up of patients Mildmay also provides home-based care kits, a new patient-held record system and a ‘quality of life
assessment, supported by robust monitoring and evaluation systems The model’s success relies upon a sustained programme of certificated training, enabling health
personnel to not only be competent in HIV care and management but also able to train others
Our areas of expertise
Strengthening Health Care Systems
The relevance of our strategies and their cultural appropriateness is ensured through a range of in-country and external partnerships. These include Ministries of Health and academic institutions
We aim to integrate our initiatives into national/regional/local policy, thereby strengthening systems
Our areas of expertise
ART scale-up Mildmay has extensive expertise in ART care and training for both adults and children – including dosage,
adherence management and changing regimes We deliver ART as part of our centre-based holistic care in the UK and in Uganda Mildmay also provides specialist courses on ART as part of it’s relationship with the Kenya Medical
Training college In Uganda work continues to enable community clinics to offer ART as a part of their treatment processes
Our areas of expertise
Training and Education Mildmay has over 15 years’ experience of HIV+AIDS training on the international stage After four years’ success running an 18-month Diploma, Mildmay expanded it’s reach to include a three-
year BSc Hons Degree in ‘A Health Systems Approach to HIV+AIDS care and management’. This is available in Uganda, Tanzania, and Kenya and is accredited by the University of Manchester
Mildmay also offers an impressive portfolio of programmes that espouse evidence-based practice and can cover all aspects of prevention, care and management
Courses can be centre-based at Mildmay facilities or delivered through our mobile training team We offer proven expertise in programme design and implementation, along with national curriculum
development
Our areas of expertise
Specialised paediatric work Mildmay has built an unrivalled reputation for the quality and breadth of our paediatric HIV+AIDS services From specialist outpatient clinics and in-patient care to innovative programmes providing urban and rural
day care and emergency medical clinics. Our model includes health monitoring, medical assessment and care, counselling and spiritual support,
peer support, nutritional support, schooling and recreational play, skills and vocational training and apprenticeships as well as practical support such as emergency food supplies, clothing, bedding, school materials etc.
Our areas of expertise
Capacity-building partnerships Mildmay’s approach to capacity building extends from the national to the community level Mildmay works with UK and international government agencies to develop policy for the provision of care
for people living with HIV Mildmay has established partnerships with other charities across the world to minimise the duplication of
effort, to share our expertise and develop the scope of our respective works Forming in-country partnerships with local health care providers and involving ourselves at a community
level allows Mildmay to empower and enable communities to care for themselves, to facilitate independence and long term sustainability
Our role as a FBO
Christians have the mandate but not the monopoly to care Mildmay is enabling a Christian response to the HIV+AIDS
pandemic
We partner with other FBOs
The church and HIV
Donors are increasingly interested in HIV+AIDS work carried out by local churches and Christian grassroots organisations. There are a number of reasons for this:
Local churches are close to the community.
In many places local churches have a prominent position within the community. The church is often well-respected.
Serving marginalised people fits in well with the Christian faith.
Some churches have experience of social action within their communities.
Some churches are already effectively addressing HIV+AIDS in their communities.
The church and HIV
We don’t do sex We don’t do gay We don’t do contraception
Challenges for us all
Prevention. We cannot treat our way out of this pandemic
Infrastructure required to engage with global donors
Political required from all countries
Ways to get involved
Be informed (UK AIDS consortium) Lobby STOP AIDS campaign (http://www.stopaidscampaign.org.uk) Volunteer here (www.mildmay.org) Pray