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Overview of HIV/AIDS response in Wakiso District. By Dr Patrick Michael Oine DVO/DFP HIV/AIDS . District Back ground. one of the youngest districts, created in November 2000 Comprises 2 counties, 14 sub counties, 2 town councils and 1 Municipal council
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Overview of HIV/AIDS response in Wakiso District By Dr Patrick Michael Oine DVO/DFP HIV/AIDS
District Back ground • one of the youngest districts, created in November 2000 • Comprises 2 counties, 14 sub counties, 2 town councils and 1 Municipal council • Population, slightly above one million people distributed in a unique periurban- rural mix. • Found in the central region, surrounds the capital city of Kampala, shares borders with five district and lake Victoria. • Entebbe International Airport, the gateway to Uganda is found in Wakiso. • Agriculture, Civil service, private sector, commerce and industry offers occupation to the majority of the population.
HIV/AIDS situation and impactin the district • Actual prevalence rates not available, but estimated to be between 6-30% depending on location. • on average 500 AIDS cases pm (HMIS) • HIV/AIDS awareness very High above 80% (District Planning unit survey 2003, LQAS survey NOV 2003) • 16% of deaths reported are due to AIDS (District planning unit survey 2003) • 63% of children out of school and 41% of those in schools are orphans.(District Planning unit survey 2003)
District HIV/AIDS Response • The integrated multi-sectoral approach to HIV/AIDS prevention in Wakiso was launched with the support from UACP in August 2002. • District HIV/AIDS Focal Point & DHAC were established. • An integrated Workplan was submitted for funding of district HIV/AIDS Initiatives • CSOs, private sector and district sectors can access funds for HIV/AIDS Initiatives under the District HIV/AIDS Initiatives component • Communities can access fund for community Led HIV/AIDS initiatives through the CHAI component. Over 300 applications received under CHAI. • Implementation has been constrained by Cash Flow crisis experienced by UACP.
How task teams were formed • The district HIV/AIDS task teams were formed following guidelines issued by UAC in Collaboration with MoLG. • The teams are to provide a harmonised response to the epidemic at all levels in the district. • The District HIV/AIDS task forces provides the political focus to the response, while the HIV/AIDS committees would provide the technical support. • Only the district Committees are active, the lower committees are not active due to lack of resources.
District HIV/AIDS Co-ordination structure DISTRICT COUNCIL DAT DAC Sub county council SAT SAC Parish Council PAT Village Council VAT
Workplace policy subcommittee • No workplace subcommittee in place • subcommittee has been proposed and composition listed below composition ofProposed Workplace Policy subcommittee • DFP HIV/AIDS • District Director of Health Services • District Community Development Officer • District Labour Office • District Personnel Officer • Administrative Officer (ACAO) • District Education Officer
Proposed activities and priorities areas for workplace Policy sub team • Collect necessary background information on workplace policies. • Collect views from the different stakeholders, Staff at all levels (district, subcounty, town councils and Municipal council) and service providers • Agree on elements of the policy • draft the policy • consult widely on the policy • submit policy to council for approval • develop implementation plan and circulate policy among staff.
Proposal for getting feedback from staff on policy ACTIVITY (TIMELINE) • carry out sensitisation of staff on the need for a workplace policy on HIV/AIDS. (1st month) • Collect views for inclusion in the policy (2nd month) • agree with staff on the elements of the policy and draft the policy (by end of 2nd month) • Circulate the draft policy widely among staff(3rd Month) • collect views, reactions and comments on the draft policy (4th Month) • Finalise the draft and submit to council (5th month)
Obstacles that may be encountered • Finances to carry out the activities may not be readily available. • Decision makers may not consider this a priority. • The Duty schedules for the members of the team may not allow them to devote adequate time to the exercise. • Consultation of all categories of staff at all levels is practically impossible, some section of the staff may disown the policy saying they were not consulted. • The district may not be in position to implement the policy however good it may be due to resource constraints • council may refuse to approve the policy.
The end • THANK YOU FOR YOUR ATTENTION.