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Distribution Mechanisms in HIV/AIDS programming – Uganda’s experiences

Distribution Mechanisms in HIV/AIDS programming – Uganda’s experiences. Food & Nutrition Technical Assistance (FANTA) and Regional Center for Quality of Health Care (RCQHC) HIV/AIDS and Food Aid: Assessments for Regional Programs and Resource Integration Entebbe, Uganda 2-5 November 2004

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Distribution Mechanisms in HIV/AIDS programming – Uganda’s experiences

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  1. Distribution Mechanisms in HIV/AIDS programming – Uganda’s experiences Food & Nutrition Technical Assistance (FANTA) and Regional Center for Quality of Health Care (RCQHC) HIV/AIDS and Food Aid: Assessments for Regional Programs and Resource Integration Entebbe, Uganda 2-5 November 2004 Presentation by WFP Uganda

  2. Distribution Mechanisms: WFP HIV/AIDS related Activities • PHA through: Home-based care, Mothers in PMTCT, PMTCT plus, ARV treatment and families • TB patients (In and out of hospital and families) • Orphans an Vulnerable Children (OVC) mainly in skills training institutions

  3. Distribution Mechanisms (cont) Issues related to distribution in HIV/AIDS related activities • Beneficiary sensitization and information dissemination • Issuance of ration card (different color) for following month (no observed negative impact) e.g by AVSI. • Re-bag commodities into family size food basket

  4. Distribution Mechanisms (cont) • Location of FDP: • Health Units for PMTCT and ART beneficiaries • Community Based Centers or Faith-Based organisations for PHA • Institutions for OVC

  5. Beneficiary Verification

  6. Distribution Mechanisms (cont) M & E Issues: • NGOs Food Monitors undertake regular food distribution & post distribution monitoring activities (quality, acceptability, intra HH dynamics, perceived nutritional value, stigma associated outcomes etc.) • Visit beneficiaries, including those who missed food or did not send a representative for regular counseling • Health Unit Nurses undertake the required weight measurements for the PMTCT and ART patients in the case studies

  7. Distribution Mechanisms (cont) • Challenges: • Most NGOs/CBO involved in HIV/AIDS activities have no experience in handling food, • Re-bagging of food into quantities of average family size (6) for easy distribution compromise some HH • Weak beneficiaries, spread over a large area • Poor infrastructure limits access to some FDP • Increased operational cost beyond the standard WFP cost per ton

  8. Distribution Mechanisms (cont) • Transport organized by beneficiaries

  9. Distribution Mechanisms, Way-forward • Reconsideration of budget ceilings of logistical and operational costs (re-bagging, staff, improved access) • Synergies from existing partners with comparative advantage in logistics through improved communication • Integration of services to minimize operational and logistic costs (Food, Income generating activities, other services) • Additional family size groupings to improve equity

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