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RAPID RESULT INITIATIVE Western Area -Sierra Leone

RAPID RESULT INITIATIVE Western Area -Sierra Leone. VOLUNTARY CONFIDENTIAL COUNSELLING & TESTING Presented by: Dr. Amara Jambai MD MSc DLSHTM. Situation before the inception of RRI:. Three Hospital-based VCCT centres existed. Few people used these centre s .

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RAPID RESULT INITIATIVE Western Area -Sierra Leone

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  1. RAPID RESULT INITIATIVEWestern Area -Sierra Leone VOLUNTARY CONFIDENTIAL COUNSELLING & TESTING Presented by: Dr. Amara Jambai MD MSc DLSHTM

  2. Situation before the inception of RRI: • Three Hospital-based VCCT centres existed. • Few people used these centres. • An average of 60 clients per month utilised hospital-based VCCT services

  3. RRI SPECIFIC GOAL: Establish 25 VCCT service sites atcommunity level to attend to minimum 40 clients per month per site within 100 days.

  4. Community Based Strategy • The focus was directed at a community- based mobilization drive. • 25 Health Facilities wereselected from among Government, Private and NGOs. • 50 Health Workers were chosen and trained • The Health Workers also trained10 Community Health Promoters at each health facility.

  5. The use of Community Members • The Community Health Promoters mobilized clients for VCCT services on fixed days arranged at different locations. • Based on this schedule, counsellors served five communities on a daily basis.

  6. Community based approach

  7. Other community related activities • Community meetings: traditional leaders, youths, TBAs, Volunteers and Women’s groups • Formation of post-test clubs • Provision of promotional materials • Street to street mobilization drive

  8. VCCT STEPS • Group Counseling • Individual counseling • Testing – Rapid Test Kits (Abbot Determine, Unigold and confirmation with SD Bioline further confirmation in the lab using ELISA) • Post-test counseling

  9. THE RRI RESULTS

  10. RESULTS

  11. Lessons Learnt (Positive) • VCCT shifting from hospital- based to Community-based is a major boost for HIV/AIDS activities. • Utilization of the services of Community Health Promoters has made marked improvement in VCCT services. • Use of rapid test kits encourages high turnout. • Community participation is a prerequisite in achieving results. • The RRI Approach cuts across bureaucracy at all levels.

  12. Lessons Learnt (Negative) • Insufficient test kit is a de-motivating factor for clients and service providers. Acceptance of off site bleeding of clients is minimal and yields low participation.

  13. RRI’s Main Insights • People are now willing to know their HIV status more than ever before • The prevalence of the disease in the community is better appreciated.

  14. Scale up plans • VCCT should be added into Primary Health Care’s routine activities • In-charges of health units should be given a comprehensive training on VCCT • Rapid test kits be made available at health units with trained counsellors as In-charges • Community Health Promoters (CHPs) should be encouraged to continue with community sensitization drive.

  15. Situation at the end of RRI • Request continue to be made for VCCT services at health facilities. • Attendance at Hospital based VCCT sites stands at approximately 295 clients per month per site.

  16. RECOMMENDATION • VCCT community approach should be integrated into routine health care activities. • Adequate support for PLWHAs should be put in place. • Rapid Test kits be made available to meet demands.

  17. Thank you

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