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Facility Community Linkages

Facility Community Linkages. SIMON/HANNINGTONE January 2013. Outline. Project goal & objectives Scope of the project Overall objective for the quarter Follow-ups ART, Pre-ART, TB, TB 12 month cohort, PMTCT EID (Not enrolled, Not received PCR results, Not initiated on ART)

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Facility Community Linkages

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  1. Facility Community Linkages SIMON/HANNINGTONE January 2013

  2. Outline • Project goal & objectives • Scope of the project • Overall objective for the quarter • Follow-ups • ART, Pre-ART, TB, TB 12 month cohort, PMTCT • EID (Not enrolled, Not received PCR results, Not initiated on ART) • HIV positives linked, but did not enroll

  3. Project goal • The goal of Strengthening Uganda’s Systems for Treating AIDS Nationally (SUSTAIN) is to provide quality HIV/AIDS care and treatment and laboratory services at regional and general hospitals in Uganda and build the capacity of the public sector to provide care and treatment

  4. Project objectives • Ensure the provision of HIV/AIDS care and treatment, laboratory, PMTCT, and TB/HIV services within public regional referral hospitals and district hospitals • Enhance quality of HIV/AIDS care and treatment, laboratory, PMTCT, and TB/HIV services within public regional referral hospitals and district hospitals • Increase stewardship by the MoH to provide sustainable quality HIV/AIDS care and treatment, laboratory, PMTCT, and TB/HIV services within the public health system

  5. Hospitals covered • Kawolo • Mbale • Jinja • Soroti • Lira • Hoima • Mubende • Fort Portal 9. Kabale 10. Gombe 11. Moyo 12. Nebbi 13. Gulu 14. Kaabong 15. Entebbe 16. Moroto

  6. Follow up results for all clients who missed their clinic appointments [HIV positives (>2yrs), ART, pre-ART, TB, PMTCT mothers & infants]

  7. Follow up results for all clients who missed their clinic appointments [HIV positives (>2yrs), ART, pre-ART, TB, PMTCT mothers & infants]

  8. ART cascade

  9. Other HIV prevention and support activities • Strengthening the continuum of care for PLHAs through facility based peer support group activities • Improving Facility & Community Linkages • Provision of Facility Based Health Education • Supporting Ministry of Health to revise the Hospital Community Health Department Guidelines

  10. People living HIV/AIDs participating in facility-based peer support group activities

  11. Peer support group discussion on infant feeding options among HIV positive lactating mothers at Jinja Regional Referral Hospital

  12. Strengthening linkages for clients along the continuum of care • Mentorships • HQ to facilities (quarterly) • CLC to entry points (at least monthly) • Monthly performance assessments • Monthly facility based meetings on linkages to care

  13. Proportion of HIV positives linked to care over five quarters

  14. Provision of Facility Based Health Education

  15. Revision of the Hospital Community Health Department Guidelines • 1st Stakeholder meeting – June 2011 • 2nd Stakeholders meeting – June 2012 • 1st Consultative meeting – July 2012 • 3 CHD guideline drafting meetings - Oct 2012 to date

  16. CHD Guideline Drafting Meeting

  17. Priorities for year III • To strengthening linkages for clients along the continuum of care • Tracking clients who do not returned for follow-up care • To promote improved psychosocial wellbeing of targeted clients through facilitation of peer support groups

  18. Up coming activities • Mobilization of clients for HTC and VMMC • Follow ups • Multi-Drug resistant TB patients • Circumcised clients • Initiation of therapeutic groups (group counseling)

  19. Challenges • Decentralization of follow ups to respective units leading to documentation gaps • No funding for physical follow ups

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