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Uganda Picture

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Uganda Picture

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  1. Gunning Down New Infections and Scaling up HIV Prevention, A case study of The Uganda Uniformed Forces in collaboration with TASO Uganda.Presentation at the : SecondHIV Capacity Building Partner’s Summit ,Birchwood Hotel and Conference Centre, Johannesburg SouthAfrica, 19th-21st March 2013Presenting Author: Goretti Nakabugo,Co Authors: Maria Lukubo, Odoi Charles

  2. Uganda Picture • Population 32 million (UBOS 2010) • HIV Prevalence 7.3% (Uganda AIS, 2011) • 2010 New infections 130,000 (UAIS,2011) • Highest among Most at Risk Populations/Key Populations; CSW, Fishing communities and Mobile populations (Uniformed forces) • Mainly because of risk-taking lifestyles; 89% of new infections occur due to multiple concurrent partnerships

  3. National HIV Prevention Strategy 2011-2015 Focus areas include; • Reinvigoration of HIV Prevention in the country • increase adoption of safer sexual behaviors and reduce risk taking behaviors. • Increase the coverage and effectiveness of HIV prevention interventions to the known sources of new HIV infections • Target population groups that are most at risk

  4. TASO Background • Begun 1987 • Mission: Preventing HIV infection, restoring hope and improving the quality of life of PLHIV, families and communities affected by HIV infection and disease • Has 11 centers.

  5. TASO’s Core Activities • Comprehensive HIV Prevention Services • HIV Counseling, Care and Support Services • HIV and AIDS Treatment • Training and Capacity Development • Advocacy and Networking

  6. HIV Prevention Program among Uniformed • Civil Society Fund (CSF) supported TASO to conduct HIV Prevention interventions in 4 districts in Uganda • Started Sept 2011- 2012 • Focused on 3 uniformed categories; Army, Police, Prisons and their spouses • Globally Uniformed services, face a serious risk of HIV and other sexually transmitted infections (STIs)

  7. Risk factors for Uniformed forces • People in armed forces are often subject to deployments away from home • They are also often paid their salaries when away from home • Have liquid cash in pocket, it is easy to be tempted to alcohol and casual sex. • Risk of death at the battlefront instigates fatalistic attitudes among soldiers therefore HIV Prevention is not a priority

  8. Key interventions/Approaches used • Meetings with heads of uniformed institutions • Selection of peers to cater for all category of cadre, units in uniformed institutions • 3 day initial training conducted • Monthly follow up sessions • Certification after 6 months • End of project evaluation • Continue to serve as Peer counselors for HIV Prevention.

  9. Interactive training methodologies . . Spin the Beer bottle game to address alcohol • Value clarification • Self risk assessment • Condom game • Body mapping exercise • Story telling • Stage Behavior change model Note :Respect ranks however ensure all participate

  10. Results • 153 Uniformed services trained • 7383 Uniformed Peers and spousesreached with HIV Prevention messages • Condom use and safe male circumcision have been adopted as the main HIV prevention strategies for this target group. • Condom distribution points were established to ensure there are no stock outs • HIV+ Peers are referred for care

  11. Participant demonstrating use of female condom

  12. Lessons Learnt • Comprehensive HIV prevention services at the workplace are necessary for this group • Increased uptake of HCT and SMC • Condom use is a major HIV prevention strategy • Intervention cost effective, training venue was provided by Army • TASO built new partnership with high-risk communities and enrolled them into care • Uniformed personnel are key change agents in their communities

  13. Special Thanks to: • Uniformed men and Women • TASO • Civil Society Fund (CSF) • RATN for scholarship • Summit Organizers • Co-authors Acknowlegement

  14. Contact Author on : Goretti Nakabugo TASO Training centre Email: nakabugog@tasouganda.org gorenaks@yahoo.com

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