goretti nakabugo - taso, uganda

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Gunning down the new infections and scaling up HIV Prevention; a case study of the Uganda Uniformed forces in collaboration with TASO Uganda

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  • 1. The AIDS Support Organization, TASO (U) LTDGunning Down New Infections and Scaling upHIV Prevention, A case study of The UgandaUniformed Forces in collaboration with TASO Uganda.Presentation at the : Second HIV Capacity Building Partners Summit ,Birchwood Hotel andConference Centre, Johannesburg SouthAfrica, 19 th-21st March 2013Presenting Author: Goretti Nakabugo, Co Authors: Maria Lukubo, Odoi CharlesTHE AIDS SUPPORT ORGANIZATION (TASO),Email: [email protected] Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288

2. The AIDS Support Organization, TASO (U) LTDUganda Picture Population 32 million (UBOS 2010) HIV Prevalence7.3% (Uganda AIS, 2011) 2010 New infections130,000 (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 partnershipsTHE AIDS SUPPORT ORGANIZATION (TASO),Email: [email protected] Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288 3. The AIDS Support Organization, TASO (U) LTDTHE AIDS SUPPORT ORGANIZATION (TASO),Email: [email protected] Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288 4. The AIDS Support Organization, TASO (U) LTD National HIV Prevention Strategy 2011-2015 Focus areas include; Reinvigoration of HIV Prevention in the country increase adoption of safer sexual behaviorsand reduce risk taking behaviors. Increase the coverage and effectiveness of HIVprevention interventions to the known sources ofnew HIV infections Target population groups that are most at riskTHE AIDS SUPPORT ORGANIZATION (TASO),Email: [email protected] Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288 5. The AIDS Support Organization, TASO (U) LTDTASO Background Begun 1987 Mission: PreventingHIV infection,restoring hope andimproving the qualityof life of PLHIV,families andcommunities affectedby HIV infection anddisease Has 11 centers.THE AIDS SUPPORT ORGANIZATION (TASO),Email: [email protected] Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288 6. The AIDS Support Organization, TASO (U) LTD TASOs Core Activities Comprehensive HIV Prevention Services HIV Counseling, Care and Support Services HIV and AIDS Treatment Training and Capacity Development Advocacy and NetworkingTHE AIDS SUPPORT ORGANIZATION (TASO),Email: [email protected] Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288 7. The AIDS Support Organization, TASO (U) LTD 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)THE AIDS SUPPORT ORGANIZATION (TASO),Email: [email protected] Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288 8. The AIDS Support Organization, TASO (U) LTD Risk factors for Uniformed forces People in armed forces are often subject todeployments away from home They are also often paid their salaries whenaway from home Have liquid cash in pocket, it is easy to betempted to alcohol and casual sex. Risk of death at the battlefront instigatesfatalistic attitudes among soldiers thereforeHIV Prevention is not a priorityTHE AIDS SUPPORT ORGANIZATION (TASO),Email: [email protected] Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288 9. The AIDS Support Organization, TASO (U) LTD Key interventions/Approaches used Meetings with heads of uniformed institutions Selection of peers to cater for all category ofcadre, 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 HIVPrevention.THE AIDS SUPPORT ORGANIZATION (TASO),Email: [email protected] Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288 10. The AIDS Support Organization, TASO (U) LTD Interactive training methodologies .. Value clarification Spin the Beer bottle Self risk assessmentgame to address alcohol Condom game Body mapping exercise Story telling Stage Behavior changemodelNote :Respect rankshowever ensure allparticipateTHE AIDS SUPPORT ORGANIZATION (TASO),Email: [email protected] Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288 11. The AIDS Support Organization, TASO (U) LTD Results153 Uniformed services trained7383 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 outsHIV+ Peers are referred for careTHE AIDS SUPPORT ORGANIZATION (TASO),Email: [email protected] Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288 12. The AIDS Support Organization, TASO (U) LTDParticipant demonstrating use of female condomTHE AIDS SUPPORT ORGANIZATION (TASO),Email: [email protected] Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288 13. The AIDS Support Organization, TASO (U) LTD Lessons Learnt Comprehensive HIV prevention services atthe workplace are necessary for this group Increased uptake of HCT and SMC Condom use is a major HIV preventionstrategy Intervention cost effective, training venuewas provided by Army TASO built new partnership with high-riskcommunities and enrolled them into care Uniformed personnel are key change agents in theircommunities AIDS SUPPORT ORGANIZATION (TASO),THEEmail: [email protected] Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288 14. The AIDS Support Organization, TASO (U) LTDAcknowlegement Special Thanks to: Uniformed men and Women TASO Civil Society Fund (CSF) RATN for scholarship Summit Organizers Co-authorsTHE AIDS SUPPORT ORGANIZATION (TASO),Email: [email protected] Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288 15. The AIDS Support Organization, TASO (U) LTD Contact Author on :Goretti Nakabugo TASO Training centreEmail: [email protected] [email protected] AIDS SUPPORT ORGANIZATION (TASO),Email: [email protected] Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288