the aids support organisation (taso)
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Using Non Physician Surgeons in Scaling up Safe M edical Circumcision (SMC) in Uganda: TASO Mbale Experience . Tumuheki M , Fomum E, Logose B, Babirye J; Okoboi S. The AIDS Support Organisation (TASO). Founded in 1987 by 16 individuals personally affected by HIV and AIDS - PowerPoint PPT PresentationTRANSCRIPT
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Using Non Physician Surgeons in Scaling up Safe Medical Circumcision (SMC) in Uganda:TASO Mbale Experience.
Tumuheki M, Fomum E, Logose B, Babirye J; Okoboi S
THE AIDS SUPPORT ORGANIZATION TASO TASO Uganda (Ltd). P.O Box 10443, Kampala Tel: +256 414 532580/1, Fax +256 414 541288 Email: [email protected]. Website: www.tasouganda.org1 The AIDS Support Organisation (TASO)Founded in 1987 by 16 individuals personally affected by HIV and AIDS
Vision: A world without HIV and AIDS
Mission: To contribute to the process of preventing HIV, restoring hope & improving the quality of life of PLWHA & their families.
THE AIDS SUPPORT ORGANIZATION TASO TASO Uganda (Ltd). P.O Box 10443, Kampala Tel: +256 414 532580/1, Fax +256 414 541288 Email: [email protected]. Website: www.tasouganda.orgBackground Uganda adopted Safe Male Circumcision as part of the broader strategies for HIV prevention in 2010 after;
Several randomized clinical trials have proven that SMC prevents HIV transmission from females to males by 60%
Uganda developed SMC implementation guidelines for enrollment and scale up of SMC services
Uganda targets to circumcise 4.2 million (80%) adult males by 2015
THE AIDS SUPPORT ORGANIZATION TASO TASO Uganda (Ltd). P.O Box 10443, Kampala Tel: +256 414 532580/1, Fax +256 414 541288 Email: [email protected]. Website: www.tasouganda.orgBackground cont;Uganda has an estimated 4000 registered medical doctors (UMDPC, 2013)
Doctor patient ratio is about 1:24,000 (HRHA Report, 2012)
Scaling up SMC by Physicians to meet the target was challenging without task sharing and shifting.
M.O.H-Uganda guided the training and use of non physician surgeons ( clinical officers, Nurses) to carry out SMC
THE AIDS SUPPORT ORGANIZATION TASO TASO Uganda (Ltd). P.O Box 10443, Kampala Tel: +256 414 532580/1, Fax +256 414 541288 Email: [email protected]. Website: www.tasouganda.orgDescription TASO SMC program was initiated in 2013 after trainings by; Rakai Health Science Program (RHSP) in Rakai district Makerere University WALTER REED project in Kanyunga
2 weeks training involving both theories and much intensive supervised practicum
Trained staff observed and practiced in hospitals under technical supervision by trainers
THE AIDS SUPPORT ORGANIZATION TASO TASO Uganda (Ltd). P.O Box 10443, Kampala Tel: +256 414 532580/1, Fax +256 414 541288 Email: [email protected]. Website: www.tasouganda.orgDescription contThe teams were trained to handle emergency and resuscitation
Mapping of all potential SMC camping sites and assessment of eligible site suitable for camping
THE AIDS SUPPORT ORGANIZATION TASO TASO Uganda (Ltd). P.O Box 10443, Kampala Tel: +256 414 532580/1, Fax +256 414 541288 Email: [email protected]. Website: www.tasouganda.orgMonthly SMC outputs in Uganda
THE AIDS SUPPORT ORGANIZATION TASO TASO Uganda (Ltd). P.O Box 10443, Kampala Tel: +256 414 532580/1, Fax +256 414 541288 Email: [email protected]. Website: www.tasouganda.orgDo we assume Static sites use Physicians? If so then retain this slide7TASO Bi-annual SMC outputsTASO FacilityTotalNo. by site typeNo. by age group (in yrs)Adverse EventsCircumcisedStaticMobile49MildModerateSevereFatal70352626440914944520955663210Bugembe HC IV382613936870303278953130Buwenge HC IV1661415124601384259181500Lwanjusi HC III5204141064135611940000Magale HC IV00000000000Masindi Hospital426232021060263450771151110TASO Entebbe4624620033912210000TASO Gulu9299290081910550010TASO Kanyanya453446703718200000TASO Masaka720720026774100510TASO Mbale24394971942872100227250400TASO Mbarara28128010279200000TASO Rukungiri12901275150113815021200TASO Soroti6936930355797900000Tororo Hospital876310117752166815544022113820262991048315816357226793186772715680THE AIDS SUPPORT ORGANIZATION TASO TASO Uganda (Ltd). P.O Box 10443, Kampala Tel: +256 414 532580/1, Fax +256 414 541288 Email: [email protected]. Website: www.tasouganda.orgThese outputs are for TASO not Uganda8RESULTS Total number of 4679 males were circumcised (Jan 2013 to Dec 2013)
THE AIDS SUPPORT ORGANIZATION TASO TASO Uganda (Ltd). P.O Box 10443, Kampala Tel: +256 414 532580/1, Fax +256 414 541288 Email: [email protected]. Website: www.tasouganda.orgSMC in progress in community theatres
THE AIDS SUPPORT ORGANIZATION TASO TASO Uganda (Ltd). P.O Box 10443, Kampala Tel: +256 414 532580/1, Fax +256 414 541288 Email: [email protected]. Website: www.tasouganda.orgLessons learnt.Non physician surgeons can scale up safe male circumcision in settings with inadequate physician surgeons to meet the set targets
Non physician surgeons are available and willing to carryout SMC in rural communities compared to physician surgeons
No major adverse events during and after surgeries were experienced
THE AIDS SUPPORT ORGANIZATION TASO TASO Uganda (Ltd). P.O Box 10443, Kampala Tel: +256 414 532580/1, Fax +256 414 541288 Email: [email protected]. Website: www.tasouganda.orgNext Steps HIV implementing partners can adopt this model to scale SMC to Public Health Facilities.
Optimizing use of non-physicians to contribute to Ugandas SMC targets
THE AIDS SUPPORT ORGANIZATION TASO TASO Uganda (Ltd). P.O Box 10443, Kampala Tel: +256 414 532580/1, Fax +256 414 541288 Email: [email protected]. Website: www.tasouganda.org
In Partnership With;
THE AIDS SUPPORT ORGANIZATION TASO TASO Uganda (Ltd). P.O Box 10443, Kampala Tel: +256 414 532580/1, Fax +256 414 541288 Email: [email protected]. Website: www.tasouganda.org13