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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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Goretti Nakabugo - TASO, Uganda

  1. 1. The AIDS Support Organization, TASO (U) LTD 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 : Second HIV Capacity Building Partner’s Summit ,Birchwood Hotel and Conference Centre, Johannesburg SouthAfrica, 19 th-21st March 2013 Presenting Author: Goretti Nakabugo, Co Authors: Maria Lukubo, Odoi Charles THE AIDS SUPPORT ORGANIZATION (TASO),Email: mail@tasouganda.org. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288
  2. 2. The AIDS Support Organization, TASO (U) LTD 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 THE AIDS SUPPORT ORGANIZATION (TASO),Email: mail@tasouganda.org. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288
  3. 3. The AIDS Support Organization, TASO (U) LTD THE AIDS SUPPORT ORGANIZATION (TASO),Email: mail@tasouganda.org. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288
  4. 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 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 THE AIDS SUPPORT ORGANIZATION (TASO),Email: mail@tasouganda.org. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288
  5. 5. The AIDS Support Organization, TASO (U) LTD 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. THE AIDS SUPPORT ORGANIZATION (TASO),Email: mail@tasouganda.org. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288
  6. 6. The AIDS Support Organization, TASO (U) LTD 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 THE AIDS SUPPORT ORGANIZATION (TASO),Email: mail@tasouganda.org. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288
  7. 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: mail@tasouganda.org. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288
  8. 8. The AIDS Support Organization, TASO (U) LTD 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 THE AIDS SUPPORT ORGANIZATION (TASO),Email: mail@tasouganda.org. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288
  9. 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 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. THE AIDS SUPPORT ORGANIZATION (TASO),Email: mail@tasouganda.org. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288
  10. 10. The AIDS Support Organization, TASO (U) LTD Interactive training methodologies . .  Value clarification  Spin the Beer bottle  Self risk assessment game to address alcohol  Condom game  Body mapping exercise  Story telling  Stage Behavior change model Note :Respect ranks however ensure all participate THE AIDS SUPPORT ORGANIZATION (TASO),Email: mail@tasouganda.org. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288
  11. 11. The AIDS Support Organization, TASO (U) LTD Results 153 Uniformed services trained 7383 Uniformed Peers and spouses reached 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 THE AIDS SUPPORT ORGANIZATION (TASO),Email: mail@tasouganda.org. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288
  12. 12. The AIDS Support Organization, TASO (U) LTD Participant demonstrating use of female condom THE AIDS SUPPORT ORGANIZATION (TASO),Email: mail@tasouganda.org. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288
  13. 13. The AIDS Support Organization, TASO (U) LTD 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 AIDS SUPPORT ORGANIZATION (TASO), THEEmail: mail@tasouganda.org. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288
  14. 14. The AIDS Support Organization, TASO (U) LTD Acknowlegement Special Thanks to: •Uniformed men and Women •TASO •Civil Society Fund (CSF) •RATN for scholarship •Summit Organizers •Co-authors THE AIDS SUPPORT ORGANIZATION (TASO),Email: mail@tasouganda.org. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288
  15. 15. The AIDS Support Organization, TASO (U) LTD Contact Author on : Goretti Nakabugo TASO Training centre Email: nakabugog@tasouganda.org gorenaks@yahoo.com THE AIDS SUPPORT ORGANIZATION (TASO),Email: mail@tasouganda.org. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288

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