TASO provided HIV prevention services through "moonlight clinics" targeting most-at-risk populations (MARPs) like sex workers in Gulu Municipality. A mixed methods study assessed the efficacy of these interventions. Over 1,700 MARPs received HIV testing, with over 200 testing positive. Economic challenges and peer pressure drove many to sex work. While moonlight clinics effectively reached these groups and linked them to care, more must be done to scale up access and prevention education to achieve zero transmission among MARPs.
The median IDU population for Coast is
26,667 with Mombasa accounting for over 5,000.
A third of all IDUs have shared injecting equipment with their close friends or primary sex partners.
Common reasons for sharing injection equipment include lack of personal needles when needed (23%), difficulty in accessing new needles or cost (17%), pressure from other users (14%), or being in prison (2%).
Most IDUs cleaned injecting equipment previously used by other IDUs with water, and only 1% of respondents cleaned with bleach.
More than 50,000 youth have being affected by drugs at Kenya coast (NACADA) and several have died due to scarcity of drugs after GoK efforts to curtail supply were effected.
Most IDU met while on high will always be looking down. There is a joke that the sky is so bright that stitching the leakages will perhaps make it nice to look up and give hope to IDUs in Mombasa to enable them look up with courage
The results are from GFR7 Activities through care Kenya
Sex, Drugs & Scotland's Health- Working with front line staff in understandin...HIVScotland
Delivered at Sex, Drugs & Scotland's Health Virtual Conference, this presentation was delivered by Lesley Bon & Stephan Vargas.
More information about the virtual event is available here: http://ow.ly/YntW50GWhJ0
Health and social care integration and HIV - Gordon ScottHIVScotland
Presentation by Gordon Scott, on integration of health and social care and HIV. This was presented at the Scottish HIV and AIDS Group annual meeting on 26 June 2015. Copyright Gordon Scott.
Post-Intervention Follow-up with Consumers & Families -Reducing CIT Recidivismcitinfo
Presented by: Sergeant Barry Armfield
St. Louis County Police Department,
Coordinator, St. Louis Area CIT Program
Richard Stevenson
Director of Special Projects,
Alliance on Mental Illness-NAMI St. Louis
The median IDU population for Coast is
26,667 with Mombasa accounting for over 5,000.
A third of all IDUs have shared injecting equipment with their close friends or primary sex partners.
Common reasons for sharing injection equipment include lack of personal needles when needed (23%), difficulty in accessing new needles or cost (17%), pressure from other users (14%), or being in prison (2%).
Most IDUs cleaned injecting equipment previously used by other IDUs with water, and only 1% of respondents cleaned with bleach.
More than 50,000 youth have being affected by drugs at Kenya coast (NACADA) and several have died due to scarcity of drugs after GoK efforts to curtail supply were effected.
Most IDU met while on high will always be looking down. There is a joke that the sky is so bright that stitching the leakages will perhaps make it nice to look up and give hope to IDUs in Mombasa to enable them look up with courage
The results are from GFR7 Activities through care Kenya
Sex, Drugs & Scotland's Health- Working with front line staff in understandin...HIVScotland
Delivered at Sex, Drugs & Scotland's Health Virtual Conference, this presentation was delivered by Lesley Bon & Stephan Vargas.
More information about the virtual event is available here: http://ow.ly/YntW50GWhJ0
Health and social care integration and HIV - Gordon ScottHIVScotland
Presentation by Gordon Scott, on integration of health and social care and HIV. This was presented at the Scottish HIV and AIDS Group annual meeting on 26 June 2015. Copyright Gordon Scott.
Post-Intervention Follow-up with Consumers & Families -Reducing CIT Recidivismcitinfo
Presented by: Sergeant Barry Armfield
St. Louis County Police Department,
Coordinator, St. Louis Area CIT Program
Richard Stevenson
Director of Special Projects,
Alliance on Mental Illness-NAMI St. Louis
Presentation by Auditor General - Caroline Spencer, An audit of access to State-managed adult mental health services.
Presented at the Western Australian Mental Health Conference 2019.
Sex, Drugs & Scotland's Health- Post-AIDS Health Promotion: Theories and MethodsHIVScotland
Delivered at Sex, Drugs & Scotland's Health Virtual Conference, this presentation was delivered by Chase Ledin.
More information about the virtual event is available here: http://ow.ly/YntW50GWhJ0
Keynote presentation by Dr Sebastian Rosenberg, from the Centre for Mental Health Research ANU College of Health and Medicine. presented at the WA Mental Health Conference 2019.
Presentation by Antonella Segre, of Connect Groups - Social Prescribing: An old concept but a new way forward. Presented at the Western Australian Mental Health Conference 2019.
Our mission is to provide state-of-the art alcohol and drug prevention, chemical dependency treatment, and recovery services to individuals, families, and communities of the East End of Long Island.
We will share our experience implementing the nation’s first Pay for Success mental health program in partnership with Santa Clara County Behavioral Health Services at NatCon19.
Session 1 of our Workshop series: DWAW - Working together to reduce alcohol harm in the over 50s, on Wednesday 20 January, hosted by the International Longevity Centre (ILC) and Drink Wise, Age Well.
The purpose of these workshops is to:
• Raise awareness and generate understanding of this multi-agency, four-nation approach to community-based alcohol harms reduction for the over 50s
• Share key findings from the programme evaluation
• Provide insights and inspiration based on DWAW learning and stories of lived experience
• Engage stakeholder organisations to the issue of harmful drinking in the over 50’s
• Collectively explore actions that could be taken at a system level
Reducing harmful drinking in the over 50s is vital in preventing the onset of long-term health conditions and the devastating effects of addiction.
However, it is a complex issue that requires insight and expertise from a range of sectors.
These workshops will therefore bring together a diverse range of organisations, each with a key role to play in addressing this problem. Participating organisations include those working with issues of health, ageing, policy and addiction.
Given the rise in home alcohol consumption, particularly within this age group, as a result of coronavirus lockdowns and ongoing restrictions, not to mention redundancies and recession, this is a critical time to be convening this conversation.
The first workshop will principally be hearing and learning from the experience of the DWAW programme, whilst also exploring other initiatives, programmes and organisations that are actively addressing this problem. In the second and third workshops we will move on to exploring further system-level strategies and interventions that may be needed.
Tobacco Retail Report 2013 - Selling Tobacco Anywhere, Anytime Harmful Not He...Cancer Council NSW
Tobacco use remains an urgent health and social problem. Reform of the tobacco
retail environment would help achieve the NSW Government’s policy goals.
In the state plan, NSW 2021, the NSW Government has targets to lower smoking
rates by 3% for non-Aboriginal people and 4% for Aboriginal people by 2015.
1.Under the National Partnership Agreement on Preventative Health, the Government has committed to reduce daily smoking among adults to 10% or lower by 2020.
2. The NSW Minister for Health has endorsed the National Tobacco Strategy 2012–2018, undertaking to consider further options for tobacco retailer licensing and to commission
research on regulatory approaches to control the number and type of tobacco outlets.
3. Tobacco, a product that kills half its long-term users and is Australia’s leading
cause of preventable death and disease, is startlingly easy to buy. Cigarettes are available ‘anywhere, anytime’ – a legacy of the time when society was ignorant of their dire health effects. There are few limits on who may sell tobacco, where and when they may sell, or the number of outlets selling tobacco.
4. There are more than five times as many places to buy tobacco in NSW as there
are places to buy prescription medicines.
Visit canact.com.au for more information
Presentation by Auditor General - Caroline Spencer, An audit of access to State-managed adult mental health services.
Presented at the Western Australian Mental Health Conference 2019.
Sex, Drugs & Scotland's Health- Post-AIDS Health Promotion: Theories and MethodsHIVScotland
Delivered at Sex, Drugs & Scotland's Health Virtual Conference, this presentation was delivered by Chase Ledin.
More information about the virtual event is available here: http://ow.ly/YntW50GWhJ0
Keynote presentation by Dr Sebastian Rosenberg, from the Centre for Mental Health Research ANU College of Health and Medicine. presented at the WA Mental Health Conference 2019.
Presentation by Antonella Segre, of Connect Groups - Social Prescribing: An old concept but a new way forward. Presented at the Western Australian Mental Health Conference 2019.
Our mission is to provide state-of-the art alcohol and drug prevention, chemical dependency treatment, and recovery services to individuals, families, and communities of the East End of Long Island.
We will share our experience implementing the nation’s first Pay for Success mental health program in partnership with Santa Clara County Behavioral Health Services at NatCon19.
Session 1 of our Workshop series: DWAW - Working together to reduce alcohol harm in the over 50s, on Wednesday 20 January, hosted by the International Longevity Centre (ILC) and Drink Wise, Age Well.
The purpose of these workshops is to:
• Raise awareness and generate understanding of this multi-agency, four-nation approach to community-based alcohol harms reduction for the over 50s
• Share key findings from the programme evaluation
• Provide insights and inspiration based on DWAW learning and stories of lived experience
• Engage stakeholder organisations to the issue of harmful drinking in the over 50’s
• Collectively explore actions that could be taken at a system level
Reducing harmful drinking in the over 50s is vital in preventing the onset of long-term health conditions and the devastating effects of addiction.
However, it is a complex issue that requires insight and expertise from a range of sectors.
These workshops will therefore bring together a diverse range of organisations, each with a key role to play in addressing this problem. Participating organisations include those working with issues of health, ageing, policy and addiction.
Given the rise in home alcohol consumption, particularly within this age group, as a result of coronavirus lockdowns and ongoing restrictions, not to mention redundancies and recession, this is a critical time to be convening this conversation.
The first workshop will principally be hearing and learning from the experience of the DWAW programme, whilst also exploring other initiatives, programmes and organisations that are actively addressing this problem. In the second and third workshops we will move on to exploring further system-level strategies and interventions that may be needed.
Tobacco Retail Report 2013 - Selling Tobacco Anywhere, Anytime Harmful Not He...Cancer Council NSW
Tobacco use remains an urgent health and social problem. Reform of the tobacco
retail environment would help achieve the NSW Government’s policy goals.
In the state plan, NSW 2021, the NSW Government has targets to lower smoking
rates by 3% for non-Aboriginal people and 4% for Aboriginal people by 2015.
1.Under the National Partnership Agreement on Preventative Health, the Government has committed to reduce daily smoking among adults to 10% or lower by 2020.
2. The NSW Minister for Health has endorsed the National Tobacco Strategy 2012–2018, undertaking to consider further options for tobacco retailer licensing and to commission
research on regulatory approaches to control the number and type of tobacco outlets.
3. Tobacco, a product that kills half its long-term users and is Australia’s leading
cause of preventable death and disease, is startlingly easy to buy. Cigarettes are available ‘anywhere, anytime’ – a legacy of the time when society was ignorant of their dire health effects. There are few limits on who may sell tobacco, where and when they may sell, or the number of outlets selling tobacco.
4. There are more than five times as many places to buy tobacco in NSW as there
are places to buy prescription medicines.
Visit canact.com.au for more information
Hiv knowledge and risk behaviour of female sex workers in Oyo State South-Wes...John Bako
Of all people living with HIV world wide, 9% of them live in Nigeria.
Although HIV prevalence among adults is remarkably small (3.4%) compared to other sub-Saharan African countries such as South Africa (19.1%) and Zambia (12.5%), the size of Nigeria's population means that there were 3.2 million people living with HIV in 2013.
Nigeria, together with South Africa and Uganda, account for almost half of all annual new HIV infections in sub-Saharan Africa. This is despite achieving a 35% reduction in new infections between 2005 and 2013.
Approximately 210,000 people died from AIDS-related illnesses in Nigeria in 2013, which is 14% of the global total
Unprotected sex accounts for about 80% of new HIV infections in Nigeria, with the majority of remaining HIV infections among key affected populations.
Lessons Learned in Providing Reproductive Health and HIV Prevention program f...John Bako
About 3.4million people are living with HIV in Nigeria
Estimated AIDS related deaths in Nigeria moved from 141,225 in 2000 to 233,604 in 2013.
This is associated with ignorance, poor access to health and social services, poverty, gender issues, stigma and discrimination.
According to NARHS, 2012, the current HIV prevalence in the general population is 3.4%.
There was a slight decline from the previous estimates of 2007 which was 3.6%
The Australian Gay Community Periodic Survey (1998-2010) tells us that 1 in 8 sexually active gay men have never tested. Michael Atkinson (WA AIDS Council) talks about a strategy to address barriers to testing and to promote testing culture - the MClinic. This presentation was given at the AFAO/NAPWA Gay Men's HIV Health Promotion Conference in May 2012.
Highlights of the USAID Uganda STAR-EC project. STAR-EC worked to increase access, coverage, and use of quality comprehensive TB and HIV and AIDS services in east and central Uganda.
Highlights of the USAID Uganda STAR-EC project. STAR-EC worked to increase access, coverage, and use of quality comprehensive TB and HIV and AIDS services in east and central Uganda. Presentation made at STAR-EC End-of-Project Conference, in Jinja, Uganda, August 2016.
Georgia State School of Public Health Ph.D. student Rachel Culbreth discussed her research into HIV and other diseases among young people living in slum communities in Kampala, Uganda, during the APHA 2016 annual meeting in Denver. This is her presentation.
Where's the hope? Dialogues for Solidarity - Session 4ReShape
This session explored current work experiences in HIV care from a specialist point of view and looked at how current conditions impacted related care providers. Reflecting on the changing nature of HIV care and the changing needs of people living with HIV, the session examined the policy implications of a fragmented system and the patients' perspective on HIV care.
The Care Providers session was expected to lay the groundwork for a future session on the failing Health Economy as a leading issue.
Join us as we discuss best practices for integrating HIV prevention (e.g. HIV testing, PrEP and linkage to care) into primary care within the context of enhancing clinical workforce development.
Panelists:
• Marwan Haddad, MD, MPH, AAHIVS, Medical Director, Center for Key Populations, Community Health Center, Inc.
• Jeannie McIntosh, APRN, FNP-C, AAHIVS, Family Nurse Practitioner, Center for Key Populations, Community Health Center, Inc.
This presentation on findings from a trial of providing HIV medication to people not eligible for Medicare was given by Tony Maynard from the National Association of People With HIV Australia (NAPWHA) at AFAO'S HIV and Mobility Forum on 30 May 2016.
Similar to UAC Scientific Conference Abstract I (20)
Medicare Ineligible PLHIV: Lessons from the ATRAS Study
UAC Scientific Conference Abstract I
1. THE AIDS SUPPORT ORGANIZATION
TASO
TASO Uganda (Ltd). P.O Box 10443, Kampala Tel: +256 414 532580/1, Fax +256 414 541288
Email: mail@tasouganda.org. Website: www.tasouganda.org
Oroma Alan Denis,Nono Denis,Odong Kenneth, Grace Akello, PhD
UAC Scientific Conference, June, 2015
Innovative approaches toward zero HIV virus transmission: Assessing the efficacy
of TASO’s interventions at moonlight clinics in Gulu Municipality
2. Outline
i. Background: TASO Activities
ii. Methods: Mixed Methods study
iii. Findings: Responses in epidemic control
iv. Discussion: Efficiency vs. effectiveness
v. Conclusion: To what extent are approaches
effective?
3. Background :TASO Activities
Uganda country HIV and AIDS progress report (2013:18) indicates that HIV prevalence
among MARPS by category stands at 35.7% for sex workers, 16% among drug
injection users, 9.3% for fisher folks, 9.1% for MSM, 6.6 % for truckers and 1.9% for
uniformed services.
MARPs remain at higher risk of HIV infection and transmission and continue to be
underserved by current HIV intervention.
TASO through moonlight clinics targeted MARPs by providing access to a package of
combination prevention services which include, behavioral, structural and biomedical
interventions (TASO Annual Report, 2013).
5. Methods: Mixed Methods Study
Qualitative methods were used in data collection including key informant interviews, participant
observation, and focus group discussions.
Data collection tools consisted of Ministry of Health HCT client Card, HIV prevention
behavior communication register (BCC) , clinical laboratory request questionnaire ,MOH HCT
register and MOH client referral slip, interview guides, FGD guides.
Community dialogues with a total of 25 participants were carried out around hotspots to demystify
the socio cultural drivers of HIV and AIDS among the MARPS.
TASO set up moonlight clinics at night in hot spots providing services including HIV Testing and
Counseling, treating STIs.
Health education, life skills and entrepreneurial, leadership and governance skills training for
commercial sex workers (CSW), condom distribution including instituting of condom dispensers
was done to interest this target population.
6. Findings: Responses in epidemic control
• A total of 771 Commercial Sex workers (CSWs) were tested for HIV, of
these 104 turned HIV positive and 667 were HIV negative .
• A total of 1007 CSW partners tested for HIV, 104 were HIV positive
and 903 were HIV negative.(CSW partners are those brought by the CSWs
as their partners)
• A total of 333 truckers tested for HIV, 19 turned HIV positive and 313
were HIV negative.
• Economic insecurity and peer pressure are the major factors for CSW.
• CSWs struggle to adjust to abandon the trade which they see as lucrative
but risky.
• When CSWs abandon the business and adopt positive and healthier life
styles they begin to feel happy and their self-esteem and communal
respect is earned as shown by one former commercial sex worker.
7. Findings: Responses in epidemic control
“It’s not easy to abandon what brings you big money and go for that which brings small
amounts. But this ‘awaro’ (small vendor business) has lesser associated risks. You don’t
have fear of someone bumping on you and start a fight for either claiming that you stole
his (customer) money or you’re messing around with her husband.” Lamunu, 25 years
“She respects me, we no longer receive strange phone calls from men because she has
changed. She plans to open her personal account and diversify her business. This has
helped me think positively about my life and less risky behaviours”. Husband to
former CSW
• Working under the cover of darkness can be risky.
• Tracing some clients like long distance truck drivers is difficult.
“Your services are very good, the nature of our work cannot allow us to seek
services. Please continue coming to us because if you leave us we shall die because
we have no time to get medical care.” Truck driver
8. Findings: Responses in epidemic control
“I’m not a married man, I have four sexual partners that I spend my time with at night
after a hard days work”. 26 year old partner to CSWs who turned HIV positive, linked to
biomedical care.
9. Discussion: Efficiency Vs. Effectiveness
• On spot registration and linkage to biomedical care
• On spot diagnosis and treatment of sexually transmitted infections (STIs)
• Livelihood interventions targeting CSW s are key in encouraging health seeking
behaviours
• Moonlight reaches out to key populations that shy away getting services from public
health facilities
• Increased demand for condoms at the moonlight clinics
10. TASO
Although TASO is contributing to the provision of HIV prevention services among
MARPS, with very encouraging results, we believe finding ways to get down to zero
and to enforce prevention of the virus, more effort is needed in scaling up access,
informing, educating and communicating to these key populations so as to reduce the
impact of the virus in the community. The central question still is to what extent such
interventions targeting MARPS are contributing towards zero transmission.
Conclusion