Project summary
ICOBI is implementing a project aimed at advocating and creating demand for malaria and HIV prevention and treatment services in northern Uganda districts of Lira, Apac, Otuke and Kole. The project is specifically to increase demand and promote social and behavioral change for HIV prevention services (including VMMC, HTC, DREAMS interventions) among the key/priority populations; promote condom use among key population; create awareness and demand for malaria prevention and treatment services that include IPT in pregnancy and use of insect side treated mosquito nets among expectant mothers, under-5 children and the general population; and increase advocacy against gender based violence and strengthen linkage for case management for GBV survivors.
Project districts: Lira, Apac, Otuke and Kole
Project goal: The goal of the project is to advocate and create demand for malaria and HIV prevention services in northern Uganda districts of Lira, Apac, Otuke and Kole.
Project Objectives:
1. Increase demand and promote social and behavioral change for HIV prevention services (including VMMC, HTC and linkage to care and treatment) among the key/priority populations, sexually active adolescents and young adults
2. To promote safer sexual practices including correct and consistent condom use among key population/priority population, adolescent girls and young women and their partners
3. To create awareness and demand for malaria prevention services that include use of insect side treated mosquito nets among expectant mothers and the general population.
4. To create demand for integrated SRHR/HIV services among the adolescent girls and young women by mobilizing and empowering them with information to make healthier choices in relation to SRHR/HIV
5. Increase advocacy against gender based violence and strengthen linkage for case management for GBV survivors.
Table1: Summary of the strategy and interventions
| SUB-POPULATION | STRATEGY TO IDENTIFY BENEFICIARIES | PACKAGE OF INTERVENTIONS |
| 1. HIV negative FSW | -Moonlight outreaches
-Snowballing method (where a client will link us to a colleague) -Use leaders of the existing networks of FSW to reach their colleagues |
-Condom Promotion & Provision
-Stepping Stones -HIV Testing & Counseling -Post-Violence Care including PEP -Mobilization and linkage to family planning services including emergency contraception -Linkage of their clients to VMMC -Peer to peer psycho-social support |
| 2. HIV negative sexually active males | Door-to-door visits, role models/champions, sensitization meetings, inter-personal/peer to peer and posters | HIV Testing & Counseling
-VMMC -Tetanus vaccination |
| 2. Negative pregnant AGYW | Identify beneficiaries through:
-HCT, ANC registers at Health Facilities -VHTs/Community mobilisers during home visits. -Integrated outreaches involving HCT |
-Link pregnant AGYW for PMTCT services (including ANC) at static health facilities and HCT outreaches.
-Community mobilization and sensitization against GBV -HIV Testing & Counseling -Stepping stones -Link them for Post-Violence Care including PEP -Mobilize their partners for to escort them during ANC visits -Mobilize partners for VMMC including TT vaccination
|
| Married Adolescents (15-19)
|
Identify beneficiaries through:
-HCT registers at Health Facilities -VHTs/Community mobilisers during home visits. -Integrated outreaches involving HCT |
-Mobilization and linkage to family planning services
-Condom promotion and distribution -HIV Testing & Counseling -Community mobilization and sensitization against GBV -Stepping stones -Link them for Post-Violence Care including PEP -Mobilize their partners for to escort them during ANC visits -Mobilize partners for VMMC including TT vaccination |
| Given birth (15-24) | -VHTs/Community mobilisers during home visits.
-Health facility records on deliveries
|
-Linkage for post-natal care
-Routine surveillance for neonatal and maternal deaths -Mobilization and linkage to family planning services -Condom promotion and distribution -Community mobilization and sensitization against GBV -Link them for Post-Violence Care including PEP
|
| Males in sexual networks of AYGW | -Sexual Network Mapping
-Moonlight outreaches
|
-HIV Testing & Counseling
-Condom promotion and distribution -Mobilize Males in sexual networks for VMMC including TT vaccination -Link HIV positives for ART |
| Discordant couples | Identify Discordant couples through:
-Pre-ART and ART registers -VHTs/Community mobilisers during home visits. -Integrated outreaches
|
Link HIV+ partner for ART.
Linkage to VMMC for HIV negative partner HIV Testing & Counseling Linkage to Post-Violence Care including PEP Peer to peer psycho-social support |
| Parents/guardians, cultural, religious, community gate keepers, schools | Dialogue meetings | -Community sensitization of HIV/AIDS and GBV Prevention
-Stepping stone
|
