Supporting Combination HIV Prevention Program at UNFPA
Mentors: Host: Ms. Rosemary Kindyomunda
Dr. Wilfred Ochan Academic: Dr. Achilles Katamba Roving: Dr Noerine Kaleeba
Dr Olico Okui
End of Year one dissemination workshop Hotel Africana, 15
United Nations Population Fund
Fellow: Dr. Patrick Komakech
Combination HIV Program at UNFPA
Kindyomunda
End of Year one dissemination workshop Hotel Africana, 15 th August, 2012
Komakech. MBChB, MIH
Outline
• Overview of host institution
• Overview of Combination HIV Prevention (CHP).
• Fellows terms of reference.
• Progress to date.
• Competencies achieved.
• Challenges.
• Way forward.
Overview of host institution UNFPA.
Overview of Combination HIV Prevention (CHP).
Fellows terms of reference.
UNFPA: An overview
• UN agency that promotes the right of every woman, man and child to enjoy a life of health and equal opportunity.
• Currently implementing 7 program (2010/14).
• Population and Development
• Reproductive Health • Gender Equality and Equity
• Chairs the Prevention TWG under JUPSA.
• District level interventions in 8 focus districts.
UNFPA: An overview
UN agency that promotes the right of every woman, man and child to enjoy a life of health
Currently implementing 7 th GoU/UNFPA country
and Development
Gender Equality and Equity.
Chairs the Prevention TWG under JUPSA.
District level interventions in 8 focus districts.
Combination HIV Prevention.
• Rights based, evidence informed and community owned.
• Use a mix of biomedical, structural and behavioural
interventions
• Interventions prioritised to meet current HIV prevention
needs of communities and individuals.
• The interventions are implemented at a scale, quality and
intensity to impact the epidemic.
• The NPS 20112014 is based on the CHP strategy.
Combination HIV Prevention.
Rights based, evidence informed and community owned.
Use a mix of biomedical, structural and behavioural
Interventions prioritised to meet current HIV prevention
needs of communities and individuals.
The interventions are implemented at a scale, quality and
intensity to impact the epidemic.
2014 is based on the CHP strategy.
Terms of reference:
1. Support the combination HIV
program.
2. Support the dev’t of service delivery models
and review ongoing studies.
3. Support the UPMS to set up
Health information System
Terms of reference:
Support the combination HIV prevention
of service delivery models
and review ongoing studies.
to set up an electronic
information System
Support to combination HIV prevention
• Drafted Tor for the baseline assessment in 6 focus districts
• Developed the budget for baseline assessment and district
orientation.
• M&E indicators for the program.
• Represented UNFPA in evaluation of concept papers and proposals
for structural and behavioural
interventions under CSF.
Support to combination HIV prevention
Developed the budget for baseline
M&E indicators for the program.
Represented UNFPA in evaluation
of concept papers and proposals
Support to combination HIV prevention
• Led the process of evaluating proposals for undertaking the programmatic baseline assessment studies.
• Drafted the terms of reference for the Technical Review Panel for the programmatic baseline assessment studies.
• Developed the concept note and Tor for development of a leadership advocacy strategy for the NPS 2011
• Reviewed inception reports of the baseline assessment in the six focus districts.
Support to combination HIV prevention cont..
Led the process of evaluating proposals for undertaking the programmatic baseline assessment studies.
Drafted the terms of reference for the Technical Review Panel for the programmatic baseline assessment studies.
Developed the concept note and Tor for development of a leadership advocacy strategy for the NPS 20112015.
Reviewed inception reports of the baseline assessment in
Service Delivery Models and review of studies.
• Supported the
development of
HIV/SRH service
delivery models for
CSWs in Arua and
Kalangala.
Service Delivery Models and review of studies.
SRH/HIV service delivery model.
• Participated in the development of SRH/HIV/MH integrated service delivery model for Katakwi district.
SRH/HIV service delivery model.
Support to ongoing studies • Provided technical support for study on Cultural Norms, Values and Practices that impact on HIV/AIDS, Maternal Health and Gender Based Violence
• Developed a concept note for a studies on the impact of HIV/SRH integration on maternal health, Condom use in circumcised UPDF men.
Support to ongoing studies Provided technical support
HIV/AIDS, Maternal Health and Gender Based Violence
Developed a concept note a studies on the impact
of HIV/SRH integration on
Programmatic
Setting up an electronic Health information System for the Uganda Police
Medical Service.
Programmatic Activity.
Setting up an electronic Health information System for the Uganda Police
Medical Service.
•Incomplete and inaccurate filling of registers and summary forms.
•Untimely and incomplete reporting.
•Limited utilisation of information for decision making.
•Inadequate skills in basic data processing and analysis.
•Agreed upon performance indicators.
•Appropriate Data collection tools
•Functional electronic HIS.
•Competent Staff in data collection, processing and use of the eHIS
Challenges of the current system:
Outputs:
Conceptual framework.
Appropriate Data
Competent Staff in data collection, processing and use
•Timely and complete Reporting to the UPMS
•Utilisation of program information for planning and decision making at all levels.
Increased effectivene ss and efficiency of the UPMS
Outcomes: Goal:
framework.
Setting up the system
• To be set up in
phases.
• currently being set up
at Kibuli ART clinic.
• Uses MoH OpenMRS
and DHIS2 platforms.
Setting up the system
Patient records fed into OpenMRS system
•Track patient care and clinical outcomes with
abilities to flag patients who may require additional
attention.
•Forecasts and manages drug inventory (DHIS2).
•Analyse data and generates reports.
•Planning and decision making.
Patient consultation: Health worker reviews patients based on the MoH paper forms.
Schematic Presentation of the system.
Patient records fed into
Track patient care and clinical outcomes with
abilities to flag patients who may require additional
Forecasts and manages drug inventory (DHIS2).
Analyse data and generates reports.
Planning and decision making.
Schematic Presentation of the system.
• Tools have been reviewed.
• Customisation of the OpenMRS and DHIS2 systems in process.
Setting up the system Setting up the system cont...
Other Activities
• Supported the NASA (2008/9) exercise at UNFPA.
• Developed TOR for the UPDF HIV/AIDS KAP survey.
• Coopted to the Steering committee for the MARPS
network Key populations HIV
• Coopted to the evaluation committee for procuring
a consultant to undertake the JPP baseline survey.
• Represented UNFPA at stakeholder meetings.
Supported the NASA (2008/9) exercise at UNFPA.
Developed TOR for the UPDF HIV/AIDS KAP survey.
opted to the Steering committee for the MARPS
network Key populations HIV sero survey.
opted to the evaluation committee for procuring
a consultant to undertake the JPP baseline survey.
Represented UNFPA at stakeholder meetings.
Presentations /Publications
Conference presentation: • MUMSA International Child Health NOV 2011 : The impact of child domestic work on the health of child domestic workers: A cross sectional
Newspaper article: • HIV fight: Couple antenatal attendance is the way to go
Issue Paper: • Condom programming in Uganda.
Publications.
Child Health Conference 18 th to 19 th
The impact of child domestic work on the health of child domestic workers: A cross sectional study.
HIV fight: Couple antenatal
Condom programming in Uganda.
Presentations /Publications
Abstracts
1. Pregnancy rates and pregnancy outcomes among Female
Sex Workers in Kampala district: A (8 th ASC MakCHS).
2. Condom use among female sex workers in Kampala district:
Across sectional study (8 th ASC
3. Access to SRH/HIV services by Female Sex Workers in
Kampala district: A cross sectional study
Publications cont....
Pregnancy rates and pregnancy outcomes among Female
Sex Workers in Kampala district: A cross sectional study
Condom use among female sex workers in Kampala district:
MakCHS).
Access to SRH/HIV services by Female Sex Workers in
cross sectional study (8 th ASC MakCHS).
Competencies achieved.
• M&E skills enhanced • Written & oral communication skills enhanced
• Enhanced program management skills
Competencies achieved.
Written & oral communication skills
Enhanced program management skills
Challenges
• Unanticipated delays in the HIV
combination Prevention program.
• Harmonising stakeholder expectations.
Unanticipated delays in the HIV
combination Prevention program.
Harmonising stakeholder expectations.
Way forward
• Continue implementing programmatic activity.
• Complete manuscript writing.
• Continue supporting the HIV combination prevention baseline assessment.
Continue implementing programmatic activity.
Complete manuscript writing.
Continue supporting the HIV combination prevention baseline assessment.
Acknowledgements:
• MakSPH/CDC fellowship program staff
• UNFPA staff
• Mentors
• UPMS staff
• Fellow fellows
Acknowledgements:
/CDC fellowship program staff
UPMS staff