1. Facility Community Linkages
SIMON/HANNINGTONE
January 2013

2. Outline Project goal & objectives Scope of the project
Overall objective for the quarter
Follow-ups
ART, Pre-ART, TB, TB 12 month cohort, PMTCT
EID (Not enrolled, Not received PCR results, Not initiated on ART)
HIV positives linked, but did not enroll

3. Project goal
The goal of Strengthening Uganda’s Systems for Treating AIDS Nationally (SUSTAIN) is to provide quality HIV/AIDS care and treatment and laboratory services at regional and general hospitals in Uganda and build the capacity of the public sector to provide care and treatment

4. Project objectives
Ensure the provision of HIV/AIDS care and treatment, laboratory, PMTCT, and TB/HIV services within public regional referral hospitals and district hospitals
Enhance quality of HIV/AIDS care and treatment, laboratory, PMTCT, and TB/HIV services within public regional referral hospitals and district hospitals
Increase stewardship by the MoH to provide sustainable quality HIV/AIDS care and treatment, laboratory, PMTCT, and TB/HIV services within the public health system

5. Hospitals covered Kawolo 9. Kabale Mbale 10. Gombe Jinja 11. Moyo
Soroti
Lira
Hoima
Mubende
Fort Portal
9. Kabale
10. Gombe
11. Moyo
12. Nebbi
13. Gulu
14. Kaabong
15. Entebbe
16. Moroto

6. Follow up results for all clients who missed their clinic appointments [HIV positives (>2yrs), ART, pre-ART, TB, PMTCT mothers & infants]
Proportion of LOST ART patients who were followed up and had a documented outcome disaggregated by type of outcome
Males
Females
Total
Total number of LOST ART patients during the reporting period segregated by gender
2,059
2,711
4,770
Not followed up due to wrong contact/locator inforation or distant abode
985 (21%)
Number of LOST ART patients who were followed up and have a documented outcome disaggregated by type of outcome
Returned to the clinic
609
956
1,599
Self transfer-out
505
589
424
Died 99
120
108
Active with un-updated records
112 97
453
Choose to stop medication
176
234
139
Couldn't be found
577
790
Promised to come
148
124
272

7. Follow up results for all clients who missed their clinic appointments [HIV positives (>2yrs), ART, pre-ART, TB, PMTCT mothers & infants]

8. ART cascade

9. Other HIV prevention and support activities
Strengthening the continuum of care for PLHAs through facility based peer support group activities
Improving Facility & Community Linkages
Provision of Facility Based Health Education
Supporting Ministry of Health to revise the Hospital Community Health Department Guidelines

10. People living HIV/AIDs participating in facility-based peer support group activities
Category
Male
Female
Total
PMTCT Mothers and Partners 12
557
569
Children (6 – 12 years)
152
208
360
Discordant Couples
128
135
263
Adolescents (13 – 17 years)
127
186
313
419
1086
1505

11. Peer support group discussion on infant feeding options among HIV positive lactating mothers at Jinja Regional Referral Hospital

12. Strengthening linkages for clients along the continuum of care
Mentorships
HQ to facilities (quarterly)
CLC to entry points (at least monthly)
Monthly performance assessments
Monthly facility based meetings on linkages to care

13. Average Health Facility Name Tested for HIV % of HIV+ linked to care
October to December 2012
Health Facility Name
Tested for HIV
% of HIV+ linked to care
1.Entebbe Hosp
1458
98%
2. FP/Buhinga RRH
1781
80%
3. Gombe Hosp
3218
81%
4. Gulu RRH
2865
55%
5. Hoima RRH
2350
90%
6. Jinja RRH
3661
97%
7. Kaabong Hosp
920
8. Kabale RRH
1876
86%
9. Kawolo Hosp
1294
100%
10. Lira RRH
2253
52%
11. Mbale RRH
2534
99%
12. Moroto RRH
2049
92%
13. Moyo Hosp
1559
91%
14. Mubende Hosp
3374
15. Nebbi Hosp
940
16. Soroti RRH
2874
Average

14. Proportion of HIV positives linked to care over five quarters

15. Provision of Facility Based Health Education
Number of new clients linked to various HIV service entry points after the health education sessions
Male
Female
Total
HCT 
2,920
3,715
6,635
VMMC
PMTCT
153
2,926
3,079 TB 48 49 97
EID
135
280
415

16. Revision of the Hospital Community Health Department Guidelines
1st Stakeholder meeting – June 2011
2nd Stakeholders meeting – June 2012
1st Consultative meeting – July 2012
3 CHD guideline drafting meetings - Oct 2012 to date

17. CHD Guideline Drafting Meeting

18. Priorities for year III
To strengthening linkages for clients along the continuum of care
Tracking clients who do not returned for follow-up care
To promote improved psychosocial wellbeing of targeted clients through facilitation of peer support groups

19. Up coming activities Follow ups
Mobilization of clients for HTC and VMMC
Follow ups
Multi-Drug resistant TB patients
Circumcised clients
Initiation of therapeutic groups (group counseling)

20. Challenges
Decentralization of follow ups to respective units leading to documentation gaps
No funding for physical follow ups