1. Harnessing the strength of youth- led adherence interventions.
Baylor College of Medicine Children’s Foundation- Uganda
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2. Baylor College of Medicine Children’s Foundation- Uganda is affiliated to Baylor International Pediatrics AIDS Initiative based in Houston Texas.
Largest pediatric and adolescent HIV care and treatment facility in Africa with a COE (> clients) in the capital Kampala.
Cares for 26% of Uganda’s children and adolescents and 70% of them are younger than 15.

3. Presenters Brian Hastings Nganwa, Suzan Kansiime.
Annet Nassaka, Abel Niyonzima.
Esther Kangave, Jacqueline Balungi Kanywa.
Edward D. Pettitt, Sabrina Bakeera- Kitaka.

4. Presentation over view
Mission and vision/ Introduction
Shaping the future of HIV education
Sexual Health promotion
Q& A and Discussion
Conclussions

5. Vision and Mission
Vision: A healthy and fulfilled life for every HIV infected and affected child & their family in Africa Mission: To provide high-quality family-centered paediatric and adolescent health care, education and clinical research world wide.

6. Shaping the future of HIV education
Introduction:
Life experiences by Brian Hastings Nganwa, Suzan Kansiime and Annet Nassaka

7. HIV education approach at Baylor- Uganda
Brief history of Mulago Teen’s Club
Clubs within the Mulago Teens Club
Camps (Sanyuka, Hope)
Adherence and sex education during peer support activities

8. Sexual health promotion and youth led adherence interventions at Baylor- Uganda.
Globally:
Policy to integrate HIV/ AIDS and SRH services
About 75% of HIV infections are sex related.

9. Sexual health promotion and youth led adherence interventions at Baylor- Uganda.
Nationally:
8 million adolescents with an HIV prevalence rate of 5.1% (2011) up from 1.5 % (2004).
In 2013 there were 15, 000 new infections among adolescents years.
50% of Ugandans engage in sex before they are 18 years old.

10. Sexual health promotion and youth led adherence interventions at Baylor- Uganda.
Only 38% of eligible adolescents receiving ART country wide.
Sabrina et al (2008) and Nabukeera et al (2009)- HIV infected adolescents engage in unsafe sexual relationships.
On going development of an adolescent curriculum at the national level.

11. Sexual health promotion and youth led adherence interventions at Baylor- Uganda.
Talk about adolescents/ Young people= Talk about sex = talk about sexual health promotion.
Slogan at Baylor- Uganda: HIV stops with me!
Calls for adherence to ART and safe sex practices.
ART adherence= low population VL= less new infections= reduced MTCT= HIV free generation.

12. Sexual health promotion and youth led adherence interventions at Baylor- Uganda.
Adherence to life long ART.
Age structured peer support through Mulago Teens Club. Disclosure= club membership from age 9. Routine 6 monthly and targeted counseling, CBHC.
Health worker friendly engagement at all levels to support adherence; pill counting, peer counselors, personalized education on clinical symptoms, CD4 and VL counts, education on ART.

13. Emphasis on a treatment buddy, ART time reminders e. g
Emphasis on a treatment buddy, ART time reminders e.g. alarms, skills building.
Age structured adolescent clinic every Tuesday ; ; ; 20 and over. Teen mothers club.
HEADSS approach when dealing with teens.

14. Table showing age categories among clients attending Baylor- Uganda
Age group (years)
Absolute number
Percentage
0 – <10
3097 44
10- <14
1279 18
14- <17
808 12
17- <20
555 8
20- 24
576
25 and older
706 10
TOTAL
7021
100
Approximately 2, 663 (38%) adolescents aged years and 576 (8%) young people aged years.
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15. Sexual health promotion and youth led adherence interventions at Baylor- Uganda.
Services offered: Health education, STI screening and treatment, antenatal care/ referral, FP, Cervical cancer screening and confidential condom demonstration/ distribution.

16. Table showing services offered from January to June 2014
Service offered
Numbers
Targeted health education
430
Family planning
53 (50% prefer injectables)
Urine hCG for pregnancy
81 (5 % positivity)
STI syndromic management 14
Male condoms distributed
4124
Cervical cancer screening
52 (6 % positivity with VIA, all cryotherapy) A 2013 survey showed % positivity.

17. References www.unicef.org/infobycountry/uganda_statistics.ht ml;
dhsprogram.com/pubs/pdf/PR18/PR18.pdf
Baylor- Uganda data base.
Adolescents Living with HIV in Uganda: Michaela Kerrissey