1. 1 Care and Treatment Group 4 th Uganda AIDS Partnership Forum Munyonyo, 30 th Jan – 1 st Feb 06 Chair: Namuyomba Grace Secretary: Dr. Kyamanywa Dan

2. 2 Counselling and Testing Good practices  National Counselling and testing policy in place  National training curriculum available  Trained counsellors present  Counselling and testing centres opened in all districts

3. 3 Counselling and Testing… Good practices  PHAS/expert clients involved  Rapid testing is good: saves time to get results  Community counselling aides trained

4. 4 Counselling and Testing… Gaps / Challenges  Counselling policy is not widely disseminated  Training curriculum is not widely known  Minimal private sector involvement (PFP)  Inadequate laboratory resources: staff, kits, CD4 and viral load equipment

5. 5 Treatment Good Practices  Policy guidelines and standards available  Training in comprehensive HIV/AIDS care done  PHAs accessing ARVs  Treatment centres accredited in all districts  Drugs for OIs including TB is accessible

6. 6 Treatment… Good Practices  Septrin prophylaxis introduced  Introduction of ARVs for children  Improved health worker / patient relationship  Collaboration between health workers and traditional herbalists e.g. herpes zoster treatment

7. 7 Treatment… Gaps / Challenges  Diagnostic and treatment centres few & not well distributed  Policy guidelines not well disseminated  Not all providers are trained in comprehensive HIV/AIDS care  Home based care givers not trained in comprehensive HIV/AIDS care

8. 8 Treatment… Gaps / Challenges  Counselling on ART inadequate  Inadequate follow up of clients especially at home  Inadequate resources, including human resource  Inadequate ARVs, OI drugs and irregular supply  Inadequate preparedness for treatment, adherence and sustainability

9. 9 Priority Interventions 06/07  Train more counsellors, counselling aides, laboratory personnel & scale up of HCT servicesMOH  Provide the necessary drugs & supplies to eliminate stock outs: ARVs, Septrin, OI drugs, testing kitsMOH/MOF/MOLG/DP/PS  Improve on the timeliness & accuracy of reportsMOH/LGs  Meaningful involvement of persons living with AIDS (MIPA)PHA Forum/CSO/MOH

10. 10 Priority Interventions…  Regularise the position of a counsellor in the public serviceMOPS  Scale up ART / PMTCT services to all health centre IVMOH/LGs  Improve on the HMIS at all levels MOH/LGs/UAC  Train more providers in palliative care MOH/Hospice

11. 11 Priority Interventions…  Review & modify WHO guidelines to suit the rural communitiesMOH/UAC/LGs  Establishment of linkages between the PMTCT and ART services MOH/UAC/LGs  Disseminate nutrition guidelines in relation to ARTMOH/PHA Forum/CSO  Community mobilisation and sensitisation to enhance uptake of the available services LGs/PHA Forum END