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Care and Treatment Group

4th Uganda AIDS Partnership ForumMunyonyo, 30th Jan – 1st Feb 06

Chair: Namuyomba Grace

Secretary: Dr. Kyamanywa Dan

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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

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Counselling and Testing…

Good practices PHAS/expert clients involved Rapid testing is good: saves time to get

results Community counselling aides trained

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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

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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

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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

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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

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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

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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

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Priority Interventions…

Regularise the position of a counsellor in the public service MOPS

Scale up ART / PMTCT services to all health centre IV MOH/LGs

Improve on the HMIS at all levelsMOH/LGs/UAC

Train more providers in palliative care MOH/Hospice

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Priority Interventions…

Review & modify WHO guidelines to suit the rural communities MOH/UAC/LGs

Establishment of linkages between the PMTCT and ART services MOH/UAC/LGs

Disseminate nutrition guidelines in relation to ART MOH/PHA Forum/CSO

Community mobilisation and sensitisation to enhance uptake of the available servicesLGs/PHA Forum

END