PREVENTION OF MOTHER TO CHILD TRANSMSSION OF HIV (PMTCT) PROJECT
THETA as a champion in community based eMTCT, implemented a project in 10 districts of Lira, Alebtong, Otuke, Oyam, Ngora, Bukedea, Tororo, Butaleja and Rakia. The program funded by Centers for Disease Control and Prevention (CDC) was implemented through the district local government structures. The project goal was to increase uptake of Uganda national PMTCT program through building community-based models that can be replicated nationwide. The aim was to increase the knowledge of PMTCT at community level among sexually active population through home to home teaching and small groups community dialogues, strengthen community-facility referral networks for increased access to ARV prophylaxis by HIV positive pregnant women and their exposed babies and promote access to early infant diagnosis of HIV among HIV exposed babies. THETA also partnered with Mild may Uganda to train health workers in family support group concepts for uptake of option Bplus in nine Mildmay supported districts of central Uganda.
As a result 210,896 people were reached with PMTCT messages of which 62.5 % people reached were of the target group of Pregnant and lactating mothers. 85.7% of the mothers were reached with their partners and 14,244 of the mothers were HIV positive mothers.
Also during the period 274,425 people were referred to health facilities for various PMTCT services. Among people referred were 89,350 (32.6%) pregnant and lactating women, 6,019 (16.7%) male partners. The rest were males and youths. Of the women referred 54,652 were pregnant and 34,698 lactating.
A total of 73,356 women (44,469 pregnant and 28,887 lactating) were followed up in the community for various services. Of those followed up, 10,004 (13.6%) women were known HIV positive mothers to support adherence to treatment and EID. Pregnant and lactating women were also followed up to identify the services they received at health facilities and for any appropriate referral to health facilities
MATERNAL HEALTH PROJECT (MHP)
THETA Uganda implemented the Maternal Health Project under a coalition called the Voices for Health Rights. Voices for Health Rights (VHR), a coalition of civil society organizations advocating for the Right to Health in Uganda implemented a SIDA funded project titled “Improving Maternal, Sexual and Reproductive Health through the Rights Based Approach among Rural Communities in Uganda, (MHP) since 2010. The Project Goal was to contribute to reduction of maternal and new born mortality in Uganda and its main purpose was improving demand and utilisation of maternal, sexual, reproductive and new born health services at community level through the rights-based approach.
The primary target group for the project were Female and male community members in the reproductive age group (15 – 49) in 8 districts in Uganda that included; Oyam, Hoima, Mubende, Sheema, Mayuge, Soroti , Mityana.
The project employed a multi-prong strategy to cater for the diversity of the expected results and the geographical area. Among the activities that were carried out included; the project implemented different activities during the reporting period. They included:
Community sensitization meetings and Drama and Music on comprehensive MSRHR including EMTCT, post abortion care and adolescent health education in schools, Community dialogues on comprehensive MSRHR between community members and duty bearers, Radio talk shows and spot messages on comprehensive MSRHR and Capacity building of district health workers on comprehensive MSRHR.
The project was able to conduct 671 sensitization meetings and 15,175 people attended also 2989 individuals were reached while raising awareness of masses on MSRHR in the project areas.
GENDER BASED VIOLENCE
THETA and Mildmay Uganda (MUg) jointly implemented a project “strengthening the capacity of service providers to prevent and respond to Gender Based Violence (STOP GBV) in the four districts of Masaka, Bukwe Kumi and Ngora. The purpose of the project was to strengthen the capacity of service providers to effectively prevent and respond to gender based violence in their respective communities.
Among the activities carried out was a Baseline assessment of Gender based services. The assessment carried out was intended to obtain reliable and baseline relevant data on the prevalence and forms of gender based violence in four districts of Uganda and how different stakeholders work together in handling and management of gender based violence. Information obtained from the study was used to inform programmatic interventions on GBV in the areas, bench mark project performance assessment and also map available “circle of GBV service providers in project areas.
The project also led to the formation of circles of GBV service providers and 70 health workers were trained on management of Gender Based Violence ,100 VHTs trained in community mobilization, detection and referrals for gender based violence, 30 multi-sectoral district and civil society leaders trained in human rights approaches and programming for gender based violence. Twelve (12) circles of providers were established in Ngora and Kumi for improved networking of providers, referrals of survivors and GBV advocacy. There was also integration and streamlining of GBV work into the existing services provided by the community development office, family protection unit of the Uganda Police, health facilities, CSOs and Village Health teams at the community.