Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 3834
Country/Region: Uganda
Year: 2009
Main Partner: International Medical Corps
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: enumerations.State/PRM
Total Funding: $283,345

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $60,000

The proposed project will take place in Kyaka II settlement of Kyenjonjo district. According to the UNHCR

August 2008 report, the refugee population in the area is currently 12, 115 however there are a group of

refugees known as "population on Hold" who are about 5,761. These are refugees who are not yet

documented by the UNHCR and have unrestricted movement within the settlement, thus they could leave

any time or stay for a longer period. The population of the host community within the 4 surrounding villages

who benefit directly from the services is about 4,500. The refugee population consists mainly of Congolese

origin that makes up about 80.7% of the total refugee population. The gender composition of the population

is distributed such that the female population including women of childbearing age makes up about 50.2%

of the total refugee population. Health services are provided by GTZ (German Development and Technical

Cooperation) with support from UNHCR out of the health center in the settlement. Services provided include

curative, preventive, VCT, PMTCT, palliative care and ART services. IMC supports the provision of these

services together with GTZ and its partners using trained nurses, laboratory technicians and other health

care personnel. In the FY 2009 FY, IMC will provide HIV counseling and testing services to 1,500 pregnant

women through its single service outlet. Community mobilization and awareness through use of information

campaigns, dramas & door to door visits etc to increase PMTCT uptake will be done including

encouragement of spouses to attend PMTCT services.

One service outlet at the Bujubuli Health Center was active and operational in providing a full package of

PMTCT services. In all over 1,538 pregnant women were counseled, tested and given the results during the

period. Of this amount 48 tested positive. In an effort to involve men, IMC undertook a campaign to raise

the awareness of men towards PMTCT and they were also tested in addition to their spouses. 307 men

were tested and 12 were found to be positive. It was not possible to match these positive men to their wives

as the testing was done individually. 13 mothers were provided with Niveprine medication as 28 weeks of

pregnancy and above and 4 mothers were enrolled in the HAART program. Due to migrations, some of the

mothers were not served with the Niveprine medications.

In FY 2009, IMC plans to expand PMTCT services to one other health center II in Mukondo as well as

improve the quality of PMTCT services outlined below. Antenatal care will continue to provide an entry into

the PMCT program. On antenatal clinic day, all expectant mothers will be sensitized on the benefits of

taking HIV test, mother to child HIV transmission, general HIV/AIDS prevention information, infant feeding

practices, and family planning. Group HIV pre-test counseling will be conducted and consenting mothers will

be provided with an HIV test and given results. Incentives like t-shirts and mosquito nets will be used to

motivate couples who attend antenatal care services as part of the process of increasing men's enrolment

into the PMTCT program. Couples will also be encouraged to attend on special antenatal days. Pregnant

mothers will be routinely tested and those found to be HIV positive will be informed about the PMTCT

services available in addition to other HIV care and support services. Expectant mothers will be given

specific services which will include HIV specific infant feeding education, provision of micro nutrient

supplements like iron, OI management, nutrition counseling, education on good hygiene practices, personal

and home care. Reproductive health services such as treatment of sexually transmitted disease, family

planning / child spacing, intermittent preventive treatment of malaria, postnatal care etc will be integrated

into PMTCT programs through education and provision of services. HIV positive mothers will also be

provided with preventive ARVs (basic regimen, combined regimen or HAART using MOH PMTCT

guidelines). In addition IMC will support HIV positive mothers by taking their blood samples to the JCRC in

Fort Portal where CD4 counts can be conducted. Follow up care and support for mother and baby will be

done after delivery in order to increase uptake of PMTCT services. IMC will conduct PMTCT campaigns

using films, IEC material and other methods of community sensitization. The campaigns will highlight the

benefits of PMTCT and help remove the stigma associated with the disease. As some mothers visit

Traditional Birth Attendants (TBAs) to deliver these health care workers will also be the target for awareness

training and the need to counsel mothers who are positive to attend a well equipped health care facility for

safer deliveries. TBAs will also ensure that ARV prophylaxis is administered for both the baby and the

mother since many women opt to deliver outside the health centers because of the distances involved. The

program will also establish home-based PMTCT program to follow up on expectant mothers who do not

attend ANC clinics due to distance with related information and drugs. These programs will also be linked to

the Basic Care Package Program currently being implemented by PSI. IMC will also link newly born babies

who have been exposed to HIV to other prevention, care and treatment services. This will be done through

the establishment of an early infant diagnosis (EID) and pediatric care program. IMC will also promote

counseling of mothers on specific infant feeding soon after delivery and at 5-6 months when babies are

expected to be weaned. HIV positive babies will be enrolled in the ART program. Awareness of the need for

early cessation of breast feeding and rapid weaning will be provided during home visits. Related supplies

and recruitment of relevant staff will also be undertaken to improve the services offered

New/Continuing Activity: Continuing Activity

Continuing Activity: 16078

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

16078 4795.08 Department of International 7337 3834.08 Refugee $60,000

State / Population, Medical Corps HIV/AIDS

Refugees, and services in

Migration

Kyaka II

Settlement

8298 4795.07 Department of International 4801 3834.07 Refugee $51,514

State / Population, Medical Corps HIV/AIDS

Refugees, and services in

Migration

Kyaka II

Settlement

4795 4795.06 Department of International 3834 3834.06 Refugee $44,531

State / Population, Medical Corps HIV/AIDS

Refugees, and services in

Migration

Kyaka II

Settlement

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing women's access to income and productive resources

* Reducing violence and coercion

Health-related Wraparound Programs

* Child Survival Activities

* Family Planning

* Malaria (PMI)

* Safe Motherhood

* TB

Refugees/Internally Displaced Persons

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $30,386

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Estimated amount of funding that is planned for Education $4,200

Water

Table 3.3.01:

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $29,949

The proposed project will take place in Kyaka II settlement of Kyenjonjo district. According to the UNHCR

August 2008 report, the refugee population in the area is currently 12, 115 however there are a group of

refugees known as "population on Hold" who are about 5,761. These are refugees who are not yet

documented by the UNHCR and have unrestricted movement within the settlement, thus they could leave

any time or stay for a longer period. The population of the host community within the 4 surrounding villages

who benefit directly from the services is about 4,500. The refugee population consists mainly of Congolese

origin that makes up about 80.7% of the total refugee population. The gender composition of the population

is distributed such that the female population including women of childbearing age makes up about 50.2%

of the total refugee population. Health services are provided by GTZ (German Development and Technical

Cooperation) with support from UNHCR out of the health center in the settlement. Services provided include

curative, preventive, VCT, PMTCT, palliative care and ART services. IMC supports the provision of these

services together with GTZ and its partners using trained nurses, laboratory technicians and other health

care personnel. In the FY 2009 FY, under the effort to increase community awareness of HIV/AIDS

prevention through promoting Abstinence and Being Faithful, IMC will target 3,500 students with AB

messages through activities of community educators and peer counselors in 6 schools

In 2007 36 Community Educators and 14 peer counselors were trained on HIV/AIDS prevention through

ABC; Peer Counsellors educated 629 students on HIV/AIDS prevention through AB in 6 schools, a total of

270 female and 359 male students were trained; Seminars were held in schools to promote AD involving

1221 students out of which 463 were females and 758 were males. IMC also conducted recreation activities

together with Right to Play-Uganda targeting out of school youth. Football and other programs were held at

Zonal levels and involved 2,309 youth

In FY 2009 similar activities will be undertaken to involve more students and members of the host

communities. In the previous years some students were not targeted with education messages because

they were below the ages of 10 but a large number of them will attain the age of 10 this year and will now

be targeted. IMC will continue to implement the shift to translating existing HIV knowledge into the desired

behavioral change using the health beliefs model within the context of HIV/AIDS which was implemented

successfully last year. The model involves providing comprehensive HIV knowledge, assessing risk for HIV

and consequences, identifying alternatives to risky behavior and drawing action plans to reach desired

behavior. Life skills training for the youth (in and out of school) is also a key component of this model. This

model will be tailored to promote abstinence and marital fidelity. IMC will continue promoting the use of the

PIASCY (Presidential Initiative For AIDS Strategy on Communication to Youth) in order to provide

comprehensive HIV/AIDS knowledge for the youth. In each school, life skills clubs will be supported to set

up an HIV/AIDS garage which provides information on an ongoing basis to students as well as provide an

environment where students can be allowed to share experiences or ask any questions and seek answers.

In addition, door to door visits will be conducted by community educators targeting families to improve

communication between parents and children hence motivating positive and responsible behaviors.

Behavioral change campaigns will be conducted around World AIDS Day, Day of the African Child and

World refugee day. These campaigns will also provide avenues to provide public information about HCT,

OVC care and ART. IMC will continue to support establishment of groups of PHAs, and train them to carry

out HIV/AIDS awareness as peer educators. IMC will also continue to involve faith based institutions to

carry out activities aimed at creating awareness on abstinence and promoting marital fidelity. IMC will recruit

and train community educator to work among the host populations as well as the refugee community.

Abstinence and Be Faithful talks will be organized in schools, using guest speakers from churches, PHAs

volunteers, other health officers and district and NGO staff.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16079

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

16079 4799.08 Department of International 7337 3834.08 Refugee $29,949

State / Population, Medical Corps HIV/AIDS

Refugees, and services in

Migration

Kyaka II

Settlement

8299 4799.07 Department of International 4801 3834.07 Refugee $29,949

State / Population, Medical Corps HIV/AIDS

Refugees, and services in

Migration

Kyaka II

Settlement

4799 4799.06 Department of International 3834 3834.06 Refugee $34,135

State / Population, Medical Corps HIV/AIDS

Refugees, and services in

Migration

Kyaka II

Settlement

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

* Reducing violence and coercion

Health-related Wraparound Programs

* Child Survival Activities

* Family Planning

* Malaria (PMI)

* Safe Motherhood

* TB

Military Populations

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $1,475

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Estimated amount of funding that is planned for Education $9,839

Water

Table 3.3.02:

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $24,506

The proposed project will take place in Kyaka II settlement of Kyenjonjo district. According to the UNHCR

August 2008 report, the refugee population in the area is currently 12, 115 however there are a group of

refugees known as "population on Hold" who are about 5,761. These are refugees who are not yet

documented by the UNHCR and have unrestricted movement within the settlement, thus they could leave

any time or stay for a longer period. The population of the host community within the 4 surrounding villages

who benefit directly from the services is about 4,500. The refugee population consists mainly of Congolese

origin that makes up about 80.7% of the total refugee population. The gender composition of the population

is distributed such that the female population including women of childbearing age makes up about 50.2%

of the total refugee population. Health services are provided by GTZ (German Development and Technical

Cooperation) with support from UNHCR out of the health center in the settlement. Services provided include

curative, preventive, VCT, PMTCT, palliative care and ART services. IMC supports the provision of these

services together with GTZ and its partners using trained nurses, laboratory technicians and other health

care personnel. In the FY 2009, IMC will conduct promotion campaigns to improve condom use in 13

villages. Building on the success of the previous year, IMC will provide condom dispenser outlets, train

community educators and promotion campaign to targeting over 10,000 individuals.

During FY 2008, IMC conducted two condom promotion campaigns in 13 villages targeting over 7,400

individuals, additionally, through the work of the community educators another 9,027 individuals were

reached with messages on condom usage during social forums, public health shows, antenatal clinic days

and ART clinic days. 27 Condom outlets were maintained during the period and the outpatient centers were

also provided with condoms for distribution. About 533,277 condoms were distributed during the period. 35

individuals were trained in STI management through condom use which included 21 community educators

and 14 community health workers

In FY 2009, IMC will continue with condom promotion, integration of RH and STI management, prevention

with positives activities and, promotion of HCT as a prevention strategy. IMC will continue its condom

promotion campaign in addition to ongoing door to door sensitization by community educators. The

condom outlets will be increased from 27 to 42 in an attempt to cover the host population as well. STI

prevention and treatment will be strengthened through outreach testing, community sensitization, training of

community workers, training of health staff in syndromic management of OIs, IEC materials and provision of

a broad spectrum of antibiotics will continue. Friendly reproductive services will be instituted at the health

center through the training of health staff, providing related supplies and materials, school talks and

providing straight talk newspapers. One group of PHAs will be formed and trained on positive living and

prevention of STIs including prevention of re-infection. They will also be encouraged and supported to carry

out HIV/AIDS awareness including condom use. During public information campaigns, HCT will be

promoted as a prevention strategy. During HCT and condom awareness, communities will be informed

about discordance and the need for discordant couples to use condoms consistently. Awareness on male

circumcision within the context of HIV will be continue through door to door sensitization by community

educators, IEC materials and routine health education. Those in need of the services will be referred to the

nearest HC III. Since there is a clear correlation between alcohol and other substance abuse and HIV risky

behavior, the project will continue to raise awareness of this linkage through drama, community meetings

and publication of IEC materials drawing attention to that linkage

New/Continuing Activity: Continuing Activity

Continuing Activity: 16080

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

16080 4803.08 Department of International 7337 3834.08 Refugee $24,506

State / Population, Medical Corps HIV/AIDS

Refugees, and services in

Migration

Kyaka II

Settlement

8300 4803.07 Department of International 4801 3834.07 Refugee $24,506

State / Population, Medical Corps HIV/AIDS

Refugees, and services in

Migration

Kyaka II

Settlement

4803 4803.06 Department of International 3834 3834.06 Refugee $17,784

State / Population, Medical Corps HIV/AIDS

Refugees, and services in

Migration

Kyaka II

Settlement

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

* Reducing violence and coercion

Health-related Wraparound Programs

* Family Planning

* Safe Motherhood

Refugees/Internally Displaced Persons

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.03:

Funding for Care: TB/HIV (HVTB): $69,291

Activity Narrative - maximum 15,000 characters

The proposed project will take place in Kyaka II settlement of Kyenjonjo district. According to the UNHCR

August 2008 report, the refugee population in the area is currently 12, 115 however there are a group of

refugees known as "population on Hold" who are about 5,761. These are refugees who are not yet

documented by the UNHCR and have unrestricted movement within the settlement, thus they could leave

any time or stay for a longer period. The population of the host community within the 4 surrounding villages

who benefit directly from the services is about 4,500. The refugee population consists mainly of Congolese

origin that makes up about 80.7% of the total refugee population. The gender composition of the population

is distributed such that the female population including women of childbearing age makes up about 50.2%

of the total refugee population. Health services are provided by GTZ (German Development and Technical

Cooperation) with support from UNHCR out of the health center in the settlement. Services provided include

curative, preventive, VCT, PMTCT, palliative care and ART services. IMC supports the provision of these

services together with GTZ and its partners using trained nurses, laboratory technicians and other health

care personnel.

During the past year, one service outlet was operational in providing facility based palliative care and TB

diagnosis and treatment. 41 community health workers and community educators were also trained to

provide palliative care. The subjects included home based provision of palliative care and CB-DOTS (TB

management system). 3 health professional attended the palliative care training course organized by

Hospice and they also organized an in-house training for their peers and colleagues. 35 community

educators and community health workers were trained in TB and HIV identification and referral, in addition,

1,050 caregivers were trained in care and support for HIV/AIDs patients. Finally, 357 HIV+ individuals were

provided with related palliative care including Cotrimazol Prophylaxis and provided with kits with support

from PSI.

In FY 2009, IMC/GTZ will continue to provide TB/HIV interventions to Mukondo HCII increasing the service

outlets from one to two. IMC will also provide HIV Counseling and Testing (CT) for TB patients who attend

clinic. It is expected that more people will attend the CT when this is offered at the TB clinic. To ensure a

continuing high standard of care, IMC will provide a refresher training to 10 health professionals to provide

clinical prophylaxis (this will involve providing medications to TB patients during clinical visits over a period

of time to ensure that patients are actually taking the medications), TB diagnosis, treatment protocol and

elements of Community based Directly Observed Treatment Short-course (TB-DOTS) and Health Education

on TB Prevention. Training will be conducted by TB staff from the district that have substantial knowledge

on national TB and ACP programs. IMC will identify and train 18 community health workers as TB/HIV focal

persons on CB-DOTS using national TB/HIV collaborative guidelines and provide them with relevant

materials and logistical support to improve drug adherence and defaulter tracing. Communities will be

sensitised about respiratory tract infections in general & T.B in particular - issues related to over-crowding

in closed areas, adoption of good cough habits, and good ventilation. A TB campaign will be conducted on

World Tuberculosis Day (March 24) which will help to improve case finding, reduce stigma and defaulter

rates as well as promote preventive and care aspects of tuberculosis. TB reagents and prevention therapy

will continue to be accessed at Kyegegwa Health Sub district. However, IMC will procure TB related

supplies like pipettes, and microscope sputum slides for the Mukondo HCII. All new TB patients are

sensitized on TB/HIV integration, counseled and tested for HIV if they have not already been tested via the

RTC. All new TB/HIV patients will be enrolled in the HIV/AIDS care and support program including

nutritional support. Additional staff including a laboratory technician and a nurse will be required to initiate

TB/HIV services in Mukondo HCII. This activity will support 40 (based on number of TB clients registered at

the health centre in the last six months with an addition of 10%) individuals with TB/HIV care between

September 1, 2008 to September 1, 2009.

New/Continuing Activity: New Activity

Continuing Activity:

Emphasis Areas

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $15,000

and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.12:

Funding for Care: Orphans and Vulnerable Children (HKID): $52,191

The proposed project will take place in Kyaka II settlement of Kyenjonjo district. According to the UNHCR

August 2008 report, the refugee population in the area is currently 12, 115 however there are a group of

refugees known as "population on Hold" who are about 5,761. These are refugees who are not yet

documented by the UNHCR and have unrestricted movement within the settlement, thus they could leave

any time or stay for a longer period. The population of the host community within the 4 surrounding villages

who benefit directly from the services is about 4,500. The refugee population consists mainly of Congolese

origin that makes up about 80.7% of the total refugee population. The gender composition of the population

is distributed such that the female population including women of childbearing age makes up about 50.2%

of the total refugee population. Health services are provided by GTZ (German Development and Technical

Cooperation) with support from UNHCR out of the health center in the settlement. Services provided include

curative, preventive, VCT, PMTCT, palliative care and ART services. IMC supports the provision of these

services together with GTZ and its partners using trained nurses, laboratory technicians and other health

care personnel.

During the past year 10 individuals were identified and trained in child counseling to provide psychosocial

support to OVCs in their respective zones. A total of 508 OVC caregivers were trained in crop management

and agricultural production. A total of 75 families were supported with seedlings and farming equipments.

657 OVCs were supported with school uniforms.

In FY 2009 IMC will strengthen OVC programs using a family centered approach where OVC are targeted

within their families to ensure adequate monitoring, support and, ownership of program. To address the

psychosocial needs of these OVC and their families/caregivers, refresher training will be conducted for 10

volunteers trained in child counseling during the past year and IMC provide ongoing supportive supervision

to these individuals. The Counselor Trainer will be responsible for providing psychosocial care directly to

those OVC with particular needs when referred by the 10 trained counselors. Existing child rights

committees at zonal level will be trained to integrate OVC care in their child rights education programs in the

communities as well as monitor the conditions of OVC in their zones This activity will also continue to

improve the food security and ability of OVC and their caretakers to secure livelihoods through the provision

of seedlings, cultivation tools and training. A number of the neediest OVC families will be selected by IMC

together with the Community Services Office using an established assessment and selection criterion

developed by the Community Services Office and OVC Zonal Committees. IMC will also provide scholastic

materials to OVCs in school. However the materials will be distributed at household level to reduce stigma

associated with distribution in schools. This will be complemented by an awareness-raising campaign

coordinated by the Community Educators aimed at changing the attitudes of families/care givers to promote

children's right to education, particularly those younger girls currently undertaking traditional ‘female roles' in

the household. Through community dialogue with social forums, drama groups and door-to-door visits, this

campaign will also emphasize the negative affects of domestic violence, neglect and exploitation of

vulnerable children and will serve to reinforce IMC's ongoing campaign against under-age sex and early

marriages as part of the sexual and gender-based violence program and the abstinence/be faithful activity

in this program. This activity will also link up with other HIV/AIDS related services. For example the

Community Educators through the door to door visits will raise awareness on HIV, HCT, PMTCT and other

services available and will make any needed referrals.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16083

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

16083 4810.08 Department of International 7337 3834.08 Refugee $52,191

State / Population, Medical Corps HIV/AIDS

Refugees, and services in

Migration

Kyaka II

Settlement

8303 4810.07 Department of International 4801 3834.07 Refugee $52,191

State / Population, Medical Corps HIV/AIDS

Refugees, and services in

Migration

Kyaka II

Settlement

4810 4810.06 Department of International 3834 3834.06 Refugee $22,471

State / Population, Medical Corps HIV/AIDS

Refugees, and services in

Migration

Kyaka II

Settlement

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

* Increasing women's access to income and productive resources

Health-related Wraparound Programs

* Child Survival Activities

* Family Planning

* Malaria (PMI)

* Safe Motherhood

* TB

Refugees/Internally Displaced Persons

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.13:

Funding for Testing: HIV Testing and Counseling (HVCT): $47,408

The proposed project will take place in Kyaka II settlement of Kyenjonjo district. According to the UNHCR

August 2008 report, the refugee population in the area is currently 12, 115 however there are a group of

refugees known as "population on Hold" who are about 5,761. These are refugees who are not yet

documented by the UNHCR and have unrestricted movement within the settlement, thus they could leave

any time or stay for a longer period. The population of the host community within the 4 surrounding villages

who benefit directly from the services is about 4,500. The refugee population consists mainly of Congolese

origin that makes up about 80.7% of the total refugee population. The gender composition of the population

is distributed such that the female population including women of childbearing age makes up about 50.2%

of the total refugee population. Health services are provided by GTZ (German Development and Technical

Cooperation) with support from UNHCR out of the health center in the settlement. Services provided include

curative, preventive, VCT, PMTCT, palliative care and ART services. IMC supports the provision of these

services together with GTZ and its partners using trained nurses, laboratory technicians and other health

care personnel. In the FY 2009 FY, IMC will provide HIV counseling and testing services to 1,500 pregnant

women through its single service outlet while making plans to open up another outlet. Community

mobilization and awareness through use of information campaigns, dramas & door to door visits etc to

increase PMTCT uptake will be done including encouragement of spouses to attend PMTCT services.

During the past year one service outlet was operational in providing VCT services. There was a steady

access of VCT services to the target population through the Health centers and community outreach

programs. Three post-test clubs were organized and remained active in providing people living with

HIV/AIDS with support. The programs also helped in sensitizing people in the value of VCT. A total of 1640

refugees consisting of 875 males and 745 females were tested in addition to 2,482 host population,

consisting of 1,183 males and 1,299 females. Of the number tested 107 males and 133 females tested

positive.

In FY 2009, the project will continue to provide services at Mukondo HCII, thus providing adequate

coverage to the community. VCT services will continue to be the primary point for delivering HVCT

services although Routine Counseling and Testing (RCT) will continue to be used within the context of

PMTCT. RTC will be offered as part of clinical evaluation along with tests or investigations recommended by

health providers. Health staff will continue to receive refresher trainings on HIV counseling as well as

ethical issues associated with RTC and routine counseling and testing (RCT). Selected individuals will be

trained as Counseling Aides to support the HVCT unit to better the counselor-client ratio and improve the

quality of HVCT provided, especially at outreach sites where many people turn up demanding for

counseling and testing services. HIV test kits and related materials will be obtained from the health sub-

district but IMC and GTZ will procure some to prevent stock outs. In addition to promoting the available

services, periodic community awareness campaigns especially around key international events like World

AIDS Day, will address issues related to disclosure of status to partners and families and the need for

couple counseling and testing. Couple counseling will continue to be provided and health staff will be

provided with refresher trained to carry out couple counseling. In addition incentives such as T-shirts and

refreshments will be provided to couples that turn up for HVCT meetings and those who complete the full

program will also be giving a certificate of completion. Community Educators will emphasize the importance

of testing for children at risk of infection as part of this campaign. HVCT for children will be done mainly

within the PMTCT context where babies born to HIV positive mothers or those with symptoms of HIV/AIDS

will be tested at 18 months. GTZ will also explore the possibility of working with JCRC in Fort Portal to

provide PCR in the long run. Other children will be tested as part of clinical evaluations while those above

12 years will be sensitized in school or during community sensitizations. In addition those above 12 years

can access VCT at the different outlets or outreaches. Market days and church activities will continue to

provide an entry point to HVCT. Links between the ongoing SGBV program and market/church activities will

be key to the promotion of increased gender equity, challenging of male norms and behaviors conducive to

HIV and STIs transmission, and the reduction of violence and coercion. All individuals who test HIV positive

will be counseled and informed about available care and support services for PHAs including treatment for

OIs, ART, PMTCT and palliative care services and enrolled on to the care and support program. Expectant

mother who attend VCT will be referred to health centers for ANC and PMTCT services as well.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16084

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

16084 4814.08 Department of International 7337 3834.08 Refugee $49,744

State / Population, Medical Corps HIV/AIDS

Refugees, and services in

Migration

Kyaka II

Settlement

8304 4814.07 Department of International 4801 3834.07 Refugee $49,744

State / Population, Medical Corps HIV/AIDS

Refugees, and services in

Migration

Kyaka II

Settlement

4814 4814.06 Department of International 3834 3834.06 Refugee $57,551

State / Population, Medical Corps HIV/AIDS

Refugees, and services in

Migration

Kyaka II

Settlement

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

* Reducing violence and coercion

Health-related Wraparound Programs

* Family Planning

* Safe Motherhood

Refugees/Internally Displaced Persons

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.14:

Cross Cutting Budget Categories and Known Amounts Total: $60,900
Human Resources for Health $30,386
Education $4,200
Human Resources for Health $1,475
Education $9,839
Food and Nutrition: Policy, Tools, and Service Delivery $15,000