Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 9172
Country/Region: Uganda
Year: 2010
Main Partner: Mildmay International
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $0

Mildmay Uganda (MU) is a faith-based organisation operating under the aegis of the Uganda Ministry of Health since 1998 and managed by Mildmay International. It is recognised internationally as a centre of excellence for comprehensive HIV/AIDS care and training, particularly for children (less than 18 years), who constitute 22% of patients. MU has had a cooperative agreement with CDC Uganda since 2001 to support training in HIV/AIDS care and treatment. From April 2004, the support was expanded to include ART and palliative HIV basic care. MU's central facility is in Wakiso district and serves as a referral centre. In addition, MU supports nine satellite facilities covering nine subcounties in six districts (Kamwenge, Luwero, Mityana, Mpigi, Mukono and Wakiso) to increase access to good quality HIV care in the rural communities. MU has cumulatively registered approximately 25,000 patients, with 20,200 currently in care. Through PEPFAR MU supports 9,270 patients with antiretroviral (ARV) drugs. MU's clients access a free palliative care package which includes provision of the Basic Care Kit (safe water vessel, water purification solution, LLITNs for malaria prevention), laboratory services (CD4 counts and other laboratory tests), Cotrimoxazole prophylaxis and other palliative care services i.e. morphine and chemotherapy for HIV related cancers and management of opportunistic infections including TB. Other services offered to the clients include cervical cancer screening and treatment of pre-cancerous lesions with cryotherapy; reproductive health and Family Planning; screening and treatment of HIV related eye diseases; dental care for children; mental health care and rehabilitation services. In order to reduce the cost of access to care, MU has established a network of Community Clinics within Ministry of Health facilities in six subcounties of Wakiso and Kampala districts. Stable clients from the main site are referred to these clinics for their drug refills and routine follow-up.

Training is a key component of the MU programme as a health systems strengthening strategy to scale-up prevention, care and support services. It targets doctors, nurses, counsellors, pharmacists, laboratory personnel, nursing assistants, community health workers, school teachers, religious leaders, community leaders, community based volunteers and carers of patients. The training programme reaches participants throughout Uganda through long modular work-based programmes, clinical placements and short courses delivered either at the main site or through Mobile Training Teams (MTT) in the rural districts. Short courses include: ART for Programme Managers; Use of ART in Children and Adults; Management of Paediatric HIV and AIDS; HIV and AIDS Palliative Care; Laboratory Skills in an HIV and AIDS Context; Management of Opportunistic Infections among others. MU offers two 18 months work-based dipolma programmes. One validated by the University of Manchester ('A Health Systems Approach to HIV and AIDS Care and Management') and another by Mbarara University of Science and Technology in Uganda (Community HIV and AIDS Care and Management'). The Manchester diploma targets senior health managers/policy makers, with an added option of 18 months extension to a degree level while the Mbarara diploma targets clinicians involved in HIV and AIDS management. In response to the need to equip Nursing Assistants (a cadre with basic nursing skills but found to be carrying the bulk of the work at lower health centre levels), MU has developed a 4-module certifcate course, 'HIV and AIDS Palliative Care for Nursing Assistants'.

ReachOut (RO) Mbuya Parish HIV/AIDS initiative, a sub-partner with MU is a community and faith based project under Our Lady of Africa Church, Mbuya Kampala started in 2001. RO provides free medical care, social, spiritual and emotional support to PLHIV in 2 districts; Kampala (Nakawa, Giza-giza, Kinawataka, Acholi quarters and Banda) and Luweero (Kasaala). Currently, RO reaches 3,113 PLHIV in Kampala and 338 in Luweero.

Both MU and RO have electronic monitoring and evaluation systems for data management and analysis. The directorates of resources and quality assurance support the core programme areas

Subpartners Total: $0
Reach: NA