Prevent HIV infections to children in Uganda

Summary of project activities

Kagumu Development Organization in the virtue of contributing to the reduction of HIV/AIDS in children and it is implementing a prevention of mother to child transmission PMTCT project and in Uganda.   This is the fifth quarterly activity report of the project. The project is named “prevent HIV infections in children Ugandan” and it is implemented in Eastern Uganda, in the Districts of Kibuku, Budaka and Pallisa in collaboration with our donors under Global Giving arrangements and the community. The organization and beneficiaries extend appreciation for the support from all stakeholders to this project that is in cash, materially, morally and in kind. Further thanks are goes to global giving team for the wonderful work being done. The report expresses quarterly project advancement and consequently, compiled and disseminated to our stakeholders for their utilization. The report gives information on the existing position of the orphans, challenges during project execution, recommendations and testimony from at least a beneficiary. On request, the organization asking for commentary and advises on how to make this project realize results.

Project activities includes; monitoring and evaluation, procure stationery for the office, facilitate transportation of blood samples for CD4 Count, Community mobilization and sensitization on PMTCT, contribution to health workers welfare, procure medical drugs and sundries and testing kits and procure mama kits and dissemination to mothers during their labour periods and delivery coaches

Current Status of prevention of HIV infection in children in Uganda  

EMTCT services are still poor in the community because there is limited male involvement during antenatal and maternity visits. In addition, mothers still deliver in the villages by traditional birth attendants and are exposed to HIV/AIDS.

In the last quarter, the organization managed to implement the following;

1. Provided health education to 12 HIV positive women on family planning services
2. Tested 120 mothers during antenatal visits
3. 120 mothers attended antenatal visits
4. 32 male spouses tested for HIV/AIDS with their female spouses
5. 40 women tested for HIV/AIDS during their labour periods
6. 40 pregnant mothers had safe delivery in the health center
7. Made 6trips of blood samples of infants for PCR-HIV DNA
8. 91 mothers attended postnatal care
9. 20 mothers received mama kits

Challenges

The under listed challenges still exist and need to be solved in order to realize the project outcomes and impact:

1. There is limited organization financial resource. The organization is majorly donor dependence and realizes limited profit from its organization. Even the little are not adequate to pay staff salaries and remunerations including office operations
2. Inadequate financial and material support by sub county and district local government.
3. Limited support by local leaders. Local leaders are silent on disseminating EMTCT messages in public places. They think it is a preserve for health workers.  
4. Low male involvement in EMTCT. Due to lack of community awareness, male involvement in supporting their spouses for antenatal visits is limited. This gives chance for rural women to seek antenatal services from traditional and unprofessional health workers.
5. Inadequate supply of HIV testing kits and sundries by government

Recommendation

All stake holders are requested to provide support to save the children in Uganda. Children being the tomorrow leaders.

Testimony from one beneficiary

This testimony is for Scovia was a pregnant mother who was tested HIV positive Lyama health centre II. She was enrolled for ART provided her with ARVs to be taking from home. However when she reached home she lost hope and disposed of the ARVs and never revealed to the husband about her status. Her health deteriorated and was brought to our health centre when in bad condition. At our health centre, she was counseled and she revealed as she was tested before and provided with ARVS but she disposed the drugs. through a lot of counseling and routine home visit of Scovia by our health staff, she accepted to continue with treatment and reporting to the health centre for antenatal care on a given schedule. We are very happy to report that Scovia delivered a baby girl who is free of HIV/AIDS and received a mama kit. she is still ARVs and report tom our health facility for regular medical examinations and treatment.

This story gives picture of the work of KADO in her health center III in relation to EMTCT and this is what is happening in rural communities in Uganda.

Prepared by

Samson Namwoyo

Project leader

Links:

• http://www.kagumudevelopment.org

Summary of project activities

Kagumu Development Organization in the virtue of contributing to the reduction of HIV/AIDS in children and it is implementing a prevention of mother to child transmission PMTCT project in Uganda.   This is the fifth quarterly activity report of the project. The project is named “offer PMTCT services to 2300 poor Ugandan women” and it is implemented in Eastern Uganda, in the Districts of Kibuku, Budaka and Pallisa in collaboration with our donors under Global Giving arrangements and the community.We extend our appreciation for the support from all stakeholders to this project that is in cash, materially and morally. KADO also would like to thank global giving team for the wonderful work being done. This report expresses quarterly project progress and consequently, compiled and disseminated to the project stakeholders for their utilization. The report gives information on the status quo of the orphans, challenges during project execution,   testimony from one  beneficiary and recommendations.

Project activities include but not limited to the following; monitoring and evaluation, procure stationery for the office, facilitate transportation of blood samples for CD4 Count, Community mobilization and sensitization on PMTCT, contribution to health workers welfare, procure medical drugs and sundries and testing kits and procure mama kits and dissemination to mothers during their labour periods and delivery coaches

Current Status of Prevention of HIV infection to children in Uganda  

Prevention of Infections from Mother to Child services are still poor in the community due to the low level of economic status. In addition, mothers still deliver in the villages by traditional birth attendants and are exposed to the high risk of  HIV/AIDS.

In the last quarter, the organization managed to implement the following;

1. Tested 142 mothers during antenatal visits
2. Provided health education to 17 HIV positive women on family planning services
3. 1 55 mothers attended antenatal visits
4. 11 male spouses tested for HIV/AIDS with their female spouses
5. 21 women tested for HIV/AIDS during their labour periods
6. 25 pregnant mothers had safe delivery in the health center
7. Made 5 trips of blood samples of infants for PCR-HIV DNA
8. 25 mothers attended postnatal care

Challenges

The under listed challenges have persistently existed and therefore need workable solutions to realize and sustain the project outcomes and impact

1. Limited support by local leaders. Local leaders are silent on disseminating PMTCT messages in public places. They think it is a preserve for health workers.
2. High expectations from the beneficiaries. Beneficiaries are low income earners and therefore require everything needed for antenatal and maternity
3. There is limited organization financial resource. The organization is majorly donor dependence and realizes limited profit from its organization. Even the little are not adequate to pay staff salaries and remunerations including office operations
4. .Low male involvement in EMTCT. Due to lack of community awareness, male involvement in supporting               their spouses for antenatal visits is limited. This gives chance for rural women to seek antenatal services from traditional and unprofessional health workers
5. Inadequate financial and material support by sub county and district local government.

Recommendation

In order to realize an improvement in the health conditions of the HIV pregnant mothers, there is need for increased community awareness on EMTCT among all stakeholders in the fight against the spread of HIV/AIDS among the infants particularly in the rural communities where KADO operates.

Testimony from one beneficiary

This testimony is for Elizabeth a pregnant child mother aged 16 from Bukomolo village in Bulangira sub county kibuku District. She got impregnated at school while in senior two by a school watch man who is currently on the run for fear of being implicated in courts of law. In most cultures in Uganda, particularly in the project area when a girl child gets pregnant, she is completely abandoned by her parents. In addition pregnant girls are always forced to marry the persons responsible for the pregnancy. In case the person responsible for the pregnancy is not known or disappears, the girl is left to sit home and be provided with only food and shelter without support like medical care hence rendering her vulnerable in all spheres of life.

Since the man responsible for the pregnancy was on the run, Elizabeth did not attend antenatal because for one to get antenatal services in Uganda must visit a health unit as a couple. Equally the parents were not happy and therefore could not support Elizabeth for antenatal services reason being that the funds had been spent on her education.

It was on 14^th -16^th April 2015 during community outreach on immunization when she was identified and cross examined by our health worker. She was asked why she had not attended any antenatal clinic where she reported that she had no husband to accompany her for the services because at the health unit first antenatal visit should be a couple. She was counseled and advised to report to the health centre for antenatal services. She confessed that if she had been identified by our health worker she was going to abort yet it’s a criminal offence in Uganda but to reach that decision was because she was traumatized by her parents. However, she reversed the decision to abort and she made a decision to deliver in the health center. In addition Elizabeth vowed not to marry the man responsible for the pregnancy but she decided to apologise to her parents and also to request them to take her back to school in order to be in position to complete her studies. She confessed that she got pregnant because of peer group influence she therefore confessed that she wanted to study and become a role model for other child mothers in her community.

Stories of this nature are good for the consumption of the general public. This does not only educate the masses but also depicts what KADO does in her health center 111 in the area of EMTCT in response to what is on ground in the rural communities in Uganda. The story also reveals that child mothers are irresponsible with their lives during pregnancy.

Prepared by

Kirya Richard

Project leader

Links:

• www.google.com