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There is an estimated 83,000 new infections of HIV in Uganda every year1. In spite of extensive effort to curb the epidemic and past gains registered, the rate of new infections remains high and must be curbed down if Uganda is to attain the epidemic control by 2020. A situation where new infections are expected to be less than HIV/AIDS related deaths.

Using low-cost high impact interventions to change lives - Our response Slowing HIV new infections

Our Contribution

Saving lives through expanding access to ART

Contributing to the real possibility of reaching the UNAIDS target 90.90.90 has been the ultimate strategic driver for Mildmay Uganda HIV programing.

Saving lives through empowering young girls

Mildmay Uganda is implementing an HIV prevention project DREAMS (Determined, Resilient, Empowered, AIDS Free, Mentored, and Safe) a two year Initiative funded by CDC in Mityana, Mubende, Gomba, Sembabule, and Bukomansimbi Districts. The project aims to reduce the incidence of new HIV cases in girls and young women 15-24 by bringing together evidence– based approaches that address the structural drivers that increase girls’ and young women’s HIV risk, including poverty, gender inequality, sexual violence and lack of education.

The Adolescent girls and young women have been empowered and influenced to adopt safer sex practices. Jane 18 years a school dropout from Mityana narrates; “I am now empowered to be able to bargain for safer sex with my male partners. Before, my partners could not allow using condoms but now I have acquired skills to bargain for safer sex”.

Sheila 17 year old youth engaged in transactional sex shares similar experience “With the skills I acquired in stepping stones training, I bargain with my partners for safe sex but if they refuse, I let them go because now I value my life more than anything else”

Florence 45 years and mother to Peace a 16 year old school dropout from Mubende district confessed “The hair I have plaited was done by my daughter and I’m impressed with her so much, I had lost all hope in my daughter because of what she was doing with old men”.

Making health systems work to save lives

“The health workers attend to us with care, respect, love and we feel valued” says Margret, a clearly pleased pregnant mother attending eMTCT clinic at Kasanda HC IV.

“I really appreciate our midwife and the peer mothers here, I used to fear coming for the services here but now I always look forward to coming for my appointment to interact and receive good care from the health workers” - Margret, adding that she had never received such quality services before at the facility.

Five years ago, Kasanda Health Center would not have received such an endorsement. Strategically situated in a densely populated sub county of Kasanda, the facility serves a huge population of about 40,000. In 2010, the facility was not accredited to offer ART but was doing some HCT and linking positive clients to Mubende hospital which is about 20KMs from the facility. The staff had the willingness to serve but largely limited, the facility lacked most of the essential facilities and equipment; staff had not been trained and equipped with knowledge and skills to make Kasanda HC IV one of the model HIV care and treatment centers in the district.

Today, the story is different at this facility. Through the Health Systems Strengthening project implemented by Mildmay Uganda with funding from PEPFAR/CDC, the facility has made positive changes to the community. The facility is now well equipped to offer comprehensive HIV/AIDS, Tuberculosis (TB), Family Planning (FP), Nutrition services. In four years, the facility has received a facelift on the Out-Patient Department (OPD), maternity wing, a renovated and well equipped HUB, standard placenta pit and a spacious waiting shade and over 20 staff trained in different skills in management of HIV, FP,TB, Nutrition, Gender Based Violence (GBV), and laboratory.

“We have learned so many skills - now we can handle everything ourselves and refer a few cases.”

Staff attribute much of their success to the supportive supervision (tailored to provider behavior change model) from Mildmay technical team and the District Health Office. The project has been a catalyst for change in quality of services delivered to the community. Kasanda health center is one the 198 facilities supported by Mildmay Uganda.

Family Planning and Reproductive Health

“I feel safe and empowered; I’m now in control of my reproductive choices. I and my husband took a contraceptive choice after we were given adequate information on available options at Mildmay Uganda,” Dorris Apena.

Mildmay Uganda believes strongly in giving women access to quality reproductive health services and care. Contraceptive use eliminates pregnancy related life threatening complications in unwanted pregnancies and also reduces the risk of child death by 25% and maternal death by one third, the risk is higher among HIV positive mothers. The 2013 Guttmacher institute report noted that most pregnancies that end in abortion are un-wanted and that nearly all injuries and deaths resulting from unsafe abortion can be avoided by preventing unintended pregnancies.

In 2016, Mildmay Uganda continued to integrate Family Planning and safe motherhood services into HIV programing under the HSS PEPFAR funded project. This addresses most of the challenges of the under-served HIV positive mothers by creating access and information to contraceptives and skilled birth attendance. Under the safe motherhood project funded by PORTICUS, Mildmay Uganda used the low-dose high frequency training model to increase skills of health workers and district staff in provision of safe-motherhood services.

Annual Report 2016 Family Planning & Reproductive Health Statistics

Changing lives through empowering OVC households

“We have become a village role model group. Every member of the group has had their lives changed,” Nagawa said, a resident of Buikwe district. Buikwe district is found in the central region of Uganda. The district is among the central region districts severely hit by the HIV epidemic that has left many homes widowed or child headed and subsequently vulnerable.

The Mildmay Uganda OVC project in the district has seen many OVC households enrolled on the project and supported to improve their livelihood. Through working with Community Based Organisations to reach OVCs, Mildmay Uganda rolled out the economic strengthening model to mitigate economic shock for the most vulnerable households that could potentially affect uptake or retention in HIV care. Mildmay Uganda trained champions from CBOs that assessed and recruited households into organized groups. The groups have implemented different projects including VSLAs and farming schemes that have since empowered households economically.

Our Response - Changing lives through empowering OVC households

Self-monitoring livelihood groups changing lives of OVC households in Buikwe district

For Nagawa Josephine 46 widow and mother of 10, life has taken a positive shift since she joined a self-monitoring livelihood group of 12 households. Nagawa who also leads the group has had to adjust with the change this development has brought her way; improved house, more disposable income, friends to offer her business advise and her children going to school (sustainable impact). Nagawa prides in the knowledge she has gained from the trainings supported by Mildmay Uganda in Buikwe District.

“We started by saving money and collecting our harvest together, when prices went up, we sold our harvest and then acquired small loans to invest in our agriculture projects and small retail shops. Ours is not just a Village Saving and Loans Association (VSLA). but a self-monitoring project where we all visit each member as a group and provide support and advise to ensure members are bene tting according to our plans,” explained Nagawa,

Babirye Gladys 50 years and widowed, has had her life equally changed by the group. She has borrowed money to capitalize her shop and also pay for labor at her farm. Her three children had dropped out of school but have since gone back. Our group has been so helpful and supportive; I have been able to expand on my farm that now gives me income to pay school fees. I have been able to construct rental houses out of the money from my cows that I bought using borrowed money from the VSLA.

Babirye and Nagawas’ story is like that of most OVC households in the village that have since joined over 200 Mildmay supported VSLAs and have had their livelihood change drastically.

Saving lives through increasing human resources for health

Providing quality health care cannot be possible without skilled human resources that form an integral part of the health care system. Mildmay Uganda is accredited by the National council for higher education to provide innovative training to health care providers in different health areas including laboratory, Nutrition, Nursing and Midwifery, Clinical Medicine, Pediatric Palli- ative care, HIV Management among others.

Innovating to meet health care needs

Mildmay Uganda programing is enshrined in creative thinking to meet the emerging needs of delivering quality health care to the vulnerable Ugandans. Innovation enables us to generate new knowledge for modeling low-cost high impact interventions that save lives. We make innovation meet reality through implementation science and research.

Through collaboration with the Rand Cooperation, Mildmay Uganda is using Memscap chip on drug bottle tops to monitor adherence of youths to ART treatment. This has improved ART adherence monitoring among HIV positive youth

Cost of our response

For every dollar donated to us, over 90% is invested directly into changing lives of the vulnerable Ugandans using low cost innovations. 

For every $22 Mildmay Uganda invests in her Disabilities adjusted life year's intervetions, a mother and her child get one added life year free of disease and disability.

 

More about the Annual Report, you can download it below in detail.

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