Coordinating aids treatment provision in kampala
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Coordinating AIDS Treatment Provision in Kampala. Technical Working Group of the AIDS Treatment Providers (ATP) Initiative

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Coordinating AIDS Treatment Provision in Kampala

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Coordinating aids treatment provision in kampala

Coordinating AIDS Treatment Provision in Kampala

Technical Working Group of the AIDS Treatment Providers (ATP) Initiative

J Rwomushana (UAC), E Namagala (MOH), D Masiira (JCRC), A Kambugu (IDI), S Allamo-Talisuna (Reach out) , D Mwesigire (MJAP), E Mushabe (UAC), L Thayer (IDI), P Iutung (Uganda Cares), L Makanga (KCC)

Satellite meeting of the 4th National HIV/AIDS Partnership Meeting, 30th January 2006


Challenges facing hiv treatment providers in kampala

Challenges facing HIV treatment providers in Kampala

  • Demand Outstripping Capacity

    -High HIV prevalence (12%)

    -Increase in testing capacity

    -High rate of influx of temporary upcountry patients seeking care

  • Highly dynamic patient population within city

    -Difficult to keep track of patients


Challenges cont

Challenges, Cont.

  • HIV treatment providers have no formal channel for communication

  • End results:

    -Duplication of services

    -Multiple registration of patients at different health units

    -Mismatch of demand for ART and available “slots” in different health units


Provider identified key needs

Provider Identified Key Needs

  • Mechanisms for communication

  • Delineation of specialization among facilities

  • Organized referral system

  • Renewed focus on adherence

  • Improved capacity of providers and facilities

  • Harmony in service provision


The forum of aids treatment providers fatrep

The Forum of AIDS Treatment Providers (FATREP)

Goal:

To serve as a coordination platform for organizations providing ART in Kampala


Specific objective 1 information exchange

Specific Objective #1: Information Exchange

  • Creating accessible sources of information

  • Linking treatment providers with training opportunities

  • Highlighting challenges and identifying solutions


Specific objective 2 development of linkages

Specific Objective #2: Development of Linkages

  • Making recommendations on communication and coordination mechanisms

  • Developing standardized referral systems including the design and utilization of a standard referral tool

  • Encouraging renewed focus on adherence


Specific objective 3 advocacy

Specific Objective #3: Advocacy

  • Infrastructure to providers that need it

  • Resources for providers that need them

  • Funding arrangements to provide for costs of test, personnel, training and management

  • Working closely with PHA forums for better conditions for PHAs


Conclusion

Conclusion

Disharmony in care provision was identified in the 2005 Health Sector Review--the Kampala example is serious and urgent

Well coordinated services prevent inadequate access and poor adherence

FATREP contributes to overall coordination

FATREP pledges to enhance and sustain ART coordination together with other providers

AIDS Partnership is requested to support this effort


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