Community Mobilization Intervention Model for Prevention of Mother to Child HIV Transmission (PMTCT)...
This presentation is the property of its rightful owner.
Sponsored Links
1 / 20

Karama S., Kagimu M., Ezati E., Bunnell,R . Islamic Medical Association of Uganda CDC Uganda PowerPoint PPT Presentation


  • 102 Views
  • Uploaded on
  • Presentation posted in: General

Community Mobilization Intervention Model for Prevention of Mother to Child HIV Transmission (PMTCT) and Antiretroviral Treatment in Kampala, Uganda. Karama S., Kagimu M., Ezati E., Bunnell,R . Islamic Medical Association of Uganda CDC Uganda. Background of PMTCT in Uganda.

Download Presentation

Karama S., Kagimu M., Ezati E., Bunnell,R . Islamic Medical Association of Uganda CDC Uganda

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Karama s kagimu m ezati e bunnell r islamic medical association of uganda cdc uganda

Community Mobilization Intervention Model for Prevention of Mother to Child HIV Transmission (PMTCT) and Antiretroviral Treatment in Kampala, Uganda

  • Karama S., Kagimu M., Ezati E., Bunnell,R .

  • Islamic Medical Association of Uganda

  • CDC Uganda


Karama s kagimu m ezati e bunnell r islamic medical association of uganda cdc uganda

Background of PMTCT in Uganda

  • Annually about 30,000 children are getting HIV infected through mother-to-child transmission in Uganda.

  • 6.5% HIV prevalence among women attending ANC

  • 1n 2000 - a pilot programme to reduce MTCT was initiated by the Uganda government in collaboration with UNAIDS, UNICEF, WHO and other partners.

  • The programme targets women attending ANC


Karama s kagimu m ezati e bunnell r islamic medical association of uganda cdc uganda

Background of PMTCT in Uganda Cont…

  • Todate 48 PMTCT centers are functional in 31 of the 56 districts of Uganda.

  • Despite the intervention, utilisation of PMTCT services has been poor mainly due to inadequate education & sensitisation of communities.


Karama s kagimu m ezati e bunnell r islamic medical association of uganda cdc uganda

Community Mobilisation Intervention Model using faith based organisations

  • Goal:

    • To mobilise the community to utilise PMTCT services through community education.

  • Intervention:

    • Formative Research,

    • Curriculum Development,

    • Training of trainers & community educators, and

    • Community education & Mobilization


Community mobilisation intervention model using faith based organisations cont

Community Mobilisation Intervention Model using faith based organisations Cont..

Intervention strategy:

  • Use Community Action for AIDS Prevention network.

    • Uses religious leaders of different faiths and local council leaders.

  • Use of key religious teachings to bring out messages

  • Community education and mobilisation.

    • Trained community educators

    • Sermons in churches and mosques;

    • Mini lectures,

    • Group talks and home visits.

    • radios, televisions, newsletters, T-shirts and use of referral cards with messages.


Status of project implementation

Status of Project Implementation

1. Formative Research

(a) Overall objective: to obtain baseline data on community knowledge and beliefs related to PMTCT.

(b) Method: 12 Focus Group discussions with community members and leaders

(c) Data used to develop training curriculum for community leaders and members


Karama s kagimu m ezati e bunnell r islamic medical association of uganda cdc uganda

Formative Research Findings

  • Low knowledge on PMTCT, ARVs & Discordance

  • Few people knew their sero-status or that of partners

  • Low utilisation of PMTCT and VCT services due to lack of information & stigma

  • Inadequate male involvement

  • Poor service quality at ANC/PMTCT sites

  • Community education through sermons, group discussions & homevisits recommended.


2 curriculum development

(2) Curriculum Development

Curriculum for Community education developed

  • Main topics:

  • PMTCT, ARV, ANC, VCT

  • Men’s involvement

  • Behavior change communication skills

  • Community mobilization using sermons, group discussions and home visits


3 training

(3) Training

  • 25 Trainers trained to train community leaders/educators

  • 150 community leaders trained to train community educators

    • 38 Local Councils

    • 27 Catholics

    • 29 Anglicans

    • 29 Muslims

    • 27 Independent churches

    • Each community leader had 4 volunteers: 2 females and 2

      Males

  • 600 volunteers were recruited and trained as community educators


  • Karama s kagimu m ezati e bunnell r islamic medical association of uganda cdc uganda

    (3) Training of community educators Cont…..

    • Trained in 5 day workshops

    • Baseline assessment of knowledge, attitudes and behaviour of the educators indicated

    • Low knowledge on meaning of

      • HIV negative result,

      • Discordancy,

      • Vertical transmission and

      • Infant feeding

        • Knowledge increased

        • Baseline average mark 45%

        • Post-training average mark 76%


    4 community education and mobilization

    (4) Community Education and Mobilization

    November 2002 to June 2003:

    • Sermons- 2,914

    • Mini-lectures- 4,910

    • Group discussions 4,498

    • Home visits- 11,569

      Number of People educated

    • Men-159,363

    • Women-174,704

      Clients reported to PMTCT sites

    • with referral cards - 272


    Karama s kagimu m ezati e bunnell r islamic medical association of uganda cdc uganda

    In relation to stigma the Muslim leaders quote the following verse from the Qur’an:

    1.       Surat Hujrat 49:11 “O ye who believe! Let not some men among you laugh at others; it may be that the latter are better than the former. Nor let some women laugh at others; it may be that the latter are better than the former. Nor defame, nor be sarcastic to each other, nor call each other by (offensive) nicknames…”.


    Karama s kagimu m ezati e bunnell r islamic medical association of uganda cdc uganda

    (4) Community Education and Mobilization Cont…

    • Radio programmes-25

    • TV programmes-4

    • Newsletters-7,500

    • T-shirts-800

      (Message:Protect Children from AIDS )


    Karama s kagimu m ezati e bunnell r islamic medical association of uganda cdc uganda

    (4) Community Education and Mobilization Cont…

    • Referral cards with messages

    • It is a sign of love and responsibility when a husband accompanies his wife to attend the antenatal clinic.


    Karama s kagimu m ezati e bunnell r islamic medical association of uganda cdc uganda

    (5) Support Supervision

    • Monthly Community Educators’ meetings

    • Quarterly Community Leaders’ meetings

    • On-site supervision by trainers


    6 lessons learnt

    (6) Lessons learnt

    • There was a low level of knowledge on PMTCT issues and services

    • High demand for PMTCT activities in the communities

    • Strategy of using religious leaders increases coverage


    Karama s kagimu m ezati e bunnell r islamic medical association of uganda cdc uganda

    (6) Lessons learnt Cont…

    • Motivation of community educators (small financial, T-shirts, certificates and badges) encourages them.

    “I like IMAU’s transparency and their regular supervision,” – community educator

    • Community mobilization for PMTCT through religious and local government leaders is feasible and practical

    “This project has united people of different faiths to work together to fight a common enemy” – community leader


    Karama s kagimu m ezati e bunnell r islamic medical association of uganda cdc uganda

    • Acknowledgements

    • Community members

    • Community leaders

    • Faith based organisations

    • IMAU staff

    • CDC

    • UNAIDS/UNICEF


  • Login