In line with the UNAIDS 95-95-95 strategy, Baylor Uganda supported district teams to provide high quality person-centred treatment services to 89,724 PLHIV during the reporting period, representing 97% of the annual target.
This achievement was attributed to technical assistance provided to HWs on delivery of treatment service package including same-day ART initiation of newly diagnosed PLHIV; screening and treatment of Advanced HIV Disease (AHD) and NCDs, TB Preventive therapy, ART optimisation, ART retention, CQI, DSDM, Data use, quantification and ordering of HIV commodities and drugs. The project supported HWs to implement the continuation of treatment package including sending reminders on upcoming appointments, SMS/phone calls/home visits for missed appointments, holding clinic day client literacy sessions, and conducting home visits to support adherence and return missing clients to care.
We supported HFs to implement the HIV Case Management Model including tracking of individualized plans for PLHIV newly enrolled, virally non-suppressed clients until clinically stable, adherent to treatment, or at reduced risk of attrition. Additionally, district-based technical assistance teams (TATs) continued to scale up and implement the following packages: enhancing MMD among stable clients, Cervical cancer screening for HIV infected women, supported age-gender specific peer networks such as YAPS to support adherence, weekly third-line ART meetings (virtual) and application of Continuous quality improvement in all service areas. We supported HF, district, and community structures to use people-centered approaches (HCMM, DSDM, MMD, digital platforms, peer-to-peer support, DREAMS, and linkage to OVC programs) to implement the Continuity of Treatment Strategy for increased and sustained treatment. We intensified community engagement to address barriers and demand for HIV/TB services; continually mentor PLHIV on self-reliance (linkage to village savings and loan schemes to reduce poverty, transport barriers, and food shortage.