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Post-exposures prophylaxis (PEP): The project continues to strengthen PEP as a strong biomedical intervention of curbing down the HIV infection transmission. For the period January – June 2017, out of 377 exposures to HIV, a total of 349 individuals were offered PEP at health facilities. Sexual exposure through rape/defilement remains a dominant indication for PEP and in the next quarter the project shall
intensify community sensitization on condom use and distribution and other prevention messages using the stepping stones approach to the majority adolescent girls affected most. The 25 supported CBOs shall be made to intensify community follow ups to achieve full target of 100% of individuals completing PEP dose.

Biomedical Waste Management and injection safety:
The project continues to support functionalization of health facility Waste Management and infection control committees to implement guidelines for minimum WM standards through integrated comprehensive mentorships.61 sites were mentored over the reporting period. Through the sub granting platform, temporary waste storage open burn pits were set up in 21 sites in the region and 2 Ventilated
pit Latrines in 2 health facilities in Bundibugyo district. Through the mentorships, the technical teams check health facility adherence to waste management standards, utilization of standard operating
procedures (SOPs).All the VMMC static sites have been fully supported with infection control materials while an additional 21 Health facilities were supported with color coded waste bins for waste segregation for temporary storage and hand washing facilities. Six incinerators were earmarked for construction in high volume sites in the region although funding from CDC is pending.Positive Health Dignity and Prevention (PHDP): The project supported health care providers and PLHIV to provide a minimum package of prevention services that includes PHDP to all PLHIV at supported health facilities. PHDP SOPs and IEC materials replenishment and usage for 61 supported health facilities was done. Additionally The project Peers, PLHIV, Lay counselors and VHTs were facilitated to conduct referrals and linkages services (prevention, care, treatment, PMTCT) between facility and community settings. With support from CHC technical teams in the region Prevention messages have been disseminated through the 6 radio stations with running MOUs in the region. CHC also provides free radio airtime to district and project panelists every month to discuss and disseminate key prevention messages including VMMC,eMTCT and Test and treat.MOH approved printed IEC materials have been disseminated in key population hotspots and and in all 80 targeted health facilities with support from CHC program.

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