The project strengthened the rolled out of the community-facility health services model through 25 CBOs/PHA groups that were assessed and sub-granted to implement key activities aligned to the MOH/UNAIDS 90-90-90 targets geared at bridging the existing gap of comprehensive HIV/AIDS service delivery in the communities served. CBOs identified, recruited and trained 290 Community health workers to support the provision of HIV/TB community based care and strengthen community to facility referrals through CDOs/CBOs for clients requiring services. Linkage desks were established and 133 Linkage and Referral Assistants identified, trained and supported in 119 health facilities to coordinate referral processes with the identified CBO/PHA groups. CBO based staff were also trained on effective tracking of linkages and referrals with health facilities. As a result of the bi-directional linkages, 9,603 individuals were referred from the community to the facilities and of these 7565 received the service indicating 79% completeness of referrals. The number of referrals from facility to community this quarter was 1,453 individuals and of these 1,250 received the service in the community indicating 85% completeness of referrals. The service most referred for to the health facility was HTS representing 57% of the overall services referred for. The retention of all clients living with HIV in care from 87% to 91% aside from Ntoroko district which mostly has pastoral and fisher-folk who are migrant communities. More tailored interventions aimed at ensuring clients are differentiated to receive ART in the most convenient way to improve retention. Additionally these Community Health Workers working alongside 81 sub-county CDOs and attached CBOs have been empowered to strengthen OVC programming (with support to at least 4 core program areas; child protection, health, education, food security and economic strengthening) across the 7 districts of the region. Collaboration between District Health Offices (DHO), Community Development Offices (CDO), Community Based Organizations (CBO), PHA networks and Faith Based Organizations (FBO) has improved ownership and coordination of service delivery. OVCs are periodically mapped and re-mapped periodically using the Vulnerability Index tool developed by the Ministry of Gender, Labor, Culture and Social Development. Needs assessment for OVCs is conducted using the Child Status Index tool. By the end of the reporting period a total of 12067( 89% of the annual target) OVCs were served while 4 of the 7 districts have so far been supported to graduate OVCs from the program. Bundibugyo and Ntoroko as sustain District were supported to graduate 224 children while working on transitioning OVC to other partners in the Districts. Organised groups of caregivers have been transitioned to operation wealth creation programs in the District of Ntoroko. The transition process of OVCs continues and will be complete by September, 2017. In order to redefine the kind of services to be offered to the OVCs, meetings with caregivers of the OVCs are regularly held with 265 VSLA groups formed.
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