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To attain the first 90, the project strengthened HTS at key entry point testing through provision of technical support and mentorship regarding the MOH HTS policy. Health workers received onsite trainings on the HTS policy. These onsite trainings were followed by post training mentorships. HTS focal persons as well as RCT volunteers were reoriented in the revised HTS policy as well as provided with the facility specific entry point targets. Follow up mentorship was also conducted for health workers providing immunization to scale up and integrate HTS in EID/Immunizations services. Health facilities were supported to provide HTS at immunization points – YCC and during outreaches. In order to increase the opportunity of identifying HIV positive children and household members of index clients, family tracking of index clients and know your child status campaigns were scaled up. Community based Organizations were supported through sub grants to scale up family tracking of index clients and offer community based HTS. In addition, the project supported health facilities to increase access to HTS for adolescents in and out of school by scaling up evening testing centers as well as offering HIV testing for adolescents over the weekends. In order to increase yield per entry point, the project continues to scale up utilization of HTS entry point data through strengthening weekly and monthly site level HTS yield data analysis and reporting. 99% frontline testers were enrolled and routinely participate in External Quality Assurance (EQA) in partnership with UVRI. HTS Focal persons and volunteers were mentored in use of national test log books for QA, conduct proficiency testing at health facility. The 119 HTS focal persons at facility level were re-oriented in HTS and entry point targets. The 87 Routine Counseling and Testing (RCT) volunteers are regularly supported to enhance PITC uptake and active linkage into HIV/AIDS chronic care across 80 high volume sites. Through the community-facility framework the project supported HTS service delivery through identification and referrals of clients for HTS to the facilities. Family tracking for Index HIV positive clients through the use of the family tracking tool and this has been scaled up to 60 sites in the region and this is still being scaled up to cover all 124 supported sites to attain significant outcomes . Innovations like use of national identity cards on the client before enrolment has helped in follow up, tracking and referrals for some high volume sites like Kyenjojo Hospital, Kyarusozi HCIV and Kyegegwa HCIV. Male involvement and couple testing: The project provided package for males attending ANC/PNC services with their partners in order to enhance couple testing. Additionally through integrated onsite mentorships, couple testing has been emphasized across the region and this has improved couple testing performance for all districts from 29% to 34% over the two quarters. However this is still below the targeted 50% except for Bundibugyo district (61%) due to innovative interventions like male action groups at sub county level. However districts like Kabarole and Kasese have low performance due to for various cultural and contextual factors. The project will fully roll out the national male involvement strategy with interventions of improving male involvement, conduct engagement with key district stakeholders with political, cultural/religious leaders to promote this service. Learning visits to Bundibugyo district have been organized and will hasten understanding of best practices to promote couple HTS and these will be scaled up across the region. Male action groups, champions and male
access clubs shall be recognized and supported to promote couple HTS in the region.
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