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Voluntary Male Circumcision: By the end of June 2017, a cumulative total of 33,910 eligible males (73% of the annual target) were provided VMMC services. For the quarter April to June 2017 alone, 13,803 eligible males were circumcised, with 6445 (47%) in the priority age group of 15-29 years. All circumcised men were screened for HIV. All the 24 HIV positive clients were known positives already enrolled on ART by the time of circumcision. No sever adverse events were experienced. This good achievement was attained through dissemination of information from high health management level up to the community level using national and district policy dissemination meetings, Radio talk shows, Radio announcements, community dialogues and community focus group discussions. Community based organizations played a big role in community sensitization and mobilization for safe male circumcision services. Capacity of health facility staff in provision of safe male circumcision has been built at static sites enabling integration of SMC services into other routine health services. CQI driven mentorships to 8 static sites were done with support from METs on monthly basis covering infection control, surgical procedure management and supplies that helped in identifying gaps that would affect the service. QI projects done include: Increasing 7 day follow up at Kyenjojo hospital from 15% to 50%. Current seven day follow up at Kyenjojo Hospital is 70%. Increasing 7 day follow up at Ntara andRukunyu from 20% to ≥50%. Current 7 day follow up at the facilities is 49% Key Populations/Priority Populations and Condom Programming: The project continues to supportthe Ministry of Health national HIV prevention strategy 2014 and the National Priority Action Plan 2015-2018 that emphasizes focus on the key population (KP) and other vulnerable and priority populations (PP) through provision of comprehensive HIV prevention package. Through the Community-facility framework, 25 community-based organizations (CBOs) and 125 health facilities in the region have been supported to promote risk reduction, advocate for non-stigmatizing health services for KPs and increase demand, uptake and adherence to biomedical prevention interventions (HTS, PMTCT, Care and treatment). The focus has been addressing social and gender norms, gender-based violence, deepening partnerships, engagement of the community, cultural, political/religious leaders tomobilize for services through peer-to-peer, family and peer-support groups and print/mass media and community dialogues with religious, religious and local leaders. Mapping and profiling of new hot spots and categorization of KPs was done to ascertain the characteristics and numbers of these groups to inform target setting for programming in the next reporting period. Friendly services for KPs have been supported through ensuring access to a minimum package of prevention services which include screening and management of STIs, peer education and outreaches, strengthening condom distribution outlets and referral to community interventions across the region. The peer-to-peer approach has been supported to provide services to 519 new Key Populations (Sex workers, Men who have sex with men) and other priority vulnerable populations (Fisher folks, Truckers and Adolescents LHA). Over the reporting period, the project supported 35 targeted health facilities; 28 in scale-up and 7 in sustain districts to provide minimum prevention packages of services tailored to the sub-population including: BCC/IEC, risk reduction counselling, STI screening and treatment, HTS, ART and adherence support, GBV screening and post violence care. Working with CBOs (Kabarole
women health support initiative and Kasese women health support initiative), AWAC and MARPI, hot spot mapping was conducted reaching a total of 3,795 KPs of which 2,781 are SW, 10 MSM, and 392
non IDU at 129 hotspots. 192 Truck drivers, and 420 Fisher Folk were reached. 1,323 sex workers were profiled to establish their HIV status and that of their family members, and offered HTS to 732 eligible
family members using the index KP. In regard to reaching Priority populations (PPs),the project partnered with Fort portal Municipality and Hima Municipality to establish community based resource/knowledge room for truck drivers with 130 truckers accessing services at the centres. Additionally, 310 migrant workers from 9 camps in Munobwa tea estate, Kyenjojo District were reached and tested identifying 9 positive clients who were linked for ART services. In a bid to increase Male involvement in health seeking behaviors, we served 726 men (bodaboda riders) of which 8 tested HIV positive and all were linked into care in Kyenjojo and Kabarole districts. The project has partnered with police reaching 80 men in uniform, in Kasese municipality and Katwe-Kabatoro. Through targeted prevention outreaches to PP, 2580 PP were reached in the quarter, bringing the total of PP so far reached to 16877. Over the period, through strengthening condom programming, a total of 350,750 male condoms and 80 lubricants for MSMs were distributed across the 7 districts of Rwenzori through the 125 health facilities, 25 CBOs and peers of KPs and PPs in hotspots and these reached the different established hotspots utilizing the 285 community based condom distribution outlets/dispensers in key and priority population areas in the region.

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