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UNICEF – Baylor Uganda Karamoja project

Project title: Scaling Up Access to Paediatric and Adolescent HIV/AIDS Services in Karamoja Sub-Region, and Capacity Building of Health Workers in Helping Babies Breath (HBB+) in 23 Districts in Eastern and West Nile regions of Uganda.

Geographical Coverage:

Paediatric HIV: Karamoja region (Napak, Moroto, Nakapiripirit, Amudat, Kotido, Kaboong, Abim Districts)

HBB+: Eastern region (Bukedea, Kumi, Ngora, Serere, Soroti, Katakwi, Amuria, Kaberamaido districts), West Nile Region (Nebbi, Zombo, Arua, Maracha, Koboko, Yumbe, Moyo and Adjumani districts).

Population focus:

  • Children and adolescents living with HIV
  • New-borns

Brief Narrative:

  • Pediatric and adolescent HIV services

By 2020, UNAIDS recommended identifying 90% of the people living with HIV/AIDS (PLHIV); 90% of those who test positive receive ART and 90% of those on ART attain viral suppression. Uganda had adopted the 2013 WHO guidelines for treating all HIV infected children younger than five years and expanded to all children below 15 years. Despite this gaps remains in the identification of more HIV infected children.

Data (July 2014 to June 2015) from the seven districts of Nakapiripirit, Amudat, Moroto, Napak, Kotido, Abim and Kaabong had highlighted low HTC coverage for children (Nakapiripirit 6.9%, Amudat 2.8%, Moroto 12.3%, Napak 3.2%, Kotido 4.6%, Abim 3.6% and Kaabong 7.6%), low ART treatment coverage of 78%, suboptimal one year retention for HIV infected children less than two years at 60%, low EID coverage at 64%, low DNA PCR coverage (46%); and low coverage of adolescent services.

The project will enhance adolescent service delivery in the region by: strengthening the capacity of health workers to deliver age appropriate quality adolescent services including HIV Testing and counseling, HIV prevention, ART and Adolescent SRH services; and support to establish adolescent friendly HIV clinics/spaces where feasible at all hospitals and HC IVs.

The project built capacity of adolescent peer leaders to conduct health education to enhance adolescent health literacy at the health facility and the larger community. Behavioral change interventions including HIV prevention messages targeting adolescents and youths through engagement of peer leaders and adolescent clubs were also conducted.

  • Child Survival (Helping Babies Breath Plus- HBB+):

Uganda is a signatory to the Global New-born Action Plan launched in May 2014 that aimed at accelerating reduction of child and maternal mortality and contributing to the global strategy for “Every Woman, Every Child”. This pledge provided the road map for reduction of preventable New-born morbidity and mortality in the Karamoja region. Reducing New-born deaths contributed to the RMNCH Sharpened Plan 2013.

The project improved health workers’ skills in newborn resuscitation and essential newborn care, which was essential in enhancing newborn survival in the first 24 hours of life and through the first 6 weeks of life. It also recruited, equipped and train staff at regional and district hospitals (4 per region) to manage referrals from the lower units.

Achievements / Reports/ etc:





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