Prevention of Mother-to-Child Transmission of HIV: Scale-up of Critical Services in Uganda (District- based Approach) Edward Bitarakwate, MD, MPH Technical.

Slides:



Advertisements
Similar presentations
Scaling up HIV services for women and children achievements and challenges e-lluminate session e-lluminate session Yves Souteyrand 2 March 2010.
Advertisements

Group III: Demand Forecasting
Integrating Family Planning into PMTCT Services: Promising Approaches from Tanzania’s Iringa and Manyara Regions Mwanga F; Paul Perchal; Motta W; Killian.
Family Planning/HIV Integration in a Large PEPFAR HIV Program – the ZPCT II Experience Prisca Kasonde MD, MMed, MPH Director Technical Support, ZPCT II/FHI.
No one left behind: Increased coverage, better programmes and maximum impact for key populations WHO Consolidated Guidelines on HIV Prevention, Diagnosis,
Scaling up Early Infant HIV Diagnosis (EID) in Karamoja Health Nutrition HIV coordination meeting 9 th December 2009.
1 Peer mentors capacity building approach to improve adherence and retention in HIV care and treatment: The ARIFU project experience Dr. Judith Kose –
Global Plan towards the elimination of new HIV infections among children by 2015 and keeping their mothers alive DR. Nicholas Muraguri OGW, MD,MPH, MBA,
Partnerships for PMTCT in Uganda A presentation to the IAS conference AVSI Side Event - Washington 25 July 2012 May Anyabolu Deputy Representative UNICEF.
Update on challenges of the revised global guidance IAS 2011 Professional Development Workshop Implementation and Operations Research Considerations for.
Zonta International PREVENTION OF MOTHER-TO-CHILD TRANSMISSION OF HIV and GENDER-BASED VIOLENCE In Rwanda.
Improving the performance of primary providers in family planning and other reproductive health care around the world Prevention of Mother-to-Child Transmission.
Scaling up Prevention of Mother to Child Transmission of HIV (PMTCT): What Will it Take to Eliminate MTCT? Jessica Rodrigues Presentation for UNICEF Written.
Dr. Laura Guay Vice President for Research Elizabeth Glaser Pediatric AIDS Foundation J2J Global Media Training on HIV/AIDS July 14, 2010 Vienna, Austria.
Prevention of Mother-to-Child Transmission of HIV in Ghana
Safeguard the Family Project Lilongwe Medical Relief Fund Trust Safe water kits as an effective incentive for ANC visits, reduced diarrhea, improved ART.
Scaling up what works: replicating models on community service delivery and advocacy Jennifer Gatsi Mallet Namibia Women’s Health Network / ICW.
“Getting to Zero: Thailand’s Experience with E-MTCT” Petchsri Sirinirund Advisor on HIV/AIDS Policy and Programme Department of Disease Control, Thailand.
KEMRI – UCSF FACES Program June  Launched in September 2004 in Nairobi, Kenya and March 2005 in Kisumu, Nyanza Province, Kenya ◦ PEPFAR funded.
National TB/ Leprosy Programme Manager
THE PREVENTION OF MOTHER TO CHILD TRANSMISSION of HIV (PMTCT)
Pediatric HIV Care & Treatment in Uganda A Five-Day Training Course For Health Professionals.
Comprehensive HIV/AIDS Programming for Refugee/Mobile populations Turkana District Experience Dr. Dan Koros - IRC.
Managing Risk and Overcoming Health Systems Bottlenecks in Haiti Emerging Lessons Jessica Faieta - Senior Country-Director, UNDP/Haiti & Dr Joelle Deas.
1 CHILDREN AFFECTED BY HIV/AIDS : Botswana Experience BY MINISTER OF HEALTH BOTSWANA HON. PROF. SHEILA DINOTSHE TLOU DATE 29 NOVEMBER 2007 IRELAND.
Creating an AIDS-Free Generation The beginning of the end of AIDS Center for Strategic & International Studies Washington, DC March 22, 2012 Thomas R.
EngenderHealth/UNFPA Project – Ethiopia/Ukraine Strengthening the integration of HIV prevention in maternal health services. Increasing the capacity of.
“A VISION OF HOPE” EXPERIENCE OF SENEGAL IN THE FIGHT AGAINST AIDS AND REDUCING WOMEN’S VULNERABILITY Dr Khoudia Sow, CRCF, UMI 233 Dakar Sénégal.
1 RWANDA: A Case Study Introduction of an Integrated Package on MIYCN & PMTCT - Training, Counselling and Other Tools Cornelia Van Zyl, EGPAF Rwanda Country.
Integration of postnatal care with PMTCT: Experiences from Swaziland
PMTCT at Different Levels of Care: The Uganda Experience Dr. Saul Onyango National PMTCT Coordinator Ministry of Health 1 1.
Zimbabwe National HIV&AIDS Conference, Harare, 5-8 Sept 2011
Global Response to HIV/AIDS Nigerian Nurses Association of USA June 30, 2006 Carolyn M Hall, MSN/MPH, ACRN Global HIV/AIDS Program U.S. Department of Health.
HIV/AIDS: A Global and Regional Perspective AIDS in Post 2015 Development Agenda.
Prevention of Mother-to-Child Transmission of HIV infection in Sri Lanka Dr Sujatha Samarakoon Consultant Venereologist / Focal Point ECS & PMTCT – National.
Models of Care for Paediatric HIV Miriam Chipimo MD MPH Reproductive Health & HIV&AIDS Manager, UNICEF, Malawi.
Debbi Birx, MD PEPFAR/CDC WORKSHOP - Mini Room 7 Center for Global Health Division of Global HIV/AIDS Getting to Six Million PEPFAR Track 1.0 Treatment.
Integration of Antiretroviral Therapy (ART) in Maternal and Child Health (MCH) settings: the way forward for increasing access to ART for.
Human Resource Constraints and Roll out of more efficacious regimens for PMTCT The Zambian experience Nande Putta MD MPH Technical Assistant PMTCT & Paediatric.
Overview of the CHAPPL Network, Zimbabwe ( Care for HIV/AIDS Prevention and Positive Living Network) Charity Alfredo (CDC) Vulyewa.
The U.S. President’s Emergency Plan for AIDS Relief 2011 Country Operational Plan Briefing to Development Partners in Health in Kenya December 3, 2011.
Pioneering IMAI: Developing an integrated approach in Uganda Dr Elizabeth Madraa, Program Manager National STD/AIDS Control Program MOH - UGANDA 5 th Dec.
PEPFAR Cost and Impact of Scaling Up EIMC in Southern and Eastern Africa using the DMPPT 2.0 Model AIDS 2014 – Stepping Up The Pace Emmanuel Njeuhmeli,
Unplanned pregnancy in the 2011 Botswana Antenatal Clinic Sentinel Surveillance A.C. Voetsch, M.G. Anderson, E. Machakaire, S. Bodika, W. Jimbo, B.P. Yadav,
The National HIV Counselling and Testing Campaign and Treatment Expansion in South Africa: A return on investments in combination prevention XIX International.
1 Partnering to Strengthen Local Efforts Can Help Us Get to Six Million on ART Anja Giphart, MD MPH Vice President, Program Implementation Elizabeth Glaser.
Philippe Chiliade, MD, MHA Technical Advisor, Clinical Care, FHI 12 August 2008 Family Health International Implementing HIV Care & Treatment Progress.
6 th Annual Emergency Plan for AIDS Relief Track 1.0 ART Program Meeting August 11–12, 2008; Washington D.C. Christian Pitter, MD MPH Director, Global.
Washington D.C., USA, July 2012www.aids2012.org Bottlenecks analysis – a critical step to evidence based- planning for eMTCT: Cameroon experience.
The Global HIV/AIDS Epidemic Jennifer Kates, M.A., M.P.A. Vice President and Director, HIV Policy Kaiser Family Foundation KaiserEDU.org Tutorial April.
Scaling-up HIV Prevention, Care and Antiretroviral Therapy at Primary Health Centers A WHO/PEPFAR Collaboration.
Antiretroviral treatment programme in Thyolo district, Malawi Southern Region. MSF Luxembourg & Thyolo District Health Services - Strategic information.
World Vision Experiences in Making ART Treatment Affordable and Available Dr. Daniel J Malleboyina M.B.B.S, MBA, MPH Regional Advisor HIV & AIDS- Asia.
Jeroen Van’t Pad Bosch, Technical Director Elizabeth Glaser Pediatric AIDS Foundation, Tanzania EGPAF PROJECT HEART STRENGTHENING HEALTH SYSTEMS THROUGH.
PRACTICAL STEPS TO IMPLEMENTATION OF SRH AND HIV LINKAGES The Role of Government The Kingdom of Swaziland Experience Presented by Rejoice Nkambule Deputy.
United Republic of Tanzania Ministry of Health & Social Welfare MINISTRY OF HEALTH AND SOCIAL WELFARE NATIONAL AIDS CONTROL PROGRAM HIV CARE AND TREATMENT.
Strengthening Integration between RMNCH and HIV services Nuhu Yaqub WHO Tanzania.
ARV Treatment Scale Up: Progress in Ukraine Andriy Klepikov Executive Director, International HIV/AIDS Alliance in Ukraine ARV Treatment Scale Up: Progress.
Adults living with HIV (15+) (thousands) [5] Children living with HIV (0-14) (thousands) [5] Pregnant.
1 Strengthening PMTCT Data Reporting and Use through Supportive Supervision and Routine Performance Evaluation: Experiences from Dedza and Ntcheu Districts,
Strategies for increasing the uptake of services to prevent mother-to-child transmission (PMTCT) of HIV: the FHI360/Nigeria experience R.Abdul-Hadi, W.O.
Global Monitoring Framework for Elimination of New HIV Infections among Children Priscilla Akwara, PhD Senior Adviser, Statistics & Monitoring UNICEF,
1 06/06 e Global HIV epidemic, 1990 ‒ 2005*HIV epidemic in sub-Saharan Africa, 1985 ‒ 2005* Number of people living with HIV % HIV prevalence, adult (15-49)
1 Innovative rapid scale-up of effective PMTCT services to achieve virtual elimination of new pediatric HIV infections: A Zimbabwe experience Dr. Agnes.
How did we miss them? High HIV prevalence among Women testing for the First Time in Labour and Delivery in Zimbabwe Page-Mtongwiza S, Webb, K., Chiguvare,
Improving HIV care and support service performance in Côte d’Ivoire M. N’goran 1 ; S. Ramachadran 2 ; J. Essombo 1 et al M. N’goran 1 ; S. Ramachadran.
Equity focused bottleneck analysis and development of costed evidence informed national plan for MTCT elimination: United Republic of Tanzania Dr. Deborah.
Use of improved tracking of exposed infants during early infant diagnosis (EID) to reinforce PMTCT outcomes in a low resource setting. Lessons from East-central.
1 Addressing nutrition of mothers and babies in partnership for HIV – Free Survival (PHFS) sites to improve their well-being DR. STELLA KASINDI MWITA SENIOR.
The Family AIDS Initiative: Scaling-up Family-Based Approaches to Care and Treatment in Cote d’Ivoire Joseph Essombo, Anthony Tanoh, Toure-Penda Diagola.
Presentation transcript:

Prevention of Mother-to-Child Transmission of HIV: Scale-up of Critical Services in Uganda (District- based Approach) Edward Bitarakwate, MD, MPH Technical Director EGPAF Uganda

National Context About 2 million people infected; 1 million have died & 1 million are living with the infection. Six percent of Ugandan adults aged are infected with HIV and prevalence among women is higher (8 percent, {PMTCT now 6%}) than among men (5 percent)

National Context 1.2 million pregnancies occur annually in Uganda, without intervention, about 30% of HIV positive pregnant women transmit the virus to their babies which translates into up to 23,400 new HIV infections resulting from vertical transmission (MTCT) About 120,000 people on HAART, 10,000 of whom are children

EGPAF International Family AIDS Initiatives The EGPAF program in Uganda started in 2000 after results of the HIVNET 012 trial. Using private funds EGPAF Uganda embarked on the design, development, management, monitoring and technical support of the Uganda Ministry of Health PMTCT program. Since 2003 USAID (PEPFAR) has supported the Uganda EGPAF program. This support enabled the strengthening of the Foundation’s role as a key organization working with the MOH. EGPAF works closely with other partners in Uganda to coordinate PMTCT & C/T expansion in Uganda.

Background EGPAF strategy in Uganda has been to complement Uganda Ministry of Health and private partners to cover human resource, infrastructure and commodity gaps in health districts EGPAF Uganda helps with the design, development, management, monitoring and technical support of the Uganda Ministry of Health PMTCT program

EGPAF Uganda Program

Geographical coverage: 27 districts (Total 86); stretching from western to eastern borders of the country PMTCT services at 350 (MOH Total 507) sites ranging from regional and district hospitals to health centers at sub county level Integrated affordable, family-based quality HIV/AIDS care and ART services at 15 health care facilities

Objectives of District-Based Support To build district capacity in HIV counseling, testing and provision of other HIV/AIDS services. To implement comprehensive PMTCT services. PMTCT functions as a key entry point for families into longitudinal HIV/AIDS care and treatment. To integrate the PMTCT program into Maternal & Child Health services and into other district health services including community programs like VCT and Home Based Care To generate sustainable capacity for district led program scale up

Design & Development MOH assigns districts to be supported Participatory proposal development process- based on national guidelines Sub grant development process - pre-award assessment - integration with district health budget District stakeholders meeting: civil society, technical, political/community leaders

Systems Support Identifying key resource persons from within District Health Team to serve as focal person for HIV/AIDS program activities Foundation TAs embark on a process of mentoring these focal persons –work plan development, integration of all HIV programs –support supervision –program monitoring –logistics management –training, inter-site coordination meetings

Technical support Sub district program support/coordination teams (based at sub district level) - support supervision - lead CMEs: based on performance & identified knowledge gaps, information updates provided by the Foundation - training

Program Performance Over 1,000,000 women have accessed PMTCT services in over 350 sites in 27 districts. 64,000 HIV+ mothers have been identified 50,000 pregnant mothers have accessed Antiretroviral Prophylaxis 28,000 babies have accessed Antiretroviral Prophylaxis

Program Performance

PMTCT Data April 1, 2007 – March 31, 2008 IndicatorTotal Number of eligible pregnant women385,784 Number of pregnant women receiving HIV counseling375,257 Total number of pregnant women who were HIV tested328,243 Total number of pregnant women who received test results321,906 Number of pregnant women with an HIV-positive test20,281 Total number of mothers receiving ARV prophylaxis19,032 Total number of infants receiving ARV prophylaxis11,375 Number of PMTCT sites/Population coverage348/64%

“Every Child Deserves A Lifetime”

Acknowledgements International Family AIDS Initiatives Staff: Uganda, Regional and USA Uganda Ministry of Health Partner Organizations incl. but not limited to JCRC, SCMS, AHF/Uganda Cares This presentation was made possible through support provided by the Office of HIV/AIDS, Global Bureau Center for Population, Health and Nutrition, of the United States Agency for International Development (USAID), through the President’s Emergency Plan for AIDS Relief (PEPFAR), as part of the Elizabeth Glaser Pediatric AIDS Foundation's International Family AIDS Initiatives (“Call To Action Project”/ Cooperative Agreement No. GPH-A ). The opinions expressed herein are those of the authors and do not necessarily reflect the views of USAID.