2Worldwide prevalence33.4 million people are living with HIV worldwide2.1 million are children under 15There were 2.7 million new cases of HIV in 20082 million people died from HIV and AIDS in 2008Since its initial recognition AIDS is believed to have killed 25 million people
3The number of children living with HIV has been steadily increasing: Every 15 seconds a child is infected with HIV
4TreatmentAbout 34 million people are now living with HIV, of whom more than 30 million live in low- and middle-income countries.WHO estimates that at least 9.7 million of these people are in need of ART.As of the end of 2008, 4 million people had access to ART in low- and middle-income countries.
5Role of FBOsFaith Based Organisations provide 40% of care and treatment for people living with HIV+AIDS globally, and in sub Saharan Africa up to 70% of care is being given by Christians. FBOs only receive between 5-7% of global funding.
7International shift in policy Change in USA funding policies impact health care around the worldShift to utilize HIV+AIDS funds in a way that builds the capacity of the entire health care system of countries"Even the best health services in the world cannot tackle AIDS alone."AIDS funding can and does bolster health systems more widely-providing wins for both AIDS and health in general.“World Health Organization (WHO)
11Who we areMildmay is a not-for-profit international NGO (registered in Kenya, Tanzania, Uganda, Rwanda and Zimbabwe) and a UK-based charity with a non-denominational Christian foundation.
12Where we workWhere we are currently working: UK, Uganda, Kenya, Tanzania, Rwanda, Zimbabwe, Ukraine, Russia, Moldova, RomaniaWhere we have worked before: South Africa, Botswana, Gambia, Malawi, Nigeria, Sudan, Zambia, India, Hong Kong, Japan, Belarus, Poland. Argentina, Brazil, Ecuador.
13Our visionA world in which everyone with HIV+AIDS can have life in all its fullness
14Our missionOur mission is to improve the quality of life of those who live with HIV+AIDS through building in-country capacity to fight HIV+AIDS.We do this through the creation and delivery of:Comprehensive model holistic care services for adults and children, their families and communitiesspecialist training and technical assistance to health workers and institutions, thus empowering others to improve standards of care in their communities
15History1860’s –Christians responding to cholera outbreak, deaconesses going into slums, then starting the hospital1940’s amalgamated into the National Health Service1980s –NHS closed smaller district hospitals
16History1988 Christian trustees lobbied to re-open, responded to the then untouchables, people with AIDS – first hospice in UK, pioneering workVisited by Princess Diana in 1991Family AIDS care centre opened in 1993 – named Spencer House.Mildmay Hospital based in Spencer House from Nov 2008
17History – Our work expands to Africa The Minister of Health of Uganda visited Mildmay and requested us to open a hospital and care centre in Kampala.From there our work expanded to Kenya, Tanzania, Rwanda and Zimbabwe as well as other parts of the world.We provide training in many parts of Eastern Europe, including Ukraine, Russia, Romania and Moldova
18Our holistic philosophy We have developed a patient-centred interdisciplinary approach to care for adults and children living with HIV+AIDSPhysical, emotional, spiritual, dietary, cultural, community & social needsWell Being - holistic approachesEngagement to maximise independenceConnecting to networks & circle of support
19Our areas of expertiseHIV+AIDS palliative care and rehabilitation (including HIV-related Neuro Cognitive ImpairmentMildmay pioneered HIV+AIDS palliative care back in 1988 opening Europe’s first AIDS hospiceToday, Mildmay provides one of the world’s only specialist rehabilitation unit for those with HNCI, HIV-related neuro cognitive impairment, providing adult residential and therapeutic day care modelsMildmay’s centre in Kampala was Africa’s first dedicated HIV+AIDS care and training facility which has expanded to include capacity building within rural clinicsMildmay now provides rehabilitation and palliative care training throughout sub-Saharan Africa and Eastern Europe
20Home-based care development Our areas of expertiseHome-based care developmentHome-based care bridges the gap between mainstream health and community settings, providing primary nursing and multidisciplinary careMildmay has worked with the Ministries of Health in such countries as Kenya and Tanzania to create a model that is Ministry of Health lead but community drivenLinked to ART, it operates a unique two-way referral and follow up of patientsMildmay also provides home-based care kits, a new patient-held record system and a ‘quality of life assessment, supported by robust monitoring and evaluation systemsThe model’s success relies upon a sustained programme of certificated training, enabling health personnel to not only be competent in HIV care and management but also able to train others
21Strengthening Health Care Systems Our areas of expertiseStrengthening Health Care SystemsThe relevance of our strategies and their cultural appropriateness is ensured through a range of in-country and external partnerships. These include Ministries of Health and academic institutionsWe aim to integrate our initiatives into national/regional/local policy, thereby strengthening systems
22Our areas of expertise ART scale-up Mildmay has extensive expertise in ART care and training for both adults and children – including dosage, adherence management and changing regimesWe deliver ART as part of our centre-based holistic care in the UK and in UgandaMildmay also provides specialist courses on ART as part of it’s relationship with the Kenya Medical Training collegeIn Uganda work continues to enable community clinics to offer ART as a part of their treatment processes
23Training and Education Our areas of expertiseTraining and EducationMildmay has over 15 years’ experience of HIV+AIDS training on the international stageAfter four years’ success running an 18-month Diploma, Mildmay expanded it’s reach to include a three-year BSc Hons Degree in ‘A Health Systems Approach to HIV+AIDS care and management’. This is available in Uganda, Tanzania, and Kenya and is accredited by the University of ManchesterMildmay also offers an impressive portfolio of programmes that espouse evidence-based practice and can cover all aspects of prevention, care and managementCourses can be centre-based at Mildmay facilities or delivered through our mobile training teamWe offer proven expertise in programme design and implementation, along with national curriculum development
24Specialised paediatric work Our areas of expertiseSpecialised paediatric workMildmay has built an unrivalled reputation for the quality and breadth of our paediatric HIV+AIDS servicesFrom specialist outpatient clinics and in-patient care to innovative programmes providing urban and rural day care and emergency medical clinics.Our model includes health monitoring, medical assessment and care, counselling and spiritual support, peer support, nutritional support, schooling and recreational play, skills and vocational training and apprenticeships as well as practical support such as emergency food supplies, clothing, bedding, school materials etc.
25Capacity-building partnerships Our areas of expertiseCapacity-building partnershipsMildmay’s approach to capacity building extends from the national to the community levelMildmay works with UK and international government agencies to develop policy for the provision of care for people living with HIVMildmay has established partnerships with other charities across the world to minimise the duplication of effort, to share our expertise and develop the scope of our respective worksForming in-country partnerships with local health care providers and involving ourselves at a community level allows Mildmay to empower and enable communities to care for themselves, to facilitate independence and long term sustainability
26Our role as a FBOChristians have the mandate but not the monopoly to careMildmay is enabling a Christian response to the HIV+AIDS pandemic
28The church and HIVDonors are increasingly interested in HIV+AIDS work carried out by localchurches and Christian grassroots organisations. There are a number ofreasons for this:Local churches are close to the community.In many places local churches have a prominent position within the community. The church is often well-respected.Serving marginalised people fits in well with the Christian faith.Some churches have experience of social action within their communities.Some churches are already effectively addressing HIV+AIDS in their communities.
29The church and HIV We don’t do sex We don’t do gay We don’t do contraception
30Challenges for us allPrevention. We cannot treat our way out of this pandemicInfrastructure required to engage with global donorsPolitical required from all countries
31Ways to get involved Be informed (UK AIDS consortium) Lobby STOP AIDS campaign (http://www.stopaidscampaign.org.uk)Volunteer here (www.mildmay.org)Pray