1. Uptake of HIV services in combination with malaria prevention and Family Planning services at antenatal care clinics in northern Uganda Authors : D. SERA, L. CICCIÒ, M. MAKUMBI, A. OCERO Institute: JSI/ Northern Uganda Malaria AIDS TB Program ABSTRACT NUMBER: WEPDD0105

2. Background IndicatorCountry levelSource MMR440/100,0002008, UNICEF FP Utilization18%2006, DHS IPT2 Coverage33%2009, MIS HIV Testing in ANC64%2009, UNICEF Context of Northern Uganda – Population: ~ 3.3 million – Post conflict, 90% of IDP returned home – HIV prevalence 8.2% (vs. 6.4% nationally) – NUMAT collaborated with MOH

3. The LQAS Surveys 2008/2010 Method – Two surveys conducted in 2008 and 2010 using LQAS. – 855 women who had delivered in the past 2 years Malaria results PMTCT results 19% of women in 2010 reported using a modern method compared to 13% in 2008. Those who tested were slightly more likely to have received two or more doses for IPT (OR 1.62). 19% of women in 2010 reported using a modern method compared to 13% in 2008. Those who tested were slightly more likely to have received two or more doses for IPT (OR 1.62).

4. Conclusions Lessons Learnt – There is increase in service uptake – PMTCT service are more integrated – Integration challenged by recurrent stock out of supplies – Limited attendance to post-natal is a missed opportunity Policy Implications –ITN distributed free in ANC as incentive –Use of CORPs –Delivery of PMTCT, ANC and FP at same point –Triangulating HMIS data with survey findings