HIV and TB services

CC

Our goal is a community free from HIV/AIDS and TB transmission and with all infected clients accessing treatment programs in a safe, confidential and friendly environment.

Uganda still has a high HIV prevalence of 6% according to the 2016 Uganda population based HIV impact assessment report. Among people tested for HIV by BCH, the positivity rate is approximately 2%. Tuberculosis (TB) is the most common cause of deaths in HIV positive patients. Babies born to HIV mothers have 30% chance of getting the virus, but with a safe delivery, drugs for the mother and the child and safe infant feeding, this can be reduced to 0%.

BCH works closely with its partner, USAID Regional Health Integration to Enhance Services (USAID-RHITES), to continually improve services.

The department runs mobile intervention outreaches in addition to the daily HIV clinic. Currently, we have 1,065 clients and all on highly active antiretroviral therapy. 91% of the clients have suppressed viral load, while the majority of clients with non-suppressed viral load are children who are not on their preferred 1st line. It is therefore our focus to have all children put on their preferred 1st line as a recommended by Ministry of Health.

We conduct regular drama shows, dialogue meetings with different stakeholders and radio talk shows to improve awareness and demand for the services we offer.

In the last year, we were able to;

Identify 126 new positives out of our targeted 121.

Identify 92 clients with Tb cases, of these 10 were Batwa and were all started on treatment

Our TB case notification rate is at 54.1%

100% of TB patients who are HIV positive are on HAART as recommended by the WHO guidelines.

Circumcise 1239 men between the ages of 11 and 45

Increase PreP by 120% from 96 clients the previous year to 116.

Conduct two drama shows to fight HIV associated stigma.

Conduct training of midwives from lower health facilities on partograph use and neonatal resuscitation as it was a recommendation from maternal and neonatal death review audit meetings.

All HIV positive children (less than 15 years) under our care are enrolled on ARVs as per WHO guidelines.

Identify HIV-exposed newborns were enrolled in Mother-Baby Care Point.

All HIV/TB infected clients have been enrolled on ARVs. TB completion treatment rate is 96%.

Carried out monthly integrated outreaches with family planning.

Strengthened post-natal HIV testing at 6 weeks.

Transition all eligible clients to their preferred 1st line regimen as recommended by WHO and ministry of Health.