1. The AIDS Support Organization, TASO (U) LTD
Gunning Down New Infections and Scaling up
HIV Prevention, A case study of The Uganda
Uniformed Forces in collaboration with TASO
Uganda.
Presentation at the :
Second HIV Capacity Building Partner’s Summit ,Birchwood Hotel and
Conference Centre, Johannesburg SouthAfrica, 19 th-21st March 2013
Presenting Author: Goretti Nakabugo,
Co Authors: Maria Lukubo, Odoi Charles
THE AIDS SUPPORT ORGANIZATION (TASO),
Email: mail@tasouganda.org. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288
2. The AIDS Support Organization, TASO (U) LTD
Uganda Picture
Population 32 million (UBOS 2010)
HIV Prevalence 7.3% (Uganda AIS, 2011)
2010 New infections 130,000 (UAIS,2011)
Highest among Most at Risk Populations/Key
Populations; CSW, Fishing communities and Mobile
populations (Uniformed forces)
Mainly because of risk-taking lifestyles; 89% of new infections
occur due to multiple concurrent partnerships
THE AIDS SUPPORT ORGANIZATION (TASO),
Email: mail@tasouganda.org. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288
3. The AIDS Support Organization, TASO (U) LTD
THE AIDS SUPPORT ORGANIZATION (TASO),
Email: mail@tasouganda.org. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288
4. The AIDS Support Organization, TASO (U) LTD
National HIV Prevention Strategy 2011-2015
Focus areas include;
Reinvigoration of HIV Prevention in the country
increase adoption of safer sexual behaviors
and reduce risk taking behaviors.
Increase the coverage and effectiveness of HIV
prevention interventions to the known sources of
new HIV infections
Target population groups that are most at risk
THE AIDS SUPPORT ORGANIZATION (TASO),
Email: mail@tasouganda.org. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288
5. The AIDS Support Organization, TASO (U) LTD
TASO Background
Begun 1987
Mission: Preventing
HIV infection,
restoring hope and
improving the quality
of life of PLHIV,
families and
communities affected
by HIV infection and
disease
Has 11 centers.
THE AIDS SUPPORT ORGANIZATION (TASO),
Email: mail@tasouganda.org. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288
6. The AIDS Support Organization, TASO (U) LTD
TASO’s Core Activities
Comprehensive HIV Prevention Services
HIV Counseling, Care and Support Services
HIV and AIDS Treatment
Training and Capacity Development
Advocacy and Networking
THE AIDS SUPPORT ORGANIZATION (TASO),
Email: mail@tasouganda.org. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288
7. The AIDS Support Organization, TASO (U) LTD
HIV Prevention Program among Uniformed
Civil Society Fund (CSF) supported TASO to
conduct HIV Prevention interventions in 4
districts in Uganda
Started Sept 2011- 2012
Focused on 3 uniformed categories; Army,
Police, Prisons and their spouses
Globally Uniformed services, face a serious
risk of HIV and other sexually transmitted
infections (STIs)
THE AIDS SUPPORT ORGANIZATION (TASO),
Email: mail@tasouganda.org. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288
8. The AIDS Support Organization, TASO (U) LTD
Risk factors for Uniformed forces
People in armed forces are often subject to
deployments away from home
They are also often paid their salaries when
away from home
Have liquid cash in pocket, it is easy to be
tempted to alcohol and casual sex.
Risk of death at the battlefront instigates
fatalistic attitudes among soldiers therefore
HIV Prevention is not a priority
THE AIDS SUPPORT ORGANIZATION (TASO),
Email: mail@tasouganda.org. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288
9. The AIDS Support Organization, TASO (U) LTD
Key interventions/Approaches used
Meetings with heads of uniformed institutions
Selection of peers to cater for all category of
cadre, units in uniformed institutions
3 day initial training conducted
Monthly follow up sessions
Certification after 6 months
End of project evaluation
Continue to serve as Peer counselors for HIV
Prevention.
THE AIDS SUPPORT ORGANIZATION (TASO),
Email: mail@tasouganda.org. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288
10. The AIDS Support Organization, TASO (U) LTD
Interactive training methodologies
.
.
Value clarification Spin the Beer bottle
Self risk assessment game to address alcohol
Condom game
Body mapping exercise
Story telling
Stage Behavior change
model
Note :Respect ranks
however ensure all
participate
THE AIDS SUPPORT ORGANIZATION (TASO),
Email: mail@tasouganda.org. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288
11. The AIDS Support Organization, TASO (U) LTD
Results
153 Uniformed services trained
7383 Uniformed Peers and spouses reached with HIV Prevention messages
Condom use and safe male circumcision have been adopted as the main HIV prevention strategies for
this target group.
Condom distribution points were established to ensure there are no stock outs
HIV+ Peers are referred for care
THE AIDS SUPPORT ORGANIZATION (TASO),
Email: mail@tasouganda.org. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288
12. The AIDS Support Organization, TASO (U) LTD
Participant demonstrating use of
female condom
THE AIDS SUPPORT ORGANIZATION (TASO),
Email: mail@tasouganda.org. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288
13. The AIDS Support Organization, TASO (U) LTD
Lessons Learnt
Comprehensive HIV prevention services at
the workplace are necessary for this group
Increased uptake of HCT and SMC
Condom use is a major HIV prevention
strategy
Intervention cost effective, training venue
was provided by Army
TASO built new partnership with high-risk
communities and enrolled them into care
Uniformed personnel are key change agents in their
communities AIDS SUPPORT ORGANIZATION (TASO),
THE
Email: mail@tasouganda.org. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288
14. The AIDS Support Organization, TASO (U) LTD
Acknowlegement
Special Thanks to:
•Uniformed men and Women
•TASO
•Civil Society Fund (CSF)
•RATN for scholarship
•Summit Organizers
•Co-authors
THE AIDS SUPPORT ORGANIZATION (TASO),
Email: mail@tasouganda.org. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288
15. The AIDS Support Organization, TASO (U) LTD
Contact Author on :
Goretti Nakabugo
TASO Training centre
Email: nakabugog@tasouganda.org
gorenaks@yahoo.com
THE AIDS SUPPORT ORGANIZATION (TASO),
Email: mail@tasouganda.org. Website: www.tasouganda.org. P.O Box 10443, Tel: +256 414 532580/1, Fax +256 414 541288