HIV Counselling and Testing (HCT)
IDI supports the provision of comprehensive HIV prevention, care and treatment services across 18 [Kampala, Wakiso, Hoima, Buliisa, Kiryandongo, Masindi, Kibaale, Kagadi, Kakumiro, Arua, Maracha, Nebbi, Pakwach, Zombo, Adjumani, Moyo, Yumbe, Koboko] supported districts through health facility and community-based approaches. The duo approach has provided an opportunity for communities to know their HIV status, as well as create an entry point into care. The programs also support targeted HIV counselling and Testing interventions for key and priority populations to ensure increased yield for those that are HIV positive. Those testing HIV positive are linked to HIV/AIDS care and treatment services of their choice. Over the last six years (2010-2016), over 1,200,000 (one million two hundred thousand) individuals have received HIV counselling and testing services across the supported districts.
Paediatric and Adult HIV/AIDS/TB Care and Treatment
As at the end of June 2017, IDI outreach programmes supported over 150,000 HIV positive individuals active in HIV care. Care and support of patients is enhanced by strengthening key health systems including; adult and paediatric HIV/AIDS/TB care, laboratory services (including CD4, viral load tests, clinical chemistry and haematological testing among other tests), pharmacy logistical support Management Information System (HMIS), and comprehensive HIV/AIDS prevention interventions (including PMTCT OptionB+, VMMC) among others.
Safe Male Circumcision (SMC)
IDI programmes are in support of Ministry of Health country policies and goals. As such, in an effort to reduce HIV incidences in Uganda, and as part of the provision of quality and comprehensive and male reproductive health services, IDI has scaled up safe adult male circumcision (SMC) services across eight supported districts, including Kampala. Through the use of both static and mobile SMC approaches, IDI in partnership with different stakeholders and all the participating districts had cumulatively circumcised over 260,000 males for HIV prevention as at June 2017. These men also receive STI screening (and treatment as required) as well as HIV screening.
Prevention of Mother-to-Child Transmission-Early Infant Diagnosis (PMTCT-EID)
Since 2012, IDI has been rolling out prevention of mother-to-child transmission-early infant diagnosis (PMTCT-EID) and PMTCT Option B Plus to all IDI-supported health facilities across the supported districts. This roll out is in support of the National EMTCT Programme that seeks to achieve zero vertical HIV infections; and the UNAIDS “Count down to Zero” Global Plan towards the elimination of new HIV infections among children, and keeping their mothers alive and on treatment.
IDI also supports the development of relevant clinic flow system models to provide linkage between the care points for the mothers and infants. IDI has supported revitalisation of young child clinics and has also strengthened capacity for emergency obstetric care at district hospitals and HCIVs, through support to the recruitment of critical human resources for health to ensure24/7 coverage. IDI has also created demand for PMTCT-EID services through mobilisation, sensitisation, community HIV testing and provision of transport facilitation to needy mother-baby pairs. The Village Health Team (VHT) system has also been revitalised in the supported districts. IDI has also been a key player for the EMTCT campaigns for both Kampala and Bunyoro regions.