{"id":13970,"date":"2024-02-20T08:41:18","date_gmt":"2024-02-20T08:41:18","guid":{"rendered":"http:\/\/mul-dev-10:83\/?page_id=13970"},"modified":"2024-02-20T08:41:18","modified_gmt":"2024-02-20T08:41:18","slug":"clinical-care","status":"publish","type":"page","link":"https:\/\/idi.mak.ac.ug\/science-fair\/clinical-care\/","title":{"rendered":"Clinical Care"},"content":{"rendered":"\t\t
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Clinical Care<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Our approach to patient care involves treating our patients as outpatients, which allows them to receive the best treatments and care while also having the freedom to be themselves and pursue their dreams.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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At IDI, we strive for a case mix that provides quality services for as many people as possible, while also enabling research to generate information on better approaches to care in low-resource settings. All friends receive ongoing counselling, safe water, mosquito nets, condoms, and diagnosis and treatment for opportunistic infections. Sexual reproductive health services are an important part of all care as well. Approximately 8,300 people are receiving care at the IDI clinic, accounting for 1 in every three HIV on care in Uganda.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Our Specialised Clinics<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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We provide differentiated comprehensive HIV care service.<\/p>

In response to the changing nature of the epidemic, the Prevention, Care, and Treatment programme has established 10 specialised clinics to address the differentiated needs of specific groups. These groups include people with suppressed immunity (low CD4 counts), those with TB\/HIV co-infection, elderly individuals with HIV, people with sexual and reproductive health needs, most-at-risk populations such as discordant couples, and individuals with non-communicable diseases, as well as psychiatric problems. These clinics are staffed with doctors and nurses who not only possess expertise and a special interest in these patients but are also actively engaged in research that focuses on the unique aspects of HIV within these special populations.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Advanced HIV\/AIDS Care Clinic<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Approximately 8,300 people currently receive care at the IDI clinic, with an additional 10,000 receiving care through outreach activities. At IDI, individuals living with HIV are provided with various services, including free antiretroviral therapy, specialist consultations, and a supportive clinical environment for patients, as well as a conducive learning environment for staff. The clinic also functions as a platform for IDI’s research and training activities. There is an increasing emphasis on developing models of care for infections closely related to HIV, such as TB and Kaposi’s Sarcoma.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Integrated TB\/HIV Clinic<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Although TB and HIV are different diseases, it is very common for individuals with HIV to contract TB. Thanks to three interns from Yale University<\/a>, a special TB\/HIV clinic was established in 2008 to ensure that friends with TB\/HIV co-infection receive the monitoring and care they need. This clinic serves over xxx clients. The structured clinic has led to better treatment outcomes, with a significantly reduced number of clients lost to follow-up. Through this clinic, a pilot study for the development of fluorescent microscopy for the diagnosis of TB was conducted and led to the introduction of Fluorescent Microscopy services at the IDI clinic, enabling same-day diagnosis of TB in the clinic.<\/p>

Additionally, several abstracts were presented at international meetings, including an award-winning analysis that documented earlier ART initiation among TB\/HIV co-infected clients and better outcomes. The abstract\u2014Integration of HIV and TB services results in earlier and more prioritized ART initiation in Uganda\u2014was awarded the US$2,000 TB\/HIV Research Prize at the 2011 International AIDS Society (IAS) conference.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Sexual Reproductive Health Services Clinic<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Sexual and reproductive health services are integrated within HIV care with the aim of reducing unplanned pregnancies by providing appropriate family planning services and eliminating mother-to-child transmission (eMTCT). REF\/URC.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Adolescent Clinic<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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This clinic serves HIV-positive young adults between 16 and 24 years old. It is the largest HIV clinic for young people in Uganda, with over 950 young adults accessing modern family planning services. It was established in response to a survey that indicated the majority of this age group is sexually active, has low condom usage, prefers HIV sero-negative partners, and holds many misconceptions about HIV sero-discordance and transmission. Unintended pregnancies have been kept to a minimum (1 in every 6 women of reproductive age) as a result. The girls and women are screened for sexually transmitted diseases and cervical cancer, supporting adolescents in transitioning to the full adult clinic.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Discordant Couple Clinic<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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In response to the high risk of HIV transmission among discordant couples, IDI established a Discordant Couple’s Clinic to promote HIV prevention. The clinic employs positive prevention techniques, directing prevention efforts towards individuals living with HIV through treatment. The clinic serves HIV-positive young adults between 16 and 24 years old, making it the largest HIV clinic for young people in Uganda, with over 950 young adults accessing modern family planning services. The clinic has xxx registered couples accessing excellent clinical care and sexual reproductive health services, including identifying HIV discordant couples and helping them maintain their discordant status through dedicated clinical and counselling services. The girls and women are screened for sexually transmitted diseases and cervical cancer, supporting adolescents in transitioning to the full adult clinic. The clinic has been successful in keeping unintended pregnancies to a minimum (1 in every 6 women of reproductive age). Some of the services offered at the clinic include:<\/p>