Increasing access to antiretroviral services in Northern Uganda through its scale-up to lower level facilities

Download this publicationBackground: Until a few years ago, ART services in Northern Uganda were available in only a few facilities—mainly referral and district hospitals—with several problems of accessibility, adherence and indirect costs for client.

Methods: The JSI-managed Northern Uganda Malaria, AIDS, and Tuberculosis (NUMAT) Programme, in partnership with Ministry of Health, focused on ART provision at lower level facilities for decentralizing clinical services to minimize access barriers for rural populations. After receiving ministry’s accreditation for Health Centers Grade III (HCIIIs), our approach included ensuring consistent supplies of ARVs’ training health workers on clinical management, recordkeeping and logistics; providing comprehensive CD4 testing through an outreach model; and recruiting volunteers for supportive counseling and follow-up patients in the community.

Presented at the 2012 International AIDS Conference by Andrew Ocero. JSI/NUMAT, 2012.

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