Overview of HIV/AIDS response in Wakiso District

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Overview of HIV/AIDS response in Wakiso District

• By
• Dr Patrick Michael Oine
• DVO/DFP HIV/AIDS

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District Back ground

• one of the youngest districts, created in
  November 2000
• Comprises 2 counties, 14 sub counties, 2 town
  councils and 1 Municipal council
• Population, slightly above one million people
  distributed in a unique periurban- rural mix.
• Found in the central region, surrounds the
  capital city of Kampala, shares borders with five
  district and lake Victoria.
• Entebbe International Airport, the gateway to
  Uganda is found in Wakiso.
• Agriculture, Civil service, private sector,
  commerce and industry offers occupation to the
  majority of the population.

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HIV/AIDS situation and impactin the district

• Actual prevalence rates not available, but
  estimated to be between 6-30 depending on
  location.
• on average 500 AIDS cases pm (HMIS)
• HIV/AIDS awareness very High above 80 (District
  Planning unit survey 2003, LQAS survey NOV 2003)
• 16 of deaths reported are due to AIDS (District
  planning unit survey 2003)
• 63 of children out of school and 41 of those
  in schools are orphans.(District Planning unit
  survey 2003)

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District HIV/AIDS Response

• The integrated multi-sectoral approach to
  HIV/AIDS prevention in Wakiso was launched with
  the support from UACP in August 2002.
• District HIV/AIDS Focal Point DHAC were
  established.
• An integrated Workplan was submitted for funding
  of district HIV/AIDS Initiatives
• CSOs, private sector and district sectors can
  access funds for HIV/AIDS Initiatives under the
  District HIV/AIDS Initiatives component
• Communities can access fund for community Led
  HIV/AIDS initiatives through the CHAI component.
  Over 300 applications received under CHAI.
• Implementation has been constrained by Cash Flow
  crisis experienced by UACP.

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District HIV/AIDS co-ordination structures
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How task teams were formed

• The district HIV/AIDS task teams were formed
  following guidelines issued by UAC in
  Collaboration with MoLG.
• The teams are to provide a harmonised response to
  the epidemic at all levels in the district.
• The District HIV/AIDS task forces provides the
  political focus to the response, while the
  HIV/AIDS committees would provide the technical
  support.
• Only the district Committees are active, the
  lower committees are not active due to lack of
  resources.

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District HIV/AIDS Co-ordination structure
DISTRICT COUNCIL
DAT
DAC
Sub county council
SAT
SAC
Parish Council
PAT
Village Council
VAT
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Workplace policy subcommittee

• No workplace subcommittee in place
• subcommittee has been proposed and composition
  listed below
• composition of Proposed Workplace Policy
  subcommittee
• DFP HIV/AIDS
• District Director of Health Services
• District Community Development Officer
• District Labour Office
• District Personnel Officer
• Administrative Officer (ACAO)
• District Education Officer

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Proposed activities and priorities areas for
workplace Policy sub team

• Collect necessary background information on
  workplace policies.
• Collect views from the different stakeholders,
  Staff at all levels (district, subcounty,
  town councils and Municipal council) and service
  providers
• Agree on elements of the policy
• draft the policy
• consult widely on the policy
• submit policy to council for approval
• develop implementation plan and circulate policy
  among staff.

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Proposal for getting feedback from staff on
policy

• ACTIVITY (TIMELINE)
• carry out sensitisation of staff on the need for
  a workplace policy on HIV/AIDS. (1st month)
• Collect views for inclusion in the policy (2nd
  month)
• agree with staff on the elements of the policy
  and draft the policy (by end of 2nd month)
• Circulate the draft policy widely among staff(3rd
  Month)
• collect views, reactions and comments on the
  draft policy (4th Month)
• Finalise the draft and submit to council (5th
  month)

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Obstacles that may be encountered

• Finances to carry out the activities may not be
  readily available.
• Decision makers may not consider this a priority.
• The Duty schedules for the members of the team
  may not allow them to devote adequate time to the
  exercise.
• Consultation of all categories of staff at all
  levels is practically impossible, some section of
  the staff may disown the policy saying they were
  not consulted.
• The district may not be in position to implement
  the policy however good it may be due to resource
  constraints
• council may refuse to approve the policy.

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The end

• THANK YOU FOR YOUR ATTENTION.