MSM/WSW/TG/LGBI CLINIC IN UGANDA: Beyond Malaria, HIV&AIDS, TB (BMAT) AMONG SEXUAL MINORITIES
SCOPE:
Services to strengthen action around Health
seeking behaviour targeting sexual minorities
Purpose: To
strengthen MARPS IN UGANDA CLINIC.
A
brief over view of the MARPS IN UGANDA “BMAT” Programme
The
beyond Malaria, HIV-AIDS and TB (BMAT) is a formal recognition of need for
provision of comprehensive health services targeting sexual minorities. MOST AT RISK POPULATIONS'
SOCIETY IN UGANDA (MARPS IN UGANDA)
(www.marpsinuganda.org) has consistently provided healthcare services to
MSM/WSW/LGBTIQQ. With time numbers and demand have increased. In 2012 we need support to open a formal clinic within our
resource center. The numbers that need our services are overwhelming our meagre
resources which we pull out of our salaries. We are to use the same approach of
sand-wiching the clinic within the resource center. This has helped avoid
stigmatisation such a clinic can cause.
Our BMAT Programme is the vehicle through we implement planned
interventions by supporting beneficiaries in accessing care, management and
treatment services. The support is in form of providing a schedule where health
workers are present from Monday to Sunday to treat patients. With time a full
range of health care services will be formally provided. Presently, minor
ailments on top of SRH services are catered for.
The
clinic activities are timely and reasons for this include serving:
- Significant population groups with a HIV
prevalence (USBHS reports, 2010).
- High level of transactional sexual
activity.
- Significant numbers disclose a history
of violence, abuse, discrimination and stigma.
- Significant number not aware unprotected
sex is a transmission route for HIV/STIs.
- Significant numbers have families or
intend to have.
- Significant number in sex-work.
- Significant lack of aggressive health
seeking behaviour and few know their HIV status.
BMAT
has FIVE major objectives that include:
- Increasing access to, coverage of, and
utilization of quality comprehensive prevention, care and treatment
services.
- Strengthening service delivery systems
with emphasis on community outreach.
- Improving quality and efficiency.
- Strengthening networks and referral
systems to improve access to, coverage of, and utilization of health
services
- Intensifying demand generation activities
for Protection, leadership,
empowerment, attitude-enhancement, education for skills development,
Malaria, HIV&AIDS and TB prevention, care and treatment services.
Background and Problem
Since 2004, we are the only organisation
consistently targeting MSM/WSW/GGBTIQQ health. MARPS IN UGANDA has
affirmatively provided health care services beyond “malaria, AIDS and TB"
targeting LGBTIQQ/msm/wsw, sex-workers and substance users. To avoid discriminatory
and stigmatising tendencies such clinics draw towards themselves we also engage
in mainstream health care provision for men and women through our “talk HIV
while at play”-THWAT- initiatives. We are emphasizing working with "men and
women" and this has played to our advantage! We are positioning ourselves
towards the LVCT model. We ask you to extend funds that will go towards paying
for two cost areas: rent and utilities for 12 months. Renewed
initiatives increase prevention efforts and specific population based
information on these specific sub-populations to guide development of effective
interventions contributes to their risk reduction practices and low HIV
prevalence. BMAT
is MARPS IN UGANDA approach to fill in a gap to empower adoption of prevention
skills. MARPS IN UGANDA works through a
combination of referral and direct health provision to reflect all the 4
clusters of the Uganda National Minimum Health Care Package (USPSAS, 2007): Cluster
1 comprises cross cutting areas of health promotion, disease prevention,
community health initiative, environmental health, school health gender and
health; cluster 2 represents integrated maternal and child health that
emphasizes safe motherhood, newborn care and child survival; cluster 3 groups
together prevention and control of communicable diseases with emphasis on
HIV/AIDS, TB, malaria and diseases targeted for eradication and; cluster 4
addresses non-communicable diseases with emphasis on healthy lifestyles,
control of poverty-producing conditions such as poor mental health, deafness,
old age and disability.
Intervention
areas:
BMAT has always sought to provide:
1.
A model Health Prevention emphasizing actions
to address levels of their vulnerability.
2.
Unique needs.
3.
Information on key drivers and predictors
pointing towards risky activity and factors associated with their
vulnerability.
4.
Information on behaviour and what influences
their behaviours, what they know, believe, and think about involvement in work,
contribution to community activities, Malaria/TB/ HIV, their causes, impact and
prevention.
5.
Information on accessing the needed
prevention services and what the unique prevention needs are.
Specific objectives/Deliverables/Outputs:
Specifically, BMAT has helped to;
a)
Characterize, categorize and facilitate
development of focused and contextual interventions.
b)
Provide understanding into the Knowledge,
Attitude and Practices (KAP) on Health and their perceived vulnerability to
facilitate development of an effective behaviour change and communication
strategy. In this case, strategies that enable policy/programme to look into
issues of protection, legal, empowerment, attitude, education for skills, risk reduction messages, address appropriate needs and a
documenting culture.
c)
Obtain and provide health.
d)
Contribute to the Health for all.
e)
Design appropriate capacity building
strategies that increase knowledge, skills and ability of community structures,
local government structures, households and groups themselves to access and
sustain local response to Health prevention.
f)
Make recommendations pertaining to these
groups.
Methodology
Geographical scope /coverage
With more support we intend to work through this
clinic and reach out to all through identified spaces covering many parts of
Uganda.
Populations, Approach and locations
BMAT interventions target:
·
At-risk adults who engage in
unprotected sexual behaviour.
·
At-risk adults who are in
cross-generational sexual relations.
·
At-risk adults who engage in
transactional sex
·
At-risk adults who normally work
away from their designated home areas or education settings.
·
At-risk youths (having more than
one sexual partner or those engaged in cross-generational sex or those engaged
in both behaviours).
·
All who attend our resource
center
·
Beneficiaries of our outreach
services
·
PLHIV
We target sexual minorities as well as many
others in need.
i.
Provide support in
form of financial resources and other logistics needed to execute the exercise.
This will go a long way to ensure rent is paid, salaries are paid and resources
are in place.
ii.
Empower MARPS IN
UGANDA, share experience and technical expertise.
iii.
Reviewing reports and
providing feedback.
Financial support to go towards (USD 1=UGX. TBD):
|
No.
|
Particular
|
unit
|
Ugx.
|
Amount
|
USD
|
|
1.
|
Rent of premises
|
12 months
|
800.000
|
9,600,000
|
4085.1
|
|
2
|
Utilities, consumables and sundries
|
12 months
|
500.000
|
6,000,000
|
2553.1
|
|
3.
|
Retainer fees
|
2 medical doctors x 12 mths
|
200,000
|
4, 800,000
|
2042.5
|
|
4.
|
Support staffs allowances
|
2 x 12 mths
|
100,000
|
2,400,000
|
1021.2
|
|
5.
|
Administrative costs
|
1
|
700,000
|
700,000
|
297
|
|
6.
|
Total
|
|
|
23,500,000
|
10,000
|
Supervision and Management
The CEO is
the Community mobilisation and health Promotion Focal person. The HIV/TB/Malaria
Focal Person will provide the overall implementation functions. They form part
of the management committee in addition to a person/s from SP. All queries/ clarifications:
MOST AT
RISK POPULATIONS’ SOCIETY IN UGANDA-MARPS IN UGANDA;
Plot 22
Kampala Road Zone, Lubaga Division, Kampala City Council Authority Box 27530
Kampala, Uganda
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