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Showing posts with the label HIV Prevention goals

PEPFAR and The Highly Inflated Target Numbers To Secure More Funding

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It is unethical, abusive, calculated to manipulate and inflate numbers. They sit in meetings, in spaces where connivance, cunning, conspiracy and commerce can go on un deterred. They throw out well executed proposals by seasoned grass root health workers-cum community mobilisers.  Instead, they prefer working with HIV Care naive mobilisers with whom they meet in fancy hotels to plan strategies. Mobilisers, who will not question orders but will follow them blindly. Even if it meant risking the life of those living with HIV or their beneficiaries who may require other HIV-related services. Exit poll HIV Programming is the in-thing and such organizations ready to do that are favoured by Implementing Partner Project Managers. These mobilisers are now formed into groups and taken through a coaching session. This makes them long pipelines through which millions of PEPFAR funding are minted. There is a vicious brokerage within the US funded anti-HIV Prevention projects which has ...

Q And A Forum: Causes of ARV Adherence Interruptions And Implications For HIV Prevention

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Interrupting   regular taking of ARVs, is caused by many issues including: 1. misplacement of the medications 2. forgetting 3. complacence 4. fatigue 5. health worker-advice, e.g., Analytical Treatment Interruptions (ATIs) or Structural Treatment Interruptions (STI) 6. Evictions from homes 7. Expulsion from work 8. Stigma  There are implications definitely such as: lack of viral suppression and existence of virus meaning it is detectable and therefore transmissible.  Hopefully this article will help you weigh your options. Remember to watch out for risks such as: unprotected sex with multiple partners, exposure to malaria, TB, STIs and other situations that adversely affect one’s immunity.   In this article by Benjamin Ryan (2019), the reader will note that the study participants are assumed to be well housed, well fed, have the power to negotiate for and adhere to safer sex practices. "I...

Q And A Forum: Maximizing PEPFAR Funding By KP To Meet UNAIDS 2030 Goals In Uganda

Key Populations can now lead activities formulating appropriate HIV Prevention interventions in Uganda.  But, what exactly are these interventions? Presently, there are over 107 KP organizations scattered in all over Uganda. 44 of these are registered with the Uganda KP Consortium. A rapid appraisal of HIV Prevention Strategies of 7 of these between 2018-2020 shows the following: HIV Prevention is about Condom and Lubricant sourcing and distribution Five (5) out seven (7) had conducted internal 3-5 internal meetings or short trainings for staff and during the events tasked the staff to give out Condoms and Lubricant consumables.   Four (4) out of the seven (7) are Kampala-based KP Led organizations, which means they are overlapping in the catchment zone. Two (2) were Kampala-based but had outreach stations 100 miles out of Kampala City PEPFAR And Global Fund, A History: The U.S. is the single largest donor to the Global Fund. Congr...