SORAK Development Agency(SDA)

SDA's mission is to create a unified voice of women, youths and other vulnerable groups that influences the protection of human rights and opportunities in favour of vulnerable sections in Uganda through capacity building, networking, advocacy, livelihood support and partnership; and our aims include; 1. Improved quality of life 2. Improved livelihoods 3. Capacity building 4. Stigma among sick and persons with disabilities persons reduced
Feb 22, 2012

Livelihood support Improves life of poor widows

In order to ensure that widows affected by TB/HIV adhere to treatment and positive living, this project sought to provide Livelihood support. The strategy here involved participatory selection of indigent individuals. There was preliminary home assessment visits by SORAK staff in liaison with village leaders in order to select the neediest of the needy widow TB/HIV clients. To date a total of 80 persons widows living /affected by TB/HIV have been supported with own selected and carefully assessed enterprises.  Subsequently 19 women received 38 piglets,4 received 40 local chickens,10 got 10 goats  and 8 opted for entrepreneurial seed grants while another 40 have been mobilized into formation of village saving and loan group. They are encouraged to borrow and save and they take on independently run micro enterprises. There are indications that they can now afford basic needs, treatment and travel cost to health units. Other Widows not yet reached have been encouraged and motivated to start activities that increase their income and allow them access to affordable treatment and a better nutrition.

“HIV/AIDS widow blows More Candles”Tereza Nabukenya female, aged 79 a widow TB/HIV patient of Kinoni Village, Kagoma parish-Kitenga Sub County. Lives with co-infected TB/HIV daughter 50 years .Both are beneficiaries of psychosocial training, home based care and livelihood support. In February 2011, Tereza had been abandoned and left for dead given her age and ill-health.SORAK intervention made family realise Tereza’s right to life. Information and support from this project encouraged caregivers to change their attitude to the two TB/HIV mother daughter widowed patients. Tereza still hope to live longer with rejuvenated life; and are all thanks to SORAK &  and the Global Giving Donors.


Attachments:
Sep 27, 2011

PROGRESS REPORT SEPTEMBER 2011

This report presents the achievements so far registered with support from donor through GlobalGiving; since the beginning of 2011, SORAK Development Agency set out to assist 200 widows living with HIV and TB; with livelihood support. A partipatory selection exercise for indigent widows was carried out.

Ten of these have been supported with 10 improved goats and one with 10 locally improved chicken. These are the enterprises selected by the beneficiaries themselves. Five months after the support, the project has started bearing results as indicated by the two case stories.


Attachments:
Jan 18, 2011

Quarterly Report

Advocacy for 8000 TB affected persons in Mubende district Project

Project outcomes; 

  • There have been an increasing number of persons seeking HIV and AIDs testing.
  • Increased recognition of the need to strengthen diagnostic facilities by the district local government as reflected in the November 2010 health staff recruitment drive.
  • SORAK Development Agency has been recognized as an active and strong partner in the fight against TB /HIV in Mubende district.
  • Improved staff regularity at healthcentres following our advocacy messages on radio and community empowerment messages during drama shows.
  • SORAK Development Agency has been admitted into the international stop TB partnership and anticipates gaining from the advantages associated with coalitions and networks; as has been already invited to apply for the TB REACH WAVE 2 funding.
  • The advocacy campaign on the radio talk shows at the time of political campaigns has put to task serving leaders to account for the inadequate health service delivery (this project has played an eye opening role to the electorate (masses) to demand for better health services.

Challenges

-The onset of political campaigns; we had anticipated to kick-off our project starting with district level sensitisation and advocacy meetings; but have not been able to do so because of the current political campaigns. All the targeted participants are busy struggling to make a comeback into leadership. Using our experience with local governments and advice from the TB focal person, we have agreed to undertake this activity in February –March 2011 when campaigns are over and with new leadership. This will give us the opportunity to engage the right people who will be in leadership for the next 5 years. This saves us from the burden and wastage of engaging leaders who could not make a comeback into the local government leadership.

-Need for immediate testing yet SDA does to have the capacity and means to do so in the community setting where social mobilisation activities do take place.

-Lack of a public address system; the project implementation team underestimated the attendance and participation during social mobilisation events; that have been normally backed up by week long radio announcements. It has been therefore a strenuous activity for the health worker and project team to pass on information to the crowds. This partly affected the participant attention span and good hearing especially among those with hearing impairments.

-The vastness of the project sub counties and the need expressed by local leaders to extend our mobilisation activities to 2 more sub counties than we had planned. This has only enabled us reach to “pockets” of worse-off deep rural communities where relapses and defaulting to TB treatment were report high by the district TB officer. Other communities have been left wanting.

-Weather has posed another challenge to community social mobilisation events; activities have taken place during the rainy season yet we did not plan for hall or tent hire; if even we had, our targeted rural areas did not have such facilities. Roads leading to venues have been sometimes impassable.

-Limited involvement of our staff in DOTs; we had planned to really entirely on local government health staff to undertake DOTs and home based car. We later learnt that the district did first of all not have enough staff cover all the project subcounties.Secondly did not have the transport means to move to various TB patients homes scattered all over the 4 sub counties. 

Lessons learnt;

Lessons learnt on data gathering and tracking of progress include;

-There is need to train health centre workers/laboratory staff in records management in order to enable them be able to avail up to date data. It is difficult for the health workers to track progress yet the number of people seeking for TB screening is increasing more especially after our intervention.

-The TB patients who are treatment need to be consistently followed up to ensure that they complete their dosage; persons tend to relax especially after a few months of taking the drug but later relapse.

-We also needed to use our staff/volunteers instead of relying on government health workers if we are to track progress and have data on progress; this we had not planned for it and thought that we would rely on health unit records to track progress.

-TB is still a big challenge especially among the rural illiterate poor who seem not even bothered for their lives. They are also ignorant of the available services and have a high apathy about claiming for their health rights. They feel that health workers are doing it as a favour to provide TB treatment services.

-The targeted Number of DOT under home based care will depend on how fast we detect further cases. This is because the project area had fewer people in need of TB DOT due to poor performance in detection.

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