It is exciting to hear that the number of clients enrolled on ART is increasing in Kitovu Mobile; this is due to the increasing man power of the trained expert Clients/Community workers. The Community workers have played a great deal in supporting the technical staff to enroll more clients on ART. They normally train fellow clients on how to manage and take ARVS before the actual enrollment. Given their numbers and the geographical location they have been able to reach a big clientele. To date 1,346 clients are active on ART of which 69% are female. For only this year 151 clients have been enrolled on ART of which 108 are male, 108 Female, 11 female children, and five male children.
This year we have trained 145 expert clients of which 64% are female and this has been a big resource to Kitovu Mobile. This strong and dedicated team has enhanced our collaboration with Uganda Cares through the Test and Treat project and as a result we have been able to test 33,885 clients in a period of one and half years. Of the people tested 47% were female and 2.9 %( 979) were positive.
The Expert clients / Community workers have not only been beneficial in supporting ART enrollment but they have also played a great deal in sensitizing communities about cancer and also referring cancer patients to Kitovu mobile for palliative care. Since 2002 Kitovu Mobile has treated 2,562 clients of which 85% are female. 447(54% female) were treated in 2012 and 632 home visits were made. 58 bereavement counselling sessions were made and 188 patients died.
We acknowledge all the support from our stakeholders, without you it would be impossible for Kitovu mobile to realize these results. It is your support that has a made a change to lives of many
Despite the improving drug adherence, the HIV/AIDS prevalence rate in Uganda is going up. Whereas HIV prevalence is increasing, married couples and widows are the most at population. It is therefore paramount to emphasize for behavioral change to avert the epidemic. During this period community workers are working so hard to educate the people on behavior change. However,we are not so much worried of the increasing HIV/AIDS prevalence rate because HIV –infected Ugandans now live longer as a result of treatment with ARVs and this way contributes to the increase in the prevalence rate. The number of people dying from AIDS-related infections is significantly going down.
Thank you all for your continued help.
Follow up of the HIV and AIDS clients in their respective homes has revealed a positive relationship between improved drug adherence and food security. Through the routine visits made by the community workers and the expert clients it has been observed that drug adherence is steadily improving hence people regaining their normal health and returning to former nature of work which include farming and in particular growing special foods like vegetables and other nutritious foods that will boost their immunity.It is therefore imperative to note that it is a collective effort by all the community members to support the PLHA by encouraging them to take their medicines if were to respond to HIV and AIDS plus its impacts. It is also worth noting that the clinical outcomes are promising since the intensive follow began.
The drug adherence level for people taking ARV's and other medicines for opportunistic infection is gradually increasing as the community workers continue to recieve bicyles to facilitate their movements to visit the sick. During this period the frequency of visting the clients by community workers who received bicycles has gone up by 45%. It is also paramount to note that Community workers spend long hours with the clients than before and can easly take record of all the necessary information which can help the medical personnel to improve the service to the clients. This is attributed to the free and easy movement from client to the other.
"My work has been made easy since i got a new bicycle from Kitovu Mobile" says Namuli Egulansi a community worker of Kitovu Mobile. "I can now confortably visit my clients and fill all the necessary forms without rushing because i know i can easly make it to another client with no delay".
This year Kitovu Mobile In partneship with GlobalGiving has made tremendous effort to facilitate Community workers and expert clients scale up their visits to reach out to the HIV cancer patients. 22 bicycles were distributed to Community workers and expert clients on a function that was presided over by the Programmes director Mrs. Robina Ssentongo.
Community workers / Expert clients vowed to scale up their effort; and to date significant results have been observed. The 22 Community workers who recieved the bicycles have increased the number of visits by 65%. We have hope that this will even double in future. Clients who can not go to the centres can easly get their medicine refills in time.
Nuwamanya Bonus a client on ART from Kyetume town in Lwengo District narattes the story;
" For the past two weeks i have been down and my medicine '" ARVs" had got finished. I called at the office and it was not yet time for them to come. I am happy that a community worker in charge of my area immediately had to ride a bicycle and collect my medicine in time. "Good people"; says Bonus Nuwamanya.
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