May 13, 2015

Prevent HIV infection to children in Uganda

Summary of project activities

Kagumu Development Organization in the virtue of contributing to the reduction of HIV/AIDS in children and it is implementing a prevention of mother to child transmission PMTCT project in Uganda.   This is the fifth quarterly activity report of the project. The project is named “offer PMTCT services to 2300 poor Ugandan women” and it is implemented in Eastern Uganda, in the Districts of Kibuku, Budaka and Pallisa in collaboration with our donors under Global Giving arrangements and the community.We extend our appreciation for the support from all stakeholders to this project that is in cash, materially and morally. KADO also would like to thank global giving team for the wonderful work being done. This report expresses quarterly project progress and consequently, compiled and disseminated to the project stakeholders for their utilization. The report gives information on the status quo of the orphans, challenges during project execution,   testimony from one  beneficiary and recommendations.

Project activities include but not limited to the following; monitoring and evaluation, procure stationery for the office, facilitate transportation of blood samples for CD4 Count, Community mobilization and sensitization on PMTCT, contribution to health workers welfare, procure medical drugs and sundries and testing kits and procure mama kits and dissemination to mothers during their labour periods and delivery coaches

Current Status of Prevention of HIV infection to children in Uganda  

Prevention of Infections from Mother to Child services are still poor in the community due to the low level of economic status. In addition, mothers still deliver in the villages by traditional birth attendants and are exposed to the high risk of  HIV/AIDS.

In the last quarter, the organization managed to implement the following;

  1. Tested 142 mothers during antenatal visits
  2. Provided health education to 17 HIV positive women on family planning services
  3. 1 55 mothers attended antenatal visits
  4. 11 male spouses tested for HIV/AIDS with their female spouses
  5. 21 women tested for HIV/AIDS during their labour periods
  6. 25 pregnant mothers had safe delivery in the health center
  7. Made 5 trips of blood samples of infants for PCR-HIV DNA
  8. 25 mothers attended postnatal care

 

Challenges

The under listed challenges have persistently existed and therefore need workable solutions to realize and sustain the project outcomes and impact

  1. Limited support by local leaders. Local leaders are silent on disseminating PMTCT messages in public places. They think it is a preserve for health workers.
  2. High expectations from the beneficiaries. Beneficiaries are low income earners and therefore require everything needed for antenatal and maternity
  3. There is limited organization financial resource. The organization is majorly donor dependence and realizes limited profit from its organization. Even the little are not adequate to pay staff salaries and remunerations including office operations
  4. .Low male involvement in EMTCT. Due to lack of community awareness, male involvement in supporting               their spouses for antenatal visits is limited. This gives chance for rural women to seek antenatal services from traditional and unprofessional health workers
  5. Inadequate financial and material support by sub county and district local government.

Recommendation

In order to realize an improvement in the health conditions of the HIV pregnant mothers, there is need for increased community awareness on EMTCT among all stakeholders in the fight against the spread of HIV/AIDS among the infants particularly in the rural communities where KADO operates.

Testimony from one beneficiary

This testimony is for Elizabeth a pregnant child mother aged 16 from Bukomolo village in Bulangira sub county kibuku District. She got impregnated at school while in senior two by a school watch man who is currently on the run for fear of being implicated in courts of law. In most cultures in Uganda, particularly in the project area when a girl child gets pregnant, she is completely abandoned by her parents. In addition pregnant girls are always forced to marry the persons responsible for the pregnancy. In case the person responsible for the pregnancy is not known or disappears, the girl is left to sit home and be provided with only food and shelter without support like medical care hence rendering her vulnerable in all spheres of life.

Since the man responsible for the pregnancy was on the run, Elizabeth did not attend antenatal because for one to get antenatal services in Uganda must visit a health unit as a couple. Equally the parents were not happy and therefore could not support Elizabeth for antenatal services reason being that the funds had been spent on her education.

 

It was on 14th -16th April 2015 during community outreach on immunization when she was identified and cross examined by our health worker. She was asked why she had not attended any antenatal clinic where she reported that she had no husband to accompany her for the services because at the health unit first antenatal visit should be a couple. She was counseled and advised to report to the health centre for antenatal services. She confessed that if she had been identified by our health worker she was going to abort yet it’s a criminal offence in Uganda but to reach that decision was because she was traumatized by her parents. However, she reversed the decision to abort and she made a decision to deliver in the health center. In addition Elizabeth vowed not to marry the man responsible for the pregnancy but she decided to apologise to her parents and also to request them to take her back to school in order to be in position to complete her studies. She confessed that she got pregnant because of peer group influence she therefore confessed that she wanted to study and become a role model for other child mothers in her community.

Stories of this nature are good for the consumption of the general public. This does not only educate the masses but also depicts what KADO does in her health center 111 in the area of EMTCT in response to what is on ground in the rural communities in Uganda. The story also reveals that child mothers are irresponsible with their lives during pregnancy.

Prepared by

Kirya Richard

Project leader

Links:

Feb 6, 2015

Support 320 orphans with improved goats in Uganda

A photo Mulusid  a senior three student
A photo Mulusid a senior three student

Summary of project activities

This is the fourteenth quarterly activity report of Kagumu Development Organization on Support to 320 orphans with improved goat’s in Uganda project under the implementation by the Organization in Eastern Uganda, in the Districts of Kibuku, Budaka and Pallisa with financial support of donors under Global Giving provision and the community. The organization together with beneficiaries is hereby expressing their appreciation to all donors for the support of the project. Global Giving team is appreciated for the wonderful work being done that has enabled the organization to receive support to manage the project. The report expresses quarterly project development and therefore, compiled and disseminated to our stakeholders for their utilization. The report gives details on the current status of the orphans, challenges during project implementation, recommendations and testimony from at least a beneficiary.

Current status of Support 320 orphans with improved goats project

KADO is doing a commendable work of building the capacity of OVCs and their households in improved goat’s management through training, breading and dissemination of improved goats to the selected OVCs and provision of advisory services. However, many Orphans and vulnerable children have not received improved goats. The rate of bleeding is low because of limited breeder she-goat and this has made project limited impact. Some of our OVCs in schools study without uniform do not have school meals and at times Lack scholastic materials.

In the last quarter, the organization managed to implement the following;

  1. Monitored project activities in 9 OVC households and met 21 OVCs
  2. Provided treatment for 12 goats in 8 OVC households

 

Challenges

  1. High cost of improved breeder goats

The organization relies majorly on donor funding and each Donor have her work plans and budgets.

  1. Increased OVCs going for child labour

Whereas there is universal primary school programme in the country where children do not pay school fees, there is need for payment of meals and scholastic materials. Lack funds to pay for the above requirements, forces children to go for child labour, early marriages, conduct cross generation sex and are at risk to HIV/AIDS.

  1. Low project cash flow.

The organization has got limited donors funding the projectand the communities where the project is located, most of the people are subsistence farmers with low income to male community contribution.

 

Recommendation

The organization continues to request all donors to be part of us and have a helping hand to this   project for the good of these vulnerable children in the country  

Testimony from one beneficiary

This is a testimony of is from Mulusid the son of late of Mwirugazu Moaz of Kamonkoli sub county in Budaka district, Eastern Uganda. Mulusid is a 15 year old boy is living with his aunt because the mother is helpless and suffering from HIV/AIDS. The other was using this boy to dig, fetch water for people to obtain money to procure food at home. Mulusid was being utilized by business men to sell their goods in trading caters and paid some money. The young boy had left studies in senior two, started smoking and drinking. This project leader identified Mulusid smoking during the 2013 immunization monitoring exercise. The project leader counseled him to go back to school such that he utilizes the opportunity of the Uganda secondary education. However, Mulusid raised an issue of lack of his support and for the mother. In a staff meeting, the staff resolved to provide support to Mulusid at school and to provide assistance to the sick mother at her home which the organization is currently doing. The organization provided Mulusid she goat that the mother looks after for him. Currently, Mulusid is very happy and he is in senior three, he stopped smoking and drinking. He vows to complete his senior four and join vocational studies. Because he may not have money to go for advanced secondary level as this is expensive in Uganda.This is true story and explains the work of KADO in relation to our project of support 320 OVCs with improved goats in Uganda.  

Prepared by

Samson Namwoyo

Project leader

Links:

Feb 5, 2015

OFFER PMTCT SERVICES TO 2300 POOR UGANDAN WOMEN

Summary of project activities

Kagumu Development Organization in the virtue of contributing to the reduction of HIV/AIDS in children and it is implementing a prevention of mother to child transmission PMTCT project and in Uganda.   This is the fourth quarterly activity report of the project. The project is named “offer PMTCT services to 2300 poor Ugandan women” and it is implemented in Eastern Uganda, in the Districts of Kibuku, Budaka and Pallisa in collaboration with our donors under Global Giving arrangements and the community. The organization and beneficiaries extend appreciation for the support from all stakeholders to this project that is in cash, materially, morally and in kind. Further thanks are goes to global giving team for the wonderful work being done. The report expresses quarterly project advancement and consequently, compiled and disseminated to our stakeholders for their utilization. The report gives information on the existing position of the orphans, challenges during project execution, recommendations and testimony from at least a beneficiary. On request, the organization asking for commentary and advises on how to make this project realize results.

Project activities includes; monitoring and evaluation, procure stationery for the office, facilitate transportation of blood samples for CD4 Count, Community mobilization and sensitization on PMTCT, contribution to health workers welfare, procure medical drugs and sundries and testing kits and procure mama kits and dissemination to mothers during their labour periods and delivery coaches

Current Status of Offer PMTCT Services to Ugandan Women Project

PMTCT services are still poor in the community because there is limited male involvement during antenatal and maternity visits. In addition, mothers still deliver in the villages by traditional birth attendants and are exposed to HIV/AIDS.

In the last quarter, the organization managed to implement the following;

  1. Provided health education to 11 HIV positive women on family planning sevices
  2. Tested 112 mothers during antenatal visits
  3. 1 23 mothers attended antenatal visits
  4. 15 male spouses tested for HIV/AIDS with their female spouses
  5. 24 women tested for HIV/AIDS during their labour periods
  6. 19 pregnant mothers had safe delivery in the health center
  7. Made 9 trips of blood samples of infants for PCR-HIV DNA
  8. 51mothers attended postnatal care

 

Challenges

The under listed challenges still exist and need to be solved in order to realize the project outcomes and impact:

  1. There is limited organization financial resource. The organization is majorly donor dependence and realizes limited profit from its organization. Even the little are not adequate to pay staff salaries and remunerations including office operations
  2. Inadequate financial and material support by sub county and district local government.
  3. Low community awareness on PMTCT. There are still traditional birth attendants and are conducting deliveries illegally in villages.
  4. High expectations from the beneficiaries. Beneficiaries are low income earners and therefore require everything needed for antenatal and maternity
  5. Limited support by local leaders. Local leaders are silent on disseminating PMTCT messages in public places. They think it is a preserve for health workers.  
  6. Low male involvement in EMTCT. Due to lack of community awareness, male involvement in supporting their spouses for antenatal visits is limited. This gives chance for rural women to seek antenatal services from traditional and unprofessional health workers

Recommendation

There is need for increased community awareness on EMTCT as this will enhance increased involvement of all stakeholders the fight against the spread of HIV/AIDS among the infants and improve the health conditions of HIV pregnant mothers.

Testimony from one beneficiary

This testimony is for Naizuli Mary a pregnant child mother aged 14 from Kagondo village in Bulangira sub county kibuku District. She was pregnanted at school in senior one by a boda- boda cyclist who ran away after realizing that it was   it was a clime. In most cultures in Uganda, particularly in the project area when a girl child gets pregnant, she ceases obtaining most support of the parents. In addition pregnant girls are set to go and marry the person responsible for the pregnancy. In case the person responsible for the pregnancy not known or disappear, the girl is left to sit home and be provided with only food and shelter without support like medical care, closing including love by the parents.  

 

In this case, as marry   left as the person responsible for the pregnancy is on the run. Mary being primegravid (PG) HAD not attended antenatal for that four month as the parents were not happy due the funds they had spent on her education to senior one.

During home based immunization activity which was conducted this year 18th-20 January, 2015, it was when our health staff indentified her. She was asked why she had not attended any antenatal clinic and reported that she had no husband to take her for the services because at the health unit they require the responsible person for the pregnancy. She was counseled and advised to report to the health centre for antenatal services. She reported to the health centre, received services and she revealed to the health workers that she was planning to make abortion which is really very illegal action in Uganda. However, she vowed that she will not abort and will deliver in the health center. In addition she vowed not to maryy the boy responsible for the pregnancy but will ask for an excuse from the parents and to take her back to schools such that she completes her studies as this was caused by puberty stage and the environment.

Tales of this nature are good because they educate everybody. Indeed, this is a true and gives picture of the work of KADO in her health center III in relation to EMTCT. and this is what is happening in rural communities in Uganda. And this is also how child mothers   joke with their lives under pregnancy

Prepared by

Samson Namwoyo

Project leader

Links:

 
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