Finding the Missing Millions in Rural Communities - Uganda

Mr. Arafat Bwambale of GLPC in a community meeting on the best ways of mitigating hepatitis

Finding the Missing Millions in Rural Communities - Uganda

Virus
Hepatitis B
Hepatitis C
Type
Testing and treatment implementation
Setting
Sub-National
Other targets
HIV
Syphillis
Tuberculosis
Phase
Active
Health outcomes
Incidence
WHO region
African Region
Country
Uganda
Key interventions
Community mobilization
Hepatitis B Vaccination
Testing and diagnosis
Treatment (direct or referral)
Target population
Adolescents (10 - 19 years of age)
Adults (> 19 years of age)
Children (> one year < 10 years of age)
Incarcerated populations (current and former)
Infants (less than one year of age)
Persons who inject drugs
Performance target
Care cascade: HBV diagnosis
Care cascade: HBV testing
Care cascade: HBV treatment
Care cascade: HCV diagnosis
Care cascade: HCV testing
Care cascade: HCV treatment
Care cascade: Other
Care cascade: Referred for treatment
HBV prevention of mother to child transmission
Vaccination coverage
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Health outcomes additional info

We target an 85% reduction in incidence of Hepatitis B and C, and suppression by 2030.

Performance target additional info

  • Hepatitis B vaccination coverage-65% coverage on timely Hepatitis B vaccination of newborns, infants,children,adolescents,adults, and persons who inject by 2023.
  • HBV prevention of mother to child transmission-50% coverage of mothers under antenatal care shall be screened, tested and diagnosed for Hepatitis B by 2023 at our partner health facilities and at integrated health outreaches.
  • Care Cascade: HBV Testing-60% coverage on adolescents 16 years and above, adults within our area of operation will be screened and tested by 2023.
  • Care cascade: HCV Testing-40% coverage on adolescents 16 years and above, adults within our area of operation will be screened and tested by 2023.
  • Care cascade: HBV Diagnosis- All adolescents and adults will be screened and tested given results of being negative or positive, negative clients are vaccinated and positive ones referred to our partner hospital for further investigations and therapeutic needs by 2023.
  • Care cascade: HCV Diagnosis-All adolescents and adults will be screened and tested given results of being negative or positive, negative clients are vaccinated and positive ones referred to our partner hospital for further investigations and therapeutic needs by 2023.
  • Care cascade: Referred for treatment-We target to refer 100% of all the possible victims met in our outreaches by 2023.
  • Care cascade: HBV Treatment-We plan to refer all the cases met to our partners for proper and timely treatment 2023.
  • Care cascade: HCV Treatment- We shall link the victims to appropriate health providers by 2023.

Summary and objectives

The program goal is to have a healthy rural community population free from viral hepatitis, new infections and ensuring viral suppression through working at grassroots level to empower individuals, families and communities.


Our objectives are:

  • Scale up screening and testing of the community population (up to 10,000) and vaccination of the population.
  • Referral of clients to higher levels of care.
  • Management and treatment
  • Coordinate community mobilizations of the social and religious leaders, cultural leaders, political leaders.
  • Raising awareness of viral hepatitis among the communities among the communities.
  • Advocate for government provision for Hepatitis testing and treatment services in the under served rural communities.

Our key strategies include:

  • Integrated outreaches by screening community population model (Focused Community Groups-FCG) at market places, school visits, home visits, mosques and churches,wedding and burial gatherings.
  • Information, Communication and Education strategy (IEC) Our Hepatitis IEC materials shall be translated into the local languages such as Lukhonzo, Runyakitara, Swahili among others.
  • Encouraging Social Behavioral Change among the general population like commercial sex workers, truck drivers, drug injector users, people in uniform, adolescents and youth among others.
  • Using our various social media platforms to spread more awareness on the best ways to prevent the spread of viral hepatitis and also provide the best advice to the already established victims.
  • Advocate to promote universal hepatitis vaccination at birth.
  • Advocate for the prevention of mother to child transmission through including hepatitis B screening during antenatal and provision of therapy during ANC.

Planning and Implementation:

  • We plan to organize funding campaigns such as local crowd funding, collaborations and partnerships so as to sustain our program.
  • We plan to work closely with the local authorities and other partners in order to achieve our desired goals and objectives.
  • We shall implement the program through holding meetings with stakeholders, organizing community awareness dialogues, and advocacy campaigns.
  • Printing Information ,Education and Communication materials among others to help in further sensitization.
  • Social media posts to attract mainly the youthful population will also help to spread more awareness.

Great Lakes Peace Center is a grass root youth led organisation found in the Western side of Uganda with thematic areas of:

  • Peace and conflict resolution.
  • Adolescent and Reproductive Health.
  • Viral Hepatitis prevention, HIV, Tuberculosis, Water Hygiene and Sanitation(WASH)
  • Nutritional Services; nutritional screening and referral as part of community linkages to health facilities