PREFA Program Overview
a) Facility level:
These include training of service providers in comprehensive HIV/AIDS care services (PMTCT counselor training, infant feeding practices, family planning, data and logistics management), as well as routine laboratory services for pregnant women, routine HIV counseling and testing (RCT), PMTCT services to prevent vertical transmission, care/support and referral services to HIV positive mothers and children (pre- and post-natal visits), provision of supplies and logistics (computers, benches and tables, filing cabinets, test kits and consumables, ARVs for prophylaxis, and cotrimoxazole), infrastructure improvement to provide more space for counseling and laboratory services, support recruitment of human resource (counsellors and laboratory staff), and regular support supervision and monitoring of PMTCT services in health.
b) Community level:
PREFA supports community activities to increase awareness and support of the PMTCT program in the targeted communities. The following activities are implemented at the community level; mobilisation and sensitization of community leaders and members on PMTCT services through advocacy, radio talk shows film shows, etc, training of Community Own Resource People (CORPS) like Community Counseling Aides (CCAs), Traditional Birth Attendants (TBAs) & private midwives on PMTCT issues for referral and follow-up of pregnant women and their partners to access PMTCT services/ART care, conducting home visits for HIV positive mothers, their children and family members, and conducting HIV counseling, testing (HCT) outreaches. Community activities also include planning for specific meetings for men to discuss PMTCT and other reproductive health issues, and helping PMTCT clients to start and maintain family support groups to address some of their social and psychological needs. In addition, the CIFF supported districts conduct Home to Home HIV Counseling and testing (HHHCT) services, nutrition supplementation and food security support to infected families. In this particular case, the homes are the main entry points in the scale up of these services at the community level, with the goal of testing as many people as possible and providing synergy between homes and the clinical services.
PREFA M &E Matrix for FY 2008
The activities mentioned above were implemented under the 4 main objectives as summarized in the matrix below:
Goal: To strengthen 29 districts to provide comprehensive PMTCT services, up to HC III
Objective 1: To increase the number of supported districts in Uganda that provide high quality PMTCT services (comprehensive family-based HIV and reproductive health services especially family planning)
Objective 2: To increase community and family involvement in PMTCT program around the selected health facilities
Objective 3: To contribute to the improvement of the quality of the national PMTCT services in order to increase uptake by promotion of the 4-pillar approach to PMTCT programming