Six PEPFAR, 2 Global Fund and 5 private grants at Hope Clinic Lukuli

The clinic's Director responsible for coordination of PEPFAR, other donors and Government policy implementation is Philip Mitchell. He has led the efforts to open dialogue with the programmes in Uganda and with initiatives that have worked in other countries and which could be re-funded for Uganda. The community has benefited greatly from this work and we now coordinate over a dozen interventions for HIV, reproductive health, child health and malaria prevention and treatment.

Activity Intervention Partner
Awareness/ Prevention ‘Stay Alive’ health and lifeskills education program in schools and for out-of-school children US grant (Until There’s a Cure) and Ugandan implementer (Reach the Children)
Awareness/ Know Your Status Road show and drama to lower income/ densely populated communities with onsite counselling Kampala City Council, Makindye Division and Joint Clinical Research Centre (JCRC/TREAT)
Awareness/ mobilisation to test Distribution of leaflets in English, Luganda and Swahili on 6 topics of HIV including VCT, prevention, stigma and care for those with HIV Developed by USAID Business PART, printed by Aggreko International (whose staff also received HIV awareness training from Hope Clinic, following the PART curriculum)
Outreach, counselling and testing Mobilisation to community, reducing stigma and providing pre and post test counselling at the Hope Clinic Aggreko International paid for 1 year. HCL is a Prime recipient from the US Embassy Small Grants team allowing HCL to keep counselling free. Now in it's third year of award.
Test Kits The three types of test kit used for HIV at Hope Clinic Lukuli The kits are supplied through the Uganda Government's National Medical Stores. HIV test kits and PMTCT drugs are funded with donations to UNITAID, managed by CHAI.
Laboratory Services Improved microscope and centrifuge equipment and safety for lab staff DFCU Bank financed new equipment and renovation of the laboratory with technical advice from CDC Entebbe.
Basic Care Package (C,S&T) The boxed kit comprising two LLIN, a water container with purification chemicals and condoms Funded by PEPFAR through CDC and the PSI contractor. Initially provided to HCL through PREFA project, Muyenga.
Septrin and self-care materials (C,S&T) Anti-biotic provided at Hope Clinic to all clients confirmed as HIV positive. Positive Living literature, peer groups and outreach home visits HCL obtained a US grant from Until There’s A Cure (www.utac.org) for first 200 clients. Then self-funded and now provided by JCRC-TREAT partnership. Peer groups funded by PSI.
Testing for opportunistic infections Positive clients need prompt diagnosis of infections including STI and malaria Aggreko paid for laboratory staff and reagents for 12 months to allow free to PLHA and free to youth lab testing.
Care, Support and Treatment for OI/ STI Drugs for treatment of opportunistic infections, including malaria and STI, for PLHA. Mosquito nets to pregnant women and children under 5 years. Coartem (ACT) from the Global Fund is free to HCL via Kampala City Council. Hope Clinic Lukuli bears the cost of drugs for other OIs. The Safe Injection Project gives syringes.
CD-4 count and ARVs Monitoring of CD-4 from date of test and access to ARVs when required. JCRC TREAT partnership involves fortnightly visit of team to HCL and free CD-4 counts. Since March 2009 ARVs are from Government of Uganda and its partners: UNITAID, Clinton Foundation and Global Fund.

If you would like specific examples and statistics, follow the links on the left above or contact us at HIV@hcluganda.org or on +256 (0)712-738076. Follow our updates on Twitter We have abstracts and posters at Vienna IAS 2010.