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Organization Contact Information

Name: Uganda Community Sector -Wide Empowerment for Eradication of Poverty (SWEEP) Programme
Street 1: Kampala- Entebbe Express Highway
Street 2: Nkumba University Close , Opposite Church of Uganda , Abaita Ababiri Trading center
City: Entebbe
Province: Wakiso
Post Code: 291
Country: Uganda
Phone: +256414323199
Email: ugandacommunitysweep@gmail.com
Web Site: http://ugandacommunitysweep.org

Focal Point Contact Information

Salutation: Dr
First Name: Michael
Last Name: Kintu
Title: Executive Director
Email: kintumichael@gmail.com
Phone: +256776646061

Alternate Focal Point Contact Information

Salutation: Mr
First Name: Mwanje
Last Name: Edward
Title: Projects Cordinator
Email: ugandacommunitysweep@gmail.com
Phone: +256414323199

General Information

Board Constituency: Developing Country NGO
Organization Type - Primary: Non-Governmental Organization
Organization Type - Secondary: Community-Based Organization (CBO)
Is your organization legally registered in your country: Yes
Organization Reach: National
Organization Description:

The focus of Uganda Community SWEEP’s programs is to promote opportunities that reduce poverty and improve the health of Ugandans by building capacity of local CBOs and FBOs through training in needs assessment, proposal development, service delivery, community outreach education, mentoring and counseling, so that those trained in turn are able to implement supportive initiatives for the vulnerable groups such as women, orphans, disabled, elderly, persons affected by HIV/AIDs, and TB and school drop outs .


Although Tuberculosis (TB) remains a major public health problem in Uganda, with an incidence of about 309 per 100,000 population, or roughly 100,000 new cases per year (WHO, 2006), in Uganda there is no systematic effort to detect TB during ANC services, and TB case finding is not an integral component of Goal Oriented ANC (GOANC) and PMTCT services.

The Uganda Community SWEEP Health Sciences Programme , in collaboration with the National Leprosy and Tuberculosis Programme (NLTP), the Division of Reproductive Health (DRH) working in partnership with District Health Management Teams (DHMTs) in Uganda , are planning a pilot to Enhance screening for TB for pregnant women in general including HIV positive pregnant women using both static Xpert/MTB technology in public facilities and a mobile Xpert/MTB technology via Community-nurse Midwives clinics. The intervention seeks to enhance TB case detection as part of the GOANC and PMTCT program. The aim will be to ensure that both public and private facilities, in addition to providing ANC/PMTCT services, also screen and assess the pregnant women /mother’s need for TB services and refer for further management.

We have already conducted a facility readiness and situation analysis of TB case finding and treatment in GOANC among both public and private ANC providers in four regions in Uganda. Our preliminary findings indicate that; i) weak linkage between GOANC, PMTCT and TB screening; ii) there no job aids for guiding
 
Total number of staff in your organization: 11 - 25
Number of full-time staff who are directly involved with TB: 6 - 10
Number of part-time staff who are directly involved with TB: 100 +
Number of volunteers who are directly involved with TB: 100 +
 
What is your organization's annual budget (USD) dedicated to TB? $10,001-$25,000
How did you hear about the Stop TB Partnership: Involvement in TB control provision
Why do you wish join the Stop TB Partnership: Resource mobilization
 
Are you a member of a Stop TB national partnership: Uganda
Are you in contact with your national TB programme: Yes
Please tell us how your organization is contributing to your country's national TB control plan:
Planning a pilot to enhance screening for TB for pregnant women in general including HIV positive pregnant women using both static Xpert/MTB technology in public facilities and a mobile Xpert/MTB technology via Community-nurse Midwives clinics. The intervention seeks to enhance TB case detection as part of the GOANC and PMTCT program. The aim will be to ensure that both public and private facilities, in addition to providing ANC/PMTCT services, also screen and assess the pregnant women /mother’s need for TB services and refer for further management.
 

Geographical Reach

Which country is your headquarters located in: Uganda
Which WHO region is the main focus of your work: African
Which countries do you do operate in:
(This includes countries you are conducting activities in)
Uganda

Specializations

Advocacy, Communication and Social Mobilization / Community Engagement
Delivery of health services and care
Research and Development

Specializations in Countries

Advocacy, Communication and Social Mobilization / Community Engagement Uganda

Contribution

Please tell us how your organization will contribute to the Global Plan to Stop TB by briefly describing its involvement in any of the areas of work listed below:

DOTS Expansion and Enhancement:
We trained both Community-Nurse Midwives (CNMs) and Village Health Teams (VHTs), as well religious leaders (including those who function as traditional healers) on the signs and symptoms of TB, how it is transmitted, and ways to prevent infection. They have learnt to discuss perceptions of stigma and the importance of supporting family and community members to seek testing and adhere to treatment. VHTs, with the endorsement of village leaders, are helping to link health facilities to the households in the community. Each VHT is responsible for visiting his/her group of neighboring families to be sure that every household is counseled about TB and that suspected cases report to the nearest health facility. Testing for and treatment of TB requires considerable effort on the part of the patient. As the potential to default on treatment extends over six months or longer, the role of the trained VHT is critical- and therefore the trained VHT work with the patient to find a suitable Health center to observe and record treatment. The VHT also get called upon over the course of treatment should the patient not return to the health facility on schedule for drugs each month or for follow-up sputum testing at months three and five. Throughout the process, they VHT coordinator also provide social support to the patients and Health center.

TB-HIV:
We have developed a comprehensive patient monitoring system “Rapid Assessment TB (RAT), to facilitate the identification of drop outs and patient follow-up. We have also initiated an active case finding intervention that includes isoniazid prophylaxis of children without TB who live in households of TB patients. By expanding and strengthening community-based HCT/TB services, we strive to offer a platform for entry points into ARV distribution and adherence monitoring. We also assess and build on existing MOH information system and procedures to ensure TB/HIV data that is routinely collected by providers, analyzed and used for decision-making at community and by DHMT. We also ensure that each provider has the basic monitoring report tools such as a HMIS registers, pens and notebooks.

New Diagnostics:
The Uganda Community SWEEP Health Sciences Programme , in collaboration with the National Leprosy and Tuberculosis Programme (NLTP), the Division of Reproductive Health (DRH) working in partnership with District Health Management Teams (DHMTs) in Uganda , are planning a pilot to Enhance screening for TB for pregnant women in general including HIV positive pregnant women using both static Xpert/MTB technology in public facilities and a mobile Xpert/MTB technology via Community-nurse Midwives clinics. The intervention seeks to enhance TB case detection as part of the GOANC and PMTCT program. The aim will be to ensure that both public and private facilities, in addition to providing ANC/PMTCT services, also screen and assess the pregnant women /mother’s need for TB services and refer for further management.

Operational Research:
Using performance based financing, we are enhancing access to and utilization of TB/HIV case detection via paired groups of Community-Nurse Midwives (CNMs) and Village Health Teams (VHTs). The goal here is to conduct an operations research comparing TB/HIV detection by paired groups of community midwives and VHTs with TB/HIV detection among government health centers. Although traditionally, as their name suggests midwives have cared for women during pregnancies, attended births, and treated women and infants immediately after deliveries with a focus on antepartum, intrapartum, and postpartum care, in the past three decades, however, their scope of work has extended to include a range of family planning services, including counseling and the provision of short- and long-acting contraceptive methods. Since the 1990s, CNMs in Uganda have been trained to provide other reproductive health services, including diagnosis and Treatment of STIs, post abortion care (PAC), VCT, and PMTCT. VHTs are Uganda’s innovative approach to community participation in health activities, engaging health volunteers selected by their communities to improve access to services, simultaneously promoting democratic participation in decision-making and local governance. The successful impact of VHTs is linked to the policy framework (decentralization), reinforcement of community engagement (use of pre-existing volunteer cadres), and improved service delivery (a multi-sectoral approach to monitoring and supervision of the teams).


Declaration

Declaration of interests:
No conflicts of interest were delacred.

Application date: September 24, 2012
Last updated: July 5, 2014