Adolescent HIV Care and Treatment in Uganda: Care Models, Best Practices and Innovations to Improve ServicesAsire B1, Nabukeera-Barungi N2*, Elyanu P1, Katureebe C1, Lukabwe I1, Namusoke E1, Musinguzi J1, Tumwesigye N3 and Atuyambe L2
- *Corresponding Author:
- Nabukeera-Barungi N
College of Health Sciences
Makerere University, Uganda
Tel: +256 772 435 166
E-mail: [email protected]
Received date: December 09, 2016; Accepted date: January 04, 2017; Published date: January 11, 2017
Citation: Asire B, Nabukeera-Barungi N, Elyanu P, Katureebe C, Lukabwe I, et al. (2017) Adolescent HIV Care and Treatment in Uganda: Care Models, Best Practices and Innovations to Improve Services. J Infect Dis Preve Med 5:150. doi:10.4172/2329-8731.1000150
Copyright: © 2017 Asire B, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background: The number of adolescents living with HIV (ALHIV) in Uganda is growing. Improving access to HIV services among this population requires a lot of innovation. This study describes service delivery models and innovations to improve access to HIV care and treatment services by adolescents in Uganda.
Methods: It was a mixed methods study in which the qualitative aspects included in-depth interviews, Focus Group Discussions and Key Informant Interviews with adolescents and various stakeholders. Quantitative data was obtained by a cross-sectional design using a questionnaire for 30 health facilities from 10 representative districts of Uganda.
Results: The integrated HIV clinic model was used by 63% (19/30) of the facilities. The most preferred “Stand alone Adolescent HIV clinics” were present in only 17% (5/30). Separate adult and children’s HIV clinic models were 20% (6/30). Only 1/30 (3%) had a transition clinic. Health workers were ignorant about transition clinics but ALHIV expressed a great need for them. Only 30% (9/30) of the health facilities had Youth corners.
“Peer support groups” were the commonest innovation present in 36% (9/25) of government facilities and 80% (4/5) of the private facilities. Other innovations included HIV testing at night, in schools, making community outreaches, avoiding clinic appointments during school time, use of social media, reducing waiting time, providing privacy, food, skills and transport among others.
Conclusion: Stand-alone adolescent clinics are the preferred model of care for ALHIV. Youth corners in health facilities and peer support clubs were valued innovations but funding was a significant hindrance.