NAP Clinic receives vaccine refrigerator

PACE, under its Merck for Ugandan Mothers (MUM) project, has donated a vaccine refrigerator to NAP Domiciliary clinic in Lweza, along Entebbe road in order to aid the administering of immunization services to the surrounding communities.

The refrigerator was donated to the clinic on 12th November, 2014, by Merck, Sharp Dohme (MSD), and PACE following an earlier request made by Lorna Namuleme, the clinic’s owner and a trained midwife, during the MSD donor visit in September.

Lorna Namuleme said that the nearest dispensary in the community is far, and the clinic misses a great opportunity given their large clientele.

“We were forced to stop immunization services because we had no viable way of preserving the vaccines. This has been a problem because we have high clientele and immunization is a very important aspect of providing holistic care,” Namuleme explains.

The Merck board, represented by Jackie Idusso, the Merck Key Account Manager, and PACE, donated the fridge to help bridge the gap in continuum of care-immunization under child care.

Lorna Namuleme, owner and in-charge at NAP Clinic, Lweza checking the refrigerator while Jackie Idusso, Merck (2nd R), Irene Mirembe, PACE and Henry Ssemwanga (PACE), look on

Lorna Namuleme, owner and in-charge at NAP Clinic, Lweza checking the refrigerator while Jackie Idusso, Merck (2nd R), Irene Mirembe, PACE and Henry Ssemwanga (PACE), look on

“Immunization is key in attracting mothers for postnatal care. Postnatal care is critical to assess the mothers’ healing after delivery and care for the new born babies, as well as uptake of other services like family planning, nutrition counseling, among others. Having this vaccine fridge will enable NAP provide immunization, which will in turn, encourage mothers to turn up for postnatal care,” Ms Idusso explains.

The 75 litre refrigerator will cater to at least 80 – 100 children that need immunization at the site on a monthly basis.

Lorna Namuleme, catering to her clients, the future beneficiaries of the immunisation services she will now be able to provide.

Lorna Namuleme, catering to her clients, the future beneficiaries of the immunisation services she will now be able to provide.

NAP is one of the 126 ProFam franchised clinics that offer maternal health services. These services are supported under the MUM project funded by Merck for Mothers, or Merck, Sharp and Dohme (MSD). The project aims to contribute to the reduction of  maternal mortality in Uganda by improving access to high quality maternal health services in private sector. The project tackles the three delays that significantly contribute to maternal deaths in Uganda.

Under the first delay in seeking care, MUM empowers women with information and knowledge using interpersonal communication (IPC) by Village Health Teams, mass media and branded communication. In addition, a community health insurance and village saving loan schemes are being set up to support maternal health.

Under the second delay in accessing care, MUM is increasing access through having an Emergency Transport system with boda-boda riders trained to transport mothers to the nearest health facility. ProFam sites are also located closer to rural and peri-urban areas where the bulk of mothers live.

Expectant mother Edith Namata and boda-boda rider Sukulu Kasule trained under the Emergency Transport project, arrive at the Mutungo Nursing home in Kasambya, Mubende district.

Expectant mother Edith Namata and boda-boda rider Sukulu Kasule trained under the Emergency Transport project, arrive at the Mutungo Nursing home in Kasambya, Mubende district.

Under the third delay in receiving quality medical care, MUM trains and mentors ProFam providers, provides them with equipment and essential supplies required for better obstetric outcomes.

These interventions in maternal health under MUM are making a huge contribution in the reduction of maternal deaths in Uganda.

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Kicking HIV Prevention into high gear

Uganda’s gains in the war against HIV/AIDS have slowly declined over the years. The country reached its peak in its war against HIV/AIDS, in 2004-2006 where it was internationally recognized for the prevention of more infections using the ABC: Abstinence, Be Faithful and Use Condoms strategy. However, the emphasis has since shifted more to HIV/AIDS care where the government has put more resources behind enriching and prolonging the lives of people living with HIV/AIDS. This shift in focus has consequently led to the rise in number of people infected with HIV with each passing year, with the projected number of new infections put at 700,000 by 2016, according to the 2011 Uganda National HIV/AIDS Indicator Survey.

PACE has adopted the National HIV Prevention Strategy that combines service provision alongside addressing the socio-cultural behavioral issues facilitating the spread of HIV. To tackle the issue of behavioral change, PACE has a program, Community Driven Response (CDR) where it basically reaches out to communities through interpersonal communicators (IPCs) and Village Health Teams (VHTs). These IPCs and VHTs talk to families during home visits and communities at large in a bid to influence behavioral change that leads to prevention of HIV infection.

CDR, funded by the Civil Society Fund (CSF), has specific focus on vulnerable groups of people: female sex workers and their clients, uniform service personnel, pregnant women living with HIV/AIDS, prison inmates, long distance truck drivers, among others. The program has had notable success in the 17 districts in which it has been implemented, including Iganga, Jinja, Masaka, Lwengo, Kabarole.

The program works with Community Based Organisations (CBOs) that facilitate the training of Village Health Teams (VHTs) to carry out community mobilization, education of people about prevention of HIV/AIDS, testing, treatment and link them with various health facilities that offer these services. In 2012 alone, CDR worked with 42 CBOs and 7430 VHTs who also supported the Ministry of Health to move free government condoms from health facilities to the end users.

A facilitator talking to a women's group

A facilitator talking to a women’s group

St Catherine Vocational Group, a CBO based in Kabale district, and is supported through the CDR project, focuses on giving life skills to such vulnerable women as part of HIV prevention efforts.

Composed of 11 women, mostly single mothers with small children, the group has been trained in candle making that has helped address one of the key drivers to HIV: poverty. These mothers make and sell these candles within their communities which has improved their livelihood and increased their confidence.

Martin, the head of the CBO, KADONE, that trains these women, says that the CBO usually conducts assessments to identify homesteads that need support and give that support.  Comprehensive packages are offered in terms of income generating activities and life skills. Its priority groups are orphans and vulnerable children, poor households in Kabale.

CDR also works with VHTs who carry out dialogue sessions with different target groups where emphasis is placed on factors that have been proven through studies as key facilitators in the spread of HIV, for example, multiple concurrent sexual partners, polygamy, sexual-based violence, gender-based violence and socio-economic factors like poverty that pushes women to have sex for money.

A VHT running a community dialogue

A VHT running a community dialogue

The program has also enlisted clan and religious leaders to speak to these groups to bring about positive behavior change. Peer educators have also been trained to talk to their fellow people in closed off groups like sex-workers and prison inmates.

As a result of these interventions across the board with the combined efforts of CBOs, VHTs, IPCs, clan and religious leaders and peer educators, the CDR program in 2012, enabled 19,000 men to undergo safe male circumcision, 54,000 people to undergo HIV counseling and testing, more than 6,000 pregnant women were enrolled and adhered to Prevention of Mother to Child Transmission (PMTCT), 2.5 million male condoms  and close to 500,000 female condoms were distributed; and as a result, 1,276 cases of HIV were averted.

 

PACE wins URI Award

PACE has been recognised by the Uganda Responsible Investment award as the best HIV/AIDS Support Organisation of the Year, 2014.

At a ceremony presided over by H.E Yoweri Kaguta Museveni, the President of Uganda, PACE received an award after being voted by the people of Uganda in appreciation and recognition of our contribution towards the attainment of United Nations MDGs, and promoting and upholding International Best Practices and Standards in the area of HIV/AIDS Support.

 

PACE's URI Award for Best HIV/AIDS Support Organisation

PACE’s URI Award for Best HIV/AIDS Support Organisation of the year 2014

This is an interview with Zacch Akinyemi, the Executive Director of PACE Uganda on what this award means for PACE. (As published in Daily Monitor, 17th July, 2014)

Give us a condensed background of PACE.

PACE (Programme for Accessible health, Communication and Education) is a Ugandan non-governmental organization (NGO) implementing health programs in support of the Government of Uganda health objectives in coordination with the Ministry of Health. PACE particularly focuses on key health areas of HIV/AIDS, Malaria, Child health, maternal and reproductive health. With its global connections, PACE is a leader in solutions for the health market in Uganda.

What does PACE do and how does the organization implement its programs and activities?
PACE uses social marketing and social franchising techniques to facilitate the private sector to deliver health services to the 60% of Ugandans who seek care in the private sector as their first port of call.

What is your target audience, and where are your areas of operation?
PACE targets different audiences with its different projects for example the HIV Care and Support program targets people living with HIV (PLHIVs), the HIV Prevention program targets key populations such as sex workers and their clients, fisher folks and young girls. The Reproductive Health and Maternal Health programs target women of reproductive age while the Malaria program targets children under 5 and pregnant women.

PACE was recently awarded as best organization in HIV support at the URI Awards. What does this award mean to you as an organization?
Being recognized by the Uganda Responsible Investment award as the best HIV/AIDS Support Organization of the Year, is a testimony that Ugandans appreciate the health impact PACE is delivering to the people affected and infected by HIV and vulnerable Ugandans, which was made possible with funding support from Center for Disease Control (CDC), Presidents Emergence Plan For AIDS Relief (PEPFAR) and the Civil Society Fund (CSF).

The award will motivate the PACE team to do even more in support of the health goals of the Government of Uganda

This is the second time in a row that PACE is winning the coveted award.
What are some of the best practices that keep you on top in HIV/AIDS support?
The previous year PACE was recognized by the public as the ‘best Health Organization’ for its leading role in the health sector. The award this year is PACE’s second recognition in a similar category which cements our work as a leading partner of the Ministry of Health.

While PACE is a local organization, its membership to the PSI global network of 60 countries avails PACE access to international best practices which are applied in areas such as health programming, marketing, research, finance e.t.c

PACE also emphasizes empowerment through which we have established communities that are confident and can make good decisions regarding their health and families.

What are some of the major milestones that PACE has registered in the last five years as far as HIV support is concerned?

Last year alone PACE was able to avert 1,257,331 DALYs (Disability Adjusted Life Years) through the HIV Care and Support, Maternal Health, Reproductive Health and Child Survival programs. This means that millions of Ugandans were enabled to live a full year of healthy lives without the troubles of being sick or suffering premature deaths.

PACE is the leading implementing partner providing basic care kits to PLHIVs in coordination with districts, the government and support groups of PLHIV. PACE supplied 120,000 Basic Care Kits to PLHIVs in 2013 alone bringing the total number of beneficiaries to date to 416,000 PLHIVs. The BCP contains commodities such as a mosquito net, condoms, water treatment tablets and a vessel to store clean water aimed at fighting off opportunistic infections like diarrhea, malaria among others. The kits were initially distributed to 225 sites in 85 districts however an additional 180 facilities in 18 new districts are planned this year 2014.

Under HIV prevention, the program funded by CSF focuses on promoting HIV prevention products, services such as condoms, voluntary medical male circumcision (VMMC), HIV counselling and testing (HCT) among others.

The Parliament has passed the HIV Bill which is deemed controversial by some sections of the public, and civil society. As an organization involved in HIV/AIDS fight, what is your view on the passed HIV Bill?

The HIV Prevention and Control Bill includes mandatory HIV testing for pregnant women and their partners, and allows medical providers to disclose a patient’s HIV status to others. The bill also criminalizes HIV transmission, attempted transmission, and behavior that might result in transmission by those who know their HIV status.

While the bill does not impact directly on PACE as an organization, it does impact some of the target population that PACE works with such as the PLHIV. The aspect that requires our providers to disclose the HIV status of the people we serve may also put the providers in conflict with other government policy on confidentiality of the patients’ health status. As PACE we are happy to work with government and other implementing partners to mitigate the impact of the bill especially on PLHIV through provision of evidence from the field.

What are some of the challenges you face as an organization in the fight against HIV/AIDS? And how are you trying to mitigate such challenges?

Behavioral change takes a while and sometimes the projects wrap up before seeing this impact. To mitigate this PACE has ensured ownership of the health interventions at the grassroots as our sustainability strategy.

Low capacity especially at the community level to implement high impact HIV prevention and care programs. To address this PACE is building capacity of CBOs. PACE worked with about 50 CBOs and was able to build the capacity of 10 of them to a point where they were able to access donor funding directly

How does one access your services?
For Reproductive and Maternal Health services Ugandans can access services through the 181 ProFam social franchise network clinics while products like Trust, Condoms, Watergaurd, Mama Kits can be accessed through pharmacies, drug shops, clinics across the country. Basic Care Kits can be accessed through linkages by the support and peer groups or directly from the Positive Living Project (PLP) health facilities. Prevention services are accessed through the VHTs, peer educators and Community Based Organizations in the implementation.

What message do you have for your stakeholders? 

We would like to thank the government of Uganda through the Ministry of health whose coordination guidelines and partnership at national and district levels have helped PACE to contribute significantly to the improvement of the health of Ugandans. We would also like to appreciate our donors including CDC, PEPFAR, CSF, Global Fund, Merck foundation among others for funding the health innovations implemented by PACE.

 

Kumbaya Children’s Foundation receives mosquito nets

Kumbaya Children’s Foundation has received 40 mosquito nets from PACE, a local non-governmental health organisation. The nets were handed over to the Foundation during a small ceremony at the Mpererwe based home by Mr Zacch Akinyemi, the Executive Director of PACE, on Thursday, July 10th 2014.

The Foundation, home to 48 children, has recently been plagued by malaria, with 10 children currently at home, receiving the medication.

“Malaria has been a problem lately. The nets we had have all been wasted away. It is becoming very costly to pay for treatment, on top of paying school fees and buying food,” Pastor Robert Ssenfuma, the Director of the Foundation.

Taking the lives of more than one million people each year, the malaria epidemic largely affects populations in sub-Saharan Africa. According to the Uganda’s Ministry of Health, malaria “currently poses the most significant threat to the health of the [Ugandan] population.” Between twenty-five and forty percent of outpatient visits at health facilities in the country are for malaria. For Ugandan children, malaria is the primary cause of death.

Pastor Ssenfuma thanked PACE for their generosity towards the Foundation for the mosquito nets received.

“We have been blessed to receive these nets. The children can now go to school, uninterrupted by malaria. We will repair these nets so that they can last a very long time,” he said.

 

Mr Zacch Akinyemi, the ED of PACE, handing over the mosquito nets to the children, while Pastor Robert Ssenfuma, the Diorector of Kumbaya Children's Foundation, looks on

Mr Zacch Akinyemi, the ED of PACE, handing over the mosquito nets to the children, while Pastor Robert Ssenfuma, the Diorector of Kumbaya Children’s Foundation, looks on

Mr Akinyemi thanked Pastor Senfuma for the work he is doing with the children and the change in has brought about in their lives.

“PACE is privileged to be part of the change that you are bringing to these children. We at PACE are at the forefront in the fight against malaria in Uganda, especially among vulnerable groups like pregnant mothers and children. We work in collaboration with the Ministry of Health and other partners to avert morbidity and mortality arising from the high burden disease areas in Uganda. In this particular case, the nets will protect the children against malaria, and enable them to go to school uninterrupted,” he said.

The Team lead for Malara and Child Survival, PACE, Ms Rebecca Babirye, (front centre) and Irene Mirembe , the Communications Co-ordinator, PACE, stand with the children who have received mosquito nets

The Team lead for Malaria and Child Survival, PACE, Ms Rebecca Babirye, (front centre) and Ms  Irene Mirembe , the Communications Co-ordinator, PACE, stand with the children who have received mosquito nets

Pastor Ssenfuma started taking care of the first child, Joan, back in 2008. Joan, now in Senior Five, is one of the 48 children that make up Kumbaya Children’s Home, with a subsidiary in Luweero that looks after 24 children. These children are got from the streets, while some run away from relatives who want to force them into early sex and marriage.

Despite their lack of permanent funding, all the children of school-going age are in school, and they are also given different practical and life skills like farming, baking, making mats, and industrial mentorship to help them become self-reliant when the time comes for them to leave the Foundation.

“We plan to build our own school for the children, as well as our own home, because it is expensive to pay rent and school fees while buying food, with no permanent funding.” Pastor Ssenfuma explains.

Currently, their main source of income is their children’s choir that performs at various churches, and also holds its own concerts; and sells their gospel albums to take care of their children.

PACE is glad to have contributed the well-being of the children and be part of the positive change.

 To learn more about the Foundation, visit http://www.kumbayacf.org

Prolonging the lives of people living with HIV/AIDS

People living with HIV/AIDS deserve the chance to live long and productive lives with the help of the current health interventions in the area of HIV and AIDS. The Positive Health, Dignity and Prevention framework developed by the Global Network of People living with HIV (GNP+) and UNAIDS, emphasizes the importance of putting a person living with HIV at the centre of their personal health management and well-being; while tackling both treatment and prevention concurrently. This framework encompasses the timely and uninterrupted treatment and care of patients, creating and providing an environment where people are unafraid of getting tested and counselling; the necessity of meeting the broader health and dignity needs of people living with HIV; as well as the protection and support of their human, sexual and reproductive rights.

In Uganda, this framework has been adopted by the Positive Living Project (PLP) which promotes the Positive Living lifestyle for people living with HIV/AIDS. Under this concept, the Positive Living Lifestyle promotes positive behaviour change and the adoption of a positive prevention lifestyle; which basically means the prevention of re-infection and transmission to other people.It also emphasizes the protection against infection with opportunistic diseases like malaria and diarrhoea which would take advantage of a person’s compromised immune system.

The Positive Living Lifestyle encompasses protecting one’s sexual and reproductive health, delaying HIV disease progression and adopting a shared responsibility approach to protect oneself and one’s sexual partner from re-infection.

As of 2011, there were 145,000 new infections, rising from 128,000 new infections in 2010, according to the 2011 Uganda National HIV/AIDS Indicator Survey.

This project, funded by PEPFAR (US Presidential Emergency Plan for AIDS Relief) through the Centers for Disease Control (CDC), has made it possible to avail Basic Care Packages (BCP) to people living with HIV/AIDS to enable them prevent the occurrence of opportunistic infections like diarrhoea, and malaria.The project has been able to avail over 366,000 people living with HIV/AIDS with BCPs. The BCP is a home managed package consisting of a long lasting insecticide mosquito net, a safe water vessel, and WaterGuard tablets to guard against diarrhoea, condoms to prevent re-infection or the infection of other people as well a Z-card detailing the Positive Living Lifestyle translated in over 10 local

Joseph Nsereko, 62, from Kanungu district is a beneficiary of the (BCP). Married in 1978, and blessed with 7 children, he lost his first wife to AIDS in 1996.

“I decided to test and found I was HIV positive. When my new wife tested during a routine antenatal visit she too was positive.  We decided to live positively by adopting the positive living lifestyle”.

Joseph’s family are beneficiaries of a (BCP) that includes a water vessel, one mosquito net, Water-Guard tablets, condoms and a lot of information material about living healthy and with dignity when HIV positive.

“In December 2011, we received a replacement water vessel as we had lost the first one. This package has made our lives easier and healthier. We no longer need to boil water because we have water guard that simplifies the process of making water safe”.

Joseph goes on to say the package protects his family from infections such as diarrhea; and has drastically reduced the risk of contracting malaria because they sleep under mosquito nets. “

‘I can’t remember when I last fell sick from malaria. We also use condoms to avoid re-infection,” says Joseph.

The Positive Living lifestyle should therefore be embraced by all partners to ensure that people living with HIV/AIDS are able to live long, productive and healthy lives. The project plans scale up to an additional 191 health facilities and 18 new districts bringing the total of PLP implementing sites and districts to 416 and 103 respectively.

 

 

 

 

Contents of the BCP Kit; People at a Positive Living rally.

Improving the Life of the African Child

 

This week, we celebrated the Day of the African Child. The African Child needs access to quality affordable health services, clean water, and education, a violent-free childhood among several other things to help them grow into healthy productive Africans. Unfortunately, the African Child has to compete with many other African children for these services. The African Child has to contend with the fact that these services do not reach and every one of them due to the fact that governments are unable to cope with the large populations of their countries.

The ProFam franchise is working to help the next generation of African children have better access to these services through the provision on quality affordable family planning services for both women and men, as well as ensuring child survival.

 

With funding from different partners, the ProFam franchise is implementing key interventions in child survival and malaria. The Global Fund has funded the distribution of long lasting mosquito nets, as well as the creation of demand and availability of first line treatment of malaria drugs that ProFam has undertaken. Also, with funding from DFID, ProFam is also implementing the Integrated Community Case Management (ICCM) aimed at controlling four infectious diseases: pneumonia, diarrhoea, malaria and neo-natal sepsis, the first three of which are responsible for up to 46% of child deaths every year. Under ICCM, ProFam provides anti-biotics for pneumonia and neo-natal (new born) sepsis, anti malarials for malaria and ORS and zinc for diarrhoea.

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Family planning services are extremely important. Family planning itself improves the health of both the mother, and the children who are well-spaced when they are born. There is also the economic planning benefit of being able to properly plan and budget for one’s family over a long period of time.

However, there is a noted gap in the provision of these family planning services in Uganda. Did you know that only 26% of married women are using a method of contraception; that 34% of married women have an unmet need for family planning: 21% are in need of spacing and 14% are in need of limiting?
These statistics from the 2011 UDHS survey are just a few that show the gap that needs to be bridged in the provision of family planning services in Uganda.
ProFam clinics are well equipped to answer any questions and provide both short term and long term family planning options.

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We also need to save the lives of the mothers who give birth to these children. Maternal health is an important area in which the ProFam franchise is providing intervention in, most specifically, reducing maternal morbidity as a result of Post-partum hemorrhaging.

Post-partum hemorrhaging (PPH) is the loss of more than half a litre of blood (500ml) after child birth. This blood loss can lead to hypotension, anemia, fatigue and even death. In fact, PPH is a leading cause of maternal morbidity in Uganda.
Women can get treatment for prevention of PPH, in the form of the drug, Misoprostol, at health centers which is one of the reasons they are encouraged to give birth at a health center.
As one of its services, ProFam clinics avail treatment for prevention of PPH and train qualified providers on how to use these drugs to save lives.

Clinics part of the ProFam franchise are safe and provide affordable quality family planning services in an effective and efficient manner. The service providers are trained so that they can fit within the accepted standards for the franchise. The clinics are also given technical assistance in the form of drugs like anti-malarials, Misoprostol to prevent PPH in mothers who have just given birth, products like IUDs and implants, long-lasting insecticde nets, and equipment to improve on the quality of services delivered to their clients.

Clinics part of the ProFam Franchise are more than 202 in number, spread out over 56 districts in Uganda including Lira, Mbarara, Mbale and Masindi. To access these services, visit any health center with the ProFam logo

 

 

 

 

Delivering the Postive Living life style to prolong lives!

 It’s important to remember that communities continue to be disproportionately impacted by HIV/AIDS. Access to HIV Prevention and Treatment for HIV/AIDS should be universal and priority.

 High level of stigma surrounding HIV /AIDS in our communities prevent people seeking their HIV status or from seeking care and speaking honestly with their partners if they know they are positive. With new infections increasing each year, our efforts should be geared to making HIV Care services available and in a stigma free setting.

 Thankfully the National HIV prevention strategy spells out the renewed plan to face this epidemic and this is what as a country we should focus on than things that might throw us back in the dark 1990s era where stigma, fear and discrimination toward HIV/AIDS ruled the day!

PACE has been delivering the Basic Care Package to People living with HIV to help fight off opportunistic infections. The Package includes commodities such as a mosquito net, condoms and a water vessel to keep safe clean water among others.

 The starting point is for every one to take an HIV test so that they get to know their sero-status. There are guidelines in the HIV strategic prevention plan if one is negative such as advice on safe sex behavior, condom use and access to free safe male circumcision. If one tests positive there are packages for them such as access to treatment, and advice on positive living so as to stop the spread of infection.

Protecting your sexual and reproductive health is one of the positive living practices that need to be adhered to, this also includes consistent use condoms correctly to protect oneself and sex partner from contracting STIs including HIV.

Discussing reproductive health options with the health provider in case one desires to become pregnant is a good lifestyle practice that clients can adopt, this coupled with always choosing the dual protection method like using condoms combined with other contraceptives like pills, IUD, to avoid becoming pregnant protects one from re-infection and being pregnant.

If a client living with HIV/AIDs is pregnant, access safe delivery services in a safe environment under the supervision of a skilled health care provider at a health facility near them

Another Positive living lifestyle is delaying HIV disease progression by making regular visits to health facility and seeking the services of trusted health care provider in case one is sick. Taking the right doses of the medications (ART &Septrin) at a convenient time as prescribed by the provider is good

 

A peer educator during a home visit to one of the Basic Care Package recipient

A peer educator during a home visit to one of the Basic Care Package recipient

Also Seeking immediate support from people one trust if they are having any trouble with taking their medications, looking after their physical health by avoiding behaviors that harm their health like alcohol or other drugs/ smoking cigarettes is key. Having a balanced diet, exercising regularly and drinking clean safe water is a good practice.

 Seeking psychosocial support from skilled counselors/peer support groups helps people feel better, being actively involved in local support group to learn new skills and make life better for all People Living with HIV in the community and always sleep under a long lasting insecticide treated mosquito net needs to be emphasized

 Taking a shared responsibility to protect oneself and their sexual partner, encouraging them to test for HIV, being aware of ones rights as a PLHIV (right to health, dignity, freedom of expression and movement, privacy, confidentiality and informed consent) and accepting ones HIV status, disclosure to their partners and family is key. Communities that support PLHIV access up-to-date information on HIV risk reduction behaviors from their peers and health providers promote positive living.

Therefore Promoting a shared responsibility for preventing HIV among your partners, friends and colleagues for every HIV positive person is important if we are to combat this national tragedy.