LC III chairperson Mr. Sowedi handing over IGA input for back yard gardening to AGYW to strengthen their income from Kibinge s/c head quarters on 18/07/2020
LC III chairperson Mr. Sowedi handing over IGA input for back yard gardening to AGYW to strengthen their income from Kibinge s/c head quarters on 18/07/2020

DREAMS program

Since 2016, Masaka Diocesan Medical Services support provision of comprehensive HIV prevention, care and treatment services in Bukomansimbi district through DREAMS project in collaboration with RHSP with funding from President’s Emergency Plan for AIDS Relief (PEPFAR) through the Centers for Disease Control and Prevention (CDC) Uganda

The objective of this project is to achieve rapid HIV epidemic control in Bukomansimbi, one of the Districts in Uganda with a high burden of HIV incidences with aim of reducing new HIV incidences among Adolescent Girls and Young Women (AGYW), through implementation of targeted, user-friendly, innovative, evidence-based, efficient, and sustainable differentiated service delivery models for increased demand, linkage, retention, and adherence to HIV services.

DREAMS: is an acronym standing for Determined Resilient Empowered AIDS-free Mentored and Safe women program, targeting adolescent girls and young women in districts with a high burden of HIV, It is aimed at reducing the incidence of HIV among adolescent girls and young women (AGYW). DREAMS is a multi-layered model that  brings together evidence–based prevention interventions  and approaches that address the structural drivers that increase girls’ and young women’s HIV risk, including poverty, gender inequality, sexual violence and lack of education.

In this COP20, MDMS focused on two items enrollment and service layering ie providing primary, secondary and contextual services based on each particular girl’s vulnerability and risk. Among the services provided, were: –

  • Screening for HIV eligibility
  • HTS services
  • Stepping stones
  • Educational subsidies
  • Post-violence Care
  • Parenting/SINOVUYO
  • Data Management
  • Combined social economic services
  • Referrals
  • VMMC & ART for male partners among others.

During the project period for COP20, emphasis was placed on layering all AGYW following the layering guidelines by age segments and complete layering with six months after enrollment

The Photo above shows: Data Quality Assessment (DQA) conducted by METS from Butenga sub county in Bukomansimbi district on 22rd July, 2020

Layering cycle for DREAMS services

During the project period, emphasis is placed on providing the AGYW with as many DREAMS services as soon as possible, a concept hereby referred to as “layering”. It is important that AGYW gets a minimum number of services in order for the program to achieve impact. The minimum number of services for the in-school sub-population is 3 services and the minimum number for the out of school segments is 4 services. Below is the workflow of DREAMS services.

Uganda DREAMS Layering

9-14
Primary Individual Interventions

  • Screening for HTS eligibility
  • School or Community Based HIV & Violence Prevention
  • Parenting
  • Social Asset Building

Secondary Individual Interventions

  • Risk based HTS
  • Condoms
  • Contraceptive Mix
  • Post-violence care
  • Education subsidy
  • Linkage for ART (for HIV-positive AGYW)
  • Combined socio-economic approaches (for the out of school and emancipated minors)
  • Group-ANC differentiated service delivery model (for pregnant and BF adolescents)
  • Early warning systems to prevent school drop out (Only for in-school)

15-19
Primary Individual Interventions

  • Screening for HTS eligibility
  • School or Community Based HIV & Violence Prevention
  • Combined Socio-economic approaches (only for those out of school)
  • Social Asset Building
  • Financial Literacy for the in-school

Secondary Individual Interventions

  • Risk Based HTS
  • Condoms
  • Contraceptive mix
  • Post-violence care
  • Parenting (for those 15-17)
  • Education Subsidy
  • PrEP
  • ART (for HIV-positive AGYW)
  • Group-ANC differentiated service delivery model (for pregnant and BF adolescents)
  • Enhanced Economic Strengthening (for the out of school)

20-24
Primary Individual Interventions

  • Screening for HTS eligibility
  • Community Based HIV & Violence Prevention
  • Combined Socio-economic approaches
  • Social Asset Building

Secondary Individual Interventions

  • Risk based HTS
  • Condoms
  • Contraceptive Mix
  • Post-violence care
  • PrEP
  • Referral for Group-ANC-differentiated service delivery model (for eligible pregnant and BF young women per MOH guidelines)
  • Enhanced Economic Strengthening (for the out of school)
  • Linkage for ART (for HIV-positive AGYW)

Contextual

  • Reducing risk in sexual partners (HTS, VMMC, ART)(to be provided through linkage with the broader PEPFAR program)
  • Community mobilization & Norms Change (SASA)
  • Condom promotion campaign/demand creation
  • PMTCT Group-ANC model or longitudinal follow-up through 2y post-partum in mother-baby care point for pregnant and breastfeeding AGYW (10-19
Some of our programs
HIV Linkage & Retention Project

The DREAMS program focuses on providing the following services to the adolescent girls and young women, and their partners

read more
DREAMS program

The DREAMS program focuses on providing the following services to the adolescent girls and young women, and their partners

read more
How can we help you?

Contact us at the Masaka Diocesan Medical Services (MDMS) office nearest to you or submit a business inquiry online.

Performance of orphans and vulnerable children (OVC) FOR Q1 & Q2 2021

Most of AGYW were enrolled from Butenga sub county, this was achieved by use of well structured community and political leaders’ participation in the community.

  • Bigasa Sub county
  • Kibinge Sub county
  • Kitanda Sub county
  • Butenga Sub County
  • Bukomansimbi Town Council