Bukomansimbi is among the twelve Districts selected to implement comprehensive HIV/AIDS services in Masaka region. It was selected after ranking it among those districts that have the highest overall HIV incidences standing at 8.0%.

Masaka Diocesan Medical Services in collaboration with Rakia Health Sciences Program (RHSP) support provision of comprehensive HIV/AIDS services with special focus on community model of differentiating services.

The program aim is to increase the proportion of HIV positive children, adolescents and adults in care through facility and community-based activities that strengthen capacity of district health systems to promptly identify, link and retain clients into high quality care and prevention programs.

The project support early diagnosis of children, adolescents and adult with HIV by increasing testing, screening, case finding and linkages to health facilities for treatment and support. At community level the program activities supported include health education and counseling, differentiated targeted HTC, HIV treatment, TB services, and complete linkage.

This is also in line with UNAIDS targets of 95-95-95 whose expected result will be an epidemic control. Differentiated service delivery model and index client contact tracking will be adopted in the provision of services to children, adolescents and adults in care.

Under the 1^st 95, the project is to focus on Index client contact tracing and differentiating HTS through out-of-facility based HTS using the following approaches; Home based HTS (HBHTS), , outreach/mobile HTS, targeted stand-alone HTS, integrated out-of-facility HTS and work place HTS

Under 2rd 95, the project focuses on differentiated service delivery with 3-monthly refills of ART, co-trimoxazole and other services for stable clients for example form and follow ups on Delivery (CCLADs) and Community Drug Distribution Points (CDDPs).

Under the 3^rd 95, the project is to focus on supporting viral suppression for all clients on ART and clients not adhering supported to undergo Intensive Adherence Counseling (IAC) at the facility. The project supports viral load testing, community based psychosocial support, VSLA/SILC, counseling and linkage to support services to fully achieve the 3^rd 95.

DELIVERABLES OF THE PROJECT

• Home visit for stable clients per qtr
• Home visit for unstable clients per month
• Screen for TB and other diseases on follow ups
• Complete client tracking forms per visit
• Home visit for clients missed appointment
• Home deliver drugs
• Mobilize for CDDPs