New Infections of HIV can be mother to child, but many are in relationships so youth need awareness

Hope Clinic Lukuli has provided HIV counselling and testing since 2004 and in 2006 was accredited by the Ministry of Health as an Anti-Retroviral Therapy (ART) site. Beginning in 2004 we also offered advice and the necessary drugs to Prevent Mother To Child Transmission (PMTCT) of HIV. The process is based on doses of ART drugs that greatly subdue the viral load in the mother and act as a post-exposure prophylaxis for the newborn. Although PMTCT as a procedure was first proved in Uganda it was not until recently that treatment as a prevention method was really proven for the wider population.

But, for newborns and children, our tasks are (1) preventing vertical transmission from the mother, (2) identifying HIV in untested parents and/or the child, and (3) preparing the older children with lifeskills to protect themselves from older people and their age-peers as they become sexually active. We work closely with Straight Talk Foundation and their Young Talk newspaper to have age appropriate discussions.

Fun for out of school kids - and lifeskills
Age appropriate advice at Hope Clinic
She came for art and left with information

Our work with pregnant women (and also to inform women of their choices of when to become pregnant) helps reduce the number of babies born to HIV positive mothers without medical support. PMTCT is a simple regimen of drugs which is most effective when the newborn's dose is administered by a health professional at birth. We seek support now to mobilise the women in the community to come for HIV testing when they know they are pregnant. Our PMTCT request to the Global Fund Round 10 was accepted by Uganda's CCM and we await those funds in 2012.

The pre-teens are best reached through our work with Stay Alive (funded by Until There's a Cure) and with Right to Play. Stay Alive was developed in East Africa and brings together children, their parents and their teachers to provide lifeskills information. Starting with 9 year olds, there are four age bands of the materials with age-appropriate topics. Working with Reach the Children we worked with over 2,000 children over a whole academic term. For older kids and youth we distribute the newspapers, offer STI/STD tests and treatment and have trained counsellors able to work in a range of puberty, peer pressure and relationship topics as well as HIV or sexual health.