In Uganda today the biggest percentage of morbidity is attributable to water, sanitation & Hygiene, this creates a big burden to the National Health System, and yet they can prevented through integrated approaches tailored at community level.
The current TB & HIV burden in urban and other developing areas in Uganda is worrying with Kampala city alone contributing over 20% of the national burden. The emergency of resistant forms of TB & HIV makes it even more complicated to manage. Therefore, we hope by applying community led TB/HIV finding and management models will greatly impact on early TB/HIV finding and management.
According to the Director Health Services Dr Anthony Mbonye (2013), Health Management Information System Surveillance report on alcohol and drug use indicates the highest consumption to be in the central region. As an indicator ICHIO employees a voluntary team in slum areas to help drug users access medical, and counselling services.
The neglected tropical diseases (NTDs) are the most common infections of the world’s poorest people living in developing countries. Uganda, which is listed among the developing countries, is highly endemic to NTDs which pose a heavy burden on poor rural communities. The inequitable distribution of human resources particularly affects NTD areas that are generally hard-to-reach and hard-to-stay for health workers. Through our program we hope to reduce popular NTDs in urban and rural areas.
On this particular project, the team from ICHIO Uganda worked alongside the AIC CLFs and other staff to implement the intervention through;forming clusters of 15 to 25 households, identification of volunteer cluster heads, close monitoring of cluster heads and the TB champions, health education of households to create awareness on TB/HIV and support of AIC outreaches. ICHIO volunteers also continuously mentored AIC CLFs/staff in field epidemiology during the project.
The target communities are organized in clusters (15-25 households), respective volunteer cluster heads are selected & tasked with identifying community health concerns in ICHIO priority areas. Cluster heads report to community champions based at parish levels who in turn report to ICHIO staff, and consiquently to stakeholders.
Individuals with / or exposed to simillar conditions are empowered with knowledge and skills through community dialogues, trainings and edutainment to share experiences & identify solutions to help fellow peers in the same category.
The cluster heads at community level are empowered to identify vulnerable cases including those presumed to have TB, drug addicts, cases of neglected tropical diseses who are then reffered to respective facilities for further assessment.
To be the leading public health service provider through scientific interventions which are acceptable, affordable and sustainable within the community.
To provide essential public health interventions to landing sites, islands and other high risk populations in Uganda through full community participation and inter-sectoral collaboration
To improve on the wellbeing of the community in the areas of water, sanitation and hygiene as a way of preventing diseases.
To strengthen the healthcare system in Uganda through referrals and linkages of the community to health service providers by intensive community mobilization of the high risk populations especially the women, children and people living with HIV/TB.
To have an empowered community through sensitization, edutainment and active participation in health initiatives for diseases prevention, health promotion and prolonging life among the population.
Community Rise Against Tuberculosis
Successfully piloted a tuberculosis control project code named ‘Community Rise Against TB’ using a cluster system in Makindye Division under the support of MSH- Track TB project and Kampala Capital City Authority (KCCA) (August 2017 - December 2017). In the first two months, 19 cases were identified. Overall 25 bacteriologically cases were detected and linked to care.
Implemented two WASH projects code named ‘Gwanga mujje Tweyonjje’ in the slums of Katwe II and Kisenyi III parish kampala city in 2016 with very impressive results of diarhoeal reduction due to improved sanitation and hygiene which have been sustained to date.
We engaged 15 Prmary Schools in Central Division Kampala City in a student led community transformation project in which students were trained in WASH & randomly followed up in their respective homes to monitor the impact of our intervention. it was observed that homes with trained students had improved sanitation practices.
ICHIO-Uganda donated fruit seedlings (Mangoes, ovacado, oranges pawpaw, guavas etc) to Makerere University Environmental Health Students’ Association on 26th September 2015(World Environmental Health Day) commemoratedat Mayor’s Garden in Entebbe Municipality in collaboration with SOS children village.ICHIO has continued to support all student led initiatives at school of Public Health and beyond.
Participated in tree planting with SOS children and MUESA along Entebbe streets and some seedlings were donated to SOS children village
Monthly cleanup exercise in collaborations with Kampala City Council Authority (KCCA) where we engage the community in activities such as, desilting, garbage collection & disposal.
ICHIO Uganda presented its projects at the 1st International community Health workers symposium in Kampala in February 2017.
Presented at the 14th & 15th MUEHSA conference in April 2016 & 2017 respectively with several other stakeholders meetings at local and national level.
Held a joint health camp with Beyond Our Doors Uganda on the in April 2016 in Mutungo parish, Nakawa Division.
Over the years, MUEHSA has carried out community led projects in the areas of Public health and organized annual scientific conferences since 2003 to date.This platform has increasingly kept attracting attention for research and sharing of academic write ups and innovations among the general student’s body and different universities.
MUEHSA inspired the formation of Integrated Community Health Intiative Organisation (ICHIO), the first student founded NGO at MaKSPH. Other projects include SCOFOH, & YISH. MUEHSA has remained a link between the Makerere University School of Public Health Management and the students.
The student’s association keeps growing each year with great opportunities key to note being; hosting the 3rd International Federation of Environmental Health Academic Conference during its 16th MUEHSA conference in Uganda come April 2019. Such events have increased publication and engagement of students in different innovations to show case to the wider community. We therefore highly support ICHIO and other student led innovations to wards better health.
ICHIO Uganda has partnered with a number of organizations including Kampala City Council Authority (KCCA), Makerere University Environmental Health Students Association (MUEHSA), Makerere University School of Public Health (MaKSPH), MSH-Track TB project, Ngabo Youth Friendly Service Centre, Martyrs Family Clinic, community-based organizations and schools to implement its innovative projects in Kampala City.