O-Link Project

Principal Investigator: Dr. Rhoda Wanyenze
Funder: CDC

Description

The project “Evaluating enhanced electronic-orphans and vulnerable children’s linkage model to HIV and other health and community services in Uganda (O-Link)” is implemented by Makerere University School of Public Health (MakSPH) in collaboration with Baylor Uganda, Ministry of Gender Labour and Social Development (MGLSD) and Ministry of Health with funding from Centers for Disease Control and Prevention (CDC). The project is evaluating enhanced electronic orphans and vulnerable children’s linkage model to HIV and other health and community services in Uganda. The enhanced electronic model involves the use of weekly short messaging system (SMS) and monthly telephone calls with data collection and tracking conducted with the help of Android ODK enabled tablets with finger print and barcode unique identification numbers. The project operates in Mpondwe Lhubiriha and Hima town councils in Kasese district, Busiriba and Mahyoro sub counties in Kamwenge district which were selected based on high prevalence of Orphans and other Vulnerable Children (OVCs). The target included all OVCs aged 0-17 years and their caregivers in households prioritised by Baylor-Uganda. Over 340 households were enrolled with about 1,020 OVCs. The households were reassessed using MGLSD standardised tools and the OVCs found vulnerable were referred for HIV and other health and community services which formed the baseline. The referral points included the health facility that serves the study site, Community Based Organisations (CBOs) in the area and at the Town Council/ Sub-county for service offered by governments. Monthly and quarterly household follow ups were made to the enrolled household for a period of 8 months. An end line evaluation is being concluded during which all the enrolled households have been assessed based on the different core program areas. To better understand the existing barriers and facilitators of linkage, qualitative baseline and end line data collection was conducted with the different stakeholders including; Focus group discussions with Households with female caregivers, children who are out of school, child headed, and HIV positive caregivers. Key informant interviews were also conducted with district community development officers, district probation officers, district secretary health services, district OVC focal person- Baylor-Uganda, sub county/Town council community development officers, health facility OVC referral and linkage focal persons, and a group interview with the data collection assistants.

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