1

A COMMUNITY WHERE THE MARGINALIZED POPULATIONS ACCESS

AND UTILIZE SEXUAL AND REPRODUCTIVE HEALTH AND RIGHTS IN A

FRIENDLY MANNER

Quarterly Report July, August and September 2018

Strengthening HIV prevention, access to non-discriminatory sexual and reproductive

health rights and services, strategic partnerships and advocacy for the marginalized
populations

October 2018
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A COMMUNITY WHERE THE MARGINALIZED POPULATIONS ACCESS AND

UTILIZE SEXUAL AND REPRODUCTIVE HEALTH AND RIGHTS IN A FRIENDLY

MANNER

Quarterly Report July, August and September 2018

Strengthening HIV prevention, access to non-discriminatory sexual and reproductive

health rights and services, strategic partnerships and advocacy for the marginalized
populations

October 2018 Report compiled and approved by:

Name Kayita Innocent Nakatudde Deborah

Designation Director of Programmes Executive Director

Contact +256 (0) 755 079 651 +256 (0) 752 707 778

email kayitaslum@gmail.com deborahslum@gmail.com

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Table of Contents

Table of Contents ........................................................................................................................................ 3

Acronyms .................................................................................................................................................... 4

Introduction about SLUM............................................................................................................................ 5

Our vision................................................................................................................................................ 5
Our mission ............................................................................................................................................. 5
Our objectives ......................................................................................................................................... 5
Core Values ............................................................................................................................................. 5
Programmatic Areas ................................................................................................................................. 5

SLUM Nabweru Umbrella Clinic.................................................................................................................. 5

The Drop in Centre (DiC) ........................................................................................................................ 5

Activities...................................................................................................................................................... 6
Provision of a safe space for female sex workers to take part in tailored HIV programming .......................................... 6
Promotion of menstrual health management through equipping AGYW with skills to make reusable sanitary pads ........... 7
Promotion of uptake of biomedical HIV prevention interventions with a focus on PrEP among female sex workers ............ 7
Accelerating acceptance to HIV testing services among the marginalized populations ................................................... 8
STI awareness among school going adolescents ..................................................................................................... 8
Equipping interns with sexual and reproductive health information and skills............................................................ 9

Joint activities ............................................................................................................................................ 10

Joint activities with BRAC Uganda and Action for Fundamental Change (AFFCAD) .......................................... 10
Adolescent sexual and reproductive health radio talk shows with PREFA ............................................................. 11

Challenges ................................................................................................................................................. 12

Way forward .............................................................................................................................................. 12

Conclusion................................................................................................................................................. 12

Tabular representation of statistic collected at the drop in centre during July, August and September .......... 13

Theory of change ...................................................................................................................................... 14

Membership and partners ........................................................................................................................... 15

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Acronyms

AIDS Acquired Immuno Deficiency Syndrome

AGYW Adolescent Girls and Young Women

AWAC Alliance of Women Advocating for Change

CBO Community Based Organization

DiC Drop in Centre

EADWA Empowered At Dusk Women’s Association

FC2 Female Condom 2

FP Family Planning

GCWR Golden Centre for Women Rights

HIV Human Immuno-deficiency Virus

HPTN HIV Prevention and Trial Network

MEU Men Engage Uganda

MNL MARPs Network Limited

MU-JHU Makerere University and John Hopkins University

NSWP Global Network for Sex Work Projects

PREFA Protecting Families Against HIV and AIDS

SLUM Serving Lives Under Marginalization

SRHR Sexual and Reproductive Health and Rights

STI Sexually Transmitted Infections

WOPEIN Women Positive Empowerment Initiative


Introduction about SLUM
Serving Lives Under Marginalization (SLUM) a
member organization to Global Network for Sex
Work Projects (NSWP), Most At Risk Populations
Network Limited (MARPs Network Limited),
Alliance of Women Advocating for Change
(AWAC) and Men Engage Uganda (MEU).
A rights based SRHR and service delivery
community based organization (CBO) with
registration number WCBO/1369/17 by Wakiso
District was established in 2016 for and by sex
workers living and staying in slums of Wakiso and
Kampala Capital City with a mission to
strengthening HIV prevention, access to non-
discriminatory sexual and reproductive health rights
and services, strategic partnership and advocacy for
the marginalized populations.
SLUM DIC is located in Nansana division along
Nabweru Katooke road after Gaz petrol station a
strategic location for serving key and priority
populations in Nansana municipality Wakiso
district.
Our vision
A community where sex workers and priority
populations access and utilize sexual and
reproductive health services in a friendly manner.
Our mission
To strengthen HIV prevention, access to non-
discriminatory sexual and reproductive health rights
and services, strategic partnerships and advocacy for
the wellbeing the marginalized persons in slums.
Our objectives
 To advocate for non-discriminatory sexual
and reproductive health rights service
delivery for sex workers and priority
populations.
 To promote behavior change and safer sex
practice among sex workers, their clients
and the entire slum communities.
 To network and partner with already
existing organizations serving sex workers
and priority populations.
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 To promote economic empowerment
among sex workers and priority populations
in slum communities.
 To work with peers in health promotion
programmes for sex workers and priority
populations.
Core Values
1. Client Centered
2. Team Work
3. Transparency and Accountability
Programmatic Areas
SLUM operates under four (4) programmatic areas that
include;
1. Health care delivery,
2. Health care promotion,
3. Advocacy and
4. Economic empowerment.
SLUM Nabweru Umbrella Clinic
Services offered at the clinic include; i) HIV testing,
ii) short and long term reversible family planning
services, iii) breast manual examination, iv) cervical
cancer screening, v) STI screening and
management, vi) general medicine, and viii) linkage
and referral.
The Drop in Centre (DiC)
To provide a safe space where key and priority
populations can meet to take part in structured
activities that promote their wellbeing and access to
health services and available HIV prevention care
and treatment
DIC output
The output at the DIC is measured by the number
of key populations served, safe sex commodities
distributed, services offered and referrals made to
health centers and other service points.
This report combines all the data collected at the
clinic, drop in centre (DiC), school and community
outreaches and free service days at the clinic; a total
of 4,858 sexual and reproductive health services
have been accessed in three months i.e. July, August
and September.
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Activities
The achievements listed below include total number of clients, total services received and the health
commodities consumed in July, August and September at the drop in centre, clinic, open days,
community and school outreaches;

Provision of a safe space for female sex workers to take part in tailored HIV programming
A total of 11,951 services were delivered
to 82 KPs at SLUM drop in centre where;
A total of 10,089 services were received by
65 female sex workers.
A total of 1,453 were received by 10
transgender women.
A total of 350 services were received by 5
MSM.
And 59 services were received by 2 long
distance truck drivers.

Of the 11,951 services received during July,

August and September, 236 were HIV related
services as indicated below;
A total of 79 KPs educated on the facts about
HIV and AIDS
A total of 77 KPs educated on the benefits of HIV
testing services of which they were tested at our
clinic.
A total of 68 were educated on the benefits of
using a condom for safer sex correctly and
consistently.
And lastly a total of 10 KPs were educated on the benefits of doing safe male medical circumcision as a means of
reducing the chances to contracting HIV; a total of 72 KPs were educated about sexual and reproductive health
services available at our clinic. While a total of 32 KPs were referred for further management that included access
to HIV care and treatment, family planning and STI treatment.

Health commodities distributed

included;
A total of 9,497 male condoms were
distributed
A total of 613 female condoms (FC2)
were distributed
A total of 1,286 sachets of water based
lubricants were distributed.
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Promotion of menstrual health management through equipping AGYW with skills to make reusable
sanitary pads

Adolescent girls and women at Wisdom Primary
School during a training session on menstrual health
management with a focus on hygienic and cost
effective sanitary towels; participants gave their
experience on both reusable and disposable sanitary
pads
The participants were then equipped with skills on how
to make reusable sanitary pads; the first session of the
training based on use of papers for demonstration later
the trainer introduced materials used in making reusable
sanitary pads for perfection of the skills

Special thanks go to Mr. Ssenoga Hassan the Founder Ssenoga Initiative for Positive Living and the HIV Ambassador Nakaseke
District for coordinating this activity.

Promotion of uptake of biomedical HIV prevention interventions with a focus on PrEP

among female sex workers
Working with MU-
JHU (Makerere) under
the HIV Prevention
Trial Network
(HPTN), we mobilized
a total of 28 KPs (18
KPs at Emirates bar
and lodge and 10 KPs
at Bentez bar and
lodge Katooke) that
were educated about
the injectable pre
exposure prophylaxis
(PrEP) that is under
study and shall be used
together with the tablets (PrEP). The team leader told the participants that the intervention looked
for women at high risk of contracting HIV hence the reason for targeting female sex workers.
Participants were excited about this innovation saying that taking tablets (PrEP) every day is so
challenging to them and so such an innovation will help reduce the risk of contracting HIV among
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sex workers.

It should however be noted that pregnant women are not eligible for the study, women with chronic
diseases, and participants on PrEP should consistently and correctly use condoms for effective
prevention of other sexually transmitted infections.

Accelerating acceptance to HIV testing services among the marginalized populations

SLUM HIV testing
interventions are aimed at
reaching out to the
marginalized and the most
at risk groups that include;
female sex workers,
transgender persons,
MSM, adolescent girls and
young women, boys and
men (boda-boda riders,
taxi and long distance
truck drivers).

Between July and 31st

September, a total of 238
clients were tested for HIV and Syphilis, of these 77 were famale sex workers, 100% of all new positives
were referred and enrolled in HIV care and treatment at Nabweru Health centre III and other ART
clinics of their choices. Among the places where we conducted HIV testing included; SLUM Nabweru
Umbrella clinic/DiC, Metropolitan International University, Emirates bar and lodge Lugoba, Bentez bar
and lodge Katooke among others included beneficiaries (young people 15-24 years) from SomeroUganda
and Action for Fundamental Change (AFFCAD).

STI awareness among school going adolescents

School outreaches are some of
the practical areas that involve
full participation of interns as
a means of passing on the
SRHR information received
during their training to the
adolescents in schools.

We visited three secondary

schools where we educated
students about sexually
transmitted infections (STIs).

A total number of 591

students were reached; 293
students from Kawempe
Standard secondary school,
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175 students reached at St. Johns

high school Kazo and 123
students reached at Kazo central
college.
However, students were given a
chance to ask questions a thing
that indicated a very big gap in
SRHR information among the
students that we visited due to the
myths and misconceptions they
had about STIs and other SRHR
areas.
We are grateful that the ministry
of education and sports came up
with a sexuality education
framework that shall guide SRHR
sessions in schools

Equipping interns with sexual and reproductive health information and skills

The photo above was taken during a skills training
orienting interns about the HIV testing aligorythm
among other skills and information equiped to the 20
interns included; family planning, sexual and gender
diversity, life planning skills, patient and SRH rights,
breast and cervical cancer, menstrual health management,
HIV and sexually transmitted infections, project planning
and management, financial management and NGO
accounting.
A total of 20 interns from Makerere Universities,
Kampala University, Metropolitan International
University, Stamford International University,
UTAMU, St. Lawrence University (SLAU) were
awarded certificates of completion after
successfully receiving training and practice in
sexual and reproductive health for a period of two
months. 99% of the interns would recommend a
friend to come for internship at SLUM

At the end of internship, academic supervisors requested us to take our services to the universities and in August
we conducted an HIV testing outreach at Metropolitan International University where we tested 65 students and
only one student was tested positive and referred to Nabweru Health centre for care and treatment
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Joint activities

Joint activities with BRAC Uganda and Action for Fundamental Change (AFFCAD)
BRAC Uganda organized a training of
early childhood development (ECD)
centre committees on their roles; the
centre management committees
(CMCs) composed of teachers, head
teachers, parents and local leaders.

The first training meeting was at

Lamansia sports bar (38 participants)
and the second at Buloba C/U
primary school (38 participants).

At the end of the three days training,

an SRHR trainer from SLUM
educated the participants about family
planning methods.

Opticians from Brac Uganda conducted eye

testing services during SLUM free service
delivery days for our clients.

A total of 57 clients where tested during

these activities and those diagnosed with eye
problems were helped and other asked to
buy eye lenses as advised by the opticians.

Integrated service delivery has been seen as

one of the best ways to pulling clients on
open service days at our clinic since there is
a mix of services.

Action for Fundamental Change and

Development (AFFCAD) implements a
project that aims to address abortion related
stigma ending unwanted pregnancies and
unsafe abortions among young girls in
Kawempe division.

SLUM along with AFFCAD were hosted for

a one hour show on b24 television to discuss
the risks of unwanted pregnancies and
unsafe abortions among young people one
of the leading causes to high maternal and
new born child morbidities and mortalities.

We called upon all key stake holders to

increase uptake of SRHR services.
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Adolescent sexual and reproductive health radio talk shows with PREFA
Protecting Families Against HIV and
AIDS (PREFA) implements a project
in 7 districts of Buikwe, Kalungu,
Luweero, Lwengo, Masaka,
Nakasongola and Wakiso. PREFA
supports 164 health facilities to
provide PMTCT services to a
population of 3,101,573 people living
in these seven districts through
capacity building and system
strengthening.

Radio talk shows are one of the major

components to reaching out to
adolescents and young people with
sexual and reproductive health rights

information aimed at increasing uptake of

SRHR services among young people 10-24
years.

SLUM was involved in radio talk shows

hosted at 89.2 cbs FM to discuss male
involvement in helping adolescents seek and
utilize sexual and reproductive health
services.

SRHR trainers from SLUM were also hosted

at 88.8 cbs FM to discuss adolescent
pregnancy, its consequences & care during
pregnancy and teenage parenthood

SLUM was also involved as guest speakers on a

talk show at radio Two Akaboozi 87.9 FM to
discuss teenage pregnancy and availability of
post abortion services at health facilities.

Radio talk shows are remarkably known for

reaching out to a wider coverage of people
though the time hosted is not enough to
respond to the questions of the listeners and
callers hence giving out our office contact
phone numbers to help respond to questions
missed on radio and also holding private and
convenient sessions between counselors and
listeners at our offices in Nabweru.
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Challenges 5. We at times lose track of our clients that

1. We lack a tent and plastic chairs that we
need to use in community outreaches
and at the facility/clinic in case we have
open days for key and priority
populations and the general community.
2. Uniforms; we conduct several activities
in a week and currently we have one t-
shirt (branded with our logo) which one
needs to wash and wear at least twice a
week.
3. Limited funds to buy drugs, we currently
use contribution from founders to
procure drugs which have failed to meet
the overwhelming demand from the
female sex workers.
4. Competition for grants; we are still a
young organization established in 2016 a
thing that makes funding organizations
think that we lack the required
organizational and staff capacity to
manage the grants hence failing to
support our activities.
we refer for further management due to
lack of resources that include transport
and airtime to connect them to KP focal
persons at referral points.
6. Health commodity stock outs for
example lubricants and female condoms
that are highly demanded by female sex
workers hinder meeting their
expectations.
Way forward
1. To strengthening our capacity to serve
the marginalized populations by reaching
out to the most affected and infected
groups in slum communities by working
with peer educators and VHTs and
establishing satellite clinics in other parts
of Wakiso district to enable us reach
more marginalized populations.
2. Seeking strategic partnership with local,
national and international organizations
and networks with which we share the
same objectives.

Conclusion

Through target and integrated service delivery approaches we have managed to reach out to the
marginalized populations and persons from the general community with rights based sexual and
reproductive health services at the DiC, static clinic, community/hotspot and school outreaches;
we linked and referred clients for further management at public health facilities that include
Nabweru and Kawaala health centres.
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Tabular representation of statistic collected at the drop in centre during July, August and
September

Number of KPs reached with services

S/ Type of service
N provided to KPs SW MSM IDU TG FF Trk UP Total

1 Information on:

Fact about HIV 65 5 - 8 - 1 - 79

Abstinence and being
faithfulness 2 - - - - - - 2

Condom use 57 3 - 7 - 1 - 68

SMC - 4 - 6 - - - 10

HCT 60 5 - 10 - 2 - 77

SRH 60 2 - 10 - - - 72
Socio-cultural drivers
of HIV 53 4 - 6 - 1 - 64

Legal services for KPs - - - - - - - -

2 Referrals 27 1 - 3 - 1 - 32

3 Male condoms 8,027 174 - 1,246 - 50 - 9,497

4 Female condom 513 20 - 80 - - - 613

5 Lubricants 1,096 120 - 70 - - - 1,286

6 IEC/BCC Materials 129 12 - 7 - 3 - 151

Total 10,089 350 - 1,453 - 59 - 11,951

KPs Key Populations FF Fisher Folks

SW Sex workers Trk Long distance trucker drivers

UP Uniformed Persons (Forces) IEC Information Education

Communication material
PWID People Who Inject Drugs
BCC Behavioral Change
MSM Men who have sex with Men Communication Material
TG Trans gender

PPs Priority Populations

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Vision Theory of change A community where the marginalized populations

access and utilize sexual and reproductive health
rights and services in a friendly manner

Eliminate all Create a safe Access to rights Access to comprehensive Eliminate all forms of
space for the based SRH services, sexuality education and discrimination on grounds
forms of gender
Impact marginalized culturally information as well as of gender and sexual
based violence SRHR services for young
appropriate and orientation
populations
gender sensitive people

Increased individual Access to SRH

resources,
Change Economic
awareness of SRHR
Outcomes as human rights information and laws and independence
services policies

The marginalized populations, staff, local and national leaders,

policy makers, law enforcers, partners, donors

Strategies Service Health Advocacy Economic and livelihood

delivery promotion enhancement

To strengthen HIV prevention, access to non-discriminatory sexual and reproductive health rights and services,
strategic partnerships and advocacy for the marginalized populations.
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Membership and partners

Membership

Partners

Department of Public Health