BARIKE- LINKAGESS project
www.barike.ug info@barike.ug m.john@barike.ug
PROPOSED PROJECT FOR KEY POPULATIONS IN BUSIA AND
SURROUNDING DISTRICTS OF EASTERN UGANDA.
ORGANISATION: BARIKE PHF
PROJECT NAME: BARIKE- LINKAGESS project
PROJECT OPERATION AREAS:Busia, and surrounding districts of eastern
Uganda
PROJECT DURATION:Five (5) years.
PROJECT NUMBER:001BPHF/2HCP.
Introduction
BARIKE Public Health Foundation (BPHF) is a registered Non-Government
organization in Uganda since 2019. BARIKE Public Health Foundation is founded by
a group of Volunteers who decided to dedicate their time to work towards Health and
social transformation of the vulnerable underserved populations in Uganda
specifically Eastern region of the country. The Organization works to enhance
equitable access to quality health and social services by the vulnerable underserved
and marginalized communities through innovative, evidence-based interventions,
systems strengthening and capacity development. Its interventions are primarily
geared towards the elderly, Adolescents, young women and their male partners in the
district of Busia found in the Eastern region of the country.
Key populations — sex workers (SWs), gay men and other men who have sex with
men (MSM), transgender people (TG), and people who inject drugs (PWID) — are
disproportionately affected by HIV. At the same time, the stigma, discrimination, and
threat of criminal prosecution faced by key populations around the world pose serious
barriers to their ability to access quality, rights-based health care.
The UNAIDS 2016–2021 Strategy calls for bold action to Fast-Track the AIDS
response. It incorporates a human rights-based approach to development and aims to
leave no one behind in the AIDS response. The strategy recognizes sexual and
reproductive health and rights issues, calls for comprehensive sexuality education and
the removal of punitive laws, policies and practices that block an effective AIDS
response, including travel restrictions and mandatory testing, and those related to HIV
transmission, same-sex sexual relations, sex work and drug use. In 2016, outside of
sub-Saharan Africa, key populations and their sexual partners accounted for 80% of
new HIV infections. Even in sub-Saharan Africa, key populations accounted for 25%
of new HIV infections in 2016.
The BARIKE- LINKAGES project (Linkages Across the Continuum of HIV Services
for Key Populations Affected by HIV), supported by well wishers a both local and
international level with the aims to accelerate the ability of partner districts, key
population-led civil-society organizations, and private-sector providers to plan,
deliver, and optimize comprehensive HIV prevention, care, and treatment services at
BARIKE- LINKAGESS project
BARIKE- LINKAGESS project
www.barike.ug info@barike.ug m.john@barike.ug
scale that reduce HIV transmission among key populations and extend life for those
who are HIV positive.
BARIKE- LINKAGES is partnering with Busia district and the surrounding districts
of eastern Uganda.
The BARIKE- LINKAGES approach is summarized in the cascade of services for
HIV prevention, diagnosis, care, and treatment. The Cascade is aligned with the
United Nations 95–95–95 objective—by 2030, 95% of all people living with HIV will
know their HIV status, 95% of people diagnosed with HIV infection will receive
sustained antiretroviral therapy (ART), and 95% of people receiving ART will have
viral suppression.
PROJECT AREAS AND PROJECT ELEMENTS
1. Population Size Estimation and Mapping
1. National-level population size estimation and mapping
2. Local-level population size estimation and mapping
3. Hotspot-level population size estimation and mapping
4. Plan the program using mapping and size estimation data
2. Key Population Engagement and Empowerment
1. Develop staffing of programs and teams by key population members
2. Establish drop-in centers
3. Support key population groups through capacity development and organizational
strengthening
4. Foster oversight of clinical services and other services by the key population
community
3. Structural Interventions
1. Establish a system to respond to incidents of violence, abuse, harassment, and
discrimination against key population members
2. Identify, design, and implement strategies for violence prevention with the key
population community and with power-holders
3. Develop strategies for reducing stigma in health-care settings
4. Peer Outreach
1. Map or validate key populations and set targets for outreach
2. Develop or adapt micro-planning tools
3. Recruit peer outreach workers
4. Train peer outreach workers
BARIKE- LINKAGESS project
BARIKE- LINKAGESS project
www.barike.ug info@barike.ug m.john@barike.ug
5. Implement and manage peer outreach
6. Provide advanced training and support for professional development
7. Support retention in care of HIV-positive key population members
5. Clinical Services
General considerations for establishing and providing clinical services:
1. Assess current services and the service needs of key populations
2. Organize effective, high-quality, available, and accessible services
3. Organize referral systems and track referrals
Considerations for specific clinical services:
4. Condom and lubricant promotion
5. STI services
6. Pre-exposure prophylaxis (PrEP)
7. Post-exposure prophylaxis (PEP)
8. HIV testing services (HTS)
9. Antiretroviral therapy (ART)
10. Prevention, screening, and management of common infections and co-infections
11. Harm reduction for people who inject drugs
12. Other drug and alcohol dependence
13. Sexual and reproductive health services, including family planning, and post
abortal care.
14. Management of sexual violence
15. Mental-health care
6. Project Management
1. Contract, hire, and train staff
2. Establish and implement policies and procedures on data safety, Confidentiality,
and ethics
3. Establish systems for supportive supervision and technical support
7. Monitoring and Data Use
1. Develop or adapt data-collection tools
2. Ensure the quality of data collection, analysis, and reporting
3. Regularly review and analyze data and use for programming
BARIKE- LINKAGESS project