Since 2009, Mildmay Uganda reproductive health clinic offers quality reproductive health services for its clients. The services include breast and cervical cancer screening, HPV vaccination, PMTCT, family planning, screening and treatment of STIs and reproductive health counselling.
Breast / Cervical CancerCervical cancer is among the leading killer diseases in women and girls of the reproductive age. The situation is made worse if a woman is HIV positive. For this reason, MUg initiated efforts of improving women’s health by detecting early and treating all women at risk of cervical cancer.
Every year, MUg screens over 3,000 women for breast and cervical cancer with about 300 youth benefiting from this service. Cervical and breast cancer screening are done simultaneously in the reproductive health clinic for all women in the reproductive age seeking any service at MUg. Mug also carries out Outreaches within and outside Kampala in partnership with various organisations and institutions.
With funding from Centres for Disease Control and Prevention (CDC), Mildmay has set up 10 cervical cancer sites in various parts of Uganda in effort to take services closer to the communities and improve on their lives.
MUg uses the See and Treat approach using Visual Inspection with Acetic acid (VIA) because it’s cheaper and allows screening and treatment on the same visit. We have a core cervical cancer team that was trained in the use of visual methods.
Adolescents’ Sexual reproductive Health
Mildmay has an adolescent transition clinic that offers youth friendly services with the aim of improving access to health services for adolescents and enhance life skills training. MUg applies a participatory approach through Kisakye Youth Centre (KYC) that runs every Tuesday.
MUg supports over 500 adolescents annually to receive the ASRH services and these include; family planning, sexual health counselling, risk reduction counselling, sexually transmitted infection care, screening for breast cancer and cancer of the cervix), vaccination against cervical cancer in young girls, peer clubs, hands on trainings in life skills and clinical care including antiretroviral therapy for teenage mothers to prevent HIV transmission from the mother to the baby.
We also provide peer-led support groups for young people living with HIV; Our Generation of Mildmay Adolescents Club (OGMAC) targeting 10-24 yrs, Safe Youth Club (SYC) targeting, 15- 24 yrs, Hope Young/Teenage Parents Club – targeting HIV positive children with children, Positive Speaker’s Club (PSC) targeting 10-24 yrs and the Noah’s Ark Choir and Unique Stars music groups which are focused on developing the children’s talents in music, dance and drama.
These groups attend dialogues with other young positives through which they share experiences, the music groups also sensitise the community on HIV prevention and positive living during various national and local events.
Safe Male CircumcisionSafe male circumcision (SMC) is one of the recommended ways through which HIV can be reduced by 50% according to World Health Organisation (WHO) and United Nations programme on HIV/AIDS (UNAIDS) hence regarding SMC as an HIV preventive method. Due to the associated benefits, MUg offers SMC to all male clients above 12 years of age as a preventive measure targeting mainly the HIV negative boys and men. The procedure is carried out both at the main site and in the surrounding communities during outreaches by our highly qualified professional team.
MUg offers SMC in combination with HIV counselling and testing and risk reduction counseling. We also raise awareness by giving information and distributing condoms. Over 900 men are circumcised annually both at the main site in Lweza and in the outreaches we carry out in communities.
EMTCTRecent research has proved that chances of an HIV expectant mother passing the virus to their unborn baby during delivery can be reduced to under 5% divergent from the 15% to 45 % chances in absence of any intervention. This is possible with the use of elimination of mother-to-child transmission (eMTCT) interventions, including antiretroviral therapy for the expectant mother and her newborn child, hygienic delivery conditions, and safe infant feeding. With the roll out of eMTCT in 2012, MUg has registered success stories of HIV positive mothers giving birth to HIV negative babies. Thus eMTCT is significant in saving lives and curbing the impact of the HIV epidemic—particularly in Sub-Saharan Africa which has the highest number of women living with HIV and where infant mortality remains high.
In line with recommendations of the national plan by Ministry of health and WHO guidelines, on roll out of the use of Option B+ (ARVS offered to HIV infected pregnant mothers and lactating women) as a way of eliminating HIV among children through the baby transmission route, MUg is supporting community initiatives for eMTCT, (male involvement, family support groups and national advocacy activities including regional eMTCT launches to Implementing interventions to prevent transmission of HIV during labor, at delivery, and following delivery.
MUg is supporting over 140 sites in nine districts in Central Uganda to offer Option B+; pregnant mothers are being reached out with HCT, antenatal, maternity and postnatal clinics including sensitization.