Nsambya Home Care (NHC) is a department of St. Francis Nsambya. In 1987, the Home Care Department was started by Rev. Sister Dr. Miriam Duggan, then medical superintendent of the hospital, to decongest the hospital wards and outpatient unit of the overwhelming number of HIV-related cases. Home based care allowed family members to take an active role in caring for their sick relatives while continuing to earn a living. The department had a humble beginning with a team of three staff (a driver and two nurses) who would visit patients in their homes to provide medical care. But now it has expanded to 67 established staff and 50 community volunteers.
NATURE OF PATIENTS SERVED
According to the Executive Director, Dr. Maria Nayonga, NHC targets a population of HIV infected and affected families and communities living within a 21 km radius of the hospital. This area is semi-urban and characterized by poverty; insufficient social, family, and community support systems and an ill-equipped health sector. The estimated target population of 200,000 is based on the new HIV prevalence rate of 7.4% of a population of 4 million people in four districts: Kampala, Wakiso, Mukono and parts of Mpigi. There’s also a fully operational satellite clinic at Ggaba landing site.
NUMBER OF CLIENTS SERVED
Since its inception, NHC has cumulatively enrolled and provided HIV services to17183 patients (11438 females i.e. 66.57% and 5745 males i.e. 33.43%), of these 7,366 patients are still active both in care and treatment, with 7,366 on ART.
RANGE OF SERVICES PROVIDED
Since 1987, NHC has responded to the HIV/AIDS epidemic through various interventions that include:
- HIV Counseling and Testing (HCT),
- Medical diagnosis and treatment of opportunistic infections
- Provision of ARVs since 2004
- Provision of social support to Orphan and Vulnerable Children (O.V.C) that includes school fees.
- Legal support to clients that need it.
- Pediatric and adolescent clinic
Therefore, the services go beyond treatment to psychosocial support to both infected and affected persons in a home.
Community mobilization is conducted as a need arises. It may be for counseling and testing, for gender based violence, T.B awareness or safe male circumcision. Mobilization also encompasses hygiene, sanitation and nutrition.
Dr. Maria registers gratitude to CAFOD, a UK based organization, CRS; a US based organization through which PEPFAR first funded the ART clinic in 2004 and now Uganda Episcopal Conference through the ACT project.
"We network UGANET KCCC who are our sisters because of the same founder Sr Miriam Duggan. We also are working with CDRN helping us in training us for resource mobilization".