Todate, AIC provides HIV & AIDS prevention, Care and Treatment, social support and protection services, Health and community system strengthening and Laboratory services through its Headquarter and the 8 regional centres strategically located to cover wide area around the country - the Kampala regional centre (Central I and II), Jinja (East central), Mbale (Eastern), Mbarara (Mid-western and Western), Arua (West Nile), Lira (Northern), Soroti (North Eastern) and Kabale (South Western). In partnership with MOH and UAC AIC has supported public and private Health facilities and CSOs in strengthening their capacity to provide HCT services. AIC was the pioneer organization in voluntary HIV&AIDS counselling and testing and later started initiated testing and counselling in health facilities. This was achieved through capacity building, procurement and distribution of kits, supportive supervision, quality assurance and quality control, monitoring and evaluation. It continues to provide technical guidance at National level through the CT17 (HCT Committee) on issues of policy, capacity building and Quality assurance and at district level through the DHT and DAC on planning, implementation and monitoring. As a result, AIC has received recognition from Uganda parliament, MoH, UAC, Districts and other stake holder. On Average AIC through the various approaches (Facility and community targeted outreaches) reaches over 400,000 clients per year. Cumulatively, AIC has reached over 5 Million people Counselled and tested, trained more than 3000 health workers in HCT.
AIC pioneered the PMTCT program in Uganda and has been at the forefront of development, implementation and review of the MoH PMTCT policy and implementation guidelines. It has also been at the forefront of the regional eMTCT launches. AIC with funding from USAID MSH/STRIDES project was able to scale up Community eMTCT by improving indicators for pregnant women attending four ANC visits at community level during which we were providing HCT to pregnant women. Those who were identified HIV Positive were referred to the nearest health facilities for option B-plus.
AIC started VMMC in all its regional centres in 2012. With the support from MoH and USG, 30 AIC health workers were trained in the provision of VMMC. It has used this opportunity to train 50 others health workers at its centres in VMMC and supervised by team from MoH and USG. To date we have been able to circumcise more than 45,000 men through our SMC camps and Regional centres with funding from CSF and USG. We have worked with IPs like EGPAF, MSH and Plan International (USAID projects) in the provision of VMMC.
In 2012 AIC started its first test and treatment services. It receives its ARVs from MoH through JMS. This program targets key populations namely: discordant couples, sex workers and their partners, MSM, Fishers folks, uniformed personnel, pregnant women, HIV/TB co-infected patients and children. As a result of Test and Treat program AIC has strengthened its Laboratory services to conduct clinical monitoring through CD4, Viral load, renal and liver function tests and other test. As a result of the strong laboratory systems, IPs such as PREFA, EGPAF, MSH, SUSTAIN, BAYLOR- Uganda, and other NGO’s refer clients and samples for diagnostic and monitoring services. In partnership with MoH and the district we report our data through the HMIS and DHIS2. AIC participates in internal and external quality assurance with supervision from UVRI.
AIC in the last five years has been at the fore front of MARPS programming. It’s a permanent member of the MARPS steering Committee at the UAC. With funding from UNFPA, AIC has supported the development of the National MARPS framework, MARPS size estimation and service delivery models. AIC has trained 21 of her staff in provision of right based, genders responsive service delivery to key populations with emphasis to MSM. Currently AIC is reaching more than 500 MSM, 1000 sex workers, 3000 fisher folks and a number of uniformed personnel with HIV prevention, treatment, care and support. AIC has trained more than 600 sex workers as peer educators and socio-economic empowerment. AIC in partnership with Arua District Local Government (DLG) is currently running a socio-economic empowerment program targeting sex workers.
AIC at National and district level sits on various committees. At national level in UAC, AIC represents CSOs in the partnership committee, resource mobilization subcommittee and on the HIV prevention subcommittee. These three committees provide leadership, coordination and resource mobilization for the national response. At District level, the regional teams are part of the DAC, DHT and on the district networks of CSOs and PLHIVs to provide technical support. This shows how AIC has been involved in governance.
AIC with funding from the global fund was able to build capacity of 36 districts in Monitoring and evaluation. This is support towards timely and complete data collection, analysis and utilization. AIC with funding from the civil society fund (CSF) was able to build capacity of 10 CSOs. The capacity was built in financial management, programing, monitoring and evaluation. It is not only involved in service delivery and capacity building but also in HIV research. This is in partnership with UVRI and MRC. AIC initiated the rapid testing and giving HIV test results in 30 minutes. AIC has been at the forefront of research in discordance among couples, microbicide trials, HIV trends in different communities and currently it’s looking at TB multidrug resistance especially in HIV positive clients. AIC has also been the vanguard in accessing HIV test kits that come into the country and currently is part of the institutions accessing HIV test kits in the country.
AIC is a membership organization that has over 10,000 registered members who annually hold regional AGMs to elect their leaders including the board of trustees. On the board that is the highest governance, structure of AIC is composed of representatives from the regions where AIC has branches, MoH, UAC, higher institutions of learning, PHAs and PTC members.
Management Systems: AIC has strong governance structures at national and regional levels. It is governed by a Board of Trustees (BOT) composed of 13 members and constituted into 5 committees: Finance, Policy, Research, Programs/Donor Coordination and Resource mobilization committees. The BOT gives direction to the organization and also works through the committees to give technical support. At the region level, each branch has a Branch Advisory Committee (BAC) which oversees and guides branch operations, supplements and ensures the region implements the BOT decisions.
AIC has core values, policy guidelines & procedures that were developed to guide organizational systems and structures for effective, efficient and sustainable implementation of programmes.
AIC has an established financial management system, recognized and accepted by the various donors supporting it. An automated accounting software (Navision 2015) used in all branches and all funds are managed along the established financial management system of AIC. A financial and Accounting Manual stipulating all procedures is in place and it identifies and gives guidance on roles and level of authority. The AIC procurement guidelines well stipulated in the finance manual are used in procurement of goods, services and works. From time to time guidance is sought from development partners whenever necessary as well as PPDA guidelines.
AIC also has an internal auditor who plays a crucial role of ensuring adherence to systems and improved usage of funds, resources and accountability.
The human resource manuals provide a comprehensive range of guidelines that supports AIC’s aspiration in terms of its work, culture, values, principles and practices in reference to the strategic plan and complements other policy documents. The guidelines ensure a highly motivated and competent workforce focused towards achievement of clearly outlined and shared objectives and staff development requirements matched with organizational expectations.
The systems in place and physical presence in all the 8 National HIV Sero-survey regions of Uganda with regional branches in Kampala, Jinja, Mbale, Soroti, Lira, Arua, Mbarara & Kabale give AIC a niche to successfully implement the project.
Human Resource: AIC has 25 years of proven experience in quality HIV prevention, care & support and sexual reproductive services delivery with a pool of committed and experienced staff that have complementary and comprehensive qualifications and skills in HIV prevention, care, support and treatment and SRH services.
AIC has a total of 150 staff (permanent and temporary) spread all over the 8 regional branches and at its headquarters in Kampala. The staff are divided into technical staff and administrative staff namely in the prevention, care and treatment, M&E staff. The networks at community level that include but not limited to PTC, PHA, KYSC, CSA, VHT, and community leaders are often used to support AIC in community sensitization, mobilization, implementation, referrals, distribution of messages, follow up, ensure psychosocial support is given and keep records.