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P813 Community-based health services delivery among key and priority populations – a case study in uganda
  1. Geoffrey Mujisha1,
  2. Kenneth Kulu2
  1. 1Most At-Risk Populations (MARPs) Network Limited, Strategy, Kamwokya, Kampala, Uganda
  2. 2Most At-Risk Populations (MARPs) Network Limited, Knowledge Management, Kamwokya, Kampala, Uganda


Background Freedom and diversity drop in centres (FaDDiCs), also known as safe spaces are gaining momentum in many countries. The initial FaDDiCs in Uganda were co-located within clinics. While clinic-based FaDDiCs offered some tailored services, it was only after the introduction of community-based FaDDiCs that remarkable uptake of services was registered among hidden key populations; particularly sex workers (SWs), men who have sex with men (MSM), transgender (TG) and people who use and inject drugs (PWUID). MNL established 22 FaDDiCs to provide community-responsive services, offer psychosocial support, health information, condoms, lubricants, referrals and outreach sites for other biomedical interventions.

FaDDiCs Selection MNL identified sites for FaDDiCs after peer-led planning and preparatory activities including; hotspot mapping and feasibility assessment of each proposed location for safety, security, accessibility and population targeted. Tools and techniques: MNL equipped each FaDDiC with an edutainment set, condom dispensers, tools for data collection and reporting on FaDDiC operations. The attendant peer educators and FaDDiC managers were immediately enrolled into a quarterly training program to equip them with skills and techniques for community-facility linkage. Service Delivery Mode: FaDDiCs open daily and receive and make referrals through a clear networking and linkage pathway.

Results 22 FaDDiCs were selected in Kampala (15) and Wakiso (7) districts; 6 for SWs, 6 for MSM, 5 for TG, 1 for PWUID, 1 for LBQ, 1 for truckers, 1 for fisher-folk and 1 for prison population. In 15 months, FaDDiCs received 6343 clients, provided condoms to 4988 clients, lubricants to 4018 clients and referred 1264 clients to health facilities. FaDDiCs also attracted other interventions such as the roll out of PrEP and HIV self-testing.

Conclusion FaDDiCs offer an alternative service delivery avenue to marginalised populations, decongest the over stretched public health facilities and offer an opportunity for customised care to key populations.

Disclosure No significant relationships.

  • vulnerable populations
  • program and implementation
  • Uganda

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