Overview The current HIV prevalence in Uganda is estimated at 6.4% among adults, and women are disproportionately affected, accounting for 57% of all adults living with HIV. Social and biological factors put women at a higher risk of the infection. The Health Community Empowerment Project's Gweeri Women against HIV/AIDS initiative was started by 20 women who had received earlier training in HIV counseling. The goal of this organization is to increase women’s knowledge and therefore empower them through positive living and HIV/AIDS prevention skills. The group worked with village health teams to develop tools that guided their work. The tools included interview guidelines, questionnaires that aided group discussions, and guidelines to aid counseling sessions. In one of the initial meetings, there were five widows who had lost their husbands to AIDS related illnesses, and ten who had developed signs of HIV infection; yet only five of them had ever been tested. Two of the five tested positive. Of the three who tested negative, one was in a polygamous marriage and had feared she could be infected. The group’s effort was to empower the women to have an HIV test. Health Community Empowerment Project - Kampala, Uganda, Africa Summary of Taking Action Taking Action in the Community Assess: Encouraging openness in group counseling, starting with church leaders, led to the formation of the group Gweeri Women Against HIV / AIDS. We gained members by not discriminating and avoiding stigmatization. We encourage voluntary work and cooperation of spouses. We share our own experience through group discussion and provide support at all times, even at home or after church services. We involve technical experts for follow-up care, involve the youths for work partnership, and involve local leaders and male spouses as resource persons. We keep records for future reference. We use the media to discuss HIV testing and experience in anti-retroviral drug intake. We avoid talking about HIV as the deadly incurable disease, but as a catastrophe that can befall anyone and discussing ways of avoiding it or controlling its spread, self-care, and treatment. Plan: First, Gweeri Women Against HIV/AIDS worked with women leaders at different levels and solicited support from experts for an update of new strategies to address community needs. The objectives of the organization are to identify and develop a team that will work to educate and counsel on HIV/AIDS related issues; to access community members through churches, local council meetings, and the media; and to refer those in need of technical expertise. The mission of the organization is to promote group work through team building and empower the community with knowledge and skills on HIV /AIDS prevention and control. In addition, the strategies this organization utilizes include: Identify viable members and develop a team Work as a team and assign roles. Identify work days and hours in the week Identify places to work from and activities that motivate members to join the group. Accept voluntary membership and solicit for support of Resource people like church leaders and health workers. Act: Trained members in Counseling for HIV testing, prevention, and control. Solicited support from community resource persons like church leaders, local leaders, and youth leaders. Developed a team of 20 members. Identified work places and solicited for funds from volunteers to buy markers and flip charts. Held weekly interviews and discussion groups. Referred members for HIV testing and anti-retroviral therapy Held daily counseling sessions. Created a partnership with youths so as to lay a foundation for progress in HIV Counselling Kept records for future reference. Paved the way forward by integrating other activities, e.g. craft work, gardening, etc. Developed monitoring and evaluation tools Carried out monitoring and evaluation. Evaluate: We worked with the nearby referral units to determine the number of people who were accessing the services from the targeted community, and noted that there were increased numbers of people who were accessing the services and using anti-retroviral drugs. Additionally, the number of people who were accessing the Counseling services had increased. Many youths were opting for abstinence, and others were considering condom use as a method of protection. Our records show that the number of volunteers has increased and members have increased their knowledge of HIV. Sustain: The organization utilizes several tactics to sustain the work including: Solicit for funds and more support for sustainability Involve more members on a permanent basis as a team to meet weekly and develop income generating activities. Involve youths as partners Maintain the workplace to keep records and pave the way for future team development Impact/Results Impact/Results Many women have accessed HIV testing services and many have been started on anti-retroviral drugs. Members of the group have held individual and group counseling sessions. One woman confessed that she wanted to commit suicide after she had tested positive. Her husband had died of AIDS related infections; he had two wives, and neither of them had ever had an HIV test. After the death of their husband, the youngest wife left for her parents’ home because of the cost of living. Because of the work of Gweeri Women Against AIDS, this woman had a support system to help her find the courage to get tested, and now she is in the process of having her children tested, too. Health Community Empowerment Project's Website: http://www.healthcommunityempowermentproject.blogspot.com/