Conference Abstract | Volume 8, Abstract NACNDC/19JASH00069 (Oral) | Published: 11 Dec 2025
Namuchwa Miriam1,&, Batiibwe E. Paul2, Kawungezi Peter Chris2, Nuwasiima Christine1
1Ministry of Health CDC-CoAG, Kampala, Uganda, 2Mubende Regional Referral Hospital, Mubende, Uganda,
&Corresponding author: Miriam Namuchwa, Department of Community Health, Mubende Regional Referral Hospital, P.O. Box 4, Mubende, Uganda, Email: miriammenya@gmail.com ORCID https://orcid.org/0009-0008-4646-0885
Received: 10 Sep 2025, Accepted: 20 Oct 2025, Published: 11 Dec 2025
Domain: Infectious Disease Epidemiology
Keywords: Viral Re-Suppression, Integrated Community Service Delivery Model(ICSDM), Directly Observed Treatment Short Course(DOTS)
©Namuchwa Miriam et al. Journal of Interventional Epidemiology and Public Health (ISSN: 2664-2824). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Cite this article: Namuchwa Miriam et al. Impact of the integrated community service delivery model on viral re-suppression at Mubende Region Referral Hospital. Journal of Interventional Epidemiology and Public Health. 2025;8(ConfProc6):0069. https://doi.org/10.37432/JIEPH-CONFPRO6-00069
The National Community Health Strategy (NCHS), developed by the Ministry of Health in 2022, underpins the ICSDM. Aligned with the 2022 HIV Guidelines, the NCHS aims to strengthen the HIV response, accelerate the 95:95:95 targets, and achieve AIDS elimination by 2030. At baseline in October 2023, 0% of the non-suppressed clients were enrolled in community-based follow-up, and the viral re-suppression rate among this group stood at 89%. Significant gaps existed in HIV/TB service coordination at household and community levels, with only 57% of the workforce effectively reaching communities. These gaps contributed to missed diagnoses, treatment interruptions, and low viral suppression. The ICSDM addresses these challenges by engaging households, supporting clients with unsuppressed viral loads, providing HIV testing, Advanced HIV Disease management and referrals, thereby improving access to comprehensive health service delivery.
A cohort of 225 non-suppressed clients enrolled between October 2023 and September 2024 was monitored to assess viral re-suppression outcomes after ICSDM enrolment. Each Community Health Worker (CHW) was assigned 5 households to conduct Directly Observed Treatment,Short Course (DOTS) daily for 15 days then weekly to complete a month and monthly follow ups till the repeat Viral Load Testing. All household members were also offered TB screening, HIV testing, and appropriate referrals.
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