Protecting Families against HIV/AIDS (PREFA) is a national Non Governmental Organisation (NGO) that was formed in June 2004 with a mission to assist Uganda to enhance access to quality HIV/AIDS prevention, care, treatment and support to families with emphasis on Prevention of Mother to Child Transmission (PMTCT) of HIV as the entry point to these services. Shortly before PREFA was borne the MOH had initiated a PMTCT programme in 2000 but coverage between and within districts was inadequate and not equitable.
The national HIV prevalence was 6.2% among the general population and 6.5% among women attending ANC. With Uganda’s population of nearly 33 million that was growing at the rate of 3.4% per annum, this would have translated into approximately 22,000 babies being born infected with the HIV virus per year if there was no prevention of mother to child transmission intervention. Consequently PREFA’s five year Strategic Plan (2006 – 2010) in line with MOH PMTCT Policy (2006) guided PREFA’s first PMTCT project for the provision of PMTCT services to pregnant women and mobilisation of communities for PMTCT, with funding from PEPFAR/CDC. By September 2010 (end of 5-year PEPFAR I Grant) PREFA was supporting 36 districts; Amuria, Budaka, Bududa, Bukedea, Bukwo, Busia, Butaleja, Kaberamaido, Kalangala, Kampala, Kapchorwa, Katakwi, Mbale, Mubende, Pallisa, Sironko, Buliisa, Masindi, Soroti, Kumi, Tororo, Manafwa, Wakiso, Kayunga, Kiboga, Luwero, Nakasongola, Nakaseke, Mityana, Arua, Adjumani, Nebbi, Maracha, Koboko, Moyo and Yumbe.
Over that period PREFA tested over 992,738 pregnant women for HIV; identified 59,522 HIV (6.0% sero-prevalence) infected women and provided PMTCT interventions including ARV prophylaxis to 45,631 (77%) of them; identified 26,457 (%) babies born to HIV infected women, provided ARV prophylaxis to 23,860 (90%) of them, and tested 19,415 (73%) for HIV of whom 1,749 were HIV positive. more...