Community Client Led ART Delivery (CCLAD) model in Uganda refers to self-formed groups of six to eight stable Anti Retro viral Therapy (ART) patients from the same community or area. Members go in turn for medication refill for all members of the group. As this reduces facility visit burden for each patient, this model of care shows greater impact in terms of access and coverage. To identify factors associated with the uptake of CCLAD model at Mulago Adult HIV clinic between May andJune, 2019,descriptive as well as analytical cross-sectional design were used, both quantitative and qualitative in nature. Random sample of 246 patients was used. Questionnaire, focus group discussion guide and interview guide were used for data collection. Uptake of CCLAD model was 10%, which is lower than the national uptake (17%). Uptake was associated with health-care worker and individual-related factors like having no concerns about getting their ARVs from the community (COR = 5.5, AOR = 6.1, p = 0.002) and having the component of CCLAD model in the education talks (COR = 2.1, AOR = 2.1, p = 0.000), among other associated factors. Qualitative interviews affirmed these findings. Implementation of this model requires interventions like health education talks and prompt referrals of clients to the model.

Introduction: Intestinal stomas remain important life-saving surgical options in a wide range of gastrointestinal pathologies globally. Living with a stoma has potential to impair the patient’s quality of life, often with associated negative psychological effects. Objective: To evaluate the quality of life among intestinal stoma patients under Mulago National Referral Hospital (MNRH), with emphasis on psychological effects and effects on family-social interactions. Methodology: A cross-sectional study carried out at surgical outpatient clinics of MNRH between January and June 2018. Data was collected using Stoma-QOL questionnaire, PHQ-9 and GAD-7 from 51 participants who had lived with intestinal stomas for at least a month. Results: Of the 51 participants, male: female ratio was 4:1 and aged 18-84 years (mean age 44.04+18.47 years). 76.5% had colostomy; 23.5% had ileostomy. Majority (88.2%) had temporary stomas. The overall mean Stoma-QOL score was 55.12+ 17.04. Only about a quarter (24%) of participants had Stoma-QOL scores >70 (best). Most patients exhibited negative psy- chological effects (anxiety-100%, concerns about changed body image - 96.1% and depression - 88.4%). Conclusion: Most participants had low levels of stoma-related quality of life, suffered negative psychological effects and exhibited limited social interactions. This calls for efforts to support Stoma patients adapt beter life. Keywords: Stoma; Quality of Life (Stoma-QOL); Psychological effects; Patient Health Questionnaire (PHQ-9); General- ized Anxiety Questionnaire (GAD-7).

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Healthcare organization is still unacceptably higher WHO recommendation of 10-15%. Therefore, there is stronger need to regularize monitoring and evaluation of CSR.

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