Promoting Parent-Child Communication as a Strategy for Preventing Transmission of HIV - PIASCY

Category 2

President Museveni's Presidential Initiative on AIDS Strategy for Communication to Youth (PIASCY) was a unique component of the UPHOLD response to PEPFAR and has effectively been implemented in all primary schools throughout Uganda and not just in UPHOLD districts. Since 2004 the program has provided for the training of 3 teachers in each of the 15,000 government aided primary schools.

Goal of the Practice
  • The program's main objective was to reach all schools by targeting the centralized system of teachers training colleges under the MoES. Selected schools were chosen for an intensive pupil-centered training intervention, so-called "model schools".
Core Components
  • PIASCY I facilitated the orientation of 45,000 primary school teachers nationwide over a six month intensive period, on the delivery of the PIASCY program.
  • PIASCY II was designed as a set of comprehensive and holistic activities at the school and household level to build on PIASCY I. It is an integral part of School Health and Nutrition programming.
  • PIASCY II strategy is through school-based interventions focusing on the adoption of behavior change among pupils and the practice of supportive behaviors by teachers and peers.
Noteworthy Results
  • The number of UPHOLD-supported sites providing HIV counseling and testing (HCT) increased from 32 in October 2004, to 119 (including outreaches) as of September, 2005
  • The number of people receiving HCT increased three-fold: from 17, 342 at the end of PY 2 to a cumulative total of 56,389 including 39,047 who were tested during PY3 alone.
  • The number of mothers who received HCT for PMTCT increased from 924 to 7,331
  • Palliative care support for people living with HIV/AIDS increased almost twenty fold, from 2,700 to 48,401.
  • 21,000 insecticide-treated bed nets were purchased and distributed to 21,000 people living with HIV/AIDS
Lessons Learned
  • There is a danger that cooperative agreement arrangements leave program goals 'too loose'. This was the case in UPHOLD where the program tried to 'do everything, everywhere' with limited and finite resources. The consequence was that some activities were very thin on the ground.
  • It should be built into the design of future programs that there should be a formal annual strategic decision making meeting where key stakeholders' input is provided and which is based on a strategic review of performance, direction and focus.
  • Large programs should be endorsed within the GoU prior to commencement with clear goals and objectives.
  • UPHOLD was not subject to any formal evaluation during the five years of operation. For a program of this size, a formal mid-term review is imperative, and annual reviews would also ensure that the program is heading in an appropriate direction.
Focus Areas
Implemented By
JSI Research & Training Institute, Inc.
Participating Organization
  • Education Development Center Inc. (EDC).
  • Constella Futures
  • The Malaria Consortium
  • The Manoff Group Inc.
  • World Education Inc.
Target Population
  • Adolescents (ages 13-17)
  • Children (ages 2-12)
> 50000
Implementation Years
01/2010 - ongoing