General Introduction

Lordship Reach Out Mbuya Parish HIV/AIDS Initiative (ROM), a Community Faith-Based Non-Government Organization (NGO), was founded in 2001 to provide HIV/AIDS care to the urban poor persons living with HIV/AIDS (PHAs) within the service area of Mbuya Catholic Parish and now in Kasaala-Luweero district since January 2009.

Location
ROM operates in Mbuya Catholic Parish, located in Nakawa Division, the eastern part of Kampala District. We are on Plot 1, Boaz man Road in Mbuya II Hill. It is six kilometers from Kampala city centre and less than a kilometer from Bugolobi trading centre.

ROM has been mindful that geographical and financial access are critical to patient retention and created satellite clinics within the communities to provide comprehensive services, hence the four service outlets of Mbuya, Banda, Kinawataka in Kampala district and Kasaala, about 75kms away, in Luweero district.
It was appropriate to extend services closer to the communities by establishing satellite sites within the population to ease access and also be positioned to reach the ever growing number of people requiring HIV/AIDS services.

Holistic model of care
ROM uses a community-based approach and a holistic model of care. The holistic model is a unique approach developed by Reach Out that cares for the body, mind, family, and community needs of her clients to restore hope to the hopeless and good health to the sick.  
The holistic model of care relies heavily on community-based approaches that emphasise community ownership and ROM strategically has over 53% of its staff drawn from its clients who hail from the catchment population.  
Kampala district, where three ROM sites are located, has a high HIV prevalence rate and ROM’s values of serving the poor, the holistic nature of its services have inevitably seen the number of clients it serves grow remarkably.
The organization is headed by an Executive Director and an eight-member Board of Directors chaired by the parish priest of Our Lady of Africa Catholic Church, Mbuya.

Population
The target population in the area is about 95,000 and the HIV prevalence in this area is 9%. Women form 63% of the persons served. Most of them are single, widowed or elderly with minimal schooling and/or no source of regular income in their households.