HIV Prevention, Care and Treatment Projects

HIV Prevention, Care and Treatment Projects

USAID LOCAL SERVICE DELIVERY FOR HIV AND AIDS ACTIVITY (USAID/LSDA)

On August 12, 2020, the United States Agency for International Development (USAID) signed a USD 50 million Five-year Cooperative Agreement (CA) with Uganda Protestant Medical Bureau (UPMB) to implement the LSD project in the five USAID regions of East Central, Eastern, Acholi, Lango and South western Uganda. Through this CA, UPMB as a prime in partnership with Baylor Uganda, Infectious Diseases Institute (IDI) and Most At Risk Populations (MARPI) will provide managerial, financial and technical assistance to Private Not-For Profit Organizations (PNFPs) including Faith Based and Civil Society Organizations to continue providing quality HIV/TB services, and strengthen capacity for ownership and sustainability in furtherance of the Government of Uganda and PEPFAR efforts towards attaining the goal of reaching and maintaining HIV epidemic control by 2020, and ending AIDS by 2030.

Specifically, the project supports PNFPs to address gaps through optimization of high yielding HIV Testing and Counseling Service approaches, provision of HIV/TB care and treatment, improve retention and viral suppression, scale up services to reach men and key populations, and strengthen the PNFP institutional capacity and quality for sustainable service delivery.

Activity objectives:

  • Objective 1: New HIV Infections prevented.
  • Objective 2: 95% of Target Populations Living with HIV know their HIV Status.
  • Objective 3: 95% of Target populations Living with HIV are on Treatment.
  • Objective 4: 95% of Target populations on Treatment Have Suppressed Viral Loads.
  • Objective 5: Select PNFPs have institutional capacity to sustain epidemic control & maintenance.

Activity achievements:

Leveraging faith-based structures:

 

  • Leadership of the respective faith medical Bureaus (UOMB, UCMB, UMMB) oriented on Faith and Community Initiative (FCI) to build consensus.
  • 888 faith leaders trained on basics of HIV, use of messages of hope, community-facility referrals, SGBV and use of HIV self-test kits.
  • 80 Health windows established at places of worship as service points for HIV prevention and care servic
  • 460 community volunteers trained and attached to health windows.
  • Community sensitization done to inform communities on the health windows and deliver messages of hope
  • Joint facility visits conducted to introduce FCI and the community representatives to the facilities.
  • Through the FCI intervention, 2862 individuals mobilized and given messages of hope, 3149 HIV self- tests distributed. 83 clients with reactive self-tests reported to a facility for confirmatory testing, 62 HIV positive clients identified and 52 attached to care.
  • 440 Community Dialogues on GBV/SBV were held and
  • 132 GBV Cases Referred to health facilities.

Building institutional capacity and strengthening sustainability:

 

LSDA supports:

 

  • 34 PNFP health facilities with sub grants to offer facility and community HIH/TB services.
  • 25 Civil Society Organizations have received grants to support community HIV/TB activities.
  • Provides direct activity and TA support to 145 mid and low volume health facilities.
  • Seconds 993 Health Workers to 142 health facilities and 306 Community Health Workers to support community interventions

Support for community structures

  • 3,679 community Health workers supported to provide community health services and continuity in care for clients
  • 2647 community clusters (CCLAD/Cells) formed to support community attachment of clients.
  • 2980 children and adolescents (59% in care) attached to OVC partners. 64% adults and 1387 (98%) KPs attached to community health workers and peers.
  • 64% of LSDA clients supported under community Differentiated Service Deliver Models. 90% of the clients receive more than 3 months dispensing

Coordination with USAID implementing partners and the public Health system:

  • LSDA partners with the 5 RHITES, 7 Local partner and 5 OVC activities in the sub regions of Ankole, Kigezi, Acholi, Lango, East Central and Eastern Uganda.
  • The activity works with 58 District Local Governments that host the 179 supported health facilities.
  • LSDA works closely with the Orthodox, Muslim and
  • Faith Medical Bureaus to support facility interventions

HIV Prevention, Care and Treatment Projects

ACE FORT

Accelerate HIV/AIDS epidemic control in Fort Portal Region dubbed ACE FORT, is a five-year project implemented in the Fort Portal Region within a consortium of Baylor Uganda as the prime Partner, Inter Bureau Coalition (UPMB, UCMB, UOMB, & UMMB) and Women’s Organization Network for Human Rights Advocacy (WONETHA) as sub partners. With funding from Baylor-Uganda, The Inter Bureau Coalition/Uganda Protestant Medical Bureau (UPMB) supports 35 Private not for Profit (PNFP) health facilities across nine districts in Rwenzori region under the ACE Fort project.

UPMB sub-grants 35 PNFPs and provides technical assistance in; Prevention, Care and treatment, Strategic Information, Laboratory services Management, Medicines & Supply Chain, Community Facility Frame work, implement Uganda Electronic Medical Records (EMR) Point of Care (POC), facility-based Echo Zoom platform and HMIS Periodic reporting. OVC programing through three health facilities (Virika, Kabarole & Kagando Hospitals) in 2 sub-counties of South Division in Kabarole district and Kisinga in Kasese district.

HIV Prevention, Care and Treatment Projects

TASO Soroti Project

The AIDS Support Organization (TASO) was awarded a 5-year grant by PEPFAR through the US Centers for Disease Control and Prevention (CDC) under Cooperative Agreement Number NU2GGH0020660-01 titled “Accelerating Epidemic Control in Soroti Region in Uganda under Presidents’ Emergency Plan for AIDS Relief (PEPFAR)” that commenced on April 1st 2017. To implement this project, TASO is in a consortium with Uganda Protestant Medical Bureau (UPMB) in collaboration with the Ministry of Health of Uganda, Ministry of Gender, Labor and Social Development, District Local Governments, CDC, communities in the targeted districts including PLHIV and other PEPFAR stakeholders. Soroti Regional project activities aim to diagnose persons infected with HIV, provide life-saving antiretroviral (ARV) therapy for persons living with HIV (PLHIV), and support retention and adherence to ensure HIV viral suppression to reduce AIDS-related deaths. The key objective of the project is to increase prevention, care, treatment, and retention services for at-risk men, women, children, and key populations in Soroti Region.

HIV Prevention, Care and Treatment Projects

Mildmay Mubende Project

Mildmay Uganda continues to implement the five-year project aimed at accelerating epidemic control in Mubende Region by 2022 with funding from PEPFAR through CDC-Uganda. The project focuses on: increasing access to HIV testing services (HTS) especially for men over 25 years of age and children , comprehensive HIV/AIDS care package, enhancing Tuberculosis (TB) treatment and Prevention; increasing viral load suppression among People Living with HIV (PLHIV), reducing HIV transmission through Elimination of Mother To Child Transmission (eMTCT), building human resource capacity for sustainable delivery of quality comprehensive HIV and AIDS services; reducing high risk behavior among PLHIV & Voluntary Medical Male Circumcision(VMMC), increasing access to quality laboratory services; strengthening data use for programming and client care, increasing linkage of PLHIV, Orphan and Vulnerable Children (OVCs) to core services, and Supply Chain logistics Management for effective and efficient delivery  of comprehensive HIV and AIDS services.

Objectives:

  • Objective 1: To accelerate HIV epidemic control using efficient and effective HIV prevention, care and treatment service delivery models at facility and community level in Mubende region.
  • Objective 2: To strengthen the capacity of District Health Systems in Mubende region to attain the MoH minimum performance standards and effectively lead the HIV response through evidence-based planning, coordination, and performance monitoring for sustainable epidemic control.

 

MildMay HIV Project focuses on Accelerating Epidemic Control in Mubende Region in the Republic of Uganda under the President’s Emergency Plan for AIDS Relief (PEPFAR). UPMB has continued to work with Mildmay Uganda in ensuring epidemic control in a five-year project ending in 2022 with funding from PEPFAR through CDC Uganda.