Country Spotlight: Uganda

Country Overview

In 2013, there were 140,000 new HIV infections in Uganda, of those, 16,000 were among children under the age of 15. Among pregnant women, 25% did not have access to antiretrovirals (ARV) to prevent mother-to-child HIV transmission (PMTCT) as of 2013.

Our Work in Uganda

Since 2000, the Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) has been supporting PMTCT and HIV and AIDS care and treatment services in Uganda. EGPAF-Uganda is a leading provider of technical assistance to Uganda’s Ministry of Health, and supports clinical service delivery at the facility, regional, and national levels. We work closely with the Ministry of Health and other partners to increase access to comprehensive, high-quality HIV prevention, care and treatment, and tuberculosis (TB) identification and treatment services among women, children and families living with and affected by HIV and AIDS. EGPAF-Uganda currently supports services at 234 health facilities in 13 districts of the Southwest Region.

EGPAF works hand-in-hand with Uganda’s Ministry of Health to formulate evidence-based policies supporting all persons affected by HIV. EGPAF actively participates in national HIV-related technical working groups and advisory committees including: the Pediatric HIV Working Group; the TB/HIV Subcommittee; the TB Advocacy, Communication and Social Mobilization Committee; the National Advisory Committee on HIV; and the PMTCT Monitoring and Evaluation Subcommittee. EGPAF plays a central role in the revision and adaptation of the national PMTCT and ART guidelines. This includes advocating for the adoption of globally recommended guidelines, which provide pregnant and breastfeeding women with lifelong HIV treatment.

EGPAF-Uganda has also actively implemented operations research to ensure scale up of best practices in HIV clinical management in-country. Most notably, we have examined the success of several approaches to enhance community involvement in and ownership of PMTCT and maternal, newborn and child health service utilization; the feasibility of integrating HIV and syphilis screening to ensure healthy birth outcomes of women in Uganda; and a method to encourage male engagement in PMTCT.



Key Projects in Uganda

Delivering Technical Assistance (DELTA) Project (2014-2016)

(2014-2016) Under the U.S. Centers for Disease Control and Prevention-funded Project DELTA, EGPAF has completed two assignments in Uganda, and is currently working on a third. Under the first assignment, the Ministry of Health sought technical support from EGPAF to improve utilization of Option B+ program data to improve the number of patients remaining in treatment. Under the second assignment, PEPFAR-Uganda and the Ministry of Health requested technical assistance from EGPAF through DELTA to improve pediatric HIV testing, linkage to care and treatment services. Low numbers of children receiving HIV testing and counseling has been a challenge in many facilities throughout Uganda. Linkage to care and treatment services is also poor among HIV-positive children. This assignment focuses on improving identification of HIV-positive children through high-quality pediatric HIV testing and counseling services, and the successful linkage of those children to care and treatment. Under its third assignment, EGPAF is providing technical assistance to the Ministry of Health to improve the quality of PMTCT services in the country, focusing on keeping mother-baby pairs in treatment using real time data to enhance program monitoring.

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Advancing Community-Level Action for Improving Maternal and Child Health & Prevention of Mother-to-Child Transmission of HIV (ACCLAIM) Project

(2012-2016) Project ACCLAIM implements and assesses the effect of three community-based interventions in Uganda, Swaziland, and Zimbabwe. Through ACCLAIM, EGPAF aims to increase community demand for, uptake of, and retention in maternal and child health and PMTCT services. The project utilizes three interventions including community leader engagement, community health days, and peer support groups. In Uganda, ACCLAIM also implements maternal, neonatal, and child health classes for pregnant women, mentorship support for community-based peer facilitators, and mobile male circumcision services at community health days. ACCLAIM is made possible through a four-year grant from the Bill & Melinda Gates Foundation, administered through the Department of Foreign Affairs, Trade, and Development Canada.

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Regional Health Integration to Enhance Services in Southwestern Uganda

(2015-2020) This USAID-funded five-year project aims to enhance integrated HIV service delivery in the southwest region of Uganda. The project will take a data-driven and integrated approach to increase the availability, accessibility, and quality of health services including HIV and TB prevention, care and treatment; maternal, neonatal, and child health; family planning; nutrition counseling; malaria treatment; and other primary care services in 14 districts in the southwest region of Uganda.

EGPAF will lead this new project with local partners Amref Health Africa, the Mayanja Memorial Hospital Foundation, and the Uganda Health Marketing Group. EGPAF and its local partners will help create a larger, more comprehensive health system in Uganda by supporting integrated health platforms, strengthening health systems, and building local capacity at the district and community levels. EGPAF will also support the sustainability of these health services through training and mentoring programs at local and district health facilities. The project also seeks to expand access to HIV treatment and prevention services for adolescents, young women, and other key populations who are at increased risk for HIV infection.

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EGPAF Country Fact Sheet: Uganda

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Haba Na Haba: Spotlight on Pediatric Care and Treatment (2015)

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Journal Article: Lessons learned from early implementation of B+: The Elizabeth Glaser Pediatric AIDS Foundation experience (2014)

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Bringing Rural Sub-Saharan African Communities and the Global Response to the HIV and AIDS Epidemic (2015)

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End-of-Project Report: Strengthening the Tuberculosis and HIV/AIDS Response in the Southwest Region of Uganda (STAR-SW) Project

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