Country Spotlight: Uganda

Country Overview

In 2014, there were 95,000 new HIV infections in Uganda, of those, 5,200 were among children under the age of 15. Among pregnant women, less than 5% did not have access to antiretroviral medications (ARV) to prevent mother-to-child HIV transmission (PMTCT) as of 2014.

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 710 health facilities in 15 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 and is playing a central role in the revision and adaptation of 2015 Consolidated HIV Prevention, Care and Treatment Guidelines.

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

USAID Regional Health Integration to Enhance Services in Southwestern Uganda (USAID RHITES-SW)

(2015-2020) The USAID RHITES-SW project supports 690 health facilities in the Southwestern Region of Uganda. The project aims to increase the availability, accessibility, and quality of integrated health services including HIV and TB prevention, care and treatment; maternal, neonatal, and child health; nutrition counseling; malaria treatment; and other primary care services. To enhance the sustainability of services, EGPAF promotes local district ownership of all activities, including all work planning and roll-out of new services, through provision of mentorship and supervision to district health offices, health centers, and facilities.

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Development of a Model for National Scale-up of the Pratt Pouch to Expand Infant Nevirapine Prophylaxis in Uganda, Prevent Mother-to-Child Transmission of HIV, and Save Infant Lives

(2016-2020) Through the Saving Lives at Birth Initiative, EGPAF, the Ugandan Ministry of Health and Pratt Pouch Consulting will introduce and scale-up the Pratt Pouch in antenatal care, delivery, and post-natal care facilities throughout the country. The Pratt Pouch is an improved infant ARV prophylaxis delivery mechanism, which enables better dosing accuracy and expanded use of nevirapine. This project aims to reach 40,000 HIV-exposed infants in up to 20 districts to decrease the HIV infection rates among infants at 6 to 8 weeks of age.

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Closing the Adult-Pediatric Treatment Gap in Uganda

(2015 - 2018) With funding from ELMA Philanthropies, EGPAF-Uganda is working to improve pediatric HIV identification, linkage, and retention into care and treatment in seven districts of Southwest Uganda. The efforts are expected to increase the proportion of HIV-positive children receiving care and treatment, and close the adult-pediatric HIV treatment gap. The program supports health facilities to implement key strategic interventions, which include: strengthening provision of HIV testing services among children and adolescents at all service points; increase access to early infant HIV diagnosis; create stronger linkage to care and treatment; and strengthen retention efforts through client tracing. EGPAF-Uganda works with the District Health Offices to provide support supervision to facilities which ensures ownership and sustainability of the interventions.

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Optimizing HIV Treatment Access for Pregnant Women (OHTA) Project

(2013 - 2017) In August 2013, EGPAF-Uganda partnered with the United Nation Children’s Fund and the Swedish International Development Cooperation Agency to implement OHTA, which aims to accelerate national adoption of the 2013 World Health Organization guidelines, recommending lifelong ART for all HIV-positive pregnant or breastfeeding women (Option B+). This project supports eight high-HIV-prevalence districts in the implementation of these new guidelines.

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Delivering Technical Assistance (DELTA) Project

(2014 - 2017) 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 retained in treatment. Under the second assignment, the Ministry of Health requested technical assistance from EGPAF through DELTA to improve pediatric HIV testing, linkage to care and treatment services. 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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Publications

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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BRIDGING RURAL SUB-SAHARAN AFRICAN COMMUNITIES AND THE GLOBAL RESPONSE TO THE HIV AND AIDS EPIDEMIC

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ACCLAIM Toolkit

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