Uganda - FY 2009 Approved Funding by Program Area, Agency and Funding Source

Uganda - FY 2009 Approved Funding by Program Area, Agency and Funding Source

*Only appropriations from the GHCS (State) fund account are notified by the Global AIDS Coordinator.

Two years of increased focus and investment in PMTCT paid off in FY 2008, with the number of pregnant women directly accessing PEPFAR-supported PMTCT services increasing by almost 45% between FY 2007 and FY 2008. In FY 2008, over 830,000 pregnant women were tested for HIV and provided their results, and almost 35,000 received antiretroviral prophylaxis at PEPFAR-supported sites. In addition, almost 3,500 health care workers were trained in provision of PMTCT services. Building on these accomplishments, the PEPFAR Uganda team has set even more ambitious goals for FY 2009, which it plans to achieve by scaling-up PMTCT services to lower level health facilities and continued training.

Although Uganda successfully reduced HIV prevalence from 18% to the current level of 6.4%, the decline in prevalence has plateaued over the past five years, indicating the need sustained prevention efforts.

In FY 2009, PEPFAR will prioritize comprehensive prevention programming, strengthening behavior change approaches, heightening self-perception of risk, addressing social and gender norms, and promoting correct and consistent condom use among sexually active populations. Social marketing programs will ensure condom availability. Building on past support for a communication strategy for MC, MC training, supervision and service delivery will be extend to new districts. Given that 70% of HIV-positive Ugandans do not know their sero-status, PEPFAR will continue to support a mix of counseling and testing approaches.

Uganda is making significant progress in providing care and support to people living with HIV/AIDS, with PEPFAR supporting 340,000 people in FY 2008. In FY 2009, PEPFAR will focus on routine screening of all HIV-positive persons, pain management and symptom control, treatment and prevention of opportunistic infections, and linkages to PMI. Pediatric care activities will focus on building capacity of community care groups, strengthening prevention with positives interventions, strengthening early infant HIV diagnosis, and providing nutritional counseling and supplementation to eligible children and their families. PEPFAR will continue to promote integration of TB/HIV services at district and national levels. To improve programming for Uganda's approximately 1.2 million OVC, USG will conduct an OVC situational analysis and continue ongoing programs.

In FY 2009, clinical care activities for people living with AIDS will focus on improving quality of services and supporting drug adherence. Additional support for pediatric treatment will build the capacity of pediatric health care staff and provide nutritional supplementation to eligible children on treatment. PEPFAR will also help strengthen the laboratory infrastructure through quality-improvement and building/renovating central and district labs. Additionally, PEPFAR will strengthen Government of Uganda capacity for timely procurement, distribution, monitoring and quality assurance of HIV/AIDS-related drugs and commodities and will procure antiretroviral drugs.

In FY 2009, PEPFAR will support completion of unfinished HIV policies and technical guidelines as well as the development and dissemination of these instruments in all regions. To ensure an adequate health workforce, PEPFAR will continue to strengthen systems for effective performance-based health workforce development and management practices for improved performance and retention. PEPFAR will also continue to provide organizational systems strengthening to indigenous national organizations that work to play key roles in the national response to HIV/AIDS.

PEPFAR-funded strategic information (SI) activities will continue to focus on monitoring and evaluation, surveillance, public health evaluations, management information systems, and capacity building in these areas. PEPFAR SI will actively participate in the review and revision of Health Management Information System (HMIS) tools and indicators and support the Ministry of Health's "Vision 2012" plan for its HMIS. PEPFAR will continue to support the implementation of antenatal care sentinel surveillance, and the timely availability of data and reports. Surveillance of MARPs will continue.

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