Global Fund

Global Fund Project Profile: Strengthening Uganda’s Response to HIV/AIDS, Tuberculosis, and Malaria

Project Background:

Uganda faces significant challenges in combating HIV/AIDS, tuberculosis (TB), and malaria, with varying infection rates across different demographics. The prevalence of HIV among adults aged 15 to 64 in Uganda is 6.2%, with disparities between genders and age groups. TB, although preventable and curable, remains a leading cause of death, with high prevalence and incidence rates.

The Global Fund to Fight HIV/AIDS, Tuberculosis, and Malaria has been a critical partner in Uganda’s fight against these epidemics since 2002. The Global Fund supports priority areas in Uganda’s National Strategic Plans for HIV, Tuberculosis, and Malaria, as well as national efforts to build resilient health and community systems.

MUCOBADI, in partnership with TASO, leads a consortium that includes the Uganda Network of AIDS Service Organizations (UNASO) and Community Health Alliance Uganda (CHAU).

Together, they implement activities aimed at strengthening health systems and reducing human rights-related barriers to HIV/AIDS services and TB care and treatment in Eastern Central and South Central districts of Uganda.

Project Focus Areas:

  1. Community Systems Strengthening:
    • Community-led advocacy and research
    • Community-based monitoring
    • Social mobilization and building community linkages and coordination
  2. TB Care and Treatment:
    • TB contact tracing
    • Tuberculosis Preventive Therapy (TPT) initiation
    • Community sensitization
  3. Community Engagement Strategy (COVID-19 Home Based Care)

Key Achievements:

Health Resilient and Sustainable Systems for Health (RSSH)

  • Trained and provided capacity-building grants to 18 Community-Based Organizations (CBOs) to address community health issues and enhance community health monitoring, advocacy, and social mobilization.

  • Engaged 5,234 youth leaders to combat stigma and discrimination, creating an enabling environment for those affected and infected with HIV/AIDS, TB, and Malaria.

  • Built the capacity of 452 PLHIV networks and CSOs to lead community-led campaigns promoting gender equality to address human rights-related barriers.

  • Conducted 144 coordination meetings across 17 districts, bringing together stakeholders supporting HIV/AIDS, TB, and Malaria to improve service delivery.

  • Assessed 67 health facilities using community scorecards for enhanced community-based monitoring.

  • Held 14 accountability meetings and 17 annual regional performance review meetings involving key stakeholders.

  • Trained 256 CBOs in advocacy skills for community-led advocacy and research.

  • Trained 623 representatives of peer leaders, expert clients, and community influencers on HIV, TB, Malaria, and treatment outcomes to reduce stigma and discrimination.

  • Equipped 531 representatives of Cultural and Religious leaders with facts and messages to address stigma, discrimination, and gender barriers.

  • Utilized Art, Music, Dance, and Drama (MDD) to dispel myths around HIV/AIDS, TB, and Malaria-related stigma and discrimination.

  • Screened and linked 8,989 TB contact clients to care.

Community health systems Promotion programs in Uganda

Community Engagement Strategy (Home-Based Care)

  • Formed 364 task force committees to strengthen surveillance in specific districts.
  • Oriented 5,782 representatives of local councils, Village Health Teams (VHTs), religious leaders, and cultural leaders on the Ministry of Health’s community engagement strategy.
  • Provided surveillance support to 1,457 villages through Village Task Forces.
  • Trained 2,014 CSO and VHT representatives, including District Health Teams (DHT), District Executive Committees (DEC), and technical staff, on HBC data management and community health reporting, including disease surveillance and death notification.

This Global Fund-supported project is making significant strides in strengthening Uganda’s response to HIV/AIDS, TB, and Malaria, and addressing key challenges related to healthcare access, stigma, discrimination, and community engagement.