USAID Local Partner Health Services- East Central Uganda Project (USAID’s LPHS-EC)

Is a five-year (2016-2022) Activity that aims to work through and support the public health sector to increase the availability, accessibility and utilization of quality integrated HIV and TB services in East-central Uganda. According to Uganda population-based HIV impact assessment (UPHIA) 2020 report, the HIV prevalence in the EC region is 4.7%.

By FY24Q2, a total of 70,536 clients were reported receiving care and treatment from public health facilities currently supported by LPHS-EC with a viral load coverage of 93% and 96% were virally suppressed. Viral load suppression rates varied among age groups with children and adolescents aged 0-9 years and 10 -19 years posting the lowest viral load suppression at 89% and 90% by FY24Q2 up from 86% and 87% respectively by end of FY23. TB situation: The case detection rate was 96%, treatment success rate (TSR) 90%, achieving the national target of 90%, and the cure rate was 76 below the target of 85% by FY24Q2.

What we do.

The project will: 1) support continued implementation of a district-based integrated package of quality HIV/AIDS and TB services in the public sector to contribute towards the attainment and sustenance of epidemic control; and 2) provide comprehensive technical support through training, coaching and mentorship to targeted public facilities to enhance the delivery of quality HIV and TB services at facility and community level.

The five key objectives of the project include:

1. Quality facility and community-based HIV and TB prevention services provided at scale within the East Central region.
2. Quality, targeted, high yield, facility and community-based HIV testing, and counseling services provided at scale.
3. All diagnosed people living with HIV and TB are promptly initiated on treatment.
4. All diagnosed people living with HIV and TB on treatment within the East Central region in Uganda achieve viral suppression.
5. District leadership have institutional capacity to sustain epidemic control and maintenance.

Where We Work.

USAID’s LPHS-EC works in the twelve USAID-supported districts and one City (Jinja) within the East-Central region of Uganda (Figure 1 & Table 1.0.1). The project supports delivery of HIV and TB services to populations at 129 public health facilities and their catchment communities in the 13 administrative units. The EC region has 531 healthcare facilities, ranging from regional referral hospitals to health center II levels, of which 137 sites are accredited to offer antiretroviral therapy (ART) and 129 have PEPFAR targets in FY25.

Showing USAID LPHS-EC Service coverage in the East Central region

USAID’s LPHS-EC has deployed field-based teams at cluster and district levels consisting of technical and program support staff to support the implementation of HIV and TB services.

Target Populations.

The target populations for the project include all persons affected by the generalized HIV epidemic and offer patient centered services to Key and Priority Populations (KP & PP) without discrimination while maintaining patient confidentiality and patient rights. The KP and PPs include Female Sex Workers (FSWs), Transgender persons, fisher folk, highly mobile populations, partners in sero discordant relationships, children and adolescents living with HIV, Men who have sex with men (MSMs), Adolescent Girls and Young Women (AGYW), Pregnant and Breast-Feeding women (PBF) and their male partners, and Orphans and Vulnerable Children (OVC).