Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 4818
Country/Region: Uganda
Year: 2007
Main Partner: University of California at San Francisco
Main Partner Program: NA
Organizational Type: University
Funding Agency: HHS/CDC
Total Funding: $900,000

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $130,000

This activity also complements activities 8371-ARV services, 8369-Other/Policy analysis and system strengthening, 8372-SI.

The University of California San Francisco (UCSF) is one of several U.S. Universities selected to provide training and technical assistance to HIV/AIDS programs domestically and internationally. Using this University Technical Assistance Program (UTAP), PEPFAR countries are afforded a direct mechanism to support the transfer of HIV/AIDS expertise across continents and countries. UCSF faculty and staff are available to assist with the development of innovative models to address specific program area project activities; to contribute to the implementation of key initiatives to inform national policy; and, to provide training opportunities both locally and internationally for service providers and program managers on inventive strategies for the care and treatment services. Beginning in FY04, UCSF provided PEPFAR Implementing Partners training and technical assistance opportunities to address PMTCT services; ARV treatment updates; strategic information support; and, national policy development and dissemination. Continuing in FY07, a UCSF in-country technical advisor will provide technical assistance to the MOH PMTCT technical committee on provision of in-service trainings, and development of curricula and training guidelines for program and policy staff. In addition, the advisor will continue work with Tororo District Hospital (TDH) to implement the PMTCT program initiated in FY05. This program supports the development of appropriate protocols and standards of care in the hospital to ensure increased uptake of PMTCT services, and to build a family focused approach to PMTCT through linkages with comprehensive HIV care and treatment services. Support and supervision for project activities and TDH staff will be enhanced to ensure the program develops into a suitable, sustainable and replicable service within the constraints of Uganda public hospital systems. The development of the hospital's health information system to monitor and evaluate PMTCT activities has been finalized and technical assistance on implementation continues. Program level data is being analyzed to identify relevant operational PMTCT clinical and managerial issues, and to inform the district hospital and national program on directions service enhancements and future directions. Finally, as PMTCT activities are tested and proven effective, the advisor will facilitate vital linkages between the Ministry of Health PMTCT program, district hospitals and key national stakeholders, to generate further policy development, operational guidelines and training materials for us at the facility level.

Funding for Treatment: Adult Treatment (HTXS): $120,000

This activity also relates to 8370-PMTCT, 8369-Other/Policy analysis and system strengthening, 8372-SI.

The University of California San Francisco (UCSF) is one of several U.S. Universities selected to provide training and technical assistance to HIV/AIDS programs domestically and internationally. Using this University Technical Assistance Program (UTAP), PEPFAR countries are afforded a direct mechanism to support the transfer of HIV/AIDS expertise across continents and countries. UCSF faculty and staff are available to assist with the development of innovative models to address specific program area project activities; to contribute to the implementation of key initiatives to inform national policy; and, to provide local and international training opportunities for service providers and program managers on inventive strategies for care and treatment. Beginning in FY04, UCSF provided PEPFAR Implementing Partners training and technical assistance opportunities to address PMTCT services; ARV treatment updates; strategic information support; and, national policy development and dissemination. Continuing in FY07, the UCSF in-country technical advisor will provide support for the implementation of ARV treatment and care activities funded through the Emergency Plan. Following the initial design of a national ARV Quality Assurance system in FY05, the advisor will provide technical assistance and coordination to CDC-Uganda's 7 implementing partners providing antiretroviral therapy (ART) and basic HIV clinical care at over 50 facilities in Uganda. Through participation on the MOH ARV subcommittee, current care and treatment information will be made available to inform national treatment and clinical protocols. In addition, the advisor will assist with the formulation of strategies for the PEPFAR Uganda care and treatment workgroup including comprehensive ARV care and delivery and programs to improve adherence and improve services at all sites. These programs will be designed and implemented for different clinic service delivery models. In-service training sessions for clinic staff will be offered throughout the year to address issues identified in HIV/AIDS treatment and care. Finally, the advisor will continue to provide direct programmatic support for the design and implementation of The AIDS Support Organization (TASO) home-based ARV treatment and care program.

Funding for Strategic Information (HVSI): $490,000

This activity also complements activities 8370-PMTCT, 8371-ARV services, 8369-Other/Policy analysis and system strengthening.

The University of California San Francisco (UCSF) is one of several U.S. Universities selected to provide training and technical assistance to HIV/AIDS programs domestically and internationally. Using this University Technical Assistance Program (UTAP), PEPFAR countries are afforded a direct mechanism to support the transfer of HIV/AIDS expertise across continents and countries. UCSF faculty and staff are available to assist with the development of innovative models to address specific program area project activities; to contribute to the implementation of key initiatives to inform national policy; and, to provide training opportunities both locally and internationally, for service providers and program managers on inventive strategies for care and treatment services. Beginning in FY04, UCSF provided PEPFAR Implementing Partners training and technical assistance opportunities to address PMTCT services; ARV treatment updates; strategic information support; and, national policy development and dissemination. Continuing in FY07, UCSF will support the Physician Consultant to provide day-to-day technical oversight for the Tororo Home-Based AIDS Care targeted evaluation program. Activities to be implemented include on-going management of the study procedures, supervision of study staff including clinic physicians, counselors, and field and community workers, and conduct of training sessions in basic AIDS care and full ARV treatment and adherence. UCSF will also provide consultative support to HBAC to ensure full adherence to IRB scientific research protocols and provide epidemiological and biostatistical support to assist with data cleaning and analysis of HBAC results. A team of UCSF faculty and staff will assist USG staff and partners to prepare continued analysis of HBAC project data through long-distance and in-country support and technical assistance with the analysis of results and support for presentation and dissemination to inform national and international HIV policies.

UCSF will also provide technical oversight in the implementation of approved targeted evaluation on ART adherence and sexual-behavior in adults and ART adherence in children, which is being implemented at Mildmay Center. With the recently CDC IRB clearance, UCSF will provide consultative support to project staff to ensure compliance with, and maintenance of, current IRB approval status from CDC, UCSF, UVRI and UNCST. Additionally, UCSF will provide supervision to the Mildmay Project Coordinator and consultative advisement on issues related to study participant enrollment, data collection and data management.

Funding for Health Systems Strengthening (OHSS): $160,000

This activity also complements activities 8370-PMTCT, 8371-ARV services, 8372-SI.

The University of California San Francisco (UCSF) is one of several U.S. Universities selected to provide training and technical assistance to HIV/AIDS programs domestically and internationally. Using this University Technical Assistance Program (UTAP), PEPFAR countries benefit from a direct mechanism to support the transfer of HIV/AIDS expertise across continents and countries. UCSF faculty and staff assist with the development of innovative models to address specific program activities; to contribute to the implementation of key initiatives to inform national policy; and, to provide training opportunities both locally and internationally, for HIV/AIDS service providers and program managers. Beginning in FY04, UCSF provided PEPFAR Implementing Partners training and technical assistance opportunities to address PMTCT services; ARV treatment updates; strategic information support; and, national policy development and dissemination. Continuing in FY07, UCSF will support the technical assistance consultant to expand the development of program management systems for implementing partners. To ensure that all Emergency Plan programs adequately contribute to the country targets and national goals, the consultant will establish project tracking systems; design planning tools for project managers and implementing partners; conduct training sessions on effective management systems; develop procedures and guidelines for project monitoring; establish schedules and procedures for timely reporting; and, coordinate program implementation across implementing partners. Additionally, the consultant will work directly with partners to review the management of project funds and develop financial monitoring reports to enhance implementation and reporting.

Following the FY05 launching of the revised ‘National Policy Guidelines for Cotrimoxazole Prophylaxis for People with HIV/AIDS' and the ‘National Guidelines for Voluntary HIV Counseling and Testing', as well as upcoming WHO Basic Preventive Care Package for PLWHA, UCSF will continue with support to the MOH to expand national capacity and expertise to review and revise policies and protocols that directly contribute to the implementation of quality HIV prevention, care and treatment programs.