Detailed Mechanism Funding and Narrative

Years of mechanism: 2007 2008 2009

Details for Mechanism ID: 6181
Country/Region: Uganda
Year: 2008
Main Partner: Deloitte Consulting Limited
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $8,491,419

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $1,026,681

Under the direction of the Uganda AIDS Commission, the Civil Society Fund Steering Committee manages

multiple donor resources supporting the civil society response to HIV/AIDS, OVC, TB, and Malaria. The

CSF is receiving donor support from USAID, DfID, DANIDA, Irish AID, and the Uganda Global Fund for

AIDS, TB and Malaria. The fund is managed by the Civil Society Fund Steering Committee, which held its

inaugural meeting March 2007. Grants to CSF grant recipients will be managed through Deloitte Touche, a

USAID contractor, as the CSF Financial Management Agent, which will also provide financial management

technical assistance to CSF implementing partners. The Technical Management Agent will be Care

International through the CORE Initiative, and the monitoring and evaluation of CSF supported grants, and

strengthening grantee monitoring and evaluation capacity, will be supported through the CSF's Monitoring

and Evaluation Agent. It is important to note that the grants mechanism originally developed under the

Ministry of Gender, Labour and Social Development (MGLSD) with support from the CORE Initiative is now

integrated into this mechanism.

USG/PEPFAR prevention resources previously channeled through the MGLSD will now be channeled

through this mechanism. Through open and competitive solicitations, grants will be provided to local NGOs

to support the National Strategic Plan. AB resources in particular will be used to ensure that Uganda's

youth have access to age and risk appropriate abstinence, faithfulness and behaviour change information

and services. AB resources will also assist the national response in appropriately addressing the shifting

nature of the epidemic, and expand attention to faithfulness and partner reduction initiatives among newly

married young couples. In addition, resources will specifically address the vulnerability factors of specific

categories of youth such as young people involved in transactional or cross-generational sexual

relationships, young people living with HIV, and addressing the underlying causes of the vulnerabilities

faced by Uganda's youth that increase their risk of exposure to HIV. Cultural norms and practices, sexual

coercion, poverty and economic security vulnerabilities, and gender discrimination issues that make youth,

and in particular young girls at increased risk of exposure will be highlighted.

National level indigenous organization previously supported through UPHOLD, including Straight Talk, AIC

and TASO, will now be supported through the Civil Society Fund, with earmarked funding, in support of

overall coordination and harmonization of donor support to civil society. These resources will complement

comprehensive prevention activities supported through the CSF with contributing donor resources. Routine

monitoring and evaluation activities of grantees will also be supported with these resources.

Technical service organizations, building on what has already been established for OVC activities (see Core

Initiative write-up for OVC), will be contracted through the Financial Management Agent to provide technical

support to HIV grant recipients. Technical support will include organizational as well as content specific

needs such as prevention. The FMA will provide the financial capacity building.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $648,485

Under the direction of the Uganda AIDS Commission, the Civil Society Fund Steering Committee manages

multiple donor resources supporting the civil society response to HIV/AIDS, OVC, TB, and Malaria. The

CSF is receiving donor support from USAID, DfID, DANIDA, Irish AID, and the Uganda Global Fund for

AIDS, TB and Malaria. The fund is managed by the Civil Society Fund Steering Committee, which held its

inaugural meeting March 2007. Grants to CSF grant recipients will be managed through Deloitte Touche, a

USAID contractor, as the CSF Financial Management Agent, which will also provide financial management

technical assistance to CSF implementing partners. The Technical Management Agent will be Care

International through the CORE Initiative, and the monitoring and evaluation of CSF supported grants, and

strengthening grantee monitoring and evaluation capacity, will be supported through the CSF's Monitoring

and Evaluation Agent. It is important to note that the grants mechanism originally developed under the

Ministry of Gender, Labour and Social Development (MGLSD) with support from the CORE Initiative is now

integrated into this mechanism.

USG/PEPFAR prevention resources previously channeled through the MGLSD will now be channeled

through this mechanism. Through open and competitive solicitations, grants will be provided to local NGOs

to support the National Strategic Plan. OP resources in particular will be used to ensure that Uganda's

older and at risk youth have access to age and risk appropriate abstinence, faithfulness, behaviour change

and condom information and services. OP resources will also assist the national response in appropriately

addressing the shifting nature of the epidemic, and expand attention to faithfulness and partner reduction

initiatives among discordant and married couples. In addition, the vulnerability factors of specific categories

of youth such as young people involved in transactional or cross-generational sexual relationships, young

people living with HIV, and addressing the underlying causes of the vulnerabilities faced by Uganda's youth

that increase their risk of exposure to HIV will be addressed. In particular cultural norms and practices,

sexual coercion, poverty and economic security vulnerabilities, and gender discrimination issues that make

youth, and in particular young girls at increased risk of exposure will be highlighted. Cultural norms and

practices, sexual coercion, poverty and economic security vulnerabilities, and gender discrimination issues

that make youth, and in particular young girls at increased risk of exposure will be highlighted.

National level indigenous organization previously supported through UPHOLD, including Straight Talk, AIC

and TASO, will now be supported through the Civil Society Fund, with earmarked funding, in support of

overall coordination and harmonization of donor support to civil society. These resources will complement

comprehensive prevention activities supported through the CSF with contributing donor resources. Routine

monitoring and evaluation activities of grantees will also be supported with these resources.

Technical service organizations, building on what has already been established for OVC activities (see Core

Initiative write-up for OVC), will be contracted through the Financial Management Agent to provide technical

support to HIV grant recipients. Technical support will include organizational as well as content specific

needs such as prevention. The FMA will provide the financial capacity building.

Funding for Care: Adult Care and Support (HBHC): $0

Under the direction of the Uganda AIDS Commission, the Civil Society Fund Steering Committee manages

multiple donor resources supporting the civil society response to HIV/AIDS, OVC, TB, and Malaria. The

CSF is receiving donor support from USAID, DfID, DANIDA, Irish AID, and the Uganda Global Fund for

AIDS, TB and Malaria. The fund is managed by the Civil Society Fund Steering Committee, which held its

inaugural meeting March 2007. Grants to CSF grant recipients will be managed through Deloitte Touche, a

USAID contractor, as the CSF Financial Management Agent, which will also provide financial management

technical assistance to CSF implementing partners. The Technical Management Agent will be Care

International through the CORE Initiative, and the monitoring and evaluation of CSF supported grants, and

strengthening grantee monitoring and evaluation capacity, will be supported through the CSF's Monitoring

and Evaluation Agent. It is important to note that the grants mechanism originally developed under the

Ministry of Gender, Labour and Social Development (MGLSD) with support from the CORE Initiative is now

integrated into this mechanism. National level indigenous organization previously supported through

UPHOLD, including Straight Talk, AIC and TASO, will now be supported through the Civil Society Fund,

with earmarked funding, in support of overall coordination and harmonization of donor support to civil

society. AIC and TASO are supported by several development partners, including USAID, through this

mechanism. All partners will be supporting one comprehensive work plan and budget to avoid duplication

and gaps in funding. Routine monitoring and evaluation activities of grantees will also be supported with

these resources.

In FY07, AIC trained 186 individuals in providing HIV-related palliative care services reaching 43,474 clients

through its 8 stand alone branches. As a continuation of the FY08 activities, AIC will continue to offer the

following services through its medical staff and counselors: medical treatment of opportunistic infections

(OIs) and minor ailments; STD diagnosis and management; septrin prophylaxis; psychosocial support; and

on-going counseling to all its clients. Approximately over 30,000 clients will be treated for OIs, and other

minor ailments; 20,000 clients will be initiated on septrin prophylaxis thereby reaching approximately 50,000

clients with HIV-related services. This will contribute towards national efforts of implementing government

policy on scaling septrin prophylaxis and national guidelines on management of OIs among people with HIV

(PHAs).

In all AIC service points including outreach sites and mobile VCT, AIC will complement HCT services with

AB, OP and palliative care activities funded in-house or by other USG and/or other donors. Individuals will

be able to know their sero-status, encouraged to adopt prevention options of their choice and receive a

minimum palliative care package and referred where necessary. In the outreach sites and mobile VCT,

AIC will operate mobile clinics/pharmacies that will provide the client with a first doze of septrin for one

month and additional referral information for further on-going prophylaxis. Treatment of Opportunistic

Infections will also be carried out at these sites. 16,500 individuals will be reached through AIC.

Integrated services will be provided in collaboration with other partners such as Population Services

International (PSI) to reach an estimated 1,000 HIV positive clients with comprehensive HIV basic care

packages which include mosquito nets, water vessel guards, information, education and communication

(IEC) materials on positive living and septrin prophylaxis all of which aim at improving quality of life of

PHAs. The HIV+ client will be encouraged to mobilize other family members and community to access CT

so as to identify infected clients that require ART and other care and support services beyond what they can

offer to other agencies such as Joint Clinical research Center (JCRC), TASO, Mild May and Regional public

health facilities. AIC will provider refresher workshops to 250 medical counselors on current issues in AIDS

care and support, owing to the changing dynamics of HIV/AIDS as well as legislative issues such as

prevention of gender based violence.

The AIDS Support Organization (TASO) is an indigenous organization operating in Uganda since 1987.

TASO operates 11 service centers and 39 outreach clinics spread across Uganda. TASO provides a full

continuum of comprehensive HIV prevention, care, and treatment services for 80,000 active clients - People

with HIV/AIDS (PHAs) 65% of whom are female. TASO core activities include counseling, clinical care,

treatment, capacity-building, HIV prevention, community mobilization and sensitization, social support and

advocacy for the rights and welfare of PHA. TASO collaborates with Ministry of Health and other line

government ministries, the Uganda AIDS Commission, local governments, community structures, cultural

institutions and several other HIV/AIDS and development stakeholders.

By end of March 2007, TASO had provided Palliative care/Basic Health care and support (excluding

TB/HIV) to about 76,000 people in FY O7. This support included provision of counseling and provision

medical care to clients both at the centers, at home and at outreach clinics. Over 65% of those clients

provided with the above services were women. In addition, 427 service providers were trained to provide

palliative care to clients.

In FY 2008, TASO intends to establish increased partnership with the health units at various communities

country wise especially in Northern Uganda.

Basic health care and support will be provided to an estimated 80,000 clients and 20,000 family members

served through all 11 TASO centers and their outreach clinics. Services include clinical care services,

psychosocial support, social care and support and linkages to referral networks. Under clinical care services

TASO will provide ongoing post-test counseling, Management Opportunistic Infections, STI diagnosis and

treatment, Family Planning, PMTCT support services (through counseling and referral for services),

nutritional counseling and education, pain relief, ongoing assessment for ARV readiness and support

services to ART adherence. Under psychosocial support, TASO through counselors and community support

groups at the centers and outreach clinics will provide support for disclosure of HIV serostatus to partners,

will-making and bereavement. Approximately 360 service providers will receive refresher training in

emerging issues like in HIV/AIDS palliative care. 80,000 individuals will be reached through TASO.

Under social care and support, TASO will provide psycho- social support to HIV-infected individuals and

their families and promote maintenance of linkages to and use of healthcare services and the reduction of

stigma due to HIV/AIDS. TASO will maintain strategic linkages with partners engaged in nutritional support,

sustainable livelihoods programming and economic empowerment of PHA. TASO will maintain collaboration

with WFP (WFP) and ACDI/VOCA to support nutritional supplementation for its food insecure clients. It is

estimated that 25,000 primary clients will benefit from this intervention, with the inclusion of their family

members; there will be an estimated 100,000 beneficiaries from the support from World Food Program and

ACDI/VOCA. This support will be given to clients in the food insecure regions of Northern and Eastern

Activity Narrative: Uganda.

Funding for Care: Orphans and Vulnerable Children (HKID): $6,316,253

Under the direction of the Uganda AIDS Commission, the Civil Society Fund Steering Committee manages

multiple donor resources supporting the civil society response to HIV/AIDS, OVC, TB, and Malaria. The

CSF is receiving donor support from USAID, DfID, DANIDA, Irish AID, and the Uganda Global Fund for

AIDS, TB and Malaria. The fund is managed by the Civil Society Fund Steering Committee, which held its

inaugural meeting March 2007. Grants to CSF grant receipients will be managed through Deloitte Touche,

a USAID contractor, as the CSF Financial Management Agent, which will also provide financial

management technical assistance to CSF implementing partners. The Technical Management Agent will

be Care International through the CORE Initiative, and the monitoring and evaluation of CSF supported

grants, and strengthening grantee monitoring and evaluation capacity, will be supported through the CSF's

Monitoring and Evaluation Agent. It is important to note that the grants mechanism originally developed

under the Ministry of Gender, labour and Social Development (MGLSD) with support from the CORE

Initiative is now integrated into this mechanism.

USG/PEPFAR OVC resources previously channeled through the Ministry of Gender, Labour and Social

Development (MGLSD) will now be channeled through this mechanism. Through open and competitive

solicitations, grants will be provided to local districts and civil society organizations to support the National

Orphans Policy and National Strategic Plan of Implementation. OVC resources in particular will be used to

support comprehensive district grants including funding to local government community-based service

departments as well as district based civil society organizations in an attempt to provide a more

comprehensive response to identified children. This represents a significant change in the way OVC

services have been financially and technically supported by the USG and other partners and is being

initiated with FY07 funding. The CSF is working closely with the CORE Initiative and the MGLSD to

facilitate this transition. See the CORE Initiative OVC activity write-up for more information on technical

support to this initiative. Funding will also continue for the expansion and improvement of integrated

pediatric HIV and "traditional" OVC services. This grant is also just beginning under the CSF. The

solicitation and awarding of this grant was delayed so as to avoid substantial overlap in granting activities

between the MGLSD/CORE Initiative and the CSF mechanisms. Technical Service Organizations currently

funded and supported under the MGLSD/CORE Initiative will be transitioned to the CSF early next year.

The CORE Initiative as the TMA to the CSF as well as the technical support agent for the MGLSD will

continue to provide substantial technical support to the roll-out of the OVC response in partnership with the

FMA.

Routine monitoring and evaluation activities of grantees will also be supported with these resources.

Please see CORE Initiative OVC write-up for more detailed information related to support to the national

response and technical service organizations.

Funding for Testing: HIV Testing and Counseling (HVCT): $0

Under the direction of the Uganda AIDS Commission, the Civil Society Fund Steering Committee manages

multiple donor resources supporting the civil society response to HIV/AIDS, OVC, TB, and Malaria. The

CSF is receiving donor support from USAID, DfID, DANIDA, Irish AID, and the Uganda Global Fund for

AIDS, TB and Malaria. The fund is managed by the Civil Society Fund Steering Committee, which held its

inaugural meeting March 2007. Grants to CSF grant recipients will be managed through Deloitte Touche, a

USAID contractor, as the CSF Financial Management Agent, which will also provide financial management

technical assistance to CSF implementing partners. The Technical Management Agent will be Care

International through the CORE Initiative, and the monitoring and evaluation of CSF supported grants, and

strengthening grantee monitoring and evaluation capacity, will be supported through the CSF's Monitoring

and Evaluation Agent. It is important to note that the grants mechanism originally developed under the

Ministry of Gender, Labour and Social Development (MGLSD) with support from the CORE Initiative is now

integrated into this mechanism.

National level indigenous organization previously supported through UPHOLD, including Straight Talk, AIC

and TASO, will now be supported through the Civil Society Fund, with earmarked funding, in support of

overall coordination and harmonization of donor support to civil society. AIC is supported by several

development partners, including USAID, through this mechanism. All partners will be supporting one

comprehensive workplan and budget to avoid duplication and gaps in funding. Routine monitoring and

evaluation activities of grantees will also be supported with these resources.

AIC is a Non-Governmental Organization established in 1990 to provide Voluntary Counseling and Testing

(VCT) services on the premise that knowledge of ones own sero-status is an important determinant in

controlling the spread of HIV. AIC also uses HIV/counseling and testing (HCT) as an entry point for the

provision of and referral to HIV/AIDS service-provider initiated services including prevention of HIV

transmission, treatment of opportunistic infections, PMTCT and ART services as well as other care and

support services. In FY 08 AIC will continue contributing towards the national goal of reducing the new

infections particularly among the youth and adults.

The Uganda Behavioral sero-survey 2005 indicates that 79% of Ugandans who would want to know their

HIV status are unable to access HCT and yet the knowledge of one's sero status is an entry point for

effective prevention, treatment, care and support. In Uganda the prevalence of HIV has been stable over

the past five years at 6.4% - 6.7%, a decline from 18% recorded in the 1990s. However there is evidence

that the rate of new infections estimated at 132,000 Ugandans annually, will lead to an escalating

prevalence if not checked. Sexual transmission remains the main form of transmission of HIV in Uganda.

HIV is also higher among the women whose prevalence is 9.5% as compared to the males whose

prevalence is 5.5%. Women continue to be more exposed due to their biological nature and also because

they can not negotiate for sex and in most cases lack economic and social independence. The epidemic is

higher in the urban as compared to the rural areas. In terms of age, the epidemic is concentrated in the age

groups 25-49 years which is also the productive age. Some of the drivers of the epidemic include; early

initiation of sex, casual sex, multiple sex partners, extra marital sex, ulcerative Sexually Transmitted

Infections, Herpes Simplex Virus, domestic violence, transactional sex and intergenerational sex, alcohol

and alcohol abuse. Among the individuals who are likely to spiral the epidemic are commercial sex

workers, fishing communities, the military & other uniformed services, truck drivers, orphans and vulnerable

children.

In FY07, AIC trained 902 individuals in counseling and testing to reach 329,155 clients with HCT services.

As a continuation of the FY07 activities, AIC will continue to increase access and utilization of HCT services

using FY08 resources through a variety of approaches:

•AIC will provide VCT services through 8 stand alone AIC branches to reach 100,000 clients.

•Routine counseling and testing at health centre III level will target 150,000 clients in 56 health centers.

•Outreaches targeting the Most at Risk Populations (MARPS) will reach 150,000 individuals.

Over the years, AIC has learned that the provision of HCT needs to be complemented with integrated

services to increase HCT uptake. Service integration creates a positive impact that improves the quality of

life of the HIV positive clients while at the same time reinforcing prevention messages to the HIV negative

clients. In all AIC service points including outreach sites and mobile VCT, AIC will complement HCT with

AB, OP and palliative care activities funded by other USG and/or other donors. Individuals will be able to

know their sero-status, encouraged to adopt prevention options of their choice and receive a minimum

palliative care package and referred where necessary. In the outreach sites and mobile VCT, AIC will

operate mobile clinics/pharmacies that will provide the client with a first doze of septrin for one month and

additional referral information for further on-going prophylaxis. Treatment of Opportunistic Infections will

also be carried out at these sites.

AIC's outreach activities will include those held in schools, fishing landing sites, military/police

establishments, mobile populations including internally displaced persons (IDPs), truck drivers' stopping

points such as Katuna, Mbiko and Naluwerere, institutions of higher learning, as well as corporate

employers. AIC will use the peers trained for AB and OP to mobilize for HCT among their peer populations.

Mobile (home to home) VCT will be implemented in selected areas covering a total of 10,000 clients. In the

MVCT approach, AIC will use the finger stick method of testing.

In line with PMTCT and HIV prevention AB and OP, AIC will make a deliberate effort to target pregnant

women to come for HIV testing with their partners. AIC will promote and offer free HIV testing for pregnant

women and their partners at the AIC branches. This will support AIC's efforts in PMTCT as more clients will

be identified for PMTCT. Those found to be eligible for ART will be referred to the AIC facility that will soon

start to offer the service, while those in upcountry locations will be referred to the nearest facilities offering

ART. It is estimated that AIC will extend HCT to 5,000 pregnant women during FY08. The pregnant women

will be part of the 100,000 clients served at the main branches.

The HIV incidence escalation among the married/cohabiting couples will ensure that AIC offers free HIV

testing and counseling for couples on specific days and strengthen couple club activities in all the branches.

Activities supported for the couple clubs will include providing training in key communication skills,

prevention of gender-based violence among couples and promotion of disclosure. These couple clubs will

also be a vessel in mobilization and promotion of HCT uptake by their fellow couples. AIC will support

couple clubs meetings and use these avenues to promote faithfulness. It is estimated that 5,000 couples

(10,000 individuals) will benefit from free couple HCT.

Activity Narrative:

As a continuation of the activities implemented in FY07, AIC will increase its target for youth to access HCT

services. With fully functional youth wings at all the branches by the end of FY 07, AIC will continue to

attract youth for HCT through provision of free and confidential youth-friendly services. Abstinence

messages will be given to the youth coming for HCT at the youth corners. Treatment of OIs and STIs will

also be available while those found in need of other services such as ART, will be referred to the AIC facility

that is soon starting the service. Youth accessing HCT services from AIC upcountry branches will be

referred to the nearest ART facilities. It is estimated that through the youth wings, AIC will provide HCT to

30,000 youth both in and out of school.

Through all the above approaches, AIC will reach 450,000 individuals (an estimated 112,500 clients per

quarter) who will be counseled, tested and receive results through the 64 static sites and 112 outreach

sites. It is estimated that 2,000 out reaches will be conducted. Overall 176 service outlets will be supported

for HCT service delivery.

AIC will also support the training of partners' service providers, counselors and laboratory technicians, and

supervisors. AIC staff will receive refresher training in the new approaches for HCT service delivery. AIC will

continue to receive requests from partners to assist in training of service providers in HCT. Personnel to be

trained will include 600 counselors, 200 lab technicians, 200 HCT Supervisors (includes 50 lab technicians

100 counselors and 50 HCT Supervisors). An additional 500 HCT service providers will be trained from

organizations that provide HCT services and request for technical assistance from AIC. To ensure the

provision of quality HCT services, quarterly monitoring and support supervision visits will be conducted in

the 200 service outlets. An estimated overall total 1,700 service providers for AIC and partners will receive

training and appropriate support supervision to meet the increasing demand for counseling and testing

services

Funding for Laboratory Infrastructure (HLAB): $0

Under the direction of the Uganda AIDS Commission, the Civil Society Fund Steering Committee manages

multiple donor resources supporting the civil society response to HIV/AIDS, OVC, TB, and Malaria. The

CSF is receiving donor support from USAID, DfID, DANIDA, Irish AID, and the Uganda Global Fund for

AIDS, TB and Malaria. The fund is managed by the Civil Society Fund Steering Committee, which held its

inaugural meeting March 2007. Grants to CSF grant recipients will be managed through Deloitte Touche, a

USAID contractor, as the CSF Financial Management Agent, which will also provide financial management

technical assistance to CSF implementing partners. The Technical Management Agent will be Care

International through the CORE Initiative, and the monitoring and evaluation of CSF supported grants, and

strengthening grantee monitoring and evaluation capacity, will be supported through the CSF's Monitoring

and Evaluation Agent. It is important to note that the grants mechanism originally developed under the

Ministry of Gender, Labour and Social Development (MGLSD) with support from the CORE Initiative is now

integrated into this mechanism.

National level indigenous organization previously supported through UPHOLD, including Straight Talk, AIC

and TASO, will now be supported through the Civil Society Fund, with earmarked funding, in support of

overall coordination and harmonization of donor support to civil society. All partners will be supporting one

comprehensive workplan and budget to avoid duplication and gaps in funding. Routine monitoring and

evaluation activities of grantees will also be supported with these resources.

The AIDS Support Organization (TASO) is an indigenous organization operating in Uganda since 1987.

TASO operates 11 service centers and 39 outreach clinics spread across Uganda. TASO provides a full

continuum of comprehensive HIV prevention, care, and treatment services for 80,000 active clients (65% of

these PHA are female). The high poverty among most TASO clients and their remote location in rural areas

combine to limit regular access to HIV/AIDS services. This is why most TASO services include home- and

community-based delivery of services. TASO programming recognizes PHA and their families as key

partners together with other strategic partners including government, donors, civil society and others NGOs.

PHA and affected communities contribute to strategic decisions that influence TASO operations. TASO core

activities include counseling, clinical care, treatment, capacity-building, HIV prevention, community

mobilization and sensitization, social support and advocacy for the rights and welfare of PHA. TASO

collaborates with Ministry of Health and other line government ministries, the Uganda AIDS Commission,

local governments, community structures, cultural institutions and several other HIV/AIDS and development

stakeholders. TASO programs are designed to contribute to achieving the national health and HIV/AIDS

strategies. To access services to the neediest PHA TASO runs a vigorous community-arm through field

staff, community volunteers, community-based HIV/AIDS leadership structures and PHA networks.

To ensure sustainability of the provision of the services TASO offers to clients, TASO has adopted a

strategy that helps to build capacity of other service providers to provide the same quality of services that

TASO offers wherever a TASO center is located. The service providers trained include those from

Government Hospitals and health centers, Community based organizations and other NGOs involved in the

provision of care and support for PHAs. The capacity building effort is being enhance to include aspects of

laboratory knowledge for the service providers in partner organizations. TASO does the above capacity

building with hope that in future, the MOH would take up this responsibility and recruit all necessary cadres

of staff to provide adequate care and support to all PHAs.

In order to provide good quality basic health care services, healthcare workers need a well functioning

laboratory to help in the diagnosis of opportunistic infections. Therefore, strengthening laboratory

infrastructure and capacity is a key component of palliative care. Each of the 11 TASO centers has a

laboratory that is able to carry out the minimum set of tests required to support an HIV/AIDS clinic. The tests

are mainly diagnostic and intended to enable clinicians provide better care to the clients. The tests done

include those for; Malaria, TB, Typhoid, Syphilis, Blood Sugar, urinalysis, confirmatory tests for HIV, basic

chemistry, and others.

TASO laboratories at the centers of Soroti, Rukungiri, Masindi and Gulu will continue to be wholly supported

to deliver of basic healthcare and prophylaxis for opportunistic infections and ART. The support will cover

the provision of HCT at the center, at the outreaches, and in clients' homes.

TASO plans to further strengthen and support laboratory services through procurement of necessary

reagents and equipments in addition to refresher training of its laboratory staff. TASO has learnt that the

computerization of laboratory MIS make data storage, retrieval, analysis and utilization much easier and will

therefore support the support laboratory human resource and also ensure that the human resource receives

adequate training to support the laboratory MIS. TASO shall also maintain and strengthen the collaboration

with other partners that provide specialized laboratory services that TASO is unable to provide, or those that

would be too costly for TASO to provide.

TASO shall ensure that all test results are handed to the client by a service provider that is competent to

provide the necessary counseling to prevent transmission or recurrence of the condition. All sexually active

clients will be counseled to disclose their test results for HIV and other STIs to their sexual partners and to

bring the partners to TASO for HIV testing and for couple counseling to promote faithfulness and use of

condoms, those couples that may wish to have children will be given information about family planning and

PMTCT; the younger clients will be encouraged to abstain; clients with positive TB tests shall be sensitized

on how to prevent transmission of the TB to their fellow patients and household members; and those with

malaria will be encouraged to sleep under an insecticide treated mosquito net and also to take all the

precautions to prevent recurrence of malaria.

TASO shall endeavor to scale up laboratory services through HBHCT in order to identify the discordant

couples and the children especially those children under five years who may have acquired HIV vertically

and refer them to TASO for appropriate counseling and care including scholastic and nutrition support

through the TASO OVC program.

Therefore, laboratory services will be used an entry point to many of the services provided at TASO-Medical

care including ART, PMTCT information, OVC support and educational support-for both the HIV positive

clients and their household members.

Funding for Strategic Information (HVSI): $0

Under the direction of the Uganda AIDS Commission, the Civil Society Fund Steering Committee manages

multiple donor resources supporting the civil society response to HIV/AIDS, OVC, TB, and Malaria. The

CSF is receiving donor support from USAID, DfID, DANIDA, Irish AID, and the Uganda Global Fund for

AIDS, TB and Malaria. The fund is managed by the Civil Society Fund Steering Committee, which held its

inaugural meeting March 2007. Grants to CSF grant recipients will be managed through Deloitte and

Touche, a USAID contractor, as the CSF Financial Management Agent. Deloitte and Touche also provides

financial management technical assistance to CSF implementing partners. The Technical Management

Agent is Care International through the CORE Initiative.

The monitoring and evaluation component of the CSF will function similar to the MEEPP project for the USG

PEPFAR program in Uganda. The TOR are currently being finalized. The contract is expected to be in

place by the end of October. The participating development partners, UNAIDS and the Uganda AIDS

Commission are currently mapping out the best way to manage and support this M&E function under the

new national M&E Plan. It is important to note that the CSF is a partnership between development

partners, GOU and civil society. USAID as a contributing donor and one of two development partners

members of the Steering Committee, holds the agreements with the technical management agent and the

financial management agent. In doing so, USAID provides in-kind cost sharing to the CSF for the

management costs of these two agents. At the same time, some development partners such as DANIDA

are not able to pay for M&E costs. Therefore, in addition to some of the M&E costs covered within key USG

supported program areas including AB, OP and OVC, these resources will be used to cover some of the

M&E costs not able to be supported by some of the development partners who are directly supporting

grants. It is expected that as the CSF strengthens and grows, other development partners will put funds

into the CSF. The long term financial needs of the M&E component will continue to be assessed on a

regular basis.

Funding for Health Systems Strengthening (OHSS): $500,000

Under the direction of the Uganda AIDS Commission, the Civil Society Fund Steering Committee manages

multiple donor resources supporting the civil society response to HIV/AIDS, OVC, TB, and Malaria. The

CSF is receiving donor support from USAID, DfID, DANIDA, Irish AID, and the Uganda Global Fund for

AIDS, TB and Malaria. The fund is managed by the Civil Society Fund Steering Committee, which held its

inaugural meeting March 2007. Grants to CSF grant recipients will be managed through Deloitte and

Touche, a USAID contractor, as the CSF Financial Management Agent. Deloitte and Touche also provides

financial management technical assistance to CSF implementing partners. The Technical Management

Agent is Care International through the CORE Initiative. The monitoring and evaluation component of the

CSF will function similar to the MEEPP project for the USG PEPFAR program in Uganda. The TOR are

currently being finalized. The contract is expected to be in place by the end of October.

It is important to note that the CSF is a partnership between development partners, GOU and civil society.

USAID as a contributing donor and one of two development partners members of the Steering Committee,

holds the agreements with the technical management agent and the financial management agent. In doing

so, USAID provides in-kind cost sharing to the CSF for the management costs of these two agents. One of

the reasons the fund was established from a donor perspective is because many donor agencies do not

have the capacity to manage grants and contracts. This mechanism is one way to streamline their support

to civil society and at the same time alleviate their management burden. The USG and in particular USAID

is well positioned to support such activities and mechanisms as seen through the Uganda OVC grants

program and the RFE in Tanzania.

These resources will be used to support the total direct cost plus fee of the financial management contract.

Global Fund will cover the management costs of GF resources channeled through the CSF. The financial

management agent is responsible for funds management, grants management and financial capacity

building of CSF grantees. They also work in close partnership with the technical management agent, the

M&E contractor and provide technical support to the steering committee. The use of the CORE Initiative as

the technical management agent did not result in increased costs because the CORE Initiative's original

SOW included a similar activity for the Ministry of Gender, Labour and Social Development (MGLSD). The

activities initiated under the MGLSD have been integrated with the CSF.

Subpartners Total: $8,351,263
AIDS Information Center: $4,359,263
The AIDS Support Organization: $3,992,000