PEPFAR's annual planning process is done either at the country (COP) or regional level (ROP).
PEPFAR's programs are implemented through implementing partners who apply for funding based on PEPFAR's published Requests for Applications.
Since 2010, PEPFAR COPs have grouped implementing partners according to an organizational type. We have retroactively applied these classifications to earlier years in the database as well.
Also called "Strategic Areas", these are general areas of HIV programming. Each program area has several corresponding budget codes.
Specific areas of HIV programming. Budget Codes are the lowest level of spending data available.
Expenditure Program Areas track general areas of PEPFAR expenditure.
Expenditure Sub-Program Areas track more specific PEPFAR expenditures.
Object classes provide highly specific ways that implementing partners are spending PEPFAR funds on programming.
Cross-cutting attributions are areas of PEPFAR programming that contribute across several program areas. They contain limited indicative information related to aspects such as human resources, health infrastructure, or key populations programming. However, they represent only a small proportion of the total funds that PEPFAR allocates through the COP process. Additionally, they have changed significantly over the years. As such, analysis and interpretation of these data should be approached carefully. Learn more
Beneficiary Expenditure data identify how PEPFAR programming is targeted at reaching different populations.
Sub-Beneficiary Expenditure data highlight more specific populations targeted for HIV prevention and treatment interventions.
PEPFAR sets targets using the Monitoring, Evaluation, and Reporting (MER) System - documentation for which can be found on PEPFAR's website at https://www.pepfar.gov/reports/guidance/. As with most data on this website, the targets here have been extracted from the COP documents. Targets are for the fiscal year following each COP year, such that selecting 2016 will access targets for FY2017. This feature is currently experimental and should be used for exploratory purposes only at present.
Years of mechanism: 2008 2009
Regional mapping and HIV prevalence statistics support the need to more effectively target most-at-risk
populations (MARPs), especially along high-prevalence transport corridors. The overall goal of the multi-
sectoral Transport Corridor Initiative, branded SafeTStop, is to stem HIV transmission and mitigate impact
in vulnerable communities along transport routes in East and Central Africa. In addition to high HIV
prevalence, many of these communities, particularly in outlying areas, are severely underserved by HIV
services. To date the Regional Outreach Addressing AIDS through Development Strategies (ROADS)
Project has launched SafeTStop in Burundi, Democratic Republic of the Congo, Djibouti, Kenya, Rwanda,
South Sudan, Tanzania and Uganda. The ROADS strategy is to develop comprehensive, integrated
programming that is designed and implemented by communities themselves, harnessing and strengthening
their own resources to enhance long-term sustainability. Busia, Malaba and Katuna are sizable and
characterized by high HIV prevalence relative to the national estimate. In these three sites, Busia, Malaba
and Katuna truck drivers can spend up to a week waiting to clear customs. The combination of poverty, high
concentration of transient workers, high HIV prevalence, hazardous sexual networking, lack of alcohol-free
recreational facilities, lack of HIV services (CT, PMTCT, care and treatment for adults and children,
TB/HIV), and limited support for OVC have created an environment in which HIV spreads rapidly. The sites
are important targets for HIV programming in their own right; they are also bridges of infection to the rest of
the country. HIV services in the sites have historically been underdeveloped. While sexual prevention
programming has had significant impact, it can still be scaled up to reach more truck drivers, community
men and women, and out-of-school youth. Programming through ROADS is addressing critical drivers of
the HIV epidemic in Busia, Malaba and Katuna, including joblessness and the absence of recreation beyond
drinking. Yet there is still a high level of hazardous alcohol consumption in the community and alarming
levels of gender-based exploitation and violence against women, young girls and boys.
Since launching SafeTStop in Busia, Malaba and Katuna, ROADS has reached more than 206,000 people
with sexual prevention programming (January 2006-March 2008). This has been accomplished in
partnership with more than 70 community-based organizations, which were organized into "clusters" for joint
program planning, training/capacity building and implementation. Through June 2008, ROADS has trained
2,743 individuals in the three sites. Activities have included peer education and counseling, magnet theatre,
and condom promotion and distribution. Target audiences have included truck drivers, community men and
women, in- and out-of-school youth, and commercial sex workers. Venues have included SafeTStop
Resource Centers, private drug shops/pharmacies, health facilities, faith-base organizations, and private
businesses, including lodges, guesthouses and petrol stations (through the Energy Institute of Uganda).
ROADS distributed more than 110,000 condoms through 50 outlets during October 1, 2007-March 31, 2008
alone.
In FY 2009, ROADS will strengthen ongoing sexual prevention programming in the three existing sites to
reach 130,000 individuals (66,300 females and 63,700 males) with HVAB programming and 130,000
(66,300 females and 63,700 males) with HVOP, training 3,000 people to deliver HVAB and HVOP
messages. In FY 2010, we propose to reach 149,500 (76,245 females and 73,255 males) with HVAB
programming and 149,500 (76,245 females and 73,255 males) with HVOP, training 3,000 (refresher and
replacement) to deliver HVAB and HVOP messages. There will be special emphasis on prevention among
discordant couples. ROADS will integrate with existing services, where possible, as a priority. This will
include linking HVAB and HVOP activities with such services as C&T, ART, PMTCT and existing efforts to
promote and distribute condoms. Importantly, we will harness our community structures to promote
messages relating to FP/RH, malaria (barriers to use of ITNs), and child survival (promotion of
immunization, etc). In Busia, Malaba and Katuna, ROADS will mobilize the private sector, especially
brothel/bar/guest house owners, and promote joint action to reduce risk for bargirls and patrons. This will
include work with the AFFORD Project and other PEPFAR partners to provide condoms through 110 outlets
in FY 2009 and 135 outlets in FY 2010. To enhance the community education effort, local pharmacists/drug
shop providers will receive expanded training in managing STIs, condom promotion and referral for C&T.
ROADS will continue to utilize the SafeTStop resource centers as a central focus for community outreach,
offering C&T at regular times convenient for MARPs, HIV peer education, condom distribution, adult
education on life and job skills, psychosocial and spiritual services, men's discussion groups on male social
norms, and internet services to help truckers stay in contact with family members while away from home.
The project will continue strengthening linkages with local health facilities, including pharmacy/drug shop
providers to promote expanded C&T and other services for truck drivers, sex workers, other community
men and women, and sexually active youth. With FY 2009 funds, we will continue to address joblessness
among women and youth (through the LifeWorks Partnership), alcohol abuse, and gender-based violence
as key HIV prevention and care strategies. This will include addressing male norms that impact women's
access to services, legal protection for women and youth, post-rape services, and legal and law
enforcement services. The project will also expand food/nutrition support to enhance HIV prevention, care
and treatment. With FY 2009 funds, ROADS will introduce an innovative MP4 device with HVAB and HVOP
content for use by drivers on the road and discussion groups where they stop. SUSTAINABILITY: Almost all
partners on the project are local entities that exist without external funding. As a result project activities are
highly sustainable. Indigenous volunteer groups partnering with the project were established without outside
assistance and will continue functioning over the long term. Local businesses, traders, market sellers, etc.
are also part of the fabric of community life and will be present over the long term. It is critical to manage the
roster of volunteers so that individual volunteers are not overburdened and do not drop out of the program.
ROADS has developed strategies to motivate volunteers (non-monetary incentives, implementing activities
with people in their immediate networks) to minimize attrition and enhance sustainability.
EXPANSION SITES: Kasese, the end of a rail line and a key industrial center, attracts significant traffic
going to and from DRC; Koboko is a major transit hub for drivers from around East and Central Africa
carrying goods into South Sudan. The Uganda-South Sudan border is porous and experiences significant
cross-border traffic; there is heavy interaction between Ugandans and South Sudanese in this area, given
common tribal affiliation (Kakwa). These are important sites for expansion to safeguard progress against the
epidemic in Uganda. Because Kasese and Koboko are growing rapidly it would be most cost-effective to
intervene early with prevention programming. This would include a special focus on migrant populations,
including poor women who travel across borders to work in the service industry, such as Ugandan women
from Arua and Koboko who travel to Kaya, South Sudan, for employment in bars and lodges.
New/Continuing Activity: Continuing Activity
Continuing Activity: 14192
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14192 9169.08 U.S. Agency for Family Health 6736 1258.08 ROADS - $300,000
International International SafeTstop
Development Project
9169 9169.07 U.S. Agency for Family Health 4833 1258.07 Northern $250,000
International International Corridor
Development Program/Ugand
a Section
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
* Increasing women's access to income and productive resources
* Increasing women's legal rights
* Reducing violence and coercion
Health-related Wraparound Programs
* Child Survival Activities
* Family Planning
* Malaria (PMI)
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Estimated amount of funding that is planned for Food and Nutrition: Commodities $25,000
Economic Strengthening
Estimated amount of funding that is planned for Economic Strengthening $110,000
Education
Water
Table 3.3.02:
Continuing Activity: 14193
14193 4508.08 U.S. Agency for Family Health 6736 1258.08 ROADS - $750,000
8416 4508.07 U.S. Agency for Family Health 4833 1258.07 Northern $750,000
4508 4508.06 U.S. Agency for Family Health 3366 1258.06 Northern $150,000
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $15,000
and Service Delivery
Estimated amount of funding that is planned for Food and Nutrition: Commodities $50,000
Estimated amount of funding that is planned for Economic Strengthening $190,000
Table 3.3.03:
characterized by high HIV prevalence relative to the national estimate. In these sites, truck drivers can
spend up to a week waiting to clear customs. The combination of poverty, high concentration of transient
workers, high HIV prevalence, hazardous sexual networking, lack of alcohol-free recreational facilities, lack
of HIV services (CT, PMTCT, care and treatment for adults and children, TB/HIV), and limited support for
OVC have created an environment in which HIV spreads rapidly. The three sites are important targets for
HIV programming in their own right; they are also bridges of infection to the rest of the country. Adult care
and treatment services in Malaba, Busia and Katuna have been underdeveloped. For example, in Malaba,
before ROADS initiated activities in the community there was little palliative care for people living with HIV
and AIDS (PHA) beyond psychosocial support through a small post-test club meeting weekly at Malaba
Health Centre 3. In Busia, PHA have organized numerous groups to advocate for services, though there are
still gaps in care and support, particularly among faith-based organizations and the private sector. This is
among the factors leading PLHA to cross into Kenya for basic palliative care. Similarly, PHA in Katuna have
had to travel significant distances for basic services.
Since launching SafeTStop in Busia, Malaba and Katuna, ROADS has reached 4,100 people with palliative
care services (January 2006-March 2008), focusing on nutrition, hygiene, basic medical care, counseling on
positive living, prevention for positives, referral to clinical services, pain management, and provision of such
non-clinical services as psychosocial and spiritual support. ROADS has trained 375 individuals to provide
palliative care. Note that in FY 2008 we did not implement treatment programming though we referred and
generated uptake for treatment; however, we propose treatment targets in FY 2009 and FY 2010.
In FY 2009 the project will extend palliative care in Busia, Malaba and Katuna. In FY 2009, the project will
reach 4,000 adults (1,960 males and 2,040 females) with care (18+) through 100 service outlets; in FY 2010
we will reach 4,600 (2,254 males and 2,346 females) people with care (18+) through 100 outlets. We will
provide direct food/nutrition support to food-insecure PLHA and dependents as needed, or link them with
World Food Programme and/or other agencies. We will train 400 individuals to provide care and support in
FY 2009 and 460 in 2010. ROADS will continue providing the basic care package developed in Uganda with
the U.S. Centers for Disease Control and Prevention. The package includes condoms, water purification
tablets, cotrimoxazole and isoniazid prophylaxis, insecticide-treated bed nets and micronutrients (including
vitamin A). As part of its family-centered approach to care, HBC volunteers will identify and refer family
members for C&T (or facilitate home testing) and other needed services. As part of the micronutrient
component, ROADS will build skills in home food production for PLHA and their dependents. Training in
business and entrepreneurial skills and job creation through the LifeWorks Partnership will enhance
economic well-being of AIDS-affected households and caregivers. The project will also harness the reach
and convenience provided by neighborhood pharmacies/drug shops, the first line of care for many
community residents but particularly truck drivers and their immediate networks. Through Howard
University/PACE Center, the project will continue upgrading pharmacy/drug shop providers' skills in
palliative care, including counseling on OIs and ART. The pharmacies/drug shops will expand pharmacy-
based C&T for members of AIDS-affected families and transport workers, and provide outreach for care
through the SafeTStop resource centers. The project will integrate family planning/reproductive health, safe
motherhood, malaria and TB into care and support programming and expand alcohol counseling and
treatment options for PHA, particularly ART patients. Strengthening care for truck drivers will also be a
particular area of emphasis through the Amalgamated Transport and General Workers Union and North
Star Foundation, which will integrate primary health wellness centers into resource centers. Recognizing the
emotional and physical toll that HIV care and support can have on caregivers, ROADS will introduce
programming specifically to address the needs of caregivers, i.e., by providing psychosocial support,
education/training in nutrition, medical and social services, and access to economic strengthening through
agriculture and other business development.
SUSTAINABILITY: Almost all partners on the project are local entities that exist without external funding,
including private and most public outlets that offer HIV care and support services. As a result project
activities are highly sustainable. Indigenous volunteer groups partnering with the project, including those
that can provide community-based care and support, were established without outside assistance and will
continue functioning over the long term. It is critical to manage the roster of volunteers so that individual
volunteers are not overburdened and do not drop out of the program. ROADS has developed strategies to
motivate volunteers (non-monetary incentives, implementing activities with people in their immediate
networks) to minimize attrition and enhance sustainability.
epidemic in Uganda. This would include a special focus on migrant populations, including poor women who
travel across borders to work in the service industry, such as Ugandan women from Arua and Koboko who
travel to Kaya, South Sudan, for employment in bars and lodges.
Continuing Activity: 14194
14194 4510.08 U.S. Agency for Family Health 6736 1258.08 ROADS - $550,000
8418 4510.07 U.S. Agency for Family Health 4833 1258.07 Northern $525,000
4510 4510.06 U.S. Agency for Family Health 3366 1258.06 Northern $75,000
* Safe Motherhood
* TB
Estimated amount of funding that is planned for Human Capacity Development $10,000
Estimated amount of funding that is planned for Economic Strengthening $50,000
Table 3.3.08:
OVC have created an environment in which HIV spreads rapidly. The sites are important targets for HIV
programming in their own right; they are also bridges of infection to the rest of the country. The number of
children under 18 reached with care and the number of children under 15 being treated with ART remain
low compared to adult service provision.
For FY 2008, ROADS did not implement pediatric care, but did identify 74 HIV-exposed children through the
OVC Katuna cluster, and linked with the Joint Clinical Research Centre at Kabale District Hospital to access
care, support and treatment for these children. Additional non-clinical services such as psycho-social,
spiritual and nutrition were also provided.
In FY 2009 the project will extend palliative care to children in Busia, Malaba and Katuna. In FY 2009, the
project will reach 430 children under 18 (207 males and 223 females) with care through 60 service outlets;
in FY 2010 we will reach 495 children under 18 (239 males and 256 females) with care through 60 outlets.
We will train 300 individuals to provide pediatric care in FY 2009 and 300 in 2010.
We will train home-based and OVC caregivers, who are primarily lay counselors, to take a more family-
centered approach to home-based care visits to inquire about the HIV status of family members, leading to
improved early infant diagnosis (EID) and treatment, improved detection of pregnant mothers who fall
through the MoH facility screening, improved detection of breast-feeding mothers and improved follow up of
mother-infant pairs. The caregivers will also be equipped with additional skills to enable them to provide
ongoing counseling to children and adolescents living with HIV. The project will provide a comprehensive
package of care services including access to the basic care package that includes safe water and LLITNs,
nutritional assessment and counseling as well as support through targeted food supplementation and
ongoing counseling to children and adolescents living with HIV. We will broaden the dialogue in couple
counseling for CT to ask about other family members. The project will also promote PMTCT through
community campaigns and ROADS clusters and advocate for an opt-out approach, hence intensifying HIV
prevention through pediatric prevention and using PMTCT as an entry point into a comprehensive package
of HIV prevention, care, support and treatment services for entire families affected by HIV/AIDS.
Our partner Jhpiego will build the skills of clinicians to improve their capacity to diagnose and manage
pediatric AIDS cases, including providing them with client-provider materials and job aid references that
define comprehensive approaches to clinical care for HIV positive children. We will link with ECSA-HC and
the Regional Centre for Quality Health Care (RCQHC) to harness support for regional activities that
promote HIV prevention, care and treatment for infants and children affected by HIV/AIDS. The project will
increase the provision of pediatric counseling and testing (CT) at all possible entry points: outpatient
departments at the local health facilities, maternal and child health (MCH) clinics and under five clinics
(immunization and growth monitoring settings), as well as for HIV-exposed babies and children with TB.
Given the shortage of human resources at facility level, health care workers will work together with
community volunteers (home based care providers, etc.) to improve HIV testing in terms of number and
quality of testing and counseling through provider-initiated counseling and testing (PICT) for children. The
project will implement the opt-out approach in all the settings described above as well as through other
community forums including HIV counseling and testing days focusing on children. The project will also
strengthen the referral system between the communities and health facilities. Improved identification of HIV-
exposed children will be achieved by improving the link between ANC and labor delivery wards with under 5
clinics, eg. introduction of mother-baby passport and strengthening follow up of mother-baby pairs through
the postnatal clinics and well-baby clinics to facilitate HIV testing at six weeks using DNA PCR and initiation
of co-trimoxazole prophylaxis.
The project will strengthen the health facilities' capacity to address OIs in children including nutrition
counseling and growth monitoring, and HIV/AIDS education for care givers. The project will coordinate
exchange visits (study tours) between sites for facility staff involved in pediatric care and will also provide
consistent coaching and mentoring linked to the district hospitals. Facility and community care providers will
be exposed to national and regional meetings to strengthen their skills in HIV prevention, care and
treatment for infants and children affected by HIV/AIDS. We will work closely with the district hospitals
closest to the SafeTStop towns to improve the monitoring process alongside provision of facilitative
supervision to sites, thereby improving provider performance and motivation as well as ensuring quality of
care. The project will also ensure that the local health facilities within our catchment area are linked into the
District health management information system by providing the necessary infrastructure and capacity
building.
Activity Narrative: Targeted local health facilities are Busia, Katuna and Malaba (Busia HC IV, Malaba HC III, Kamuganguzi
HC 3, Kyasano HC II) and we will strengthen linkages between the community, health centers and district
hospitals at Kabale and Tororo as well as Rubaya HC IV (Katuna), Mukujju HC IV (Malaba) and Masafu
hospital. The ROADS PLHA and OVC clusters specifically will serve as an avenue to promote HIV testing
for children and pediatric care services at facility and community level.
The project will build on existing linkages with other USG funded partners such as JCRC, TASO and others
to support pediatric care and access to ART.
which can provide community-based care and support, were established without outside assistance. These
will continue functioning over the long term. It is critical to manage the roster of volunteers so that individual
Estimated amount of funding that is planned for Human Capacity Development $110,000
Table 3.3.10:
programming in their own right; they are also bridges of infection to the rest of the country. HIV services in
the sites, including direct support for OVC, have historically been underdeveloped.
Since launching SafeTStop in Katuna, ROADS provided psychosocial support services to 740 OVC (May
2008). This has been accomplished in partnership with seven community-based organizations, which were
organized into an OVC cluster for joint program planning, training/capacity building and implementation.
Activities to be implemented through the existing cluster agreement include psychosocial support, provision
of scholastic materials and uniforms, referral for services, succession planning, training in
business/entrepreneurship and strengthening IGA programming targeted for OVC families, training in
advocacy and strengthening the community response, sporting activities, and participation in special events.
In FY 2009, ROADS will provide direct OVC support in Katuna, dropping the Busia and Malaba sites due to
lack of funding. During October 1, 2008 and September 30, 2009 the project will reach 1,500 OVC (735
males and 765 females). This includes 485 males and 505 females with primary direct support; 250 males
and 260 females with supplemental direct support. In FY 2009 ROADS will train 150 caregivers (new and
expanded), including extended family members, teachers, youth, women and faith groups, community
social workers and people living with HIV and AIDS. ROADS will provide 450 children with supplemental
feeding. Given flat funding, the same targets apply for FY 2010. Recognizing the emotional and physical toll
that orphan care can have on caregivers, ROADS will introduce programming specifically to address the
needs of OVC caregivers, i.e., extended families especially grandparents who have absorbed these children
into their households, by providing psychosocial support, education/training in nutrition and parenting,
medical and social services, access to economic strengthening through agriculture and other business
development, and community-sharing of child support. This will be linked with youth involvement in OVC
and may include regular, organized activities for orphans to provide respite for family and volunteer
caregivers. Youth and FBO clusters will organize social/day care facilities where caregivers can periodically
drop their children while they access care and support services. Older orphans, a large and underserved
population, will be a key focus, recognizing their unique challenges and needs. The project will expand HIV
risk-reduction and care strategies specifically for older OVC, including heads of households, linking them
and siblings with C&T; family planning/reproductive, malaria, child survival, safe motherhood, and TB
services; psychosocial support; legal counsel; and emergency care in cases of rape and sexual assault.
Children who test HIV-positive will be referred for pediatric AIDS services. Orphans who raise siblings are
under severe pressure to earn income, often driving them into transactional sex for survival of the family.
This is a particularly serious issue in border sites, where the demand for transactional and trans-
generational sex and the potential for trafficking are high. The project will work with existing child-welfare
organizations, FBOs, local officials and, importantly, the private sector/business community to meet the
daily needs of OVC. One strategy will be to implement home food production strategies to enhance the food
security of orphan-headed households. However ROADS' efforts will go beyond daily sustenance of OVC,
attempting to secure the longer-term well-being of orphan-headed households. This will entail job training
linked with micro-finance, job creation and other economic opportunities for OVC breadwinners through the
LifeWorks Partnership. To pave the way for greater access to services and OVC involvement in community
life, the project will address the intense stigma and discrimination often faced by children who have lost one
or both parents to AIDS. Activities will include sensitization of teachers and health providers to help ensure
OVC have full access to services. Ensuring HIV-positive parents have access to care and treatment will be
a key strategy in forestalling or even preventing orphaning. Effective treatment, coupled with food/nutrition
and other support, should enable many HIV-positive parents to raise their children to adulthood.
indigenous volunteer groups caring for OVC. As a result project activities are highly sustainable. Indigenous
volunteer groups partnering with the project, including those that can provide community-based OVC care
and support, were established without outside assistance and will continue functioning over the long term. It
is critical to manage the roster of volunteers so that individual volunteers are not overburdened and do not
drop out of the program. ROADS has developed strategies to motivate volunteers (non-monetary
incentives, implementing activities with people in their immediate networks) to minimize attrition and
enhance sustainability.
New/Continuing Activity: New Activity
Continuing Activity:
Estimated amount of funding that is planned for Human Capacity Development $50,000
Table 3.3.13:
programming in their own right; they are also bridges of infection to the rest of the country. Counseling and
testing (CT) services in the sites remain underdeveloped and should be scaled up further to meet demand
generated by ROADS community mobilization and outreach. For example, in Malaba the dearth of quality
CT has led many residents to cross into Kenya for this service. Upgrading of Malaba Health Centre 3 is
improving the situation though there is still a need for CT at fixed outreach sites during hours convenient for
MARPs.
Since launching SafeTStop in Busia, Malaba and Katuna, ROADS has reached more than 11,800 people
with facility- and community-based CT (January 2006-March 2008).
The ROADS "cluster" model, which mobilizes community- and faith-based groups, has generated significant
interest in and demand for CT at upgraded facilities. In Malaba, for example, the health center refurbished
by ROADS now has three counseling rooms. The health centre is currently providing CT services to an
average of 242 people per week.
With FY 2009 funds the project will continue to establish and build demand for CT, reaching 7,000 people
(4,500 females and 2,500 males) with this service (excluding TB) between October 1, 2008-September 30,
2009 and 8,050 people (5,300 females and 2,750 males) between October 1, 2009 and September 30,
2010. Recognizing the shortage of trained counselors in the sites the project will train 45 individuals in CT in
FY 2009 and 55 in FY 2010. Training will include counseling skills to serve discordant couples, identify and
counsel CT clients with hazardous drinking behavior, and discuss family planning. ROADS will actively
promote testing to all family members where the index patient is found to be positive. An important strategy
will be home testing, which has proven successful in several sites in East and Central Africa. Testing all
family members will be the entry point to accessing the full menu of health services, including child survival,
family planning/reproductive health, malaria prevention and treatment, PMTCT, TB and pediatric care and
treatment. In FY 2009, ROADS will support 15 CT outlets in Busia, Malaba and Katuna with hours and
locations appropriate for MARPs, particularly truck drivers, their sexual partners and out-of-school youth; in
2010 we will support 15 sites. Sites will include the wellness centers to be established within the SafeTStop
resource centers, which serve as alcohol-free recreation sites and a venue for a range of HIV services. With
new partner JHPIEGO, ROADS will work with local health facilities to ensure provider-initiated counseling
and testing (PICT). In conjunction with ROADS partner Howard University/PACE Center, the
Pharmaceutical Society and Pharmacy Board of Uganda, and the Uganda Ministry of Health, the project will
pilot CT services in pharmacies/drug shops. ROADS will continue to support Malaba Health Centre 3,
including purchase of test kits. ROADS will continue to work community-based organizations to expand
fixed outreach CT services. Importantly, ROADS will organize meetings between CT staff, health providers
and community caregivers to ensure CT clients and family members are referred to and from services. As a
wrap-around to CT, the project will address gender barriers to uptake of CT at health facilities, fixed
outreach sites or the home, safe disclosure of results and training of CT counselors to identify and refer
clients who may be suffering from alcohol abuse. SUSTAINABILITY: Almost all partners on the project are
local entities that exist without external funding, including private and most public outlets that promote
and/or offer CT services. As a result project activities are highly sustainable. Indigenous volunteer groups
partnering with the project, including those that can provide community-based CT (e.g., FBOs), were
established without outside assistance and will continue functioning over the long term. It is critical to
manage the roster of volunteers so that individual volunteers are not overburdened and do not drop out of
the program. ROADS has developed strategies to motivate volunteers (non-monetary incentives,
implementing activities with people in their immediate networks) to minimize attrition and enhance
sustainability.
intervene early with prevention programming including C&T. This would include a special focus on migrant
populations, including poor women who travel across borders to work in the service industry, such as
Ugandan women from Arua and Koboko who travel to Kaya, South Sudan, for employment in bars and
lodges.
Estimated amount of funding that is planned for Human Capacity Development $75,000
Table 3.3.14:
