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
Population Services International (PSI) is a private non-profit organization with a mission to improve the
health of low income people worldwide through social marketing. PSI Uganda is an affiliate of PSI with
operations in Uganda since 1998. The organization aims to measurably improve the health of vulnerable
Ugandans, with added emphasis on rural populations. PSI utilizes evidence based social marketing and
other proven techniques to educate and promote sustained behavior change. PSI is committed to an
effective partnership with the Ministry of Health (MOH) and supports various priority areas including, but not
limited to, HIV/AIDS, malaria, child health and reproductive health. There are approximately 1.2 million
Ugandans are living with HIV. Young women in Uganda, (not unlike prevalence statistics in most of Sub-
Saharan countries) have much higher rates of HIV prevalence than their male peers. Several research
studies have linked this disparity in prevalence, to sexual relationships with older men a practice known as
cross generational sex (CGS). CSG is defined as a sexual relationship between a young girl and an older
man 10 or more years her senior, in exchange for material gains. Of girls aged 15 - 19 years, 10% report
having had sex with men 10 or more years their senior in the past 12 months (National Survey of
Adolescents - Uganda 2006). The PSI Uganda 2005 Tracking Survey revealed that among university-going
sexually active girls 19 - 24 years, 20% had been in a cross generational relationship, and 36% believe it is
normal to engage in such relationships. Since September 2004, PSI has received PEPFAR funding through
CDC. PSI Uganda has been implementing an HIV Basic Preventive Care Program (BCP) which is focused
on reducing HIV-related morbidity and mortality and HIV transmission. Currently, BCP includes identification
of PHA through family based counseling and testing. PSI BCP interventions are prolonging and improving
the quality of their lives by preventing OIs; and prevention with positives interventions (PWP). The PWP
strives to avert HIV transmission to sexual partners and unborn children through: screening and
management of sexually transmitted infections, family planning, partner testing and supported disclosure,
partner discordance counseling, prevention of mother to child transmission of HIV (PMTCT), safer sex
practices including abstinence, and fidelity with correct and consistent use of condoms. The program's
implementation is supported by a multi-faceted communications campaign. Its aim is to educate PHAs on
how to prevent OIs and live longer and healthier lives. This is accomplished in the following manner:
utilization of cotrimoxazole prophylaxis, prevention of diarrheal diseases using household water treatment
and safe storage, use of insecticide treated nets (ITN) for malaria prevention, and the prevention of HIV
transmission to sexual partners and unborn children. In addition, BCP combines key informational
messages, training and provision of affordable health commodities with evidence-based health benefits,
which are simple for PHA and their families to implement. The health commodities include free distribution
of a starter kit with two long lasting insecticide treated bed nets, household water treatment chlorine
solution, a filter cloth, and water vessel for safe water storage, condoms and important health information on
how to prevent HIV transmission. PSI manages the procurement, packaging and distribution of all health
commodities including condoms to ensure consistent supply of the basic care starter kits and refills the
different commodities.
For FY 2008 PSI-Uganda received PEPFAR funds through CDC to implement a dynamic, multifaceted
intervention program to address CGS. The program focuses on the reduction of CGS, alongside delay of
sexual activity, secondary abstinence among girls aged 15 -24 years and fidelity among men aged 30 - 49
years. Between October 2007 and July 2008, PSI partnered with 151 HIV/AIDS care and support
organizations in 54 districts including public and private hospitals, CBOs, FBOs, and NGOs to implement
the BCP program. The program funding has increased tremendously over the past fiscal year, enabling the
scale up of the program and enlisting of additional implementing partners. Further expansion and scale up
of the program to public sites has been completed. The scale up to non CDC and government partner sites
serves to increase the production, access and utilization of BCP health products and services among
People Living with HIV/AIDS (PHA). The Abstinence and Being faithful activities implementation
commenced in August, 2008; following the delay in receipt of funding for FY 2008. The AB interventions are
in 10 universities and 50 secondary schools in the districts of Kampala, Mukono, Wakiso, Luwero, Mbarara,
Gulu, Masaka, and Mpigi. The program targets 3 main audiences; young women; older men and the
general population. Among the program's components is the establishment of peer and social support
groups for young women dubbed the "Go-Getters." By the end of FY 2008, PSI projects they will have
reached 37,500 (22,500 female, 15,000 male) individuals through community outreaches that promote HIV
prevention through abstinence and or being faithful. Likewise, at the end of this fiscal year, PSI projects they
will reach 12,500 more (7,500 female, 5,000 male) individuals through community outreaches that promote
HIV prevention through abstinence education; and 50 individuals will have been trained to promote
HIV/AIDS prevention programs through abstinence.
The Uganda HIV/AIDS Sero-Behavioural Survey 2004/05 showed that the HIV prevalence peaks and is
highest among the 30 - 44 year olds. As many men in this age bracket continue to have sexual relationships
with young girls aged 15-24 years; who are easily swayed with material things such as a mobile phone, it is
critical to address this CGS problem, as it is increasing (PSI Tracking Survey 2005/06). In FY 2009 PSI
proposes to conduct the following AB activities:
1. Expand the interpersonal communications (IPC) to the 50 secondary schools and surrounding
communities, targeting the 15-19 year olds (male and female) with messages on abstinence and cross
generation sex. The IPC activities will include the screening of a new cross generation video drama "the
honorable" that is followed by discussions on the problem of CGS, and what young people can do to about
it CGS. PSI will continue to partner with FBOs such as CHAIN Foundation and Power Fm radio station to
lead the discussions after the film dramas. Through the IPC, PSI plans to reach 50,000 male and female 15
-19 year olds in schools and their surrounding communities with key messages on abstinence, and cross
generational sex. Feedback from the 15- 19 year olds will be obtained from school teachers and at the
community outreach events.
2. Debates and group discussions will be held in all the secondary schools to enable students to discuss
key issues regarding health, abstinence, cross generational sex and other social life pressures among
others. This activity addresses various misconceptions among young people have about adult who lure
them into risky behaviors. Follow up discussions and meetings will be held and social support given by the
Go-Getters and teachers as part of the social support team.
3. Recordings of the discussions will be aired weekly on Power Fm radio for greater reach, especially to
Activity Narrative: young people out of school. 200,000 male and female 15 -24 are expected to be reached through the mass
media campaign. Life skills camps will be held for secondary school graduates to empower them with life
planning skills and prepare them for life at the university. The rationale for this activity is to ensure that
secondary school graduates have acquired knowledge by going through the first phase of the ICP project.
New/Continuing Activity: Continuing Activity
Continuing Activity: 17091
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
17091 17091.08 HHS/Centers for Population 6437 699.08 Basic Care $60,000
Disease Control & Services Package
Prevention International Procurement/Dis
emination
Emphasis Areas
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Estimated amount of funding that is planned for Water $20,000
Table 3.3.02:
For FY 2008 PSI/Uganda received PEPFAR funds through CDC to implement a dynamic, multifaceted
People Living with HIV/AIDS (PHA).
Distribution of condoms to adult clients occurs at 99 of the partner organizations. From October 1, 2007 to
July 31, 2008, PSI has distributed 65,930 starter kits, containing 3,955,800 pieces of condoms and
1,731,517 condoms re-supplied for adult PHA. MOH has sources five million free condoms from their stock
for this program. 1,212 health service providers and 553 peer educators have been trained to promote
HIV/AIDS prevention beyond abstinence and/or being faithful, including correct and consistent use of
condoms. PHAs have been actively involved in interpersonal communication activities at partner sites,
which are comprised of health talks and community sensitization on HIV/AIDS prevention. As peer
educators PHAs, have conducted 13,521 peer education sessions reaching an estimated 774,187 people.
269,165 IEC materials including posters, client guides, brochures and stickers have been distributed mainly
through health units to clients and providers. To support the IEC campaign, STF has developed and aired
37,198 radio messages in eight local languages on 12 radio stations countrywide. Similarly, STF has also
developed 112 parent talk programs, in 8 local languages and on 8 radio stations across the regions of
Uganda. The radio program provides information to the general population and PHA in particular, on the
benefits of the basic and palliative care components. Since program inception in September 2004, 174,766
adult PHA have received starter kits containing 10,485,960 condom pieces and 2,855,817condoms re-
supplied. 4,768 health service providers and 1,994 peer educators have been trained to promote HIV/AIDS
prevention beyond abstinence and/or being faithful including correct and consistent use of condoms. Over
1,608,150 people have been reached with the IPC (peer education) activities.
FY 2008 Sexual Prevention Achievements (October 1, 2007 to September 31, 2008)
Indicator TargetAchievement to date (July
31, 2008)
Number of targeted condom service outlets 8399 (Cumulative for 3 years)
Total number of individuals trained to promote HIV/AIDS prevention through 1,170 1,765 (1212
providers, 553 peer educators)
behavior change other than abstinence and/or being faithful
The supply of condoms and other prevention activities ensures a regular and constant availability of
condoms to eligible PHAs in Uganda. This will be achieved through the distribution of the complete starter
kit and annual replenishment of 60 condom pieces per adult client. In FY 2009, US $240,000 will be
allocated for the procurement, shipping, handling, post shipment testing and packaging of a condom buffer
stock to ensure continued access to condoms by PHA. PSI will procure more condoms, because MOH
Activity Narrative: supplies may be unpredictable, and may fall short of the national requirements; resulting in disruption of the
assembly and supply of starter kits. A total of 2,174,400 condoms will be distributed in the starter kit, and
there will be 5,600,000 pieces as refills. Other planned activities in FY 2009 include;
1. It is anticipated that in FY 2009, 5 new sites will be enrolled. For the new sites, preference will be for
public facilities located in hard to reach areas; such as, islands in Lake Victoria and the Karamoja region.
Through existing and new sites nationwide, 36,240 starter kits containing two LLINs, a safe water vessel,
filter cloth, 60 condom pieces and four bottles of water treatment solution will be distributed to new adult
clients.
2. Plans for program sustainability include;
a. PSI in collaboration with the local manufacturers and other partners like Uganda Health Marketing Group
will continue to avail BCP commodities in the commercial sector. It is intended that all these commodities
will be available nationwide through sustainable channels.
b. BCP activities will be further scaled up through district health structures including PMTCT sites.
c. Trainings will be supplemented by mentorship. Added emphasis will be placed on training and mentoring
all public sector trainers on BCP, in addition to the whole site trainings that are currently conducted at all
BCP service outlets. Each service outlet supervisor will also be trained (or retrained) and mentored as a
BCP trainer.
d. Refresher training and training for new health service providers and peer educators in preventive care
and prevention with positives initiatives will continue in FY 2009
e. BCC in FY 2009 will focus on sustaining BCP-related behavior change. This will be implemented by
Straight Talk Foundation through development and production of radio spots, parent talk programs and
radio talk shows. This will be supplemented by garnering for political support and utilizing testimonies of well
known HIV authorities. Furthermore, through aggressive inter personal communication strategies social
support in the communities will be attained.
f. Maintaining implementing partner regional network system and facilitate study trips across partner sites
targeting unit heads and staff involved in BCP activities so as to learn from each others best practices as
well as improve integration of BCP activities.
3. Communicate phase out plan to partners in the second quarter of FY 2009.
The phase out plan will focus on:
a. Logistics management. PSI will build capacity of partner sites to manage BCP commodity procurement
and distribution at individual sites.
b. The peer educators will continue to participate in routine site activities.
c. Distribution of IEC materials.
d. Updating and sharing of BCP partner sites service database.
4. Monitoring activities to track program implementation will also continue in FY 2009.
5. End of project evaluation
Continuing Activity: 13307
13307 4410.08 HHS/Centers for Population 6437 699.08 Basic Care $300,000
8354 4410.07 HHS/Centers for Population 4812 699.07 Basic Care $250,000
4410 4410.06 HHS/Centers for Population 3341 699.06 Basic Care $250,000
Gender
* Increasing gender equity in HIV/AIDS programs
Table 3.3.03:
Ugandans are living with HIV. The morbidity and mortality due to HIV-related opportunistic infections (OIs)
is quite significant; in spite of sufficient evidence that supports simple interventions to prevent these OIs.
Since September 2004, PSI has received PEPFAR funding through CDC. PSI Uganda has been
implementing a HIV Basic Preventive Care Program (BCP), which is focused on reducing HIV-related
morbidity and mortality and HIV transmission. Currently, BCP includes identification of PHAs through family
based counseling and testing. PSI BCP interventions are prolonging and improving the quality of life of
PHAs, by preventing OIs, and through prevention with positives interventions (PWP). The PWP
interventions strive to avert HIV transmission to sexual partners and unborn children through: screening and
management of sexually transmitted infections; family planning; partner testing and supported disclosure;
partner discordance counseling; prevention of mother to child transmission of HIV (PMTCT); safer sex
practices including abstinence and fidelity with correct and consistent use of condoms. The program's
how to prevent OIs and live longer and healthier lives. This is accomplished in the following manner: use of
cotrimoxazole prophylaxis; prevention of diarrheal diseases using household water treatment and safe
storage; utilization of insecticide treated nets (ITN) for malaria prevention; and the prevention of HIV
transmission to sexual partners and unborn children. The campaign includes development and production
of information, education and communication (IEC) materials for PHA, health care providers and
counselors. These materials include posters, brochures, positive living client guides and stickers in the local
languages. In partnership with MOH and Straight Talk Foundation (STF), PSI is producing spots and ‘parent
talk' programs on radio. In addition, BCP combines key informational messages, training and provision of
affordable health commodities with evidence-based health benefits, which are simple for PHAs and their
families to implement. The health commodities include free distribution of a starter kit with two long lasting
insecticide treated bed nets, household water treatment chlorine solution, a filter cloth, and water vessel for
safe water storage, condoms and important health information on how to prevent HIV transmission. PSI
manages the procurement, packaging and distribution of all health commodities to ensure a consistent
supply of the basic care starter kits and refills of the different commodities.
In FY 2008, PSI has partnered with 151 HIV/AIDS care and support organizations in 54 districts including
public and private hospitals, CBOs, FBOs, and NGOs to implement the BCP program. The program funding
has increased tremendously over the last fiscal year, enabling the scale up of the program and enlisting of
additional implementing partners. In FY 07, BCP was expand to non CDC partners including International
HIV/AIDS Alliance, Elizabeth Glaser Pediatric AIDS Foundation, Hospice Africa Uganda, International
Medical Corps, International Rescue Committee, Inter-Religious Council Uganda, Joint Clinical Research
Centre, Makerere University Walter Reed project, Northern Uganda Malaria AIDS and Tuberculosis
program, Peace Corps, and Uganda People's Defense Forces. Further expansion and scale up of the
program to public sites has been completed. The scale up to non CDC and government partner sites serves
to increase the production, access and utilization of BCP health products and services among PHA.
FY 2008 Adult Care and Treatment Achievements (October 1, 2007 to September 30, 2008)
Indicator TargetAchievement to date (July 31, 2008)
Number of service outlets 90151 (Cumulative for 3 years)
Number of adult PHA provided with BCP Starter kit68,00070,999
Total number of individuals trained to provide BCP1,4502,964 (1,825 providers, 1,139 peer educators)
Since program inception in September 2004, 203,305 adult PHA have received starter kits. 4,871 health
service providers and 2,444 peer educators have been trained on BCP. Over 1,608,150 people have been
reached with the IPC (peer education) activities. BCP is currently implemented in 54 of the 80 districts of
Uganda. Of the 151 BCP service outlets, 78 are public/government facilities. From October 1, 2007 to July
31, 2008, PSI distributed 73,748 starter kits, including; 106,882 bottles of chlorine solution for water
treatment and 1,731,517 condom pieces as refills for adult PHA. Peer educators have conducted 13,521
peer education sessions reaching an estimated 774,187 people. 269,165 IEC materials including posters,
client guides, brochures and stickers have been distributed mainly through health units to clients and
providers. To support the IEC campaign, STF has developed and aired 37,198 radio messages in eight
local languages on 12 radio stations countrywide. Similarly, STF has developed 112 parent talk programs in
8 local languages on eight radio stations across the regions of Uganda. This radio program provides
information to the general population and PHA in particular, on the benefits of the basic and palliative care
components. During FY 2008, PSI also worked closely with stakeholders to revise BCP/PWP training
curriculum and IEC program materials. PSI coordinated the development of technical content through
collaborative efforts with the Ugandan MOH, CDC Uganda and World Health Organization (WHO) to ensure
that all materials are in line with the relevant MOH strategic plan and relevant guidelines. Furthermore, PSI
has begun developing new IEC materials with a focus on TB, nutrition, pain and symptom management.
The relevant approvals are being finalized before the IEC materials are completed and disseminated.
Advocacy and social support for BCP was built through aggressive involvement of the host district
leadership through four annual regional stakeholder meetings. These meetings also exhibited work of all
BCP stakeholders, and provided a platform for networking and linkages between the various partners.
According to the 2004/2005 HIV Sero-Behavioral survey, approximately 149,000 new HIV infections occur
each year in Uganda. With the introduction of various HIV Counseling and testing models (HCT) to assist in
the scale up of family based CT and increasing the number of PHA who know their status; more people are
opting to access BCP and other HIV care. Due to the influx of the large number of clients, BCP service
provision has increased dramatically at existing partner sites. This influx can help to explain why BCP
targets are consistently higher; suggesting that there is an unmet need not included in the initial program
projections. The adult care and treatment activity is expanding access to cotrimoxazole prophylaxis, long
lasting treated bed nets, safe water systems, pain and symptom relief, TB HIV and IEC and education on
Activity Narrative: nutrition. In FY 2009, emphasis will be placed on strengthening sustainability of BCP and development of a
phase out plan. Activities will include:
1. Through existing and new sites nationwide, 36,240 starter kits (each kit contains 2 LLINs, a safe water
vessel, filter cloth, 60 condom pieces and4 bottles of water treatment solution) will be distributed to new
adult clients.
2. Replacement of bed nets and safe water vessels for 73,456 adult clients who received starter kits in year
two (FY 2006) of program implementation will commence. PSI will distribute 550,000 bottles of water
treatment solution, 5,600,000 condom pieces, and 109,733 filter cloths refills to all old clients.
3. In FY 2009, ten new sites will be enrolled, the preference being public facilities in hard to reach areas;
such as, islands in Lake Victoria and the Karamoja region. No new sites will be enrolled in FY 2010, as the
project terminates in March 2010.
4. PSI will work with the MOH and National Medical Stores to train and support partner sites to generate
timely and accurate cotrimoxazole orders to National and Joint Medical stores. This will ensure sustained
availability of cotrimoxazole to the clients.
5. Plans for program sustainability include:
a. PSI collaborating with the local manufacturers and other partners; such as Uganda Health Marketing
Group. This partnership will continue to make BCP commodities available in the commercial sector. It is
hoped that all these commodities will be available nationwide through sustainable channels.
c. Trainings will be supplemented by a mentorship program. Added emphasis will be placed on training and
mentoring all public sector trainers on BCP; in addition to the whole site trainings that are currently
conducted at all BCP service outlets. Each service outlet supervisor will also be trained (or retrained) and
mentored as a BCP trainer.
d. Refresher trainings and preliminary training for new health service providers and peer educators in
preventive care and prevention with positives initiatives will continue in FY 2009.
e. BCC will focus on sustaining BCP-related behavior change. This project will be implemented by Straight
Talk Foundation; through the development and production of radio spots, parent talk programs and radio by
acquiring political support and utilizing testimonies of well known HIV authorities. Furthermore, by learning
intensive inter personal communication strategies; PHAs will attain social support in their communities.
f. PSI will maintain a regional network of implementing partners and facilitate study trips with partner sites.
The regional network will target unit heads and staff involved in BCP activities; to learn about each others
best practices, and improve integration of BCP activities.
6. Communicate phase out plan to partners in the second quarter of FY 2009.
7. Monitoring activities to track program implementation will also continue in FY 2009.
8. End of project evaluation
Continuing Activity: 13308
13308 4400.08 HHS/Centers for Population 6437 699.08 Basic Care $3,496,718
8353 4400.07 HHS/Centers for Population 4812 699.07 Basic Care $3,309,093
4400 4400.06 HHS/Centers for Population 3341 699.06 Basic Care $2,306,214
Estimated amount of funding that is planned for Human Capacity Development $610,000
Table 3.3.08:
other proven techniques to educate and promote sustained behavior. PSI is committed to an effective
partnership with the Ministry of Health (MOH) and supports various priority areas including, but not limited
to, HIV/AIDS, malaria, child health and reproductive health. Approximately 1.2 million Ugandans are living
with HIV, and over 900,000 Ugandans including children die annually of HIV-related opportunistic infections
(OIs); in spite of sufficient evidence that supports simple interventions to prevent these OIs. Since
September 2004, PSI has received PEPFAR funding through CDC. PSI Uganda has been implementing a 5
year HIV Basic Preventive Care Program (BCP) which is focused on reducing HIV-related morbidity and
mortality and HIV transmission among adults and children living with HIV/AIDS (PHA). Currently, BCP
includes identification of PHA through family based counseling and testing. PSI BCP services are
prolonging and improving the quality of their lives by preventing OIs; and prevention with positives
interventions (PWP). The PWP strives to avert HIV transmission to unborn children through: screening and
partner discordance counseling, prevention of mother to child transmission of HIV (PMTCT), and safer sex
practices including abstinence. Program implementation is supported by a multi-faceted communications
campaign that educates PHAs and children on how to prevent OIs, live longer and healthier lives through
the following: cotrimoxazole prophylaxis, prevention of diarrheal diseases using household water treatment
transmission to unborn children. The campaign includes development and production of information,
education and communication (IEC) materials for PHA, health care providers and counselors. These
materials include posters, brochures, positive living client guides and stickers in the local languages. In
partnership with MOH and Straight Talk Foundation (STF), PSI is producing spots and ‘parent talk'
programs on radio. In addition, BCP combines key informational messages, training and provision of
affordable health commodities with evidence-based health benefits, which are simple for PHA and their
supply of the basic care starter kits and refills of the different commodities. PSI pediatric care and treatment
activity has increased knowledge, access and utilization of HIV basic preventive and palliative care products
and services among families with children infected with HIV/AID. Pediatric Palliative Care Training sessions
focus on the unique needs of the children, and create an expanded awareness among health service
providers and counselors, on the benefits of the basic and palliative care products and services.
During FY 2008 (October 2007 - July 2008), PSI has partnered with 151 HIV/AIDS care and support
organizations in 54 districts including public and private hospitals, CBOs, FBOs, and NGOs. To date, 34 of
the partner organizations are offering PMTCT services to pregnant women; while seven sites are offering
specialized HIV pediatric care to children living with HIV/AIDS. Pediatric clients in rural and hard to reach
areas have been prioritized through a partnership, and scale up of the BCP program to non CDC and public
health facilities. PSI also worked closely with stakeholders to revise training curriculum and IEC program
materials. PSI coordinated the development of technical content through collaborative efforts with the
Ugandan MOH, CDC Uganda and World Health Organization (WHO) to ensure that all material are in line
with the MOH strategic plan and relevant guidelines. Pediatric BCP IEC on safe water, malaria prevention,
cotrimoxazole prophylaxis, and the new components of TB/HIV, nutrition in HIV, pain and symptom
management were developed. The relevant approvals are being finalized this process before the IEC
materials are completed and disseminated.
FY 2008 Pediatric Care and Treatment Achievements (October 1, 2007 to July 31, 2008)
Indicator Target Achievement to date
(July 31, 2008)
Number of service outlets 5 7 (Cumulative for 3
years)
Number of pediatric PHA provided with BCP Starter kit 3,760 4,630
Total number of individuals trained to provide BCP at pediatric sites 75 42 (32 providers, 10
peer educators)
Since program inception in September 2004, 15,176 starter kits and 121,408 bottles of chlorine solution for
water treatment have been distributed to children below the age of 18 years at the pediatric sites. One
hundred and forty one (141) health service providers and 91 peer educators have been trained on BCP with
focus on the unique needs of the children. From October 1, 2007 to July 31, 2008, PSI has distributed 4,630
starter kits to children living with HIV/AIDS and their families. PHA including parents, care takers of the
children and adolescents have been actively involved in interpersonal communication activities at partner
sites including giving health talks and participating in community sensitization on HIV/AIDS prevention and
care. To support the IEC campaign, STF has developed and aired 37,198 radio messages in 8 local
languages on 12 radio stations countrywide and 112 parent talk programs in 8 local languages on 8 radio
stations across the regions of Uganda.
leadership in four annual regional stakeholder meetings. These meetings also exhibited work of all BCP
stakeholders, and provided a platform for networking and linkages between the various partners.
According to the 2004/2005 HIV Sero-Behavioral survey approximately 149,000 new HIV infections occur
each year in Uganda. The 2004 MOH/ACP HIV report states, that of all the HIV infections in Uganda,
children less than 18 years of age contribute approximately 10% of the infection rate. With the introduction
of various VCT scale up models including, family based CT and increasing the number of PHA who know
their status; more people are opting to access BCP and other HIV care. BCP service provision has
increased dramatically at existing PSI partner sites. This influx can help to explain why BCP targets are
consistently higher; suggesting that there is an unmet need not included in the initial program projections.
Activity Narrative: The pediatric care and treatment activity at expanding access to cotrimoxazole prophylaxis, long lasting
treated bed nets, safe water systems, pain and symptom relief, TB/HIV integration and IEC and education
on nutrition to children infected with HIV/ADS. In FY 2009, emphasis will be placed on strengthening
sustainability of BCP, development and execution of a phase out plan. Activities will include:
1. It is anticipated that in FY 2009, three (3) new pediatric sites will be enrolled. For the new sites,
preference will be for public facilities in hard to reach areas; such as, islands in Lake Victoria and the
Karamoja region. Through existing and new sites nationwide, 3,760 starter kits containing two LLINs, a safe
water vessel, filter cloth and four bottles of water treatment solution will be distributed to new pediatric
clients. No new sites will be enrolled in FY 2010, since the project terminates in March 2010.
2. Replacement of bed nets and safe water vessels for 4,042 pediatric clients who received starter kits in
year two (FY 2006) of program implementation will commence, 60,704 bottles of water treatment solution
and 13,767 filter cloths will be distributed as refills to all old clients.
3. Other than create a parallel system of essential medicines distribution, PSI will train and support
pediatric partner sites to generate timely and accurate cotrimoxazole orders to National and Joint Medical
stores. This will ensure sustained availability of cotrimoxazole to the pediatric clients.
4. Plans for program sustainability include;
a. PSI will collaborate with the local manufacturers and other partners like Uganda Health Marketing Group.
This partnership will continue to make BCP commodities available in the commercial sector. It is hoped that
all these commodities will be available nationwide through sustainable channels.
preventive care and prevention with positives initiatives will continue in FY 2009
e. BCC will focus on sustaining BCP-related behavior change. This will be implemented by Straight Talk
Foundation through development and production of radio spots, parent talk programs and radio talk shows.
This will be supplemented by acquiring political support and utilizing testimonies of well known HIV
authorities. Furthermore, by learning intensive interpersonal communication strategies social support, PHAs
will attain social support in their communities.
f. PSI will maintain a regional implementing partner network and facilitate study trips with partner sites. This
regional network will target unit heads and staff involved in BCP activities; to learn about each others best
practices as well as improve integration of BCP activities.
5. Communicate phase out plan to partners in the second quarter of FY 2009.
6. Monitoring activities to track program implementation will also continue in FY 2009.
7. End of project evaluation
Estimated amount of funding that is planned for Human Capacity Development $14,400
Table 3.3.10:
