Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 7292
Country/Region: Uganda
Year: 2009
Main Partner: ICF International
Main Partner Program: ICF Macro
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $2,838,408

Funding for Strategic Information (HVSI): $2,838,408

Activity narrative: A nation-wide population-based serological and sexual behavior survey (HSBS) was

conducted in 2004-05 to measure the burden of HIV/AIDS disease and the progress in implementation of

the PEPFAR program in Uganda. This survey provided vital data on the magnitude of HIV and associated

risk factors as well as data on other program indicators. It also provided calibration factors for the routine

antenatal based surveillance systems that will continue to be the main source of HIV surveillance data.

Furthermore, the survey findings were extensively used to define the focus of the next phase of HIV/AIDS

Control in Uganda. WHO/UNAIDS recommend that this type of survey should be conducted every 3-5 years

to complement annual routine antenatal HIV surveillance. During the planning for the FY 2008 COP, a

decision was made to conduct a follow-on Uganda AIDS Indicator Survey (UAIS) to measure the trend of

HIV/AIDS in Uganda and provide end-term information for PEPFAR I. The main objectives of the

2008/2009 Uganda HIV/AIDS Survey (AIS) are to track trends in key HIV/AIDS indicators—including HIV

prevalence, to gather information on the proportion of Ugandan adults in need of treatment for HIV, and to

measure the key malaria-related indicators including conducting malaria and anemia testing. The survey is

a follow-on to the 2004-05 Uganda HIV/AIDS Sero-Behavioral Survey (UHSBS) and in some ways, the

2006 Uganda Demographic and Health Survey (UDHS) as well.

The specific objectives of the 2008 UAMIS are to:

• collect high-quality data on knowledge and attitudes regarding HIV/AIDS and on sexual behavior among

women and men aged 15-59;

• collect data on orphans and vulnerable children;

• measure the prevalence of infection with HIV, herpes simplex-2, syphilis, and hepatitis B among adults;

and

• measure the CD4 level among adults who test HIV positive.

To save on cost and other resources, the USG and the Government of Uganda (GoU) decided to combine

both the Malaria and HIV/AIDS indicator surveys. The survey will be implemented in a sample of 11,500

households from 460 census enumeration areas/clusters throughout the country. The sample will be

designed so as to provide results at the national level, for urban and rural areas separately and for each of

10 "regions", each consisting of 5-10 districts that are geographically contiguous. The sample will be

designed to enable comparison of results with both the 9 regions used in the UHSBS, as well as those used

in the UDHS. The AIS will cover the age groups of 0-5 years and 15-59 years.

Funds to support the combined survey will come from FY2008 Malaria Operational Plan (MOP) and

PEPFAR FY2008 and FY2009 COP. The PEPFAR funds for the AIS component of the survey will go to

both USAID/Uganda and CDC/Uganda. CDC/Uganda will support the HIV/STI laboratory component of the

survey while the rest of the funds were programmed under the USAID/Uganda funded Implementing

Partner- Macro International. During the FY08 COP planning, $100,000 was programmed as field support to

MEASURE DHS/ORC Macro International to support the preparatory phase of the UAMIS. The funds

covered the preparation of the concept note, survey design, protocol development, and adaptation of the

questionnaires. The remaining FY2008 and the FY2009 PEPFAR funds will go towards the actual

implementation of the UAMIS.

Activities for FY 2009: Since the survey implementation has been funded in FY 2008 COP, the FY 2009

funds will go towards supporting follow-on activities such as secondary data analysis, focused

dissemination, and training course on "communicating data to policy makers". In 2004 AIS, the MOH

professionals teamed up with USG experts to write and publish papers. In 2008 UAMIS, the USG will

explore the possibility of expanding the involvement to include members of the local universities. The FY

2009 funding is also expected to cover new target groups for specific information dissemination based on

the results of the survey. The third activity will involve a specialist course on how to communicate scientific

information to policy makers. Details of this will be worked out but will involve training 30 middle and senior

managers from MOH, UBOS, UAC, etc, on how to communicate complex scientific information and data to

policy-makers.

New/Continuing Activity: Continuing Activity

Continuing Activity: 15928

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

15928 15928.08 U.S. Agency for Macro 7292 7292.08 AIDS Indicator $100,000

International International Survey

Development prepatory-

MACRO

Table 3.3.17:

Subpartners Total: $0
Ministry of Health - Uganda: NA