Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 7631
Country/Region: Uganda
Year: 2009
Main Partner: To Be Determined
Main Partner Program: NA
Organizational Type: Implementing Agency
Funding Agency: HHS/CDC
Total Funding: $0

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

THIS ACTIVITY IS UNCHANGED FROM FY 2008.

In FY07 the Uganda President's Malaria Initiative (PMI) program under the direction of the MOH Malaria

Control Program established a national electronic database to track and map the distribution of LLITNs.

PMI also established four sentinel surveillance sites to collect malaria indicators in Apac which has been

identified as having one of the highest malaria rates in the world, with an infectivity rate of 1564 bites/per

person/per year. Additionally as reported in the Uganda AIS, Apac is located in the north-central region

which has an 8.2% HIV prevalence. Given the high disease-burden of both diseases in Apac, this district is

uniquely placed to provide a forum for a district-wide PMI-PEPFAR collaboration. Apac has a total

population of 480,000 settled in 100,000 households and is located at the edge of the conflict region in

northern Uganda making it vulnerable to all the concomitant issues.

Following the OGAC directive to program an additional $4 million specifically for new initiatives with a focus

on sexual transmission, especially discordant couples, this PEPFAR-PMI collaboration proposal will initiate

a district-wide door-to-door counseling and testing program in collaboration with the current PMI activities.

In FY08 a door-to-door counseling and testing program including provision of the basic care package and

referrals for care and treatment to all HIV+ individuals identified will be initiated. The PMI program will

support malaria diagnosis using the same blood draws from the HIV test. In addition PMI will measure the

district malaria prevalence rates and provide valuable information on the long-term impact of the two large

scale PMI prevention interventions (IRS in all residences annually with support from PMI and universal

coverage of LLITNs by the MOH) using the national electronic database to track the distribution of LLITNs

they established in 2007 and PDAs to map all households with GIS and record household demographics

and bet net use.

Through leveraging the PEPFAR and PMI initiatives in Apac with reliable data readily available to both

programs the district will gain a better understanding of the population-based impact of the programs'

interventions: identifying discordance, use of basic care package commodities, especially bed-net usage

and, IPTp (intermittent preventive malaria treatment during pregnancy).

Finally, the performance of district-level ANC clinics will be enhanced by merging the HIV and Malaria

surveillance activities including the strengthening of laboratory services in all district health center IIIs and

IVs; training of health care providers; and, expansion of diagnosis and treatment of both HIV and malaria

and will contribute to improved PMTCT services throughout Apac.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17048

Continued Associated Activity Information

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

System ID System ID

17048 17048.08 HHS/Centers for To Be Determined 7631 7631.08 PEPFAR/PMI

Disease Control & Collaboration

Prevention

Table 3.3.08:

Funding for Care: Pediatric Care and Support (PDCS): $0

THIS ACTIVITY IS UNCHANGED FROM FY 2008.

In FY07 the Uganda President's Malaria Initiative (PMI) program under the direction of the MOH Malaria

Control Program established a national electronic database to track and map the distribution of LLITNs.

PMI also established four sentinel surveillance sites to collect malaria indicators in Apac which has been

identified as having one of the highest malaria rates in the world, with an infectivity rate of 1564 bites/per

person/per year. Additionally as reported in the Uganda AIS, Apac is located in the north-central region

which has an 8.2% HIV prevalence. Given the high disease-burden of both diseases in Apac, this district is

uniquely placed to provide a forum for a district-wide PMI-PEPFAR collaboration. Apac has a total

population of 480,000 settled in 100,000 households and is located at the edge of the conflict region in

northern Uganda making it vulnerable to all the concomitant issues.

Following the OGAC directive to program an additional $4 million specifically for new initiatives with a focus

on sexual transmission, especially discordant couples, this PEPFAR-PMI collaboration proposal will initiate

a district-wide door-to-door counseling and testing program in collaboration with the current PMI activities.

In FY08 a door-to-door counseling and testing program including provision of the basic care package and

referrals for care and treatment to all HIV+ individuals identified will be initiated. The PMI program will

support malaria diagnosis using the same blood draws from the HIV test. In addition PMI will measure the

district malaria prevalence rates and provide valuable information on the long-term impact of the two large

scale PMI prevention interventions (IRS in all residences annually with support from PMI and universal

coverage of LLITNs by the MOH) using the national electronic database to track the distribution of LLITNs

they established in 2007 and PDAs to map all households with GIS and record household demographics

and bet net use.

Through leveraging the PEPFAR and PMI initiatives in Apac with reliable data readily available to both

programs the district will gain a better understanding of the population-based impact of the programs'

interventions: identifying discordance, use of basic care package commodities, especially bed-net usage

and, IPTp (intermittent preventive malaria treatment during pregnancy).

Finally, the performance of district-level ANC clinics will be enhanced by merging the HIV and Malaria

surveillance activities including the strengthening of laboratory services in all district health center IIIs and

IVs; training of health care providers; and, expansion of diagnosis and treatment of both HIV and malaria

and will contribute to improved PMTCT services throughout Apac.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17048

Continued Associated Activity Information

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

System ID System ID

17048 17048.08 HHS/Centers for To Be Determined 7631 7631.08 PEPFAR/PMI

Disease Control & Collaboration

Prevention

Table 3.3.10:

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

THIS ACTIVITY IS UNCHANGED FROM FY 2008.

In FY07 the Uganda President's Malaria Initiative (PMI) program under the direction of the MOH Malaria

Control Program established a national electronic database to track and map the distribution of LLITNs.

PMI also established four sentinel surveillance sites to collect malaria indicators in Apac which has been

identified as having one of the highest malaria rates in the world, with an infectivity rate of 1564 bites/per

person/per year. Additionally as reported in the Uganda AIS, Apac is located in the north-central region

which has an 8.2% HIV prevalence. Given the high disease-burden of both diseases in Apac, this district is

uniquely placed to provide a forum for a district-wide PMI-PEPFAR collaboration. Apac has a total

population of 480,000 settled in 100,000 households and is located at the edge of the conflict region in

northern Uganda making it vulnerable to all the concomitant issues.

Following the OGAC directive to program an additional $4 million specifically for new initiatives with a focus

on sexual transmission, especially discordant couples, this PEPFAR-PMI collaboration proposal will initiate

a district-wide door-to-door counseling and testing program in collaboration with the current PMI activities.

In FY08 a door-to-door counseling and testing program including provision of the basic care package and

referrals for care and treatment to all HIV+ individuals identified will be initiated. The PMI program will

support malaria diagnosis using the same blood draws from the HIV test. In addition PMI will measure the

district malaria prevalence rates and provide valuable information on the long-term impact of the two large

scale PMI prevention interventions (IRS in all residences annually with support from PMI and universal

coverage of LLITNs by the MOH) using the national electronic database to track the distribution of LLITNs

they established in 2007 and PDAs to map all households with GIS and record household demographics

and bet net use.

Through leveraging the PEPFAR and PMI initiatives in Apac with reliable data readily available to both

programs the district will gain a better understanding of the population-based impact of the programs'

interventions: identifying discordance, use of basic care package commodities, especially bed-net usage

and, IPTp (intermittent preventive malaria treatment during pregnancy).

Finally, the performance of district-level ANC clinics will be enhanced by merging the HIV and Malaria

surveillance activities including the strengthening of laboratory services in all district health center IIIs and

IVs; training of health care providers; and, expansion of diagnosis and treatment of both HIV and malaria

and will contribute to improved PMTCT services throughout Apac.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17049

Continued Associated Activity Information

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

System ID System ID

17049 17049.08 HHS/Centers for To Be Determined 7631 7631.08 PEPFAR/PMI

Disease Control & Collaboration

Prevention

Table 3.3.14: