Detailed Mechanism Funding and Narrative

Years of mechanism: 2011 2012 2013 2014 2015 2016

Details for Mechanism ID: 12801
Country/Region: Uganda
Year: 2011
Main Partner: Cardno Emerging Markets
Main Partner Program: NA
Organizational Type: Implementing Agency
Funding Agency: USAID
Total Funding: $4,768,288

1. Overall goals and objectives The overall goal of SDS Project is to improve social sector and HIV/AIDS and health services by providing Uganda's local governments (LGs) with appropriate tools and financial support so that they may properly manage these services. The purpose of the SDS program is to improve the results and sustainability of decentralized service delivery, with initial emphasis on health and HIV/AIDS services, at the local government level in Uganda.

2. Target populations and geographic coverage The project will target 45 districts. These will include twelve districts in the Central region (Bugiri, Iganga, Kaliro, Kamuli, Mayuge, Namutumba, Kayunga, Mpigi, Mityana, Luwero, Nakasongola, Sembabule and

Kalangala), nine districts in the Eastern region (Bukwo, Kapchorwa, Sironko, Pallisa, Kumi, Budaka, Busia, Butaleja and Bududa), nine districts in the Western region (Kiruhura, Ibanda, Bushenyi, Rukungiri, Kanungu, Kabale, Kisoro, Ntungamo and Isingiro) and nine districts in the Northern region (Gulu, Amuru, Kitgum, Pader, Lira, Dokolo, Amolatar, Apac and Oyam.)

3. Enhancing cost effectiveness and sustainability A key priority will be to support the existing national decentralization process by i) Improving coordination among all USAID supported partners at the district level, ii) Strengthening the capacity of districts and sub-counties to plan, budget, implement, coordinate, monitor and evaluate decentralized services by efficiently utilizing the GOU's administrative and fiscal decentralization framework, iii) Provision of grants to districts to complement resources needed for effective and efficient management of programs and services, and iv) Facilitating strategic innovations to improve district leadership and sustainable financing of health, HIV/AIDS and other social sector services.

4. Health Systems Strengthening The project will improve the functionality of District AIDS Committees (DACs), District AIDS Teams (DATs), Health Sub Districts (HSDs) and other district leadership and management structures as well as the overall District structure from LC1 to LC5.

5. Cross-Cutting Budget Attributions

a. Human Resources for Health The project will support refreshing and on-the job training for district and CSO staff across all the technical and administrative areas and promoting the involvement of community-based human resources in planning and implementation of activities. ($1,100,000)

b. Education Education will be promoted through working with the school system to carry out HIV prevention campaigns and behavior change interventions among children and youth. ($580,000)

g. Gender: Reducing Violence and Coercion Prevention of gender-based violence will be supported by training and conducting support supervision of the district partners to conduct action oriented community discourses on issues of gender power relations. ($1,200,000)

6. Key issues: Briefly (one sentence) identify activities in each key issue that this mechanism will address.

a. Health-Related Wraparounds o Upgrading supervisory system for HIV/AIDS and MCH programs. o Strengthen service delivery points in their management functions and team work organization. o Support and improve HMIS at all level of the health district. o Strengthen and support changes in the organization of primary health care services. o The project will facilitate district HIV/AIDS coordination and review meetings, district planning workshops, and fund M&E activities related to HIV and health.

b. Gender Gender issues will be addressed through district and CSOs conducting community mobilization activities to promote positive behaviors such as: gender equity; couple dialogue; partner counseling and testing , reducing violence and coercion and disclosure.

Funding for Care: Adult Care and Support (HBHC): $544,000

1. Target populations and coverage of target population or geographic area The project will target 45 district residents. These will include twelve districts in the Central region (Bugiri, Iganga, Kaliro, Kamuli, Mayuge, Namutumba, Kayunga, Mpigi, Mityana, Luwero, Nakasongola, Sembabule and Kalangala), nine districts in the Eastern region (Bukwo, Kapchorwa, Sironko, Pallisa, Kumi, Budaka, Busia, Butaleja and Bududa), nine districts in the Western region (Kiruhura, Ibanda,

Bushenyi, Rukungiri, Kanungu, Kabale, Kisoro, Ntungamo and Isingiro) and nine districts in the Northern region (Gulu, Amuru, Kitgum, Pader, Lira, Dokolo, Amolatar, Apac and Oyam.)

2. Description of service delivery or other activity carried out SDS is currently working in partnership with recipient districts and other USG district based projects to come up with a work plan describing the set of activities that will be supported to improve service delivery.

3. Integration with other health activities Other health activities that will addressed by this mechanism include: o Upgrading supervisory system for HIV/AIDS and MCH programs. o Strengthen service delivery points in their management functions and team work organization. o Support and improve HMIS at all level of the health district. o Strengthen and support changes in the organization of primary health care services. o The project will facilitate district HIV/AIDS coordination and review meetings, district planning workshops, and fund M&E activities related to HIV and health.

4. Relation to the national program A key priority will be to support the existing national decentralization process by i) Improving coordination among all USAID supported partners at the district level, ii) Strengthening the capacity of districts and sub-counties to plan, budget, implement, coordinate, monitor and evaluate decentralized services by efficiently utilizing the GOU's administrative and fiscal decentralization framework, iii) Provision of grants to districts to complement resources needed for effective and efficient management of programs and services, and iv) Facilitating strategic innovations to improve district leadership and sustainable financing of health, HIV/AIDS and other social sector services

5. Health Systems Strengthening and Human Resources for Health The project will improve the functionality of District AIDS Committees (DACs), District AIDS Teams (DATs), Health Sub Districts (HSDs) and other district leadership and management structures as well as the overall District structure from LC1 to LC5. The project will also support refreshing and on-the job training for district and CSO staff across all the technical and administrative areas and promoting the involvement of community-based human resources in planning and implementation of activities.

Funding for Treatment: Adult Treatment (HTXS): $1,646,933

1. Target populations and coverage of target population or geographic area The project will target 45 district residents. These will include twelve districts in the Central region (Bugiri, Iganga, Kaliro, Kamuli, Mayuge, Namutumba, Kayunga, Mpigi, Mityana, Luwero, Nakasongola, Sembabule and Kalangala), nine districts in the Eastern region (Bukwo, Kapchorwa, Sironko, Pallisa, Kumi, Budaka, Busia, Butaleja and Bududa), nine districts in the Western region (Kiruhura, Ibanda, Bushenyi, Rukungiri, Kanungu, Kabale, Kisoro, Ntungamo and Isingiro) and nine districts in the Northern region (Gulu, Amuru, Kitgum, Pader, Lira, Dokolo, Amolatar, Apac and Oyam.)

2. Description of service delivery or other activity carried out SDS is currently working in partnership with recipient districts and other USG district based projects to come up with a work plan describing the set of activities that will be supported to improve service delivery.

3. Integration with other health activities Other health activities that will addressed by this mechanism include: o Upgrading supervisory system for HIV/AIDS and MCH programs. o Strengthen service delivery points in their management functions and team work organization. o Support and improve HMIS at all level of the health district. o Strengthen and support changes in the organization of primary health care services. o The project will facilitate district HIV/AIDS coordination and review meetings, district planning workshops, and fund M&E activities related to HIV and health.

4. Relation to the national program A key priority will be to support the existing national decentralization process by i) Improving coordination among all USAID supported partners at the district level, ii) Strengthening the capacity of districts and sub-counties to plan, budget, implement, coordinate, monitor and evaluate decentralized services by efficiently utilizing the GOU's administrative and fiscal decentralization framework, iii) Provision of grants to districts to complement resources needed for effective and efficient management of programs and services, and iv) Facilitating strategic innovations to improve district leadership and sustainable financing of health, HIV/AIDS and other social sector services

5. Health Systems Strengthening and Human Resources for Health

The project will improve the functionality of District AIDS Committees (DACs), District AIDS Teams (DATs), Health Sub Districts (HSDs) and other district leadership and management structures as well as the overall District structure from LC1 to LC5. The project will also support refreshing and on-the job training for district and CSO staff across all the technical and administrative areas and promoting the involvement of community-based human resources in planning and implementation of activities.

Funding for Testing: HIV Testing and Counseling (HVCT): $300,000

1. Target populations and coverage of target population or geographic area The project will target 45 district residents. These will include twelve districts in the Central region (Bugiri, Iganga, Kaliro, Kamuli, Mayuge, Namutumba, Kayunga, Mpigi, Mityana, Luwero, Nakasongola, Sembabule and Kalangala), nine districts in the Eastern region (Bukwo, Kapchorwa, Sironko, Pallisa, Kumi, Budaka, Busia, Butaleja and Bududa), nine districts in the Western region (Kiruhura, Ibanda, Bushenyi, Rukungiri, Kanungu, Kabale, Kisoro, Ntungamo and Isingiro) and nine districts in the Northern region (Gulu, Amuru, Kitgum, Pader, Lira, Dokolo, Amolatar, Apac and Oyam.)

2. Description of service delivery or other activity carried out SDS is currently working in partnership with recipient districts and other USG district based projects to come up with a work plan describing the set of activities that will be supported to improve service delivery.

3. Integration with other health activities Other health activities that will addressed by this mechanism include: o Upgrading supervisory system for HIV/AIDS and MCH programs. o Strengthen service delivery points in their management functions and team work organization. o Support and improve HMIS at all level of the health district. o Strengthen and support changes in the organization of primary health care services. o The project will facilitate district HIV/AIDS coordination and review meetings, district planning workshops, and fund M&E activities related to HIV and health.

4. Relation to the national program A key priority will be to support the existing national decentralization process by i) Improving coordination

among all USAID supported partners at the district level, ii) Strengthening the capacity of districts and sub-counties to plan, budget, implement, coordinate, monitor and evaluate decentralized services by efficiently utilizing the GOU's administrative and fiscal decentralization framework, iii) Provision of grants to districts to complement resources needed for effective and efficient management of programs and services, and iv) Facilitating strategic innovations to improve district leadership and sustainable financing of health, HIV/AIDS and other social sector services

5. Health Systems Strengthening and Human Resources for Health The project will improve the functionality of District AIDS Committees (DACs), District AIDS Teams (DATs), Health Sub Districts (HSDs) and other district leadership and management structures as well as the overall District structure from LC1 to LC5. The project will also support refreshing and on-the job training for district and CSO staff across all the technical and administrative areas and promoting the involvement of community-based human resources in planning and implementation of activities.

Funding for Care: Pediatric Care and Support (PDCS): $136,000

1. Target populations and coverage of target population or geographic area The project will target 45 district residents. These will include twelve districts in the Central region (Bugiri, Iganga, Kaliro, Kamuli, Mayuge, Namutumba, Kayunga, Mpigi, Mityana, Luwero, Nakasongola, Sembabule and Kalangala), nine districts in the Eastern region (Bukwo, Kapchorwa, Sironko, Pallisa, Kumi, Budaka, Busia, Butaleja and Bududa), nine districts in the Western region (Kiruhura, Ibanda, Bushenyi, Rukungiri, Kanungu, Kabale, Kisoro, Ntungamo and Isingiro) and nine districts in the Northern region (Gulu, Amuru, Kitgum, Pader, Lira, Dokolo, Amolatar, Apac and Oyam.)

2. Description of service delivery or other activity carried out SDS is currently working in partnership with recipient districts and other USG district based projects to come up with a work plan describing the set of activities that will be supported to improve service delivery.

3. Integration with other health activities Other health activities that will addressed by this mechanism include: o Upgrading supervisory system for HIV/AIDS and MCH programs. o Strengthen service delivery points in their management functions and team work organization.

o Support and improve HMIS at all level of the health district. o Strengthen and support changes in the organization of primary health care services. o The project will facilitate district HIV/AIDS coordination and review meetings, district planning workshops, and fund M&E activities related to HIV and health.

4. Relation to the national program A key priority will be to support the existing national decentralization process by i) Improving coordination among all USAID supported partners at the district level, ii) Strengthening the capacity of districts and sub-counties to plan, budget, implement, coordinate, monitor and evaluate decentralized services by efficiently utilizing the GOU's administrative and fiscal decentralization framework, iii) Provision of grants to districts to complement resources needed for effective and efficient management of programs and services, and iv) Facilitating strategic innovations to improve district leadership and sustainable financing of health, HIV/AIDS and other social sector services

5. Health Systems Strengthening and Human Resources for Health The project will improve the functionality of District AIDS Committees (DACs), District AIDS Teams (DATs), Health Sub Districts (HSDs) and other district leadership and management structures as well as the overall District structure from LC1 to LC5. The project will also support refreshing and on-the job training for district and CSO staff across all the technical and administrative areas and promoting the involvement of community-based human resources in planning and implementation of activities.

Funding for Treatment: Pediatric Treatment (PDTX): $411,733

1. Target populations and coverage of target population or geographic area The project will target 45 district residents. These will include twelve districts in the Central region (Bugiri, Iganga, Kaliro, Kamuli, Mayuge, Namutumba, Kayunga, Mpigi, Mityana, Luwero, Nakasongola, Sembabule and Kalangala), nine districts in the Eastern region (Bukwo, Kapchorwa, Sironko, Pallisa, Kumi, Budaka, Busia, Butaleja and Bududa), nine districts in the Western region (Kiruhura, Ibanda, Bushenyi, Rukungiri, Kanungu, Kabale, Kisoro, Ntungamo and Isingiro) and nine districts in the Northern region (Gulu, Amuru, Kitgum, Pader, Lira, Dokolo, Amolatar, Apac and Oyam.)

2. Description of service delivery or other activity carried out SDS is currently working in partnership with recipient districts and other USG district based projects to

come up with a work plan describing the set of activities that will be supported to improve service delivery.

3. Integration with other health activities Other health activities that will addressed by this mechanism include: o Upgrading supervisory system for HIV/AIDS and MCH programs. o Strengthen service delivery points in their management functions and team work organization. o Support and improve HMIS at all level of the health district. o Strengthen and support changes in the organization of primary health care services. o The project will facilitate district HIV/AIDS coordination and review meetings, district planning workshops, and fund M&E activities related to HIV and health.

4. Relation to the national program A key priority will be to support the existing national decentralization process by i) Improving coordination among all USAID supported partners at the district level, ii) Strengthening the capacity of districts and sub-counties to plan, budget, implement, coordinate, monitor and evaluate decentralized services by efficiently utilizing the GOU's administrative and fiscal decentralization framework, iii) Provision of grants to districts to complement resources needed for effective and efficient management of programs and services, and iv) Facilitating strategic innovations to improve district leadership and sustainable financing of health, HIV/AIDS and other social sector services

5. Health Systems Strengthening and Human Resources for Health The project will improve the functionality of District AIDS Committees (DACs), District AIDS Teams (DATs), Health Sub Districts (HSDs) and other district leadership and management structures as well as the overall District structure from LC1 to LC5. The project will also support refreshing and on-the job training for district and CSO staff across all the technical and administrative areas and promoting the involvement of community-based human resources in planning and implementation of activities.

Funding for Strategic Information (HVSI): $300,000

1. Target populations and coverage of target population or geographic area The project will target 45 district residents. These will include twelve districts in the Central region (Bugiri, Iganga, Kaliro, Kamuli, Mayuge, Namutumba, Kayunga, Mpigi, Mityana, Luwero, Nakasongola,

Sembabule and Kalangala), nine districts in the Eastern region (Bukwo, Kapchorwa, Sironko, Pallisa, Kumi, Budaka, Busia, Butaleja and Bududa), nine districts in the Western region (Kiruhura, Ibanda, Bushenyi, Rukungiri, Kanungu, Kabale, Kisoro, Ntungamo and Isingiro) and nine districts in the Northern region (Gulu, Amuru, Kitgum, Pader, Lira, Dokolo, Amolatar, Apac and Oyam.)

2. Description of service delivery or other activity carried out SDS is currently working in partnership with recipient districts and other USG district based projects to come up with a work plan describing the set of activities that will be supported to improve service delivery.

3. Integration with other health activities Other health activities that will addressed by this mechanism include: o Upgrading supervisory system for HIV/AIDS and MCH programs. o Strengthen service delivery points in their management functions and team work organization. o Support and improve HMIS at all level of the health district. o Strengthen and support changes in the organization of primary health care services. o The project will facilitate district HIV/AIDS coordination and review meetings, district planning workshops, and fund M&E activities related to HIV and health.

4. Relation to the national program A key priority will be to support the existing national decentralization process by i) Improving coordination among all USAID supported partners at the district level, ii) Strengthening the capacity of districts and sub-counties to plan, budget, implement, coordinate, monitor and evaluate decentralized services by efficiently utilizing the GOU's administrative and fiscal decentralization framework, iii) Provision of grants to districts to complement resources needed for effective and efficient management of programs and services, and iv) Facilitating strategic innovations to improve district leadership and sustainable financing of health, HIV/AIDS and other social sector services

5. Health Systems Strengthening and Human Resources for Health The project will improve the functionality of District AIDS Committees (DACs), District AIDS Teams (DATs), Health Sub Districts (HSDs) and other district leadership and management structures as well as the overall District structure from LC1 to LC5. The project will also support refreshing and on-the job training for district and CSO staff across all the technical and administrative areas and promoting the involvement of community-based human resources in planning and implementation of activities.

Funding for Health Systems Strengthening (OHSS): $63,713

1. Target populations and coverage of target population or geographic area The project will target 45 district residents. These will include twelve districts in the Central region (Bugiri, Iganga, Kaliro, Kamuli, Mayuge, Namutumba, Kayunga, Mpigi, Mityana, Luwero, Nakasongola, Sembabule and Kalangala), nine districts in the Eastern region (Bukwo, Kapchorwa, Sironko, Pallisa, Kumi, Budaka, Busia, Butaleja and Bududa), nine districts in the Western region (Kiruhura, Ibanda, Bushenyi, Rukungiri, Kanungu, Kabale, Kisoro, Ntungamo and Isingiro) and nine districts in the Northern region (Gulu, Amuru, Kitgum, Pader, Lira, Dokolo, Amolatar, Apac and Oyam.)

2. Description of service delivery or other activity carried out SDS is currently working in partnership with recipient districts and other USG district based projects to come up with a work plan describing the set of activities that will be supported to improve service delivery.

3. Integration with other health activities Other health activities that will addressed by this mechanism include: o Upgrading supervisory system for HIV/AIDS and MCH programs. o Strengthen service delivery points in their management functions and team work organization. o Support and improve HMIS at all level of the health district. o Strengthen and support changes in the organization of primary health care services. o The project will facilitate district HIV/AIDS coordination and review meetings, district planning workshops, and fund M&E activities related to HIV and health.

4. Relation to the national program A key priority will be to support the existing national decentralization process by i) Improving coordination among all USAID supported partners at the district level, ii) Strengthening the capacity of districts and sub-counties to plan, budget, implement, coordinate, monitor and evaluate decentralized services by efficiently utilizing the GOU's administrative and fiscal decentralization framework, iii) Provision of grants to districts to complement resources needed for effective and efficient management of programs and services, and iv) Facilitating strategic innovations to improve district leadership and sustainable financing of health, HIV/AIDS and other social sector services 5. Health Systems Strengthening and Human Resources for Health The project will improve the functionality of District AIDS Committees (DACs), District AIDS Teams (DATs), Health Sub Districts (HSDs) and other district leadership and management structures as well as the overall District structure from LC1 to LC5. The project will also support refreshing and on-the job training for district and CSO staff across all the technical and administrative areas and promoting the involvement of community-based human resources in planning and implementation of activities.

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $183,334

1. Target populations and coverage of target population or geographic area The project will target 45 district residents. These will include twelve districts in the Central region (Bugiri, Iganga, Kaliro, Kamuli, Mayuge, Namutumba, Kayunga, Mpigi, Mityana, Luwero, Nakasongola, Sembabule and Kalangala), nine districts in the Eastern region (Bukwo, Kapchorwa, Sironko, Pallisa, Kumi, Budaka, Busia, Butaleja and Bududa), nine districts in the Western region (Kiruhura, Ibanda, Bushenyi, Rukungiri, Kanungu, Kabale, Kisoro, Ntungamo and Isingiro) and nine districts in the Northern region (Gulu, Amuru, Kitgum, Pader, Lira, Dokolo, Amolatar, Apac and Oyam.)

2. Description of service delivery or other activity carried out SDS is currently working in partnership with recipient districts and other USG district based projects to come up with a work plan describing the set of activities that will be supported to improve service delivery.

3. Integration with other health activities Other health activities that will addressed by this mechanism include: o Upgrading supervisory system for HIV/AIDS and MCH programs. o Strengthen service delivery points in their management functions and team work organization. o Support and improve HMIS at all level of the health district. o Strengthen and support changes in the organization of primary health care services. o The project will facilitate district HIV/AIDS coordination and review meetings, district planning workshops, and fund M&E activities related to HIV and health.

4. Relation to the national program A key priority will be to support the existing national decentralization process by i) Improving coordination among all USAID supported partners at the district level, ii) Strengthening the capacity of districts and sub-counties to plan, budget, implement, coordinate, monitor and evaluate decentralized services by efficiently utilizing the GOU's administrative and fiscal decentralization framework, iii) Provision of grants to districts to complement resources needed for effective and efficient management of programs and services, and iv) Facilitating strategic innovations to improve district leadership and sustainable financing of health, HIV/AIDS and other social sector services

5. Health Systems Strengthening and Human Resources for Health The project will improve the functionality of District AIDS Committees (DACs), District AIDS Teams (DATs), Health Sub Districts (HSDs) and other district leadership and management structures as well as the overall District structure from LC1 to LC5. The project will also support refreshing and on-the job training for district and CSO staff across all the technical and administrative areas and promoting the involvement of community-based human resources in planning and implementation of activities.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $316,667

1. Target populations and coverage of target population or geographic area The project will target 45 district residents. These will include twelve districts in the Central region (Bugiri, Iganga, Kaliro, Kamuli, Mayuge, Namutumba, Kayunga, Mpigi, Mityana, Luwero, Nakasongola, Sembabule and Kalangala), nine districts in the Eastern region (Bukwo, Kapchorwa, Sironko, Pallisa, Kumi, Budaka, Busia, Butaleja and Bududa), nine districts in the Western region (Kiruhura, Ibanda, Bushenyi, Rukungiri, Kanungu, Kabale, Kisoro, Ntungamo and Isingiro) and nine districts in the Northern region (Gulu, Amuru, Kitgum, Pader, Lira, Dokolo, Amolatar, Apac and Oyam.)

2. Description of service delivery or other activity carried out SDS is currently working in partnership with recipient districts and other USG district based projects to come up with a work plan describing the set of activities that will be supported to improve service delivery.

3. Integration with other health activities Other health activities that will addressed by this mechanism include:

o Upgrading supervisory system for HIV/AIDS and MCH programs. o Strengthen service delivery points in their management functions and team work organization. o Support and improve HMIS at all level of the health district. o Strengthen and support changes in the organization of primary health care services. o The project will facilitate district HIV/AIDS coordination and review meetings, district planning workshops, and fund M&E activities related to HIV and health.

4. Relation to the national program A key priority will be to support the existing national decentralization process by i) Improving coordination among all USAID supported partners at the district level, ii) Strengthening the capacity of districts and sub-counties to plan, budget, implement, coordinate, monitor and evaluate decentralized services by efficiently utilizing the GOU's administrative and fiscal decentralization framework, iii) Provision of grants to districts to complement resources needed for effective and efficient management of programs and services, and iv) Facilitating strategic innovations to improve district leadership and sustainable financing of health, HIV/AIDS and other social sector services

5. Health Systems Strengthening and Human Resources for Health The project will improve the functionality of District AIDS Committees (DACs), District AIDS Teams (DATs), Health Sub Districts (HSDs) and other district leadership and management structures as well as the overall District structure from LC1 to LC5. The project will also support refreshing and on-the job training for district and CSO staff across all the technical and administrative areas and promoting the involvement of community-based human resources in planning and implementation of activities.

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $600,500

1. Target populations and coverage of target population or geographic area The project will target 45 district residents. These will include twelve districts in the Central region (Bugiri, Iganga, Kaliro, Kamuli, Mayuge, Namutumba, Kayunga, Mpigi, Mityana, Luwero, Nakasongola, Sembabule and Kalangala), nine districts in the Eastern region (Bukwo, Kapchorwa, Sironko, Pallisa, Kumi, Budaka, Busia, Butaleja and Bududa), nine districts in the Western region (Kiruhura, Ibanda, Bushenyi, Rukungiri, Kanungu, Kabale, Kisoro, Ntungamo and Isingiro) and nine districts in the Northern region (Gulu, Amuru, Kitgum, Pader, Lira, Dokolo, Amolatar, Apac and Oyam.)

2. Description of service delivery or other activity carried out SDS is currently working in partnership with recipient districts and other USG district based projects to come up with a work plan describing the set of activities that will be supported to improve service delivery.

3. Integration with other health activities Other health activities that will addressed by this mechanism include: o Upgrading supervisory system for HIV/AIDS and MCH programs. o Strengthen service delivery points in their management functions and team work organization. o Support and improve HMIS at all level of the health district. o Strengthen and support changes in the organization of primary health care services. o The project will facilitate district HIV/AIDS coordination and review meetings, district planning workshops, and fund M&E activities related to HIV and health.

4. Relation to the national program A key priority will be to support the existing national decentralization process by i) Improving coordination among all USAID supported partners at the district level, ii) Strengthening the capacity of districts and sub-counties to plan, budget, implement, coordinate, monitor and evaluate decentralized services by efficiently utilizing the GOU's administrative and fiscal decentralization framework, iii) Provision of grants to districts to complement resources needed for effective and efficient management of programs and services, and iv) Facilitating strategic innovations to improve district leadership and sustainable financing of health, HIV/AIDS and other social sector services

5. Health Systems Strengthening and Human Resources for Health The project will improve the functionality of District AIDS Committees (DACs), District AIDS Teams (DATs), Health Sub Districts (HSDs) and other district leadership and management structures as well as the overall District structure from LC1 to LC5. The project will also support refreshing and on-the job training for district and CSO staff across all the technical and administrative areas and promoting the involvement of community-based human resources in planning and implementation of activities.

Funding for Care: TB/HIV (HVTB): $265,408

1. Target populations and coverage of target population or geographic area

The project will target 45 district residents. These will include twelve districts in the Central region (Bugiri, Iganga, Kaliro, Kamuli, Mayuge, Namutumba, Kayunga, Mpigi, Mityana, Luwero, Nakasongola, Sembabule and Kalangala), nine districts in the Eastern region (Bukwo, Kapchorwa, Sironko, Pallisa, Kumi, Budaka, Busia, Butaleja and Bududa), nine districts in the Western region (Kiruhura, Ibanda, Bushenyi, Rukungiri, Kanungu, Kabale, Kisoro, Ntungamo and Isingiro) and nine districts in the Northern region (Gulu, Amuru, Kitgum, Pader, Lira, Dokolo, Amolatar, Apac and Oyam.)

2. Description of service delivery or other activity carried out SDS is currently working in partnership with recipient districts and other USG district based projects to come up with a work plan describing the set of activities that will be supported to improve service delivery.

3. Integration with other health activities Other health activities that will addressed by this mechanism include: o Upgrading supervisory system for HIV/AIDS and MCH programs. o Strengthen service delivery points in their management functions and team work organization. o Support and improve HMIS at all level of the health district. o Strengthen and support changes in the organization of primary health care services. o The project will facilitate district HIV/AIDS coordination and review meetings, district planning workshops, and fund M&E activities related to HIV and health.

4. Relation to the national program A key priority will be to support the existing national decentralization process by i) Improving coordination among all USAID supported partners at the district level, ii) Strengthening the capacity of districts and sub-counties to plan, budget, implement, coordinate, monitor and evaluate decentralized services by efficiently utilizing the GOU's administrative and fiscal decentralization framework, iii) Provision of grants to districts to complement resources needed for effective and efficient management of programs and services, and iv) Facilitating strategic innovations to improve district leadership and sustainable financing of health, HIV/AIDS and other social sector services

5. Health Systems Strengthening and Human Resources for Health The project will improve the functionality of District AIDS Committees (DACs), District AIDS Teams (DATs), Health Sub Districts (HSDs) and other district leadership and management structures as well as the overall District structure from LC1 to LC5. The project will also support refreshing and on-the job

training for district and CSO staff across all the technical and administrative areas and promoting the involvement of community-based human resources in planning and implementation of activities.