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
This is a newly funded activity and it is a component of Counseling and Testing and Adult Care and
Treatment activities. Integrated Community Based Initiatives (ICOBI is an indigenous Non-Governmental
Organization (NGO), non-profit making, non-denominational, charitable organization founded in 1994. It was
first registered with the NGO Board in 1996 and incorporated in 2004. ICOBI has been operating in South
Western Uganda since its inception with its head quarters in Kabwohe-Itendero Town Council-Bushenyi
District and a Laison office in Kampala. ICOBI's vision is a healthy and prosperous rural population and its
mission is to improve the quality of lives of people living in rural communities. ICOBI has implemented
various HIV/AIDS health related programs namely: Prevention of Mother To Child Transmission (PMTCT)
with support from EGPAF; FP/Reproductive health; STD/STI; IEC through Radio & Tripple~S talk show
targeting the youth in South Western sub region; Nutrition and early Childhood development project
(NECDP) with world bank support and recently completed a district wide Home Based Voluntary HIV
Counseling and testing (HBCT) in Bushenyi district (October 2004-June 2007) with funding from
CDC/PEPFAR. The home based counseling and testing program was able to offer HBCT services to about
270,000 adults and children, identified about 12,000 HIV+ clients and provide them with basic care package
with collaboration of Bushenyi district health system. The current ongoing programs include Home Based
VCT and Home Based Care with support from UPHOLD, JSI/UHSP/USAID in Bushenyi district and OVC
Care & support with funding from NPI/USAID for Mbarara and Bushenyi district.
Recently (June 2008), ICOBI received a notice of ward from CDC to implement a program entitled
"Provision of Full Access Home based confidential HIV counseling and testing (HBCT) and Basic care in the
high HIV prevalence districts of central region of the Republic of Uganda" (ICOBI HBCT cooperative
Agreement Grant Number: 1U2GPS001076-01, Program period: 07/01/2008-06/30/2013). The program will
cover the districts of Mubende/Mityana, Luwero/Nakaseke, Nakasongola and Wakiso districts of Central
Region of Uganda but will be implemented using a phased approach beginning with Mubende and Mityana
districts. The goal of the program is to provide 100% access to HIV confidential Counseling and Testing
services to all adults and children at risk of HIV infection residing in the six districts in five years. In addition,
the program is to provide basic HIV/AIDS care and support, strengthen TB/HIV integration services to all
identified HIV infected individuals and their families. The program will also support primary prevention of
HIV and prevention with positives activities. The program will be implemented by outreach counseling and
testing teams who will be based at the Sub-counties and the resident community mobilizers who will be
based at the Parishes. In addition, the village health teams and local councils will also be engaged during
community mobilization and sensitization. Under sexual prevention, ICOBI will implement activities related
to meeting the program specific objective of reducing new HIV infection in the population especially among
the youth out of school, adults in marriage and or long term relationships and high risk populations. The
people tested as HIV negative will be supported to remain HIV negative by encouraging adoption of
appropriate prevention behaviors. HIV positive individuals will be encouraged not to spread the infection by
adoption of safer practices. The prevention messages will be strengthened within the general population
including those not tested and age appropriate information and messages will be communicated to targeted
population groups throughout program implementation in the four districts. On going supportive counseling
will mainly target HIV infected individuals eg couples with discordant results will be supported through
prevention will positives activities to reduce transmission and other negative consequences such as marital
separation and breakdown, domestic violence and neglect that may put partners at risk. Additionally ICOBI
will target at high risk populations groups with relevant messages and other behavioral change prevention
options. The groups of population to be targeted will include about 60,000 men and women in Mubende and
Luwero districts respectively. Vendors, Motorcycle cyclists, long distance drivers, sex workers in urban
centers, discordant couples, out of school youth, widows and divorcees. Strategies and activities to be
implemented will reach about 20,000 young people out of school aged 10-19 years with messages on
abstinence and behavioral change and about 80,000 adults in marriage and or long-term
relationships /partnerships reached through activities targeting faithfulness, fidelity and HBCT, and about
200 discordant couples recruited as condom distributors. About 40,000 high risk individuals will be reached
with safer sex messages and interventions during the program period from1st October 2009 to 30th
September 2010.
Sexual prevention - Youth and Couples Peer enrollment, orientation & training:
ICOBI will work with community volunteers (Resident Parish mobilisers/RPMs) and village health teams to
map out high risk groups and their strategic sites in the program districts (where the high-risk groups and
the youth people congregate for leisure and targeted employment). In order to effectively reach out to the
target group, peer educators will be identified and enrolled from each of the category of the target
population in the 46 sub counties. The enrolment of the peer educators will be a participatory process,
different categories of the groups will meet and select their colleagues who will undergo training in peer
education and will be responsible to carry a one- -one peer education and other support to their groups.
They will encourage their peers through group discussions to mobilize and participate in home based HIV
counseling and testing during outreach visits by the counseling and testing teams in the target area/homes.
This strategy and related activities will be supported by the radio program, one hour each week. We hope to
identify, enroll and train 295 youth as peer-educator and 46 model couples (1 per each sub county). We
hope the 295 peer educators should be able to identify and induct others 2,405 based a village level who
will be able to interact on one to one in one year at about 100 individuals thus reaching about 250,000 with
abstinence and be faithful messages and behavioral change information.
Strengthening Abstinence/Being Faithful:
Through peer education and interpersonal communication, community mobilization and provider education,
AB messages to young people and Be-faithful messages, and or consistent and effective condom use will
be strengthened. In addition AB messages will be communicated through home-based HIV counseling and
testing (C&T) activities conducted in homes by CT teams in 46 sub counties. Other strategies and activities
of communicating AB messages will include Film shows targeting young people, dance & drama shows by
community groups trained to incooperate AB messages in their shows, Football and Netball competitions
gatherings, community meetings where the community members will converge and the facilitator
communicates relevant and age appropriate information related to AB.
Specifically for be faithful message, Model couples will be identified and oriented in couple counseling and
will hold community meetings and hold family dialogue sessions among couples so as to increase HBCT
Activity Narrative: uptake and to sustain B message communication in the program areas. Similarly all parishes will be
mobilized to identify one person to be trained in peer education and communication of AB messages. The
funds for this activity will be spent on community mobilization and Education (IEC), identification and
training of peer educators, facilitating peer educators to carry out peer education sessions for commercial
sex workers, PLHA in post test clubs, out of school youth (who include motorcycle cyclists) and military
populations through drama at parish levels and communication of messages to targeted audiences.
Other sexual prevention: Community Mobilization for project activities and Condom Distribution -
Community mobilization will be done through the trained peer educators (model couples, expert clients
among PLWHA, others depending on risk groups) who will assist in condom use promotion, education,
demonstration, condom distribution and also in identifying community condom outlets. This will involve
initially encouraging identified HIV infected clients to join and form post test clubs or expand and join the
existing post test clubs in each parish. The referred clients who will get the starter kits already will have
received and had demonstration on condom use by the health worker and will be supported by the Resident
Parish Mobilisers (RPMs). This will provide an opportunity of using the RPMs or PTCs in parishes as supply
points. Similarly other peers from any risk group will be given responsibility of supplying the condoms to
their peers. At minimum we hope to open and establish condom supply points in each of the 295 parishes in
the program four districts. The funds for this activity will be spent mainly on paying staff salaries, setting up
of condom outlets in locations of populations at risk eg urban centers like bars, disco halls, hotels etc,
training of community condom distributors (295), distribution of condoms at community level and social
marketing of condoms by peer educators in market places so as to reach to the vendors in market places by
using the market booth strategy at monthly or bi monthly markets venues, hold peer modulated radio
programs (20) and debates addressing factors that lead to high risk behaviors among young people and
hold meetings for discordant couples and post test clubs to promote condom education(discuss health
seeking behaviors) and distribution among faithful but discordant couples and high risk individuals.
New/Continuing Activity: Continuing Activity
Continuing Activity: 16731
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16731 16731.08 HHS/Centers for To Be Determined 6423 5740.08 Provision of Full
Disease Control & Access Home-
Prevention Based
Confidential HIV
Counseling and
Testing and
Basic Care
Services in High
HIV Prevalence
Central Region
Districts
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $30,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.02:
Strengthening Abstinence/Being Faithful
Other sexual prevention: Community Mobilization for project activities and Condom Distribution
programs(20) and debates addressing factors that lead to high risk behaviors among young people and
Continuing Activity: 16753
16753 16753.08 HHS/Centers for To Be Determined 6423 5740.08 Provision of Full
Table 3.3.03:
Integrated Community Based Initiatives (ICOBI is an indigenous Non-Governmental Organization (NGO),
non-profit making, non-denominational, charitable organization founded in 1994. It was first registered with
the NGO Board in 1996 and incorporated in 2004. ICOBI has been operating in South Western Uganda
since its inception with its head quarters in Kabwohe-Itendero Town Council-Bushenyi District and a Laison
office in Kampala. ICOBI's vision is a healthy and prosperous rural population and its mission is to improve
the quality of life of people living in rural communities. ICOBI has implemented various HIV/AIDS health
related programs namely. Prevention of Mother To Child Transmission (PMTCT) with support from EGPAF;
FP/Reproductive health; STD/STI; IEC through Radio & Tripple~S talk show targeting the youth in South
Western sub region; Nutrition and early Childhood development project(NECDP) with world bank support
and recently completed a district wide Home Based Voluntary HIV Counseling and testing in Bushenyi
district (October 2004-June 2007) with funding from CDC/PEPFAR,ICOBI was able to offer HBVCT to about
270,000 adults and children, identified about 12,000 and provide them with basic care package with
collaboration of Bushenyi district health system. Home Based VCT and Home Based Care with support
from UPHOLD, JSI/UHSP/USAID (on going in Bushenyi district); and recently April 2008; OVC Care &
support with funding from NPI/USAID for Mbarara and Bushenyi district. ICOBI received a notice of ward
on 30th June 2008 from CDC to implement a program entitled "Provision of Full Access Home based
confidential HIV counseling and testing (HBCT) and Basic care in the high HIV prevalence districts of
central region of the Republic of Uganda". ICOBI HBCT cooperative Agreement Grant Number:
1U2GPS001076-01, Program period: 07/01/2008-06/30/2013. The program will cover the districts of
Mubende/Mityana, Luwero/Nakaseke, Nakasongola and Wakiso districts of Central Region of Uganda. The
goal of the program is to provide 100% Full access Home Based HIV confidential Counseling and Testing
services to all adults and at risk children residing in the six districts in five years. The program will provide
preventive basic care and support to all identified HIV infected individuals and their families in five years.
ICOBI received notice of award on 30th June 2008. Currently we are in preparatory stages of identifying,
recruiting and training staff, procurement of equipment, materials, services and opening of project offices for
the program. ICOBI is still waiting for the final approval of the work plan and budget after responding to
technical review comments from CDC and hopes to start actual implementation of the HBCT in homes and
communities at the end of September 2008.
The prevalence of HIV infection in the Central region/districts of Mubende, Mityana, Luwero and Nakaseke
is about 10%. During the period between 1st October 2009 - 30th September 2010, we hope to counsel and
test about 150,000(adults and children), We estimate about 15,000 shall be children below 14 years who
will have been tested by the program and 10% of these about 1,500 HIV infected children with will be
identified during HBCT in the four districts by the counseling and testing teams. We shall also identify about
100 HIV infected pregnant mothers who will be referred to health center 4 and hospitals for preventive
services provided by PMTCT programs by respective district health systems and other providers and about
200 infants and children born to HIV infected mothers of six weeks to 18 months will also be identified
during HBCT in the four districts. The counseling teams will collect blood samples from the children and
submit them to centers carrying out HIV DNA PCR virologic tests to confirm HIV infectivity (enhance early
infant diagnosis). All HIV exposed children <2 years will be referred to health units for immunization updates
as well as growth development, promotion and monitoring. The children > 2years to 14 years born to HIV
infected mothers or any other potential risk of HIV infection identified will have HIV counseling and tested
using the three tier test algorithm. ICOBI counseling and testing teams will refer all children infected with
HIV using referral forms to health units(hospitals and health center fours) and service providers offering
pediatric HIV care and treatment and the referral centers for pediatric care and treatment. Paediatric care
and treatment is offered at hospitals and health center 4s in the districts. In the four districts the services are
offered at about 10 centers (both public and private).
In addition, all the identified HIV positives (HIV infected children inclusive) will receive basic care
commodities from health centers (4, 3, &2) and will be initiated on Cotrimoxazole prophylaxis. Homes and
families of HIV infected will have follow up visits by the community volunteers called Resident parish
mobilisers (RPMs) to provide supportive counseling, demonstration on use of preventive basic care
commodities. With the help of CDC and PSI we will procure these commodities deliver these commodities
to referral centers/health units and the health workers will provide the HIV infected clients with basic care
commodities. Cotrimoxazole will be initiated at 190 health centers (includes hospitals, health center4s,
health center3s and health center 2) in Mubende (55 health units), Mityana (53 HUs), Luwero (61 HUs) and
Nakaseke (21HUs) districts and will be replenished at the health centers or by resident parish
mobilisers/community volunteers (drug distributors/peer educators). Bed nets and safe water vessels
including water guard refills will be supplied by the 295 resident parish mobilisers with collaboration with the
village health teams and health workers at health center 3 and 2.
In order to ensure success, health workers (doctors, midwives, nurses, health educators etc) at health
center 4 and hospital level and all HBCT counselors and laboratory assistants will be trained in paediatric
HIV care and treatment, paediatric HIV counseling and psychosocial support, infant feeding counseling for
the HIV positive children, nutritional counseling and feeding options for the children to caregivers and
orientation of all RPMS on infant feeding for the HIV positive children. Further more to ensure that the HIV+
children receive paediatric care and treatment; priority is given to collaboration with other institutions
offering paediatric care like JCRC that can provide services related to ART eligibility assessment, existing,
OVC programs and strengthening of the Mubende, Mityana, Luwero and Nakaseke districts health systems
at hospital level and health center levels. The health system hospitals and health center 4 levels will be
strengthened to be able to receive and care for HIV-infected children. Specifically health units will be
supplied with Cotrimoxazole syrup and tablet forms appropriate for the HIV infected children and provided
with the necessary infrastructure (e.g. renovations and remodeling of health units so as to create space for
the increase numbers of clients visiting hospitals and sub district hospitals that are approved to offer
paediatric care and treatment (ART). within in the districts and logistics (stipend for staff) to handle the HVI+
infected children as well as carrying out home visits to families of HIV infected children to provide
psychosocial support to both the children ,mothers/,caregivers and family. The funds under this activity will
be used for procurement of commodities, community mobilization and sensitization of parental groups,
training of health workers ,HBCT counselors and laboratory assistants, community volunteers in paediatric
counseling, home care for the HIV positive children and for supporting the districts' healthy system in
Activity Narrative: handling and tracking the HIV+ children referred for care.
New/Continuing Activity: New Activity
Continuing Activity:
Estimated amount of funding that is planned for Water $20,000
Program Budget Code: 09 - HTXS Treatment: Adult Treatment
Total Planned Funding for Program Budget Code: $36,468,274
Total Planned Funding for Program Budget Code: $0
Table 3.3.09:
office in Kampala. ICOBI's vision is "a healthy and prosperous rural population" and its mission is to improve
related programs namely: Prevention of Mother To Child Transmission (PMTCT) with support from EGPAF;
Western sub region; Nutrition and early Childhood development project (NECDP) with world bank support
district (October 2004-June 2007). With funding from CDC/PEPFAR,ICOBI was able to offer HBVCT to
about 270,000 adults and children, about 12,000 PHA's were identified and provided with the basic care
package in collaboration with Bushenyi district health office. Home Based VCT and Home Based Care with
support from UPHOLD, JSI/UHSP/USAID (on going in Bushenyi district); and recently April 2008; OVC
Care & support with funding from NPI/USAID for Mbarara and Bushenyi district. ICOBI received a notice of
ward on 30th June 2008 from CDC to implement a program entitled "Provision of Full Access Home based
Mubende/Mityana, Luwero/Nakaseke, Nakasongola and Wakiso districts of Central Region in Uganda. The
Currently we are in preparatory stages of identifying, recruiting and training staff, procurement of equipment,
materials, services and opening of project offices for the program. ICOBI is still waiting for the final approval
of the work plan and budget after responding to technical review comments from CDC and hopes to start
actual implementation of the HBCT in homes and communities at the end of September 2008.
is about 10%. During the period between 1st October 2009- 30th September 2010, we hope to counsel and
during HBCT in the four districts.
The counseling teams will collect blood samples from the children and submit them to centers carrying out
HIV DNA PCR virologic tests to confirm HIV infection (enhance early infant diagnosis). All HIV exposed
children <2 years will be referred to health units for immunization as well as growth and development
monitoring and promotion. The children 2 to 14 years born to HIV infected mothers or having any other
potential risk of HIV infection will have HIV counseling and tested using the three tier test algorithm. ICOBI
counseling and testing teams will refer all children infected with HIV using referral forms to health units
(hospitals and health center Fours) and other service providers offering pediatric HIV care and treatment.
Pediatric care and treatment is offered at hospitals and health center 4s in the districts. In the four districts
the services are offered at about 10 centers (both public and private).
health center3s and health center 2) 55 health centers in Mubende, 53 health centers in Mityana 61 health
centers in Luwero, and 21 health centers in Nakaseke district. This will be replenished at the health centers
or in the community by resident parish mobilisers/community volunteers (drug distributors/peer educators).
Bed nets and safe water vessels including water guard refills will be supplied by the 295 resident parish
mobilisers in collaboration with the village health teams and health workers at health center 3 and 2.
In order to ensure success of this program, health workers (doctors, midwives, nurses, health educators
etc) at health center 4 and hospital level and all HBCT counselors and laboratory assistants will be trained
in paediatric HIV care and treatment, paediatric HIV counseling and psychosocial support, infant feeding
counseling for the HIV positive children, nutritional counseling and feeding options for the children to
caregivers and orientation of all RPMS on infant feeding for the HIV positive children. Further more to
ensure that the HIV+ children receive paediatric care and treatment; priority is given to collaboration with
other institutions offering paediatric care like JCRC that can provide services related to ART eligibility
assessment, existing, OVC programs and strengthening of the Mubende, Mityana, Luwero and Nakaseke
districts health systems at hospital level and health center levels. The existing health system; hospitals and
health center 4 levels will be strengthened to be able to receive and care for HIV-infected children.
Specifically health units will be supplied with Cotrimoxazole syrup and tablet forms appropriate for the HIV
infected children and provided with the necessary infrastructure (e.g. renovations and remodeling of health
units so as to create space for the increased numbers of clients visiting hospitals and sub district hospitals
that are accredited to offer paediatric care and treatment (ART). The program will give logistical support
within the districts (stipend for staff) to handle the HIV infected children as well as carrying out home visits
to families of HIV infected children to provide psychosocial support to both the children ,mothers/caregivers
and the family. Funds under this activity will be used for procurement of commodities, community
mobilization and sensitization of parental groups, training of health workers, HBCT counselors and
laboratory assistants, community volunteers in paediatric counseling, home care for the HIV positive
Activity Narrative: children and for supporting the districts' health system in handling and tracking HIV infected children
referred for care.
Program Budget Code: 11 - PDTX Treatment: Pediatric Treatment
Total Planned Funding for Program Budget Code: $10,913,291
Table 3.3.11:
District and a liaison office in Kampala. ICOBI's vision is a healthy and prosperous rural population and its
Recently in June 2008, ICOBI received a notice of ward from CDC to implement a program entitled
"Provision of Full Access Home based Confidential HIV counseling and testing (HBCT) and Basic care in
the high HIV prevalence districts of central region of the Republic of Uganda" (ICOBI HBCT cooperative
cover the districts of Mubende/ Mityana, Luwero/Nakaseke, Nakasongola and Wakiso districts of Central
community mobilization and sensitization. ICOBI is currently in preparatory stages of identifying, recruiting
and training staff; procurement of equipment, materials, services while waiting for the final approval of the
work plan and budget. It is anticipated that the actual implementation of the HBCT in homes and
communities will begin at the end of September 2008.
The prevalence of HIV infection in the central region/districts of Mubende, Mityana, Luwero and Nakaseke
districts is about 10%. In FY 2009, ICOBI hopes to identify 5,000 HIV infected people. More than 50% of
HIV infected clients (about 2,500 of the identified HIV infected) are presumed also co-infected with TB, and
this increases their risk of developing TB and increased mortality attributable to TB. At least 30% (750) are
expected to receive TB screening services at the health center IV, Hospitals and health center III levels.
However this activity would be constrained by the staffing levels of health workers at health units which
stand at 50% in all public health units and lack of equipment like microscopes and reagents for TB
diagnosis. This program will contribute to the reduction of TB burden in the districts by supporting integrated
TB/HIV interventions. Routine counseling and testing will be offered to all registered TB patients and those
with HIV linked to care and treatment. ICOBI will collaborate with AMREF and other partners in the districts
to provide TB diagnostic capacity, recruitment and training of health personnel as needed. CB-DOTS will be
introduced in all sub-counties and supervision by sub-county health workers will be supported.
In order to provide TB screening to HIV infected clients an extensive community mobilization and
awareness creation among the population using radio, training materials(IEC), sensitization meetings of
stakeholders will be implemented. In addition, Village health teams and health workers will be trained on
HIV and TB co-infection according to national guidelines. The main activities will include screening for active
TB and provision of preventive therapy for TB, early identification of HIV infected clients with symptoms of
TB and prompt referral, TB sysmptom screening to identify HIV-positive clients and, management and
treatment of TB as well as implementation of joint HIV/TB activities and promotion of HIV testing among TB
patients (registered TB patients).
The funds under this activity will be used for procurement of Lab related commodities that will include
microscopes and reagents for distribution to health center IIIs that do not have TB diagnostic capacity,
training of health workers and community based health workers, supporting the districts' health system in
handling and tracking the HIV+ clients co-infected with TB referred and receiving treatment for TB from
health units. In order to ensure that the HIV+ receive TB screening and diagnosis and prompt treatment,
priority is given to collaboration and strengthening of the districts health systems and supporting the district
TB/Leprosy supervisors, health assistants and existing community TB treatment supporters training of
laboratory assistants (existing staff in public and private health units in TB screening and diagnosis of active
TB).
Through collaboration with health units and field health assistants in the districts, the program basic care
officers and laboratory (technologists) supervisors will assist in screening the referred cases for HIV+s and
this will benefit the clients for usually they take long to reach after referral. The resident parish
mobilizers/community volunteers and health workers (Health assistants, who compile and keep TB registers
at health center IIIs will be encouraged to inform TB registered clients to access HBCT at home and all
HIV+ clients to go for TB screening. In order to ensure success, health workers at health center IIIs, all HIV
clients with symptoms like chronic cough suggestive of TB will be referred to hospitals, health center IV and
health center IIIs using TB/HIV referral forms for TB screening by the HIV counseling and testing team. All
TB registered clients will be offered HIV diagnostic counseling and testing services at home in all the four
program districts.
Table 3.3.12:
district (October 2004-June 2007) with funding from CDC/PEPFAR, Home Based VCT and Home Based
Care with support from UPHOLD, JSI/UHSP/USAID(on going in Bushenyi district); and recently April 2008;
OVC Care & support with funding from NPI/USAID. ICOBI received a notice of ward on 30th June 2008
from CDC to implement a program entitled "Provision of Full Access Home based confidential HIV
counseling and testing (HBCT) and Basic care in the high HIV prevalence districts of central region of the
Republic of Uganda". ICOBI HBCT cooperative Agreement Grant Number: 1U2GPS001076-01, Program
period: 07/01/2008-06/30/2013. The program will cover the districts of Mubende/Mityana,
Luwero/Nakaseke, Nakasongola and Wakiso districts of Central Region of Uganda. The goal of the
program is to provide 100% Full access Home Based HIV confidential Counseling and Testing services to
all adults and at risk children residing in the six districts in five years. The program will provide preventive
basic care and support to all identified HIV infected individuals and their families in five years.
During the period Ist October 2009 to 30th September 2010. ICOBI will implement a Full Access Home
Based Confidential HIV Counseling and testing in the districts of Mubende, Mityana, Luwero and Nakaseke.
The service outlets in the four districts are 46 sub counties (Mubende (15), Mityana (9), Luwero (13) and
Nakaseke (9)). We hope to provide HBCT to about 150,000 adults (>14 years) and children at risk of HIV
infection (eg mother HIV positive) at home and provide the clients their HIV test results at home. Forty Six
(46) outreach teams (each consisting of a counselor and laboratory assistant) based at each of the 46 sub
counties in the four program districts will be supported to do home based counseling and testing, the
outreach counseling and testing teams will be supported by community resource persons called Resident
Parish Mobilisers (295 RPMs) in each of the 295 parishes in Mubende, Mityana, Luwero and Nakaseke.
During the visits to the homes the counseling and testing teams will further be supported by about 2,405
village health teams and, local council officials and other volunteers. It is anticipated that at least each
village/local council one will be visited thrice by the counseling and testing teams. The counseling and
testing teams will be facilitated with a motorcycle each so as to ease their movement during outreach visits
to homes and the parish mobilisers will be facilitated with a bicycle each to carry out community mobilization
and HIV/AIDS education to household members, and supportive counseling to HIV infected clients. The
counseling and testing teams, and the resident parish mobilsers will further be supported by the counselor
and laboratory supervisors, basic care officers, community educators and the monitoring and evaluation
officer this is to ensure quality of the services offered to clients in the homes. The laboratory assistants and
the laboratory supervisors will ensure that quality control and assurance is ensured by collecting relevant
dried blood spots (DBS) and re tested at the reference laboratory/CDC Entebbe, Similarly the counselor
supervisors will use the quality assurance guide/ tool so as to support CT teams and ensure the quality of
counseling in homes. In order to achieve the targets all the HBCT teams will be re-trained in HIV counseling
and testing. The resident parish mobilisers will also receive re-orientation and training using a tailored
curriculum as assistant counselors. About 200 health workers will also be oriented on HBCT, basic care
provision and 2,405 village health teams/local councils will be oriented on HBCT. Home based counseling
and testing will be offered to the following principal target populations: All adults resident in
Mubende,Mityana,Luwero and Nakaseke districts (>14 years) and all children at risk of HIV infection (e.g.
mother HIV+ or mother suspected to have died of AIDS related illness). This funding will go specifically to
support the procurement of test kits, training, payment of staff salaries, providing logistics for home-based
counseling and testing and for community education and mobilization.
Table 3.3.14:
