Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 9320
Country/Region: Uganda
Year: 2009
Main Partner: To Be Determined
Main Partner Program: NA
Organizational Type: Implementing Agency
Funding Agency: USAID
Total Funding: $0

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $0

This is follow-on to USAID support to HIV/AIDS prevention, care and support activities through its

cooperative agreement with The AIDS Support Organization (TASO) which is ending in December 2008.

This activity ensures consistent availability of life saving services to clients supported through the existing

mechanism while availing resources for new clients in the same or expanded geographic coverage. This

activity will build on lessons learned during two decades of international HIV/AIDS response and the

outstanding leadership by Ugandan Civil Society Organizations in the nation's HIV/AIDS response.

USAID has been supporting HIV/AIDS care, prevention and treatment services through indigenous

organizations over the last 15 years. During this period USAID made significant progress in developing

indigenous response, partnership and ownership through its support to the Government of Uganda (GOU)

and private/Civil society organizations including TASO, AIC, IRCU and JCRC to mention a few. In addition,

USAID has been supporting large number of indigenous organizations through a subgrant mechanism

through UPHOLD, International HIV/AIDS Alliance, AIM, and others. USAID has built technical, financial,

management and administrative capacity of these organizations by using US based international

implementing partners as mentoring organizations. A number of indigenous organizations including TASO,

JCRC, IRCU, AIC have demonstrated capacity to manage USAID programs as prime partners.

USAID/PEPFAR will continue to support HIV/AIDS prevention, care and support activities through

indigenous partnerships which demonstrated competency and leadership in these technical areas. These

partnerships are envisaged to continue as mechanisms for building local partnership, response, ownership

and sustainability. While doing so USAID envisions moving from the sole sourcing or subgrant approach to

direct cooperative agreement and open competition among indigenous partners. Competition will prompt

local partners on the need to be competitive and the requirement to develop their own capacity on designing

and developing of high quality and competitive proposals and programs

The activity will support expansion of epidemiologically-appropriate, context specific, best-practice HIV

prevention interventions that apply the "ABC" approach to preventing sexual transmission across different

groups including community engagement and dialogue to address coercive, transactional or cross-

generational sex in communities.

Through this mechanism, USG intends to conduct prevention activities in line with the Uganda National

Road-Map for HIV Prevention which aims to accelerate HIV prevention activities including reduction of

sexual transmission of HIV, PMTCT, post-exposure prophylaxis, promotion of counseling and testing,

disclosure, protection of vulnerable populations, integration of HIV prevention into treatment and prevention

of sexually transmitted infections.

Prevention AB messages will be tailored to address the HIV/AIDS challenges of specific target groups.

Abstinence-tailored prevention messages will target children, adolescents, students, out-of-school youth

and HIV-infected children. The Be-Faithful-tailored messages will target sections of the general adult

population deemed to be sexually active and so vulnerable to HIV infection e.g. married or cohabiting

couples, men and women.

This activity will also support targeted HIV/AIDS prevention activities within HIV/AIDS care and support

settings by targeting PHAs, couples, their families and community members. The messages will focus on

abstinence, fidelity, partner reduction and consistent condom use. This activity will also advocate for

national level policy and strategy formulation for promoting and implementing other evidence based

HIV/AIDS prevention activities including medical circumcision for HIV negative male partners, and

concurrent partner reduction. Support scaling-up of approaches for HIV secondary prevention counseling to

individuals and couples of persons living with HIV/AIDS.

USG intends to reach the target groups through different approaches including: live radio talk shows, school

focused prevention activities in coordination with PIASCY, HIV/AIDS prevention communication and

campaign through community venues and networks, integration of HIV/AIDS prevention activities within

HIV/AIDS care and treatment services. Moreover, USG will support local and national leaders, volunteers,

and other influential community members to respond to the epidemic and to reinvigorate national HIV/AIDS

prevention campaign.

New/Continuing Activity: Continuing Activity

Continuing Activity: 21457

Continued Associated Activity Information

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

System ID System ID

21457 21457.08 U.S. Agency for The AIDS Support 9320 9320.08 TASO $407,340

International Organization

Development

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

* Increasing women's access to income and productive resources

* Increasing women's legal rights

* Reducing violence and coercion

Health-related Wraparound Programs

* Family Planning

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.02:

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $0

This is follow-on to USAID support to HIV/AIDS prevention, care and support activities through its

cooperative agreement with The AIDS Support Organization (TASO) which is ending in December 2008.

This activity ensures consistent availability of life saving services to clients supported through the existing

mechanism while availing resources for new clients in the same or expanded geographic coverage. This

activity will build on lessons learned during two decades of international HIV/AIDS response and the

outstanding leadership by Ugandan Civil Society Organizations in the nation's HIV/AIDS response.

USAID has been supporting HIV/AIDS care, prevention and treatment services through indigenous

organizations over the last 15 years. During this period USAID made significant progress in developing

indigenous response, partnership and ownership through its support to the Government of Uganda (GOU)

and private/Civil society organizations including TASO, AIC, IRCU and JCRC to mention a few. In addition,

USAID has been supporting large number of indigenous organizations through a subgrant mechanism

through UPHOLD, International HIV/AIDS Alliance, AIM, and others. USAID has built technical, financial,

management and administrative capacity of these organizations by using US based international

implementing partners as mentoring organizations. A number of indigenous organizations including TASO,

JCRC, IRCU, AIC have demonstrated capacity to manage USAID programs as prime partners.

USAID/PEPFAR will continue to support HIV/AIDS prevention, care and support activities through

indigenous partnerships which demonstrated competency and leadership in these technical areas. These

partnerships are envisaged to continue as mechanisms for building local partnership, response, ownership

and sustainability. While doing so USAID envisions moving from the sole sourcing or subgrant approach to

direct cooperative agreement and open competition among indigenous partners. Competition will prompt

local partners on the need to be competitive and the requirement to develop their own capacity on designing

and developing of high quality and competitive proposals and programs

The activity will support expansion of epidemiologically-appropriate, context specific, best-practice HIV

prevention interventions that apply the "ABC" approach to preventing sexual transmission across different

groups including community engagement and dialogue to address coercive, transactional or cross-

generational sex in communities.

Through this mechanism, USG intends to conduct prevention activities in line with the Uganda National

Road-Map for HIV Prevention which aims to accelerate HIV prevention activities including reduction of

sexual transmission of HIV, PMTCT, post-exposure prophylaxis, promotion of counseling and testing,

disclosure, protection of vulnerable populations, integration of HIV prevention into treatment and prevention

of sexually transmitted infections.

Prevention AB messages will be tailored to address the HIV/AIDS challenges of specific target groups.

Abstinence-tailored prevention messages will target children, adolescents, students, out-of-school youth

and HIV-infected children. The Be-Faithful-tailored messages will target sections of the general adult

population deemed to be sexually active and so vulnerable to HIV infection e.g. married or cohabiting

couples, men and women.

This activity will also support targeted HIV/AIDS prevention activities within HIV/AIDS care and support

settings by targeting PHAs, couples, their families and community members. The messages will focus on

abstinence, fidelity, partner reduction and consistent condom use. This activity will also advocate for

national level policy and strategy formulation for promoting and implementing other evidence based

HIV/AIDS prevention activities including medical circumcision for HIV negative male partners, and

concurrent partner reduction. Support scaling-up of approaches for HIV secondary prevention counseling to

individuals and couples of persons living with HIV/AIDS.

USG intends to reach the target groups through different approaches including: live radio talk shows, school

focused prevention activities in coordination with PIASCY, HIV/AIDS prevention communication and

campaign through community venues and networks, integration of HIV/AIDS prevention activities within

HIV/AIDS care and treatment services. Moreover, USG will support local and national leaders, volunteers,

and other influential community members to respond to the epidemic and to reinvigorate national HIV/AIDS

prevention campaign.

New/Continuing Activity: Continuing Activity

Continuing Activity: 21457

Continued Associated Activity Information

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

System ID System ID

21457 21457.08 U.S. Agency for The AIDS Support 9320 9320.08 TASO $407,340

International Organization

Development

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

* Increasing women's access to income and productive resources

* Increasing women's legal rights

* Reducing violence and coercion

Health-related Wraparound Programs

* Family Planning

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.03:

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

This is follow-on to USAID support to HIV/AIDS prevention, care and support activities through its

cooperative agreement with The AIDS Support Organization (TASO) which is ending in December 2008.

This activity ensures consistent availability of life saving services to clients supported through the existing

mechanism while availing resources for new clients in the same or expanded geographic coverage. This

activity will build on lessons learned during two decades of international HIV/AIDS response and the

outstanding leadership by Ugandan Civil Society Organizations in the nation's HIV/AIDS response.

USAID has been supporting HIV/AIDS care, prevention and treatment services through indigenous

organizations over the last 15 years. During this period USAID made significant progress in developing

indigenous response, partnership and ownership through its support to Government of Uganda and

private/Civil society organizations including TASO, AIC, IRCU and JCRC to mention a few. In addition,

USAID has been supporting a large number of indigenous organizations through a subgrant mechanism

through UPHOLD, International HIV/AIDS Alliance, AIM, and others. USAID has built technical, financial,

management and administrative capacity of these organizations by using US based international

implementing partners as mentoring organizations. A number of indigenous organizations including TASO,

JCRC, IRCU, AIC have demonstrated capacity to manage USAID programs as prime partners.

In FY 2007 USG has reached more than 80,000 clients with HIV/AIDS care and support services through

TASO.

USAID/PEPFAR will continue to support HIV/AIDS prevention, care and support activities through

indigenous partnerships which demonstrate competency and leadership in these technical areas. These

partnerships are envisaged to continue as mechanisms for building local partnership, response, ownership

and sustainability. While doing so USAID envisions moving from a sole sourcing or subgrant approach to a

direct cooperative agreement and open competition among indigenous partners. Competition will prompt

local partners on the need to be competitive and the requirement to develop their own capacity on designing

and developing of high quality and competitive proposals and programs

USAID will use this proposed mechanism to support adult HIV/AIDS care and support services through civil

society, public health and community outreach structures in the proposed geographic area. Services will

include diagnosis and treatment of Opportunistic Infections (OIs) and STIs; pain and symptom relief;

nutrition assessment and counseling; psychosocial support; support adherence to OIs, and linkage to

wraparound services including nutrition, family planning, and livelihood support.

Through this mechanism the US intends to reach an estimated 80,000 clients comprehensive with

HIV/AIDS care and support services. The program will also train more than 500 health workers and

volunteers on national standards and protocol for HIV/AIDS care. The mechanism will also build the

technical and management capacity of indigenous organizations that would participate in program

implementation as prime and sub partners.

New/Continuing Activity: Continuing Activity

Continuing Activity: 21469

Continued Associated Activity Information

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

System ID System ID

21469 21469.08 U.S. Agency for The AIDS Support 9320 9320.08 TASO $1,954,780

International Organization

Development

Emphasis Areas

Gender

* Increasing gender equity in HIV/AIDS programs

Health-related Wraparound Programs

* Family Planning

* Safe Motherhood

* TB

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.08:

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

This is follow-on to USAID support to HIV/AIDS prevention, care and support activities through its

cooperative agreement with The AIDS Support Organization (TASO) which is ending in December 2008.

This activity ensures consistent availability of life saving services to clients supported through the existing

mechanism while availing resources for new clients in the same or expanded geographic coverage. This

activity will build on lessons learned during two decades of international HIV/AIDS response and the

outstanding leadership by Ugandan Civil Society Organizations in the nation's HIV/AIDS response.

USAID has been supporting HIV/AIDS care, prevention and treatment services through indigenous

organizations over the last 15 years. During this period USAID made significant progress in developing

indigenous response, partnership and ownership through its support to Government of Uganda and

private/Civil society organizations including TASO, AIC, IRCU and JCRC to mention a few. In addition,

USAID has been supporting a large number of indigenous organizations through a subgrant mechanism

through UPHOLD, International HIV/AIDS Alliance, AIM, and others. USAID has built the technical,

financial, management and administrative capacity of these organizations by using US based international

implementing partners as mentoring organizations. A number of indigenous organizations including TASO,

JCRC, IRCU, AIC have demonstrated the capacity to manage USAID programs as prime partners.

In FY 2007 USG has reached more than 80,000 clients (adult and children) with HIV/AIDS care and support

services through TASO.

USAID/PEPFAR will continue to support HIV/AIDS prevention, care and support activities through

indigenous partnerships which demonstrated competency and leadership in these technical areas. These

partnerships are envisaged to continue as mechanisms for building local partnership, response, ownership

and sustainability. While doing so USAID envisions moving from a sole sourcing or subgrant approach to a

direct cooperative agreement and open competition among indigenous partners. Competition will prompt

local partners on the need to be competitive and the requirement to develop their own capacity on designing

and developing of high quality and competitive proposals and programs.

USAID will use this proposed mechanism to support pediatrics HIV/AIDS care and support services through

civil society, public health and community outreach structures in the proposed geographic areas. Services

will include management of Opportunistic Infections (OIs); increased access to Cotrimoxazole preventive

therapy and other basic care products; pain and symptom relief; nutrition assessment and counseling;

routine monitoring for treatment eligibility, psychosocial support; support adherence to OIs and ART; and

linkage to other wraparound services; including nutrition, and livelihood support.

Through this mechanism USAID will implement specific activities to addresses challenges for increasing

access to HIV/AIDS care and treatment among children by implementing approaches for identifying HIV

exposed infants and referral for early infant diagnosis; counseling and testing for at-risk children

adolescents; increasing linkage with OVC services, improved reporting and data quality on pediatrics care;

improved linkage between PMTCT and pediatric care and treatment and linkage with routine child health

services including immunization. Through this mechanism USAID intends to reach an estimated 4,000

children and adolescents with comprehensive HIV/AIDS care and support services. The mechanism also

builds the technical and management capacity of indigenous organizations that would participate in program

implementation as prime and sub partners.

New/Continuing Activity: Continuing Activity

Continuing Activity: 21469

Continued Associated Activity Information

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

System ID System ID

21469 21469.08 U.S. Agency for The AIDS Support 9320 9320.08 TASO $1,954,780

International Organization

Development

Emphasis Areas

Health-related Wraparound Programs

* Child Survival Activities

* Malaria (PMI)

* TB

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools

and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.10:

Funding for Care: Orphans and Vulnerable Children (HKID): $0

This is follow-on to the USAID support to HIV/AIDS prevention, care and support activities through its

cooperative agreement with The AIDS Support Organization (TASO) which is ending in December 2008.

This activity ensures consistent availability of life saving services to clients supported through the existing

mechanism while availing resources for new clients in the same or expanded geographic coverage. This

activity will build on lessons learned during two decades of international HIV/AIDS response and the

outstanding leadership by Ugandan Civil Society Organizations in the nation's HIV/AIDS response.

USAID has been supporting HIV/AIDS care, prevention and treatment services through indigenous

organizations over the last 15 years. During this period USAID made significant progress in developing

indigenous response, partnership and ownership through its support to Government of Uganda and

private/Civil society organizations including TASO, AIC, IRCU and JCRC to mention a few. In addition,

USAID has been supporting a large number of indigenous organizations through a subgrant mechanism

through UPHOLD, International HIV/AIDS Alliance, AIM, and others. USAID has built technical, financial,

management and administrative capacity of these organizations by using US based international

implementing partners as mentoring organizations. A number of indigenous organizations including TASO,

JCRC, IRCU, AIC have demonstrated the capacity to manage USAID programs as prime partners.

USAID/PEPFAR will continue to support HIV/AIDS prevention, care and support and OVC activities through

indigenous partnerships which demonstrated competency and leadership in these technical areas. These

partnerships are envisaged to continue as mechanisms for building local partnership, response, ownership

and sustainability. While doing so USAID envisions moving from sole sourcing or sub grant approach to

direct cooperative agreement and open competition among indigenous partners. Competition will prompt

local partners on the need to be competitive and the requirement to develop their own capacity on designing

and developing of high quality and competitive proposals and programs.

In FY 2009, this activity will support key OVC interventions with a focus on PHA groups and families

reached with the care and support activities. The interventions will include: economic strengthening of OVC

households, education support, child protection and linking HIV exposed and infected children to pediatrics

care and treatment services. At this time OVC funding is a small part of the portfolio within this mechanism

but there is the potential to increase this funding in subsequent years based on availability of funding. A

total of 5,000 OVC should be reached during the first year of this activity. Education services will be

provided using a block grants approach to enable children to complete education levels. In addition OVC

caregivers will be trained in skills to enhance incomes at household level and improved knowledge in the

areas of food and nutrition and psychosocial support. The target group will include parents and guardians of

OVC.

OVC will be linked to Counseling and medical support that is available for eligible orphans and vulnerable

children enrolled under ART activity: The services provided include child counseling, treatment of

opportunistic infections and home care. This OVC activity however excludes provision of ARVs which is

covered under the CDC ART service budget.

New/Continuing Activity: Continuing Activity

Continuing Activity: 21469

Continued Associated Activity Information

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

System ID System ID

21469 21469.08 U.S. Agency for The AIDS Support 9320 9320.08 TASO $1,954,780

International Organization

Development

Emphasis Areas

Gender

* Reducing violence and coercion

Health-related Wraparound Programs

* Child Survival Activities

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Estimated amount of funding that is planned for Economic Strengthening

Education

Estimated amount of funding that is planned for Education

Water

Table 3.3.13:

Funding for Laboratory Infrastructure (HLAB): $0

This is follow-on to USAID support to HIV/AIDS prevention, care and support activities through its

cooperative agreement with The AIDS Support Organization (TASO) which is ending in December 2008.

This activity ensures consistent availability of life saving services to clients supported through the existing

mechanism while availing resources for new clients in the same or expanded geographic coverage. This

activity will build on lessons learned during two decades of international HIV/AIDS response and the

outstanding leadership by Ugandan Civil Society Organizations in the nation's HIV/AIDS response.

USAID has been supporting HIV/AIDS care, prevention and treatment services through indigenous

organizations over the last 15 years. During this period USAID made significant progress in developing

indigenous response, partnership and ownership through its support to Government of Uganda and

private/Civil society organizations including TASO, AIC, IRCU and JCRC to mention a few. In addition,

USAID has been supporting a large number of indigenous organizations through a subgrant mechanism

through UPHOLD, International HIV/AIDS Alliance, AIM, and others. USAID has built the technical,

financial, management and administrative capacity of these organizations by using US based international

implementing partners as mentoring organizations. A number of indigenous organizations including TASO,

JCRC, IRCU, AIC have demonstrated the capacity to manage USAID programs as prime partners.

In FY 2007 USG has reached more than 80,000 clients with HIV/AIDS care and support services through

TASO.

USAID/PEPFAR will continue to support HIV/AIDS prevention, care and support activities through

indigenous partnerships which demonstrated competency and leadership in these technical areas. These

partnerships are envisaged to continue as mechanisms for building local partnership, response, ownership

and sustainability. While doing so USAID envisions moving from a sole sourcing or subgrant approach to a

direct cooperative agreement and open competition among indigenous partners. Competition will prompt

local partners on the need to be competitive and the requirement to develop their own capacity on designing

and developing of high quality and competitive proposals and programs.

In order to provide good quality basic health care services, healthcare workers need a well functioning

laboratory to help in the diagnosis of opportunistic infections. Therefore, strengthening laboratory

infrastructure and capacity is a key component of adult and pediatrics HIV/AIDS care.

This mechanism will support a minimum set of laboratory services required to support diagnose of HIV and

key opportunistic diseases and for disease monitoring. The tests include malaria testing, TB microscopy,

HIV testing, syphilis, CBC, and basic chemistry tests.

New/Continuing Activity: Continuing Activity

Continuing Activity: 21640

Continued Associated Activity Information

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

System ID System ID

21640 21640.08 U.S. Agency for The AIDS Support 9320 9320.08 TASO $50,000

International Organization

Development

Emphasis Areas

Health-related Wraparound Programs

* Malaria (PMI)

* TB

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.16: