Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 9042
Country/Region: Uganda
Year: 2010
Main Partner: Amref Health Africa
Main Partner Program: South Africa
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $0

The African Medical and Research Foundation (AMREF) is an independent international non-profit organization whose mission is to improve the health of disadvantaged in Africa as a means for them to escape poverty and improve the quality of their lives. The overall goal is to identify gaps in health needs and develop, test, evaluate and implement innovative projects to meet those needs through service provision, capacity building, operations research and advocacy. AMREF defines the disadvantaged as people who suffer high prevalence and impact of major health problems and challenges like HIV/AIDS, Malaria, Tuberculosis, sexual and reproductive health problems, inadequate water and sanitation facilities and have poor access to health care because of distance, poverty and poor health seeking behaviour. AMREF is headquarters in Nairobi and was founded in 1957. The foundation has country offices in Kenya, Uganda, Tanzania, and South Africa. In Uganda, AMREF started its operations in Uganda in the 1970's. Currently, AMREF Uganda offices are located at Plot 29, Nakasero Road, Kampala. In 2004, AMREF received an award of PEPFAR funds, under grant number U62/CCU224317 from the Government of the United States of America through the Centres for Disease Control and Prevention (CDC) to implement the Laboratory Services Strengthening Project at Health Centre IV (HC IV) and above in the Republic of Uganda in collaboration with Ministry of Health (MoH). The goal of the project is to reduce HIV transmission and improve care of persons living with HIV/AIDS with a purpose of improving the quality of health laboratory services at health units in Uganda from the health sub-district to regional hospitals. The objectives of the project are: (i) Improve the physical laboratory structures and equipment for effective support of VCT services (ii) Strengthen the skills, knowledge and attitudes of laboratory staff, clinicians and other staff for effective VCT services (iii) Strengthen the National Laboratory Quality Control System in support of effective HIV counselling and testing (iv) Enhance stakeholder support for laboratory services (v) Build capacity of unqualified microscopists working at at HC III laboratories. AMREF implements the project by working closely with various departments of MoH, Ministry of Education and Sports (MoE & S) and other partners using the existing systems. Through this approach, the procurement of goods and services is based on the MoH and MoE & S guidelines and specifications to ensure value for money. The contributions of the project to the health systems strengthening since 2004 are: (i) standardized basic laboratory design for health units which has been adopted by the Health Infrastructure Division of MoH (ii) developed in-service training approaches for health workers by conducting joint training sessions of laboratory staff, clinicians and counsellor (iii) Developed laboratory Standard Operating Procedures and training curricullum for in-service course for health laboratory service providers, these have been adopted by Central Public Health Laboratories (CPHL) (iv) strengthened the capacity of CPHL and districts to carry out monitoring of health laboratory services in the country (v) fostered human resource for health development through supporting Medical Laboratory Training Schools (vi) initiated sponsoring of untrained laboratory staff serving in health laboratories, for professional medical laboratory courses. To carry out monitoring and evaluation of the project, monitoring tools are used to assess performance of health workers (Laboratory staff, Clinicians and Counselors), status health facilities, laboratory equipment, communication and information flow. Also work with district health authorities to conduct support supervision to monitor quality health services delivery. Regular management meetings are held to review implementation. AMREF prepares narrative and financial progress reports that are submitted to the donor and partners.