USAID-LPHS-E

AREAS OF OPERATION

In Eastern Uganda, USAID LPHS-E operates in 15 districts and one city. The districts are grouped in clusters as follows:

Cluster 1: Bududa, Manafwa, Mbale, Namisindwa, Tororo and Mbale City,

Cluster 2: Bulambuli, Bukwo, Kapchorwa, Kween, and Sironko,

Cluster 3: Budaka, Butaleja, Butebo, Kibuku and Pallisa.

OBJECTIVES

To improve the health of Ugandans in the eastern region by supporting the achievement of the USAID Mission’s following objectives:

To support the provision of quality facility-based HIV and TB prevention services to scale.
To support the provision of quality, targeted, high-yield, facility-based HIV testing and counseling services to scale.
To support all diagnosed people living with HIV and TB to promptly initiate ART/TB treatment.
To support all diagnosed people living with HIV and TB who are on treatment to achieve viral suppression.
And, support the target districts in building the institutional capacity to sustain epidemic control and maintain the response.
A District TB & Leprosy Supervisor counselling a presumptive TB patient during an outreach in Namisindwa District.

Success Stories

Abstracts

The USAID Local Partner Health Services Eastern (USAID LPHS-E) Activity is a five-year initiative that builds on USAID investments and national advances in the region to increase access to and use of high-quality integrated services that accelerate the ability and capacity of health services to respond to health needs of the area residents. USAID LPHS-E is implemented by Baylor-Uganda.

Immaculate Akello, data officer for the Medically Assisted Therapy (MAT) clinic explains to USAID staff the tools and data entry protocols they use in the clinic. Harm reduction under USAID LPHS-E is one of the HIV prevention mechanisms USAID has employed to control the spread of HIV especially among people who inject drugs. (Photo Sidney Akuma)

Mr. Alex Mugume Project Director, USAID LPHS-E hands over Echo Zoom equipment to Mbale City Health Officer, Dr. Moses Mugonyi (in cream shirt) at the City Council offices. Echo Zoom equipment helps improve on-line conferencing and eliminates the need for physical meetings. (Photo Sidney Akuma)

A laboratory staff reviews files with an assessor during the recently concluded South Africa National Accreditation System (SANAS) accreditation exercise at the facility at Pallisa General Hospital. Pallisa and Tororo General hospitals both passed the accreditation exercise. (Photo Sidney Akuma)

Key Achievements

Tested for HIV

New HIV cases identified

Given HIV self-tests kits to test for HIV

GBV cases identified & supported at Health Facilities

Persons circumcised

Women 25 years & above screened for cervical cancer

Children exposed to HIV testing to identify HIV status

Pregnant mothers who knowtheir HIV status as they start ANC1

New TB cases identified

ART clients started on TB-preventable therapy

New postive clients started on ART

Active clients onART

Areas of support
The National Ebola Survivors’ Program

USAID LPHS-E works with districts and other implementing partners in the region to support the implementation of prevention and treatment of HIV and TB services in 191 health facilities of Bugisu, Budaka, and Sebei sub-regions in Eastern Uganda. In collaboration with USAID Regional Health Integration to Enhance Services in Eastern Uganda (RHITES-E) and districts in the region, USAID LPHS-E has supported the TB sample transportation network which hosts seven lab hubs in Mbale Regional Referral Hospital, Pallisa, Tororo, Kapchorwa, and Bududa general hospitals and Budadiri HC IV.

The Activity ensures a reliable supply chain of commodities and materials necessary for efficient service delivery. Further, USAID LPHS-E’s key objective is to ensure that individuals, families, and communities are supported for linkages and referrals to high-quality available HIV and TB services in the region.

Robust quality improvement and monitoring and evaluation teams support the activities in the sub-region. The teams ensure that the Activity’s evidence-based performance is captured through knowledge management avenues and communicated to various audiences such as the Ministry of Health, USAID and its implementing partners, the districts’ leadership, health facilities, and communities.

The Uganda Ministry of Health established the National Ebola Survivors Program with assistance from Baylor—Uganda and with funding support from the United States Agency for International Development (USAID) on November 1, 2022.

The program provides medical, mental health, and psychosocial support to Ebola survivors at three clinics in Mubende, Kassanda, and Entebbe in collaboration with other implementing partners to help survivors and affected communities recover. It is improving the availability and accessibility of quality healthcare services for all Ebola virus disease (EVD) survivors to support their care, treatment, and recovery from various post-EVD sequelae.

The National Ebola Survivors Program is addressing the risk of EVD resurgence by providing sexual-risk reduction counseling and access to viral persistence testing and monitoring for men and lactating mothers. The program is providing psychosocial support to EVD survivors and their families to enable them to cope with post-EVD trauma. Additionally, it is bolstering community-based mental health and psychosocial support (MHSSP) by training community resource persons and survivors to provide peer counseling to EVD survivors to support and sustain their full recovery.

Current location of survivors