As Baylor-Uganda, we believe in sustainability in all our implementation of programs and as such, we work through the health systems blocks of health financing, health information systems, laboratory services, capacity building of health workforce as well as improving access to essential medicines and supply chain workflows. Our support to the districts is further augmented by our district led programming (DLP) initiatives as part of leadership and governance and key to this has encompassed instituting project steering committees to oversee and provide guidance around project implementation in the perspectives of the communities we serve. We have supported health systems at all levels; from functionalising community – facility implementation frameworks, to district-health facility technical support as well as regional and ministry of health support to the regions we support across all thematic areas. Through our communities of practice (COP), we hope to share and improve on the lessons learned from ACE-FORT project in Mid- western Uganda and emulate them in other projects including; ACE-Bunyoro in western Uganda, USAID-LPHS-E in eastern Uganda as well as TASO-Global fund and Global Health security projects. Replicating what is working in one project to another has proven to save time and more cost effective in our implementation.