Project Abstract Summary
Three decades into the HIV epidemic Uganda still faces challenges such as identification of all those infected, starting them on effective ART and ensuring that they achieve viral load suppression. This funding opportunity seeks to provide PEPFAR support to the Ugandan Ministry of Health in its mission to achieve and monitor the UNAIDS 90-90-90 goals of 90% of HIV positive individuals knowing their status; 90% of people tested positive for HIV being on antiretroviral therapy (ART); and 90% of those on ART achieving viral suppression.
Working with district health structures, Central Public Health Laboratory and other stakeholders, the human resource capacity and infrastructure will be developed across the country during the project implementation period. This will galvanize the delivery of quality and timely health services through improved laboratory management and coordination of comprehensive, quality-assured, HIV-related laboratory services.
This proposal will address the following objectives:
Objective 1: To improve accuracy and reliability of HIV related testing through adherence to National External Quality Assessment schemes.
Objective 2: To strengthen surveillance and informatics capacity for laboratory data utilization by health facilities and improve ability to monitor HIVDR trends nationally.
Objective 3: To increase implementation of validated methodologies to guide delivery of efficient and cost-effective interventions.
The following key activities will be implemented to achieve the above objectives:
• Ensuring increased and maintained competence in the provision and management of comprehensive, quality-assured, HIV-related laboratory services, including design and implementation of the National framework for tester and site certification, to ensure reliable and accurate HIV rapid test results.
• Strengthening surveillance and informatics capacity to ensure evidence-based programming used to generate and analyze data, inform policy development and guide the development of evaluations
• Conducting validations to inform the delivery of cost-effective, evidence-based innovative interventions.
• Assisting MOH/CPHL in mentoring the performance of laboratories and POCTs participating in the National EQA schemes as a contribution to WHO certification/accreditation schemes.
• Developing and conducting training courses in the three core competences: laboratory, epidemiology, and informatics.
• Assisting MOH/CPHL and MOH/AIDS Control Program (ACP) in coordination of the National HIV/AIDS program including HIVDR surveys.
The short term outcomes will be achieved in the first year, intermediate ones in year 2 and 3 while the long term ones at the end of the project. Specifically the long term ones are:
• Improved accuracy and reliability of HIV related testing
• Increased implementation of validated methodologies
• Improved HIVDR data use for national programing and ARV forecasting