This proposal aims to attain and sustain HIV epidemic control in the West and West Nile regions of Uganda through optimization of high impact interventions to achieve UNAIDS 95:95:95 targets; and strengthening national, regional, district level capacities to meet the MoH minimum performance standards across all districts. The Mid Western and West Nile regions are now approaching epidemic control with only 11,003 new HIV positives remaining unidentified. However, peculiar challenges in the two regions (cross-border mobility, refugees, dispersed populations in relatively low-prevalence districts) render conventional approaches ineffective, underserved populations remain highly stigmatized, and the local ownership of the response in the regions remains limited. Therefore, IDI proposes to utilize our extensive experience implementing HIV/AIDS programs in these regions to actively support efforts to get to the last mile.
Strategies include: 1. Using a data-driven approach to consistently characterize gaps along all facets of the health system (including by sub population at district and community level).
2. Optimization of high impact interventions to strengthen prevention services for AGYW, KP/PP, MTCT, young men; identify and link undiagnosed populations (children, men, KP/PP) and improve retention on ART (children, adolescents, refugees, KP/PP, mobile populations)
3. Strengthening of health structures with additional focus on the RRH oversight capabilities.