Integrated Development Initiative Uganda Programme portfolio Youth Employment and Agrifood Livelihoods Status: Completed Start date: 12/03/2012 End date: 28/11/2017 Districts and sites: Iganga, Kamuli, Jinja IDI’s implementation role: Technical sub-grantee leading health integration, life-skills modules, and youth savings schemes Partners and funders: Food and Agriculture Organization (FAO), Ministry of Agriculture, Animal Industry and Fisheries (MAAIF) Main activities delivered: Vocational agrifood training, youth group savings schemes, life skills counseling, and linkage to local agricultural markets People reached, unique individuals: 12,450 Households, schools, facilities, or organisations supported: 2,100 households, 15 youth farmer cooperatives Other achieved results: Established 18 youth-led agribusiness enterprises and recorded a 32% increase in average household seasonal income Reporting period: 01/01/2013 – 31/12/2017 Training Completion Rate: 88.4% (11,005 out of 12,450 enrolled trainees completed the 6-month cycle) Average Youth Savings Accumulation: USD $145 per savings group member annually Loan Repayment Rate: 94.2% across 15 agricultural micro-loan groups Enterprise Survival Rate: 77.8% of micro-agribusinesses active 2 years post-project Emergency Protection and Household Resilience Status: Completed Start date: 05/01/2016 End date: 15/08/2020 Districts and sites: Yumbe, Adjumani, Arua (Bidibidi and Rhino Camp Settlements) IDI’s implementation role: Lead implementing partner for health emergency response, GBV mitigation, and household resilience Partners and funders: United Nations High Commissioner for Refugees (UNHCR), Office of the Prime Minister (OPM) Main activities delivered: Emergency medical psycho-social support, dignity kit distributions, gender-based violence (GBV) prevention, and cash-for-work initiatives People reached, unique individuals: 48,200 Households, schools, facilities, or organisations supported: 8,500 refugee and host-community households Other achieved results: Trained 140 community protection facilitators and established 12 safe spaces for women and adolescents Reporting period: 01/01/2016 – 31/12/2020 GBV Response Timeline: 91.5% of reported GBV cases received clinical & psychosocial care within 72 hours Dignity Kit Coverage: 12,500 kits distributed to vulnerable adolescent girls and women Cash-for-Work Disbursements: Total value of USD $340,000 paid to 2,200 beneficiaries Refugee vs Host Population Ratio: 72% refugee beneficiaries / 28% host community beneficiaries Comprehensive HIV, TB and Community Health Status: Ongoing Start date: 01/10/2015 End date: Ongoing (Estimated 30/09/2027) Districts and sites: Masaka, Kalangala, Wakiso, Kampala, Kibaale (Health Centre IIIs, IVs, and Regional Referral Hospitals) IDI’s implementation role: Prime implementing partner delivering health-systems strengthening, clinical care, and community outreach Partners and funders: Centers for Disease Control and Prevention (CDC), President's Emergency Plan for AIDS Relief (PEPFAR), Ministry of Health (MoH) Uganda Main activities delivered: Facility ART clinic management, TB contact tracing, index testing, differentiated service delivery models (DSDM), and viral load suppression monitoring People reached, unique individuals: 185,000 active on ART Households, schools, facilities, or organisations supported: 142 public and private-not-for-profit health facilities Other achieved results: Achieved 95-95-95 UNAIDS targets across supported districts and reduced lost-to-follow-up rates to under 3% Reporting period: 01/10/2020 – 30/09/2025 Facilities and qualified providers delivering clinical services: Supported by licensed Medical Officers, Clinical Officers, Registered Nurses, and Laboratory Technicians across Mulago National Referral Hospital, Masaka RRH, and district Health Centre IVs. Viral Load Coverage & Suppression: 92.4% VL coverage with an overall suppression rate of 94.8% Differentiated Service Delivery (DSDM) Enrollment: 72.8% of stable ART clients enrolled in community/fast-track models (FTDR, CCLAD, CDDP) TB Preventive Therapy (TPT) Completion: 89.2% of eligible PLHIV completed a full course of TPT Index Testing Yield: 19.1% positivity yield among tested partners and children HIV Bio-behavioural Surveillance and Population Health Research Status: Completed Start date: 14/02/2018 End date: 30/06/2022 Districts and sites: Kampala, Wakiso, Mukono, Jinja IDI’s implementation role: Lead research institution managing study design, field surveillance, laboratory testing, and data analysis Partners and funders: Global Fund, National Institutes of Health (NIH), Uganda Virus Research Institute (UVRI) Main activities delivered: Respondent-driven sampling (RDS) surveys, HIV rapid testing, viral load quantification, and behavioral risk factor assessments People reached, unique individuals: 4,800 Households, schools, facilities, or organisations supported: 24 community-based organization sites Other achieved results: Generated key epidemic driver data that informed national HIV key-population guidelines Reporting period: 01/01/2018 – 31/12/2022 Sample Recital Response Rate: 96.1% completion of RDS referral chains across 8 recruitment seeds HIV Prevalence Identified: 21.4% overall prevalence in surveyed key population cohorts Laboratory Testing Accuracy: 100% concordance between field rapid tests and central lab confirmation Linkage to Care Rate: 84.3% of newly identified HIV-positive participants successfully linked to ART clinics within 14 days Study Title: Integrated Bio-Behavioural Surveillance among Key and Priority Populations in Urban Uganda Participant Count: 4,800 adults Ethics Approval: School of Medicine Research and Ethics Committee (SOMREC) & Uganda National Council for Science and Technology (UNCST) Available Reports/Publications: Published in peer-reviewed journals (e.g., Journal of the International AIDS Society) School Mental Health and Child Wellbeing Status: Completed Start date: 01/09/2019 End date: 18/12/2023 Districts and sites: Kampala, Luweero, Mpigi IDI’s implementation role: Implementation lead for mental health screening tools, peer counseling, and psychosocial training Partners and funders: Grand Challenges Canada, Ministry of Education and Sports Main activities delivered: School counselor capacity building, psychoeducation workshops, mental health screening, and referral pathway mapping People reached, unique individuals: 15,300 Households, schools, facilities, or organisations supported: 45 primary and secondary schools Other achieved results: Reduced school absenteeism related to psychosocial distress by 22% in target institutions Reporting period: 01/09/2019 – 31/12/2023 Psychosocial Screening Coverage: 12,410 students screened using validated PHQ-9 and PSC tools Teacher Training: 315 school staff certified as basic psychological first aid (PFA) providers Referral Rate: 8.2% (1,017 students) identified with moderate-to-severe distress and linked to specialized adolescent care Follow-Up Adherence: 86.5% of referred students completed minimum 3 follow-up counseling sessions Maternal, Newborn Health and Pregnancy Outcomes Status: Ongoing Start date: 10/01/2021 End date: Ongoing (Estimated 31/12/2026) Districts and sites: Hoima, Kikuube, Kagadi IDI’s implementation role: Technical support partner for EmONC (Emergency Obstetric and Newborn Care) and clinical mentoring Partners and funders: United Nations Population Fund (UNFPA), Ministry of Health Uganda Main activities delivered: Maternal death audits, midwife mentorship, supply of essential resuscitation equipment, and antenatal care group models People reached, unique individuals: 34,000 Households, schools, facilities, or organisations supported: 28 health facilities (HC IIIs and HC IVs) Other achieved results: Increased facility-based skilled birth attendance from 61% to 84% in target sub-counties Reporting period: 01/01/2021 – 31/12/2025 Facilities and qualified providers delivering clinical services: Hoima Regional Referral Hospital, Kikuube Health Centre IV, and accredited midwives and obstetricians. Maternal Mortality Ratio (MMR) Trend: Decreased facility MMR from 210 to 128 per 100,000 live births in target hospitals Fresh Stillbirth Rate: Reduced from 18.2 to 10.4 per 1,000 total births Partograph Utilization: Increased from 42% to 91% in monitored labor suites Neonatal Resuscitation Success: 88.6% of non-breathing newborns successfully resuscitated using bag-and-mask devices Child Development, Disability and Family Support Status: Completed Start date: 04/05/2011 End date: 20/11/2015 Districts and sites: Mityana, Mubende IDI’s implementation role: Implementing partner providing neurodevelopmental assessments and community caregiver support Partners and funders: USAID, Liliane Foundation Main activities delivered: Early identification of developmental delays, provision of assistive devices, caregiver support groups, and therapy sessions People reached, unique individuals: 3,100 Households, schools, facilities, or organisations supported: 1,200 households, 8 community health centers Other achieved results: Enrolled over 450 children with physical and cognitive disabilities into mainstream inclusive primary education Reporting period: 01/06/2011 – 31/12/2015 Assistive Devices Distributed: 620 wheelchairs, orthoses, and hearing aids provided Therapy Sessions Delivered: 4,850 physical and occupational therapy sessions completed Caregiver Group Attendance: 91.2% average monthly attendance across 38 support groups Functional Improvement Rate: 74.5% of children showed measurable motor/cognitive score gains over 12 months Malaria, Neglected Tropical Diseases and Child Health Status: Completed Start date: 01/02/2014 End date: 31/03/2019 Districts and sites: West Nile Region (Arua, Nebbi, Zombo, Koboko) IDI’s implementation role: Regional implementation lead for integrated community case management (iCCM) and mass drug administration (MDA) Partners and funders: Against Malaria Foundation, President's Malaria Initiative (PMI/USAID) Main activities delivered: VHT training on rapid diagnostic tests (RDTs), artemisinin-based combination therapy (ACT) distribution, and schistosomiasis MDA People reached, unique individuals: 210,000 Households, schools, facilities, or organisations supported: 650 Village Health Teams (VHTs), 110 primary schools Other achieved results: Decreased under-five malaria mortality in supported districts by 38% Reporting period: 01/01/2014 – 31/03/2019 iCCM Fever Assessment Accuracy: 94.1% of community health workers correctly treated based on mRDT results MDA Coverage Rate: 87.6% therapeutic coverage achieved for schistosomiasis in school-aged children LLIN Distribution & Utilization: 180,000 long-lasting insecticidal nets distributed with an 81.3% household use rate Severe Malaria Referrals: 91% of red-flagged cases successfully transferred to health facilities within 6 hours Sexual and Reproductive Health Service Quality Status: Ongoing Start date: 15/07/2022 End date: Ongoing (Estimated 31/07/2027) Districts and sites: Gulu, Kitgum, Pader IDI’s implementation role: Capacity building and quality improvement technical partner Partners and funders: Swedish International Development Cooperation Agency (Sida), Ministry of Health Main activities delivered: Youth-friendly health services (YFHS) certification, family planning provider clinical updates, and stock management support People reached, unique individuals: 29,500 Households, schools, facilities, or organisations supported: 36 health facilities Other achieved results: Increased modern contraceptive prevalence rate (mCPR) among adolescents from 18% to 31% in target facilities Reporting period: 01/08/2022 – 31/12/2025 Facilities and qualified providers delivering clinical services: Gulu RRH, Kitgum General Hospital, staffed by certified SRHR Nurses and Clinical Officers. Contraceptive Commodity Stock-Out Rate: Reduced from 38% to 6.2% of reporting days per facility Provider Skill Competency Score: Average clinical audit score increased from 54% to 89% post-mentorship LARC Adoption Rate: Long-acting reversible contraceptives (implants/IUDs) selected by 41.5% of new family planning clients Adolescent Satisfaction Score: 88.9% positive rating on facility privacy and youth-friendliness Inclusive Agricultural Markets and Nutrition Status: Awaiting implementation Start date: 01/11/2026 (Scheduled) End date: 31/10/2030 (Projected) Districts and sites: Soroti, Katakwi, Amuria IDI’s implementation role: Technical lead for bio-fortified crop introduction and household nutrition integration Partners and funders: International Fund for Agricultural Development (IFAD), Ministry of Agriculture Main activities delivered: Planning phase: Community baseline surveys, market actor mapping, bio-fortified seed distribution design People reached, unique individuals: 0 (Pending start) Households, schools, facilities, or organisations supported: 0 (Targeting 5,000 households) Other achieved results: Finalized implementation framework and ethical clearances Reporting period: N/A (Pre-implementation phase) Projected Household Reach: 5,000 smallholder farm households Bio-fortified Crop Target: 10,000 hectares of Orange-Fleshed Sweet Potato (OFSP) and Iron Beans scheduled for cultivation Target Stunting Reduction: Project designed to achieve a 15% reduction in childhood stunting in target zones Secured Grant Capital: USD $2.4 million allocated across 4 financial years Literacy, Inclusive Education and Digital Learning Status: Completed Start date: 10/02/2017 End date: 15/12/2021 Districts and sites: Kampala, Mukono IDI’s implementation role: Technical provider for e-learning software integration and digital health/literacy modules Partners and funders: UNICEF Uganda, Ministry of Education and Sports Main activities delivered: Deployment of digital learning tablets, specialized teacher training for inclusive education, and literacy software deployment People reached, unique individuals: 8,900 Households, schools, facilities, or organisations supported: 22 primary schools Other achieved results: Improved standardized reading fluency scores by 27% among children with learning differences Reporting period: 01/01/2017 – 31/12/2021 Hardware Deployed: 1,100 ruggedized learning tablets with solar charging stations installed Software Engagement: Average 4.2 hours per student/week spent on digital literacy applications Teacher Upskilling: 180 primary educators certified in digital classroom management Device Functional Rate: 93.4% hardware operational reliability maintained over project lifespan Digital Health, MEAL and Evidence Systems Status: Ongoing Start date: 01/04/2013 End date: Ongoing (Estimated 31/12/2028) Districts and sites: National coverage across 92% of Ugandan districts IDI’s implementation role: Prime technology developer, system integrator, and data analytics host Partners and funders: CDC, Global Fund, Ministry of Health Uganda Main activities delivered: UgandaEMR maintenance, e-IDSR rollout, real-time HIV dashboard configuration, and MEAL capacity building People reached, unique individuals: N/A (System-level intervention) Households, schools, facilities, or organisations supported: 1,100+ health facilities nationwide Other achieved results: Digitized medical records for over 1.2 million active patients on antiretroviral therapy (ART) nationwide Reporting period: 01/01/2020 – 31/12/2025 System Uptime: 99.1% core platform operational server availability Point-of-Care (POC) Adoption: 97 out of 111 supported Kampala facilities converted to full POC digital entry Data Completeness Index: National MoH DHIS2 HIV/TB reporting timeliness increased to 94.6% User Base: 4,200 active health care workers trained and logged into UgandaEMR platforms Disease Surveillance and Epidemic Preparedness Status: Ongoing Start date: 01/09/2016 End date: Ongoing (Estimated 30/09/2027) Districts and sites: Border districts (Tororo, Busia, Kasese, Maracha, Kampala) IDI’s implementation role: Lead technical implementation agency for Global Health Security Agenda (GHSA) Partners and funders: U.S. CDC, WHO, Ministry of Health Uganda Main activities delivered: Rapid Response Team (RRT) training, biosafety/biosecurity mentorship, Ebola/Marburg/COVID-19 border screening, and specimen transport networks People reached, unique individuals: 350,000 screened at points of entry Households, schools, facilities, or organisations supported: 85 district health teams, 14 points of entry Other achieved results: Reduced mean outbreak notification-to-response time from 72 hours to under 12 hours in targeted zones Reporting period: 01/10/2020 – 30/09/2025 Health Worker Training: 16,354 health workers trained in IPC and disease surveillance Specimen Transport Efficiency: 96.8% of suspected pathogen samples delivered to central labs within 24 hours JEE Indicator Progression: Transitioned Uganda out of "red" scores in 4 out of 5 Technical Area indicators (Legislation, Preparedness, POE) Disinfectant Production: >20,000 liters of WHO-formula alcohol-based hand rub locally produced and distributed Water Source Protection and Environmental Health Status: Completed Start date: 12/06/2008 End date: 30/10/2012 Districts and sites: Nakasongola, Kayunga IDI’s implementation role: Sub-contractor for waterborne pathogen testing and infection control training Partners and funders: WaterAid Uganda, Ministry of Water and Environment Main activities delivered: Water point microbiological quality testing, community WASH committee formation, and hygiene promotion campaigns People reached, unique individuals: 18,600 Households, schools, facilities, or organisations supported: 42 water points, 12 primary schools Other achieved results: Reduced acute diarrheal disease incidence by 41% in targeted intervention villages Reporting period: 01/01/2009 – 31/12/2012 Water Sample E. coli Clearance: Contamination levels dropped by 68% in protected water points post-remediation Sanitation Coverage: Household latrine coverage increased from 46% to 83% in catchment villages WASH Committee Functionality: 38 out of 42 water committees active and collecting maintenance fees at study end School Handwashing Ratio: Handwashing stations scaled to 1 station per 45 pupils across 12 target schools Economic Recovery and Household Livelihoods Status: Completed Start date: 01/01/2021 End date: 31/12/2023 Districts and sites: Kampala (Kawempe and Makindye divisions) IDI’s implementation role: Executing agency for post-COVID economic resilience and HIV treatment retention Partners and funders: USAID, Direct Relief Main activities delivered: Micro-grant distributions, Village Savings and Loans Associations (VSLA) formation, and vocational skills development People reached, unique individuals: 6,400 Households, schools, facilities, or organisations supported: 1,250 households Other achieved results: Restored pre-pandemic treatment adherence levels (>95%) among vulnerable urban PLHIV receiving economic grants Reporting period: 01/01/2021 – 31/12/2023 Micro-Grant Capitalization: Total of USD $250,000 disbursed directly to household micro-enterprises VSLA Capital Growth: Cumulative group savings exceeded USD $82,000 across 45 formed groups Clinical Adherence Rate: 96.2% viral suppression among micro-grant recipients compared to 87.1% in non-grant control groups Business Retention Rate: 81.5% of funded micro-businesses operating profitably at 18-month review Child-Focused Community Development Status: Completed Start date: 15/03/2007 End date: 20/12/2013 Districts and sites: Kaberamaido, Soroti IDI’s implementation role: Technical lead for pediatric HIV care and community child protection models Partners and funders: World Vision Uganda, PEPFAR Main activities delivered: OVC (Orphans and Vulnerable Children) identification, school fee support, pediatric ART linkage, and child protection committee setups People reached, unique individuals: 14,200 Households, schools, facilities, or organisations supported: 3,800 households, 30 community structures Other achieved results: Linked 100% of identified HIV-positive children in project catchment areas to active clinical care Reporting period: 01/01/2008 – 31/12/2013 Pediatric ART Enrollment: 812 OVCs initiated on pediatric ART regimens School Retention Rate: 91.8% of primary school OVC beneficiaries retained in school through project duration Nutrition Recovery: 86.4% of moderately malnourished OVCs reached normal MUAC parameters within 6 months Legal / Protection Services: 240 land-grabbing and child abuse cases successfully resolved via local child protection committees Community Health Outreach, Nutrition and Immunisation Status: Ongoing Start date: 01/06/2017 End date: Ongoing (Estimated 31/12/2026) Districts and sites: Wakiso, Buvuma, Mukono IDI’s implementation role: Outreach implementation partner specializing in hard-to-reach island and rural communities Partners and funders: GAVI, Ministry of Health Uganda Main activities delivered: Mobile immunisation clinics, malnutrition screening (MUAC), vitamin A supplementation, and community health mobilization People reached, unique individuals: 62,000 Households, schools, facilities, or organisations supported: 48 health outposts, 120 VHT networks Other achieved results: Increased full DPT3 immunization coverage from 54% to 88% across target Buvuma island landing sites Reporting period: 01/01/2021 – 31/12/2025 Vaccine Doses Administered: 142,000 routine childhood antigen doses delivered via mobile boat clinics Malnutrition Screening Yield: 28,500 children screened; 4.1% identified with SAM/MAM and placed on therapeutic feeding Zero-Dose Child Reduction: Reduced zero-dose children by 62% in targeted island landing sites Cold Chain Integrity: 99.4% maintainance of cold chain temperatures (2°C–8°C) during waterborne transit Local Partner Capacity and Programme Management Status: Ongoing Start date: 01/10/2018 End date: Ongoing (Estimated 30/09/2028) Districts and sites: Kampala (IDI Training Academy and Regional Partner Offices) IDI’s implementation role: Prime institutional capacity builder and pass-through fund administrator Partners and funders: USAID, CDC Main activities delivered: Financial management training, grant compliance mentorship, organizational governance strengthening, and sub-award management People reached, unique individuals: 1,450 local organization staff trained Households, schools, facilities, or organisations supported: 32 local Civil Society Organisations (CSOs) and CBOs Other achieved results: Graduated 14 local CSOs to direct USAID/CDC prime funding eligibility Reporting period: 01/10/2020 – 30/09/2025 Cumulative Trainees (Cadre-wide): >50,300 health workers/administrators trained by IDI Academy platforms overall Sub-Grant Audit Compliance: 98.2% clean audit findings across 32 sub-granted local CSOs Institutional Capacity Assessment Score: Average score improvement from 42% (Baseline) to 86% (Endline) on NUPAS tools Sub-Award Funding Managed: USD $18.5 million disbursed to local partners with zero disallowances Public Health Implementation Research and Evidence Synthesis Status: Ongoing Start date: 01/01/2010 End date: Ongoing (Estimated 31/12/2027) Districts and sites: Kampala (Mulago Hospital Complex) and multi-center clinical sites IDI’s implementation role: Principal research institution conducting implementation science, systematic reviews, and clinical trials Partners and funders: Medical Research Council (MRC UK), NIH, EDCTP Main activities delivered: Protocol development, clinical trial execution, systematic reviews, and policy translation briefs People reached, unique individuals: 12,000 study participants Households, schools, facilities, or organisations supported: 15 regional referral hospitals Other achieved results: Published over 500 peer-reviewed articles contributing to WHO global HIV and TB guideline updates Reporting period: 01/01/2020 – 31/12/2025 Total Peer-Reviewed Publications: >528 published articles (indexed in Medline/PubMed) Active Research Portfolio: >45 active research grants with an annual research operating budget ~USD $68 million Clinical Trial Retention Rate: 94.2% participant follow-up retention across active RCT protocols Postgraduate Research Capacity: 118 Master's and 10 PhD scholars successfully supported to graduation Study Title: Multi-Center Implementation Science Initiatives for Optimizing Infectious Disease Regimens Participant Count: >12,000 enrolled across protocols Ethics Approval: Makerere University School of Medicine REC & UNCST Available Reports/Publications: PubMed/Medline index (>500 publications) Non-Communicable Diseases and Healthy Ageing Status: Ongoing Start date: 15/09/2020 End date: Ongoing (Estimated 31/12/2026) Districts and sites: Kampala, Wakiso (IDI Kasangati Research Centre & Clinic) IDI’s implementation role: Clinical research and service integration lead for HIV/NCD co-morbidity management Partners and funders: World Diabetes Foundation, Fogarty International Center Main activities delivered: Integrated hypertension and diabetes screening in ART clinics, geriatric assessment protocols, and lifestyle counseling People reached, unique individuals: 11,200 Households, schools, facilities, or organisations supported: 12 urban and peri-urban health centers Other achieved results: Established integrated NCD-HIV care pathways reducing uncontrolled hypertension by 34% among aging ART clients Reporting period: 01/01/2021 – 31/12/2025 Facilities and qualified providers delivering clinical services: IDI Kasangati Clinic and Mulago ART Clinic; staffed by Senior Physicians and Medical Officers. Screening Yield: 42.1% of ART clients aged ≥40 screened were diagnosed with newly identified hypertension Blood Pressure Control Rate: Increased from 31% to 68.4% among enrolled hypertensive clients Glycemic Control (HbA1c): 61.2% of diabetic clients achieved HbA1c target (<7.0%) Statin Prophylaxis Prescribing: 78.5% of eligible high-risk cardiovascular clients initiated on statins Urban Health and Occupational Safety Status: Completed Start date: 01/03/2015 End date: 28/02/2020 Districts and sites: Kampala Metropolitan Area (Industrial Area, Kalerwe, Katwe) IDI’s implementation role: Implementing partner for workplace health and safety protocols Partners and funders: International Labour Organization (ILO), Kampala Capital City Authority (KCCA) Main activities delivered: Occupational hazard audits, informal sector worker health screenings, ergonomics training, and personal protective equipment (PPE) training People reached, unique individuals: 16,800 Households, schools, facilities, or organisations supported: 180 informal and formal SME workplaces Other achieved results: Formed 45 active workplace safety committees in informal urban markets Reporting period: 01/03/2015 – 28/02/2020 Hazard Remediation Rate: 72.3% of identified high-risk physical workplace hazards corrected upon 6-month re-audit PPE Compliance: Increased worker PPE usage from 14% to 61% in target informal metal fabricator sites Workplace Injury Rate: Reported occupational injuries dropped by 29% in participating SMEs Screening Coverage: 5,200 informal sector workers screened for occupational lung diseases and hearing loss Adolescent Health and Life Skills Status: Ongoing Start date: 01/10/2021 End date: Ongoing (Estimated 30/09/2026) Districts and sites: Lira, Oyam, Kole IDI’s implementation role: Prime implementing partner for adolescent-responsive health programming Partners and funders: Global Fund, Ministry of Health Uganda Main activities delivered: "Peer Navigator" training, safe-space adolescent corners at clinics, life skills curriculum delivery, and STI/HIV testing services People reached, unique individuals: 38,000 adolescents (aged 10–19) Households, schools, facilities, or organisations supported: 24 health facilities, 40 out-of-school adolescent clubs Other achieved results: Improved ART adherence among adolescents living with HIV from 68% to 91% in Northern Uganda intervention sites Reporting period: 01/10/2021 – 31/12/2025 Viral Suppression in ALHIV: Increased adolescent viral load suppression from 61.2% to 88.5% Peer Navigators Deployed: 120 trained adolescent peer navigators actively facilitating clinic peer groups Teen Pregnancy Engagement: 3,400 pregnant/parenting adolescents enrolled in specialized support clubs Pre-Exposure Prophylaxis (PrEP) Uptake: 1,820 high-risk adolescent girls and young women (AGYW) initiated on PrEP Wetland Conservation and Biodiversity Programme concept Support community stewardship of wetlands and evidence on ecosystem pressures and conservation priorities. Agroforestry and Sustainable Land Use Programme concept Explore tree-based farming and land-use practices supporting household livelihoods and environmental resilience.