Integrated Development Initiative UgandaIntegrated Development
Initiative Uganda

Ongoing programme

Comprehensive HIV, TB and Community Health

Facility ART clinic management, TB contact tracing, index testing, differentiated service delivery models (DSDM), and viral load suppression monitoring

IDI’s implementation role

Prime implementing partner delivering health-systems strengthening, clinical care, and community outreach

Activities

Facility ART clinic management, TB contact tracing, index testing, differentiated service delivery models (DSDM), and viral load suppression monitoring

Reach and results

People reached

185,000 active on ART

Households and institutions supported

142 public and private-not-for-profit health facilities

Achieved 95-95-95 UNAIDS targets across supported districts and reduced lost-to-follow-up rates to under 3%

Programme statistics

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

Clinical services and providers

Supported by licensed Medical Officers, Clinical Officers, Registered Nurses, and Laboratory Technicians across Mulago National Referral Hospital, Masaka RRH, and district Health Centre IVs.

Programme enquiries

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Detailed programme framework

The sections below retain the programme’s activity explanations, monitoring guidance and planning considerations. Suggested measures and design guidance are distinct from the archive-reported activities and results above.

Programme purpose

Continuity between community and clinical care

The programme framework aims to strengthen access to HIV and TB services through community engagement, referral support and collaboration with qualified health providers.

Planned activities would address barriers to testing, treatment linkage, retention and follow-up, with attention to adolescents, pregnant and breastfeeding women, children and underserved populations.

Activity framework

Prevention, care and community support

HIV prevention and testing

Community education, information on prevention options and referrals for confidential testing and prevention services.

Care and treatment support

Support linkage to qualified providers, treatment literacy, appointment follow-up and retention in care.

TB service connections

Coordinate symptom screening, diagnostic referrals and treatment-support activities with qualified health services.

Maternal and child health

Support referrals for antenatal care, prevention of mother-to-child transmission, infant follow-up and family health services.

Community engagement

Plan peer support, accessible information and feedback channels, addressing stigma and barriers to service access. Include family-centred support and referrals for orphans and vulnerable children.

Health-system support

Explore provider mentorship, referral coordination, laboratory and supply-system links, and service data quality improvement.

Measure access and continuity

Suggested measures include referral completion, linkage to care, appointment continuity, retention, TB diagnostic follow-up and client experience. Clinical outcomes would use authorised facility data with agreed definitions and safeguards.

Plan with service providers

Clinical services would require qualified providers and applicable approvals. Programme planning would establish consent, confidentiality, safeguarding, referral agreements and coordination with health authorities.

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