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African Solutions for Better Health


Through Centers for Disease Control and Prevention (CDC), PEPFAR awarded THETA Uganda a grant to implement a five (5) year project titled “Local Non-Governmental Partnerships for Sustained Country Leadership under PEPFAR” referred to as Local Capacity Initiative (LCI) Project. The project is being implemented in Partnership with MARPs Network Limited (MNL) and Action Group for Health, Human Rights and HIV/AIDS (AGHA) Uganda in the districts of Mukono, Wakiso and Kampala Capital City Authority (KCCA).

The project goal:

The goal of the project is to improve access of HIV and AIDS services for Most at Risk Populations (MARPs) in Wakiso, Mukono and Kampala districts in Uganda.

Project objectives

  • – To increase the advocacy capacity of 15 CSOs to demand accountability from government on national commitments on MARPs by the end 2019.
  • – To increase the capacity of 15 CSOs to identify the legal, policy, and structural barriers that impede equitable access to quality HIV services for MARPs by 2019.
  • – To strengthen the social support and health systems to facilitate greater access to HIV services by MARPs by 2019.
  • – To increase participation and representation of community leaders, people living with HIV and MARPs in the governance structures that influence health systems and services for populations most at risk by the end of 2019.
  • – To strengthen capacity of 15 CSOs to successfully secure and manage diversified funding by the end of 2019.

Project Implementation Strategies

  • – Participatory CSO advocacy capacity development.
  • – Facilitated CSO led HIV/AIDS Services score cards
  • – Policy and legal framework review/audits

Anticipated project outcomes

  • – Improved advocacy capacity among key population CSOs
  • – Improved policy and legal environment for Key Populations Services
  • – Improved responsiveness of health system to Key Populations health needs services
  • – Increased participation of key populations in health governance structures.
  • – Improved capacity of Key Populations CSOs to mobilise and successfully secure diversified funding for their programmes.

Project Strategies

Participatory CSO advocacy capacity development

The project progressively strengthens the capacity of CSOs in order to empower them to represent the different MARPs constituencies and to effectively advocate for HIV and AIDS and other health services for MARPs in the target local government.

Facilitated CSO-led HIV and AIDS response score cards

In order to assess the extent to which the government has met this commitment within the national HIV and AIDS response in the context of MARPs, the project undertakes bi-annual HIV/AIDS services score card at health facilities to access the extent of efforts towards to achieving zero new infections, zero stigma and discrimination and zero AIDS deaths and other commitments. This will empower service beneficiaries including MARPs and PLHIV to influence quality, efficiency, effectiveness and accountability in service provision at the local level.

Policy and legal reviews and audits

Progressively, the project creates an enabling environment for provision of and access to services by MARPs. THETA and partners plan to undertake reviews of HIV and AIDS and other health policies as well as audit laws that impact negatively on services for MARPs.

Partnership and coalition building

The project works with US funded and other partners for improved coordination and leverage of resources in raising voices for MARPs for improved access to HIV and AIDS services.

The expectedproject outcomes include:

  • – Improved advocacy among CSOs, Increased CSOs demand for accountability from government to provide access and quality HIV/AIDS services to MARPs, Evidence based policies / regulations related to HIV National response formulated and active MARPs coalitions able to influence policies and decisions
  • – Improved legal and policy environment for MARPS HIV/AIDS service and CSO coalitions able to influence legal / policy reforms
  • – Measures to reduce stigma and discrimination adopted and increased access to HIV/AIDS services by MARPS
  • – Increased participation of MARPs in health governance structures
  • – Improved capacity of CSOs to successfully secure and manage diversified funding improved program and implementation capacity and improved governance and management systems

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