USAID/SUSTAIN supports the provision of comprehensive HIV and AIDS services at 11 hospitals in Uganda, maintaining coverage of care for 51,610 clients enrolled on antiretroviral therapy (ART) between 2010 and 2016. By utilizing a system strengthening approach, the project is ensuring delivery of quality services that meet the needs of beneficiaries across the continuum of care and has adopted the Ministry of Health recommended UNAIDS 90-90-90 strategy. Strengthening the health system by building a skilled and expanded health workforce, improving the commodity/supply chain management system and improving the quality of laboratory services within the public healthcare system for both general and HIV-related healthcare service delivery is the foundation for the sustainability of HIV/AIDS services beyond the life of the project.
To contribute to the development of a sustainable health system that ensures access to quality services for people living with HIV/AIDS (PLHA), SUSTAIN aims to address six primary areas of need following the World Health Organization's HSS building blocks. These include:
- Leadership: Build leadership capacity and increase in-country stewardship for the provision of HIV/AIDS care and treatment services.
- Health management information systems (HMIS): Strengthen HMIS to promote usage of data for decision-making and improvement at all levels and to ensure access to client information for providers of chronic care services.
- Supply chain management systems: Improve logistics/supply chain management systems to optimally leverage medicines and supplies available in the national system.
- Human resources (HR): Support the development of a sustainable health workforce with the skills to provide quality services.
- Financing: Improve financial management practices and promote increased hospital ownership for routine operational costs associated with HIV and AIDS service delivery.
- Infrastructure: Improve laboratory and HIV clinic work spaces through infrastructure renovation and repair and procurement of equipment required for routine HIV monitoring tests.