Other Publications

Resources are listed below. Click on the file name in the Download column to download the document.

USAID/SUSTAIN's Transition and Learning Event Book
Published: October 2017

The transition and learning event book captures USAID/SUSTAIN's experiences, successes, and lessons over the years of project implementation.

Download: PDF icon USAID SUSTAIN's Transition and Learning Event Book.pdf
HIV Prevention, Care and Treatment Flier HIV Prevention, Care and Treatment Flier
Published: February 2015 By USAID/SUSTAIN

According to the Millennium Development Goals Report for Uganda 2013,  Uganda is on course to achieve the national target of providing antiretroviral drugs to 80% of those in need by 2015.

Download: http://sustainuganda.org/sites/sustainuganda.org/files/Care%20and%20Treatment%20... PDF icon Care and treatment flier document
Nutrition snapshot image Nutrition Snapshot
Published: February 2015 By USAID/SUSTAIN

According to the 2010 Analysis of Nutrition Situation in Uganda report, 20-25% of adults started on antiretroviral therapy (ART) are moderately or severely malnourished, while 30-40% of malnourished children are HIV-infected. The USAID/SUSTAIN project supports the Uganda Ministry of Health to implement the Nutrition Assessment, Counselling and Support (NACS) model at 13 public healthcare facilities.

Download: Nutrition Snapshot PDF icon Nutrition snapshot
New treatment sites for drug-resistant tuberculosis bring services closer to people New treatment sites for drug-resistant tuberculosis bring services closer to people
Published: January 2015 By USAID/SUSTAIN

According to 2013 WHO report, there are inadequacies in TB case management for multi-drug resistant TB (MDR-TB)—notably, gaps between the number of cases detected and the number of patients started on second-line TB treatment. In Uganda, a survey conducted in 2010 estimated the prevalence of MDR-TB at 12.1% among previously treated patients and a 1.3% among new patients. But why are there emerging cases of DR-TB?

Download: PDF icon New MDR treatment sites.pdf
Investing in processes to improve retention of HIV-positive clients in care Investing in processes to improve retention of HIV-positive clients in care: Experience from Gulu Regional Referral Hospital
Published: January 2015 By USAID/SUSTAIN
Despite the growing availability of HIV care and treatment services in Uganda, significant barriers to retention (continuous engagement of HIV-positive clients in appropriate medical care) continue to affect client treatment outcomes. Since 2010, healthcare facilities supported by the USAID Strengthening Uganda’s Systems for Treating AIDS Nationally (SUSTAIN) project have been battling to improve retention of clients in care. Clients default on treatment regularly due to various reasons, such as lack of transport,
unplanned travels (common for business men and women), failure to disclose sera status to a partner and sickness.
Download: PDF icon Investing in processes to improve retention.pdf
Waste management in VMMC settings Waste segregation and management practices in voluntary medical male circumcision settings
Published: January 2015 By USAID/SUSTAIN
Voluntary medical male circumcision (VMMC) has become an increasingly known biomedical intervention for reducing transmission of HIV in 2010 when Uganda begun implementation following guidelines from the World Health Organisation. This saw an increase in demand for VMMC services which generated high quantities of hazardous waste arising from single-use disposable items during surgical procedures.
Download: PDF icon Waste management in VMMC settings
Engaging males in reproductive health Engaging males in reproductive health, including preventing mother-to-child transmission of HIV
Published: November 2014 By USAID/SUSTAIN

It is 9:00 in the morning and an announcement rings out in the corridors of Mbale Regional Referral Hospital Antenatal Care (ANC) Clinic: “If you have not come with your husband, please call and ask him to come. If he is unable now, come with him next time.” The announcement was made by Sr. Helen Okwii, the ANC Clinic In-charge

Download: PDF icon successstory_engagingmales_PEPFAR award nomination 28112014.pdf
Streamlined appointment system reduces overcrowding Streamlined appointment system reduces overcrowding at Mubende’s anti-retroviral (ART) clinic increasing client access to care and treatment services
Published: November 2014 By USAID/SUSTAIN

It was not clear why particular days within the week had heavier client loads than others; daily clinic attendance numbers ranged from 80 to 300 clients. On heavy days, the clinic would be forced to extend its operating time two additional hours (from closing at 5pm to 7pm) to make sure all clients were seen by the limited clinic staff.

Download: PDF icon successstory_streamlined client flow _28112014.pdf
Updated Laboratory Briefer Updated Laboratory Briefer
Published: November 2014 By USAID/SUSTAIN

Improving the Quality of Laboratory Services at Uganda's Public Healthcare Facilities; An overview of SUSTAIN laboratory activities at supported hospitals 2010 -September 2014

Download: PDF icon Updated Laboratory breifer_November 2014.pdf
Project Snapshot: Strengthening Uganda’s Healthcare Systems for Delivery of Quality Tuberculosis (TB) Control Services Project Snapshot: Strengthening Uganda’s Healthcare Systems for Delivery of Quality Tuberculosis (TB) Control Services
Published: August 2014 By USAID/SUSTAIN

The USAID Strengthening Uganda’s Systems for Treating AIDS Nationally (USAID/SUSTAIN) project supports selected regional referral and general hospitals to deliver quality HIV and TB prevention, care and treatment services, including management of drug-resistant TB (DR-TB).

This snapshot highlights USAID/SUSTAIN's approach to delivery of quality TB control services and the current progress and achievements of the project.

Download: PDF icon TB Snapshot_August 2014.pdf
Thumbnail images of page 1 of the HTC snapshot Project Snapshot: Scaling up Access to HIV Testing and Counselling Services within Public Hospitals
Published: August 2014 By USAID/SUSTAIN

The 5-year USAID-funded Strengthening Uganda’s Systems for Treating AIDS Nationally (SUSTAIN) project, which began in June 2010, aims to support delivery of and enhance the quality of HIV prevention, care and treatment, TB and laboratory services in selected public hospitals and to support increased stewardship by the Ministry of Health (MOH) to sustain the delivery and quality
of these services within the public healthcare system. HIV Testing and Counselling (HTC) is a critical component of the HIV prevention, care and treatment services supported by USAID/SUSTAIN.

This snapshot highlights USAID/SUSTAIN's approach to expanding access to and uptake of HTC and some of the most current results of the project's support to selected hospitals.

Download: PDF icon HTC Snapshot 2014
Thumbnail images of page 1 of the PMTCT snapshot Project Snapshot: Preventing Mother-to-Child Transmission of HIV by Strengthening Maternal, Newborn and Child Health (MNCH) and Early Infant Diagnosis Services
Published: July 2014 By USAID/SUSTAIN

The USAID-funded Strengthening Uganda’s Systems for Treating AIDS Nationally (SUSTAIN) project aims to support delivery of comprehensive, quality HIV prevention, care and treatment services. The project also supports increased stewardship by the Uganda Ministry of Health to sustain the delivery of these services within the public healthcare system. As part of the effort, USAID/SUSTAIN supports implementation of interventions for Prevention of Mother-to-Child Transmission (PMTCT) of HIV.

This snapshot highlights USAID/SUSTAIN's work to support through roll-out of PMTCT Option B-Plus and some of the most current results of the project's support to selected hospitals.

Download: PDF icon PMTCT Snapshot 2014
Increasing access to healthcare services in the Karamoja sub-region, Uganda Increasing access to healthcare services in the Karamoja sub-region, Uganda
Published: June 2014 By USAID/SUSTAIN

Karamoja, in northeastern Uganda, is considered by many a “hard to reach” and “hard to live in” sub region. The HIV prevalence rate in Karamoja has risen in the last decade from 3.5% to 5.3%*.

In 2010, the USAID Strengthening Uganda’s Systems for Treating AIDS Nationally (USAID/SUSTAIN) project, working closely with the Ministry of Health, started implementing interventions to improve public healthcare systems to provide quality HIV prevention, care and treatment services in seven districts of the sub-region.

Download: PDF icon Stories from Karamoja sub region
Key interventions in strenthening TB services Tuberculosis Brief
Published: March 2014 By USAID/SUSTAIN

Strengthening Uganda's healthcare systems for delivery of quality TB control services

Download: PDF icon SUSTAIN_TBbrief_March2014.pdf
Thumbnail images of page 1 of the VMMC snapshot Project Snapshot: Improving Quality of and Access to VMMC Services for HIV Prevention Among Men Ages 15-49 in Uganda
Published: March 2014

The 5-year USAID-funded Strengthening Uganda’s Systems for Treating AIDS Nationally (SUSTAIN) project, which began in June 2010, aims to support delivery of and enhance the quality of HIV prevention, care and treatment, TB and laboratory services in selected public hospitals and to support increased stewardship by the Ministry of Health (MOH) to sustain the delivery and quality of these services within the public healthcare system. Voluntary Medical Male Circumcision (VMMC) is a critical component of the HIV prevention services supported by USAID/SUSTAIN.

This snapshot highlights USAID/SUSTAIN's integrated approach to VMMC and some of the most current results of the project's support to selected hospitals.

Download: PDF icon VMMC Snapshot 2014
Regional Workshops Briefer Regional Workshops Briefer
Published: March 2014 By USAID/SUSTAIN

Upgrading the capacity of regional medical equipment maintenance workshops in Uganda

Download: PDF icon Regional Workshops Briefer .pdf
Stewardship Briefer Stewardship Briefer
Published: March 2014 By USAID/SUSTAIN

Supporting increased hospital and Ministry of Health stewardship for HIV service delivery

Download: PDF icon Stewardship_Briefer.pdf
Voluntary Medical Male Circumcision (VMMC) Briefer Voluntary Medical Male Circumcision (VMMC) Briefer
Published: March 2014 By USAID/SUSTAIN

Increasing demand for and access to VMMC services among men of age 15-49 years

Download: PDF icon VMMC_Briefer.pdf
Supply Chain Management (SCM) Briefer Supply Chain Management (SCM) Briefer
Published: March 2014 By USAID/SUSTAIN

Strengthening Supply Chain Management systems for drugs and other health commodities

Download: PDF icon Supply Chain Management_Briefer.pdf
Quality Improvement Briefer Quality Improvement Briefer
Published: March 2014 By USAID/SUSTAIN

Institutionalizing Quality Improvement Methodologies

Download: PDF icon Quality Improvement_Briefer.pdf
Health Management Information Systems (HMIS) Briefer Health Management Information Systems (HMIS) Briefer
Published: March 2014 By USAID/SUSTAIN

Improving utilization of  Ministry of Health tools for client data management and reporting

Download: PDF icon HMIS_Briefer.pdf
HIV Prevention, Care and Treatment Briefer HIV Prevention, Care and Treatment Briefer
Published: March 2014 By USAID/SUSTAIN

Supporting HIV Testing and Counselling, PMTCT, HIV Care and Treatment, and TB Services

Download: PDF icon HIV prevention, care and treatment _Brief.pdf
Key interventions in strengthening Laboratory services laboratory one pager
Published: March 2014 By USAID/SUSTAIN

Key interventions in strengthening laboratory services

Download: Laboratory One pager
EMTCT HANDOUT EMTCT HANDOUT
Published: JUNE 2013 By SUSTAIN

 Realizing a continuum of care for Elimination of Mother-to-Child Transmission of HIV (EMTCT)

Download: PDF icon EMTCT HANDOUT
SUSTAIN TB HIV Overview Handout (World TB Day 2013) TB Day Overview Handout
By SUSTAIN

SUSTAIN TB HIV Overview Handout (World TB Day 2013)

Download: PDF icon Pages from SUSTAIN TB HIV Overview Handout (World TB Day 2013)
Improving ART for HIV-Infected children in Uganda Improving ART for HIV-Infected children in Uganda
Published: November, 2012 By SUSTAIN

206 HIV-infected children were identified (96 males and 110 females). The proportion of HIV-infected children initiating ART increased from 57% (140/245) in 2011 to 77% (158/206) six months later, and the average number of days between the hospital receiving the HIV test result and the child initiating ART decreased from 22 days to 15 days.

Download: PDF icon Improving ART for HIV-Infected children in Uganda
Using targeted interventions to improve the quality of and access to laboratory services in Uganda Using targeted interventions to improve the quality of and access to laboratory services in Uganda
Published: July, 2012 By SUSTAIN

SUSTAIN’s interventions have impacted not only the health system, but also the lives of those providing and receiving the services. Regarding the quality of services before and after the SUSTAIN intervention at Fort Portal RRH, a 43 year-old male client living with HIV and receiving services at the hospital explained, “Currently we receive very good services from the doctors; there is no congestion like at the former clinic where there were very many people in a very small area.”

Download: PDF icon Using targeted interventions to improve the quality of and access to lab services
Strengthening health management information systems at Uganda’s public hospitals Strengthening health management information systems at Uganda’s public hospitals
Published: July, 2012 By SUSTAIN

“Now we take less than 3 minutes to retrieve a client’s file.
Previously we would take almost 30 minutes because files were bundled according to appointments that were only known to expert clients.”

Download: PDF icon Strengthening health management information systems at Uganda’s public hospitals
Use of simple, low cost innovations to improve availability of HIV-related commodities at public hospitals in Uganda Use of simple, low cost innovations to improve availability of HIV-related commodities at public hospitals in Uganda
Published: July, 2012 By SUSTAIN

“It is now 1 year and 6 months [since ordering was harmonized]. Fort Portal Regional Referral Hospital recorded a great improvement in submission of health supplies reports . . . all the reports/orders were submitted before the deadline. Stock-outs of drugs, especially ARVs and PMTCT drugs, [are] becoming history.”

Download: PDF icon Use of simple, low cost innovations at public hospitals in Uganda
Improving tuberculosis treatment completion rates: Experience from Gulu RRH file icon Improving tuberculosis treatment completion rates: Experience from Gulu RRH Improving tuberculosis treatment completion rates: Experience from Gulu RRH file icon Improving tuberculosis treatment completion rates: Experience from Gulu RRH
Published: July, 2012 By SUSTAIN

TB treatment completion rates improved from 27.7% in the July–September 2011 quarter, to 54.3% in the October–December 2011 quarter, following the interventions. Despite national stock-outs of TB medicines, a completion rate of 51% was maintained during the January–March 2012 period. Further improvements were noted in April–June 2012 quarter, with a treatment completion rate of 64%.

Download: PDF icon Improving tuberculosis treatment completion rates at Gulu RRH
Improving chronic care enrollment for HIV-positive pregnant women Improving chronic care enrollment for HIV-positive pregnant women
Published: June, 2012 By SUSTAIN

“It’s a great honor and a privilege [to be escorted]. You know the nurse. You have someone to talk to as you are seen at the clinic.
Your fears of being HIV-positive are calmed down. You get the confidence and strength to move on despite being positive.”

Download: PDF icon Improving chronic care enrollment for HIV-positive pregnant women
Streamlining equipment and supplies procurement among laboratory stakeholders in Uganda Streamlining equipment and supplies procurement among laboratory stakeholders in Uganda
Published: November, 2011 By SUSTAIN

SUSTAIN supported the MOH to develop, for the first time, a standardized list of equipment, test methods allowable at each level of the healthcare delivery system, and to define the reagents needed from the national procurement system to maintain the standardized laboratory equipment.

Download: PDF icon Streamlining equipment and supplies procurement among laboratory stakeholders in Uganda
Using community mobilization to increase uptake of Pediatric HIV-Testing services and ensure enrollment into care for children living with HIV Using community mobilization to increase uptake of Pediatric HIV-Testing services and ensure enrollment into care for children living with HIV
Published: November, 2011 By SUSTAIN

A total of 3,995 children under 15 years of age were tested for HIV during the KYCS campaign. Of the 3,660 children between 18 months and 15 years of age who were tested, 107 children (3%) tested positive for HIV and were enrolled into care and treatment services. After assessment for eligibility, 55% were immediately initiated on Highly Active Antiretroviral Therapy (HAART).

Download: PDF icon Using community mobilization to increase uptake of Pediatric HIV-Testing services
SUSTAIN brochure SUSTAIN brochure
By SUSTAIN

Know more about SUSTAIN’s objectives, approach, areas of focus, and our implementing partners.

Download: PDF icon SUSTAIN Brochure.pdf