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Human Resources (HR) Strengthening


Project staff collecting data for the HR assessment.

Effective HIV/AIDS service delivery requires a health system with the capacity to provide HIV counseling and testing for large numbers of clients, routine laboratory tests to monitor HIV-positive clients and continuous clinical monitoring and treatment for HIV-positive clients. Providing these services requires significant staffing. One of the major problems confronting HIV care in Uganda is significant shortages of skilled health workers. USAID/SUSTAIN’s human resource (HR) strengthening activities are aimed at developing a sustainable workforce. In partnership with the Ministry of Health (MOH), hospitals are supported to address ongoing staffing challenges for HIV service delivery and support is provided to improve HR management practices. The focus is on building leadership capacity and supporting the hospitals to maximize staff efficiency and productivity and thereby coordinating HIV service delivery effectively. The project also supports staff skills building activities in quality improvement and various clinical and systems strengthening areas. 


  • USAID/SUSTAIN built the capacity of health workers to provide HIV care and manage services through training and mentorship.
  • USAID/SUSTAIN supports rational staffing and maximizing on productivity. The project conducted an HR assessment at 15 supported hospitals to establish workload-based staffing recommendations and project future staffing needs. 
  • Hospital management teams were supported to develop actions plans and nominate MOH staff to head the HIV clinics and related services. This opportunity built the MOH staff's capacity to lead.
  • Through HR grants, the project supports critically needed personnel positions to ensure quality service provision for clinical and laboratory services.
  • The project engaged with central MOH, hospital managers and supported staff to advocate for the  absorption of the seconded staff positions by MOH.
  • In collaboration with the Uganda Capacity program, the project piloted a modified human resource information system (HRIS) in 2013 at four hospitals to support monitoring of staff allocation for HIV service delivery.
  • USAID/SUSTAIN conducted a performance improvement activity involving nursing unit leaders and HR officers at three hospitals. The exercise focused on the improvement of HIV testing and counseling (HTC) services through managing staff productivity. Teams participating in the exercise agreed on HTC targets, defined individual roles and monitored their data to evaluate progress.  
  • The project developed guidelines for the hospitals on expected standards for HR management to support the prudent management of salary, benefits and recruitment as well as performance management.
  • The project conducted a survey to determine client satisfaction with services at 12 HIV clinics to inform quality improvement efforts at the hospitals.

Learn more in our Human Resources for Health technical brief!