UNFINISHED BUSINESS (UB) 2.

0
SERVICE QUALITY ASSESSMENT TOOL
Q1 2022

Background

In Q1 2019, UB 2.0 consortium partners agreed on a set of best practices aimed at

improving screening, case identification, linkage to care, initiation on ART,
retention and viral suppression amongst children and adolescents in facilities
supported by the UB program. However, some focus facilities still have
significant gaps in the implementation of certain components of this agreed upon
package. The purpose of this SQA is to monitor the progress and consistency of
implementation of the minimum package of interventions/standards in focus
facilities

Objectives:
1. To assess the implementation of key pediatric (0-9 years) and adolescent (10-
19) HIV case finding strategies including PITC and Index Testing.
2. To assess linkage to HIV services following an HIV positive test.
3. To assess the proportion of children receiving optimal ART regimens.
4.
To assess viral load coverage, suppression and utilization of the viral load results
in children and adolescents. 5. To
assess the proportion of children retained in care at 3, 6, 12, 18 and 24 months after
enrolment.
6. To assess the extent of implementation of adolescent friendly HIV/TB services
at key entry points.
7. To assess implementation of follow up strategies for lost children and
adolescents including facility-community and community-facility linkages.

Data Abstraction Methods

Data is collected by way of tallying, interviewing and observation. Tally sheets are
provided and these carry instructions on usage.
For each section that requires data abstraction, use the respective tally sheets and
read off totals into the excel data abstraction sheet.

Case finding
Proportion of infants who kept
their DNA PCR appointment
85%
Proportion of babies who didn't
keep their PCR appointment with
documented follow-up 67%
Percentage of children and
adolescents screened at OPD
83%
Percentage of children and
adolescents eligible and tested at
OPD 100%
Percentage of children and
adolescents Nutrition
attendances tested for HIV
Percentage of children and
adolescents TB attendances
tested for HIV
Percentage of children and
adolescents IPD attendances
tested for HIV
Percentage of sampled files with
a populated “family tracking”
section 56%
Percentage of contacts <20yrs of
index clients with a documented
known HIV status
Identified Gaps
No effective adolescent friendly services
the latest version of ART care cards not in use
Support supervision for paediatrics and adoles
Linkage, retention and Adolescents
Percentage of children and adolescents
that tested HIV positive and started on
ART 100%
Percentage of children and adolescents
that tested HIV positive and started
ART on the same day 100%
Percentage of children and adolescents
not initiated on ART with documented
follow-up attempts
Percentage of children and adolescents
that missed appointment and were
followed-up
12 months retention
100%
Provision of Adolescent-responsive HIV
services
58%
Percentage of Children and
adolescents screened for OVC services
0%
Percentage of children and adolescents
with a well filled PSS section
0%
Percentage of children and adolescents
referred for GBV
100%
Mentorship Report
Actions Taken by The Mentors
discussed with Mr Aliko to lead team to spearhead and lobby for AF
service providersrecommended to attach the new ART card for each
visit with immediate action
atrics and adolescent HIV services : kiyuni
Treatment optimization & TB Screening VL suppression Key
Proportion of children and Percentage of sampled children
adolescents on 1st Line Optimal and adolescents with a
regimens 100% progressive 6 months VL 100%
Children 0 - <10 yrs old on 1st Proportion of newly initiated
Line Optimal regimens patients with a timely 6 monthly
100% VL test 33%
Children 10 - <15yrs old on 1st Proportion of patients
Line Optimal regimens suppressed at 6 months VL
100% 0%
Adolescents 15-<20 yrs old on Proportion of newly initiated
1st Line Optimal regimens patients with a timely 12
100% monthly VL test 33%
Proportion of children and Proportion of patients
adolescents on Optimal dose suppressed at 12 months VL
0% 0%
Ped and Adolescent Proportion of unsuppressed
commodities availability patients with at least 3 IACs
100%
Average Months of Stock (MOS) Proportion of unsuppressed
patients with at least 4 IACs
6.00
Proportion of patients with a
repeat VL after an unsuppressed
VL test

Proportion of patients switched

after an unsuppressed repeat VL

ntorship Report

by The Mentors Recommendations for IP/District/Facility

arhead and lobby for AFS packages IP to consider kiyuni for YAPS attachment

e new ART card for each client during clinic

Key

0.90 >89% Meets Standards

0.70 70- 89% Satisfactory

0.50 50- 69% Needs Improvement

0.40 <50% Needs Urgent Remediation

Indicator not assessed /

Blank
Denominator is zero
 SQA

District Kyankwanzi District

Facility kiyuni

STANDARD 1: All children and adolescents attending OPD are screened for HIV t
and inpatient ward are tested for HIV

INSTRUCTION: Assess and comment on the utilization of the tracking log/tool for tracking babies for 1st PCR:

Number of babies expected for 1st PCR (Apr-Jun Number of babies returned for 1st PCR
2022)
8
8

Number of babies expceted for RDT at 18 months Number of babies kept appointment
(Apr-Jun 2022)
9
12

INSTRUCTION: Confirm that the facility has the new 2019 version of the OPD register. This version should hav
screened, eligibile, tested, received results and yield outcomes for each age group in the month of Jun 2022

Age-group Total Attendances

Children 0-9 years 44

Adolescents 10-14 years 26

Adolescents 15-19 years 29

INSTRUCTION: In the Nutrition ward register, review and record all HIV -ve attendances, those tested and tes

Age-group Total HIV Negative Attendances

Children 0-9 years 0

Adolescents 10-14 years 0

Adolescents 15-19 years 0

INSTRUCTION: In the TB register, review and record all HIV -ve attendances, those tested and testing outcome
 Age-group Total HIV Negative Attendances

Children 0-9 years 0

Adolescents 10-14 years 0

Adolescents 15-19 years 0

INSTRUCTION: In the In-Patient register, review and record all HIV -ve attendances, those tested and testing o

Age-group Total HIV Negative Attendances

Children 0-9 years 0

Adolescents 10-14 years 0

Adolescents 15-19 years 0

INSTRUCTION: Sample at least 30 files of adult patients aged 20 years and above initiated on ART between Ja
their age-group respectively.
Index Testing
Number of sampled files Number of sampled files with a populated “family tracking” s

16 9

Age-group Negative

<2yrs

2-<5yrs

5- <10yrs

10 - <15yrs

15-<20 yrs

STANDARD 2: All children and adolescents diagnosed with HIV receive ART on

Instruction

Has Confirm if the facility has an individual or team assigned with the role of facilitating linkage including physical escort of

Has Confirm if the facility has a pre-ART and Linkage register. If no assessment for this standard is complete
 INSTRUCTION: From the HTS register for the quarter of Apr-Jun 2022, assess how many children and adolesce
register, to review all entries during the months of Apr-Jun 2022 and assess (percentage) of clients who starte
have documented follow-up attempts.
Are new positive clients who request for formal TO entered into the ART register

HTS Register: Tested positive

Age-group

Children 0-9 years 3

Adolescents 10-14 years 0

Adolescents 15-19 years 3

STANDARD 3: All children and adolescents in care are receiving optimal ART reg

Instruction

FilleConfirm if the facility has filled line-listing tool with pediatric and adolescent patients

INSTRUCTION: From the line-listing tool, sample any 5 or 10 1st Line active patients' files for each age group

Optimal 1st Line Regimen

Age-group

0 - <10 yrs (below 20 kgs) ABC+3TC+DTG

0 - <10 yrs (above 20 kgs) ABC+3TC+DTG

10 - <15yrs (below 30kgs) ABC+3TC+DTG

10 - <15yrs (above 30kgs) TDF+3TC+DTG

15-<20 yrs TDF+3TC+DTG

INSTRUCTION: All children and adolescents with a non-suppressed viral load, should be initiated on IAC within
Non-suppressed register, look at Jul-Sep 2021 quarter

Unsuppressed (Jul-Sep 2021)

Age-group

<2yrs 0

2-<5yrs 0

5- <10yrs 0

10 - <15yrs 0
 15-<20 yrs 0

INSTRUCTION: Using the ART register / appointment book/ Uganda EMR, look at Apr-Jun 2021 and complete
means that a client may be bled from 2 months before to 2 months after their VL due date. Forexample, a clie

6 months VL >> Apr 21= (Aug 21 - Dec 21) & May 21 = (S

22)
Newly initiated

Initiated on ART (Apr-Jun 2021)

Age-group

<2yrs

2-<5yrs

5- <10yrs

10 - <15yrs

15-<20 yrs 3

3 months retention

Age-group Initiated on ART + TI (Jan-Mar 2022)

<2yrs

2-<5yrs

5- <10yrs

10 - <15yrs

15-<20 yrs 2

6 months retention

Age-group Initiated on ART + TI (Oct-Dec 2021)

<2yrs

2-<5yrs

5- <10yrs

10 - <15yrs

15-<20 yrs 2
 12 months retention

Age-group Initiated on ART + TI (Apr-Jun 2021)

<2yrs

2-<5yrs

5- <10yrs

10 - <15yrs

15-<20 yrs 1

24 months retention

Age-group Initiated on ART + TI (Apr-Jun 2020)

<2yrs

2-<5yrs

5- <10yrs

10 - <15yrs

15-<20 yrs 1

STANDARD 4: All Health facilities provide Adolescent-responsive HIV services

INSTRUCTION: There is evidence that the facility provides Adolescent responsive services. Observe presence o

Instruction

1.The health facility has a focal person for Adolescent HIV services

2. Health workers are trained in Adolescent HIV care, treatment and support using the National training

3.Health facility has trained Adolescent peer supporters

4.List of services on the Facility signpost include Adolescent services

5.Clear and visible direction to the Adolescent/Youth Corner

6.Existing separate space/day for Adolescents

INSTRUCTION: Adolescents are provided with adequate information on HIV and SRHR to help protect them fr
Instruction

1.Health education is conducted and documented every Adolescent clinic day

2.There is presence of a variety of Adolescent specific IEC materials on HIV and SRHR

INSTRUCTION: A comprehensive service package is provided to Adolescents at the HIV/TB care point. Check th

Instruction

1.HIV testing services

2.ART services

3.SRHR services like Screening for STDs and their treatment, provision FP services

4.TB services like screening, treatment

5.Nutrition services

6.Mental Health and Psychosocial support-

7.OVC services

INSTRUCTION: There is a clear and functional referral and linkage system for Adolescents to non-clinical servi

Instruction

1.An updated referral directory

2.Comprehensive HIV Referral and Linkage form

3.Community-Facility Referral register

4.A referral map at Facility

INSTRUCTION: All children and adolescents should be screened for OVC services and those eligible enrolled on
charts for 10-19 years

# Active in clinic (Sample 10 files per age

Age-group group)

0-9 years 7

10-19 years 9

Reasons for not enrolling Children and adolescents on to the OVC program.
adolescent priority services includingOVC and refer

Arears of strengths:
 GBV cases effectively screened, referred and outcom

Areas of improvement:
there is no adequate friendly service prov

STANDARD 5. All health facilities should provide Psychosocial support services t

Instruction

How many staffs are trained in pediatric and adolescent PSS

Does the facility have a PSS focal person?

Does the facility offer GBV services?

Does the facility have a GBV focal person?

Are the 2020 HIV guidelines available at the facility?

INSTRUCTION: Select 10 charts for children 0-9 years and 10 charts for 10-19 years

Age-group Selected charts

0-9 years 7

10-19 years 9

INSTRUCTION: Review the GBV register of the Apr-Jun 2022 quarter. How many cases for;

# registered
Age-group

Children 0-9 years 4

Adolescents 10-19 years 7

Reasons for not referring the clients for GBV support services
STANDARD 6. Commodities ordered equals commodities delivered. Stock on ha
Pead Commodity Order fulfilment and stock on hand
Review the order forms and delivery notes for the last ordering cycle and comment on order fulfillment for the commo

INSTRUCTION: Are the following pediatric and adolescent commodities available at the facility?

Commodity

ABC/3TC 120/60 mg

DTG 10mg

DTG 50mg

LPV/r 100/25mg

LPV/r 40/10mg pellets

TLD

Ordering

Cycle
Commodity

ABC/3TC 120/60mmg 5

DTG 10mg 5

DTG 50mg 5

LPV/r 100/25mg 5

LPV/r 40/10mg pellets 5

TLD 30 pack 5

TLD 90 pack 5
 SQA --- kiyuni
select from dropdown
kwanzi District
Enter facility name
kiyuni

D are screened for HIV testing and eligible clients tested. All children and adolescents attend

for tracking babies for 1st PCR: Review number of babies expected for 1st PCR and RDT in Apr-Jun 2022 and record in the ta

Number of babies not returned with documented follow-up Comment

Number of babies not returned with documented follow-up Comment

2

egister. This version should have columns to indicate the screening status. In the OPD register, review and record all attenda
oup in the month of Jun 2022

Screened Eligible for testing Tested

40 11 11

19 6 6

23 11 11

endances, those tested and testing outcomes for each age group in the month of Jun 2022

Tested Positive

ose tested and testing outcomes for each age group in the month of Jun 2022
 Tested Positive

nces, those tested and testing outcomes for each age group in the month of Jun 2022

Tested Positive

ove initiated on ART between Jan-Mar 2022. Tally all contacts (family members) of these index clients according to their HIV

with a populated “family tracking” section Proportion

56%
9

Positive Unknown No. of Contacts

with HIV receive ART on the day of testing and those who defer ART are followed up proacti

Response (Select from dropdown)

Yes
nkage including physical escort of newly identified clients
Yes
andard is complete
ow many children and adolescents tested positive and how many of those were linked to care. In addition, Use the Linkage a
ercentage) of clients who started ART on the day of testing positive and assess (percentage) of clients who were not initiate

Linkage and Pre-ART Register:

Enrolled in care ART Register: Started on ART Percentage Started on ART

100%
3 3

0 0
100%
3 3

eiving optimal ART regimens and have an updated viral load result

Response (Select from dropdown)

Yes

tients' files for each age group

No.of files to sample No. of files actually sampled On optimal regimen

4
10 4
3
10 3
1
10 1
2
10 2
10 5
5

hould be initiated on IAC within 30 days of receiving the results. They should have at least 3 IAC session 1 month apart and a

NO IAC at all 1 IAC only (Baseline) 2 IACs only

at Apr-Jun 2021 and complete the table below. Note: Implementation guidelines permit a 4-month window period around t
VL due date. Forexample, a client initiated in Apr 2021 can be bled for the 6 months VL as early as Aug 2021 or as late as De

Aug 21 - Dec 21) & May 21 = (Sep 21 - Jan 22) & Jun 21 = (Oct 21 - Feb 12 months VL >> Apr 21 = (Feb 22 - Jun 22) & May 2
22) 22 - Aug 22)

Had a timely 6 monthly VL test Received results and Suppressed Had a timely 12mthly VL tests (Feb 22 -
(Aug 21 - Feb 22) at the 6mths test Aug 22)

1 1

months retention
Lost to follow -up Dead
Active in care (Apr-Jun 2022)

months retention
Lost to follow -up Dead
Active in care (Apr-Jun 2022)

2
months retention
Lost to follow -up Dead
Active in care (Apr-Jun 2022)

months retention
Lost to follow -up Dead
Active in care (Apr-Jun 2022)

ponsive HIV services

ve services. Observe presence of the following:

Response (Select from dropdown)

Yes

Yes
e National training
No

No

No

No

d SRHR to help protect them from infection and unplanned pregnancies. Check for the following:
 Response (Select from dropdown)
No

Yes

the HIV/TB care point. Check the following:

Response (Select from dropdown)

Yes

Yes

Yes

Yes

Yes

Yes

No

dolescents to non-clinical services. Check for presence of;

Response (Select from dropdown)

No

Yes

Yes

No

s and those eligible enrolled on to the program. Use the facility OVC screening tool to complete the table below. Select 10 c

#screened # eligible # enrolled

0 7 0

0 9 0

y services includingOVC and referral not in place

ely screened, referred and outcome documented

no adequate friendly service provision

ocial support services to children and adolescents in care.

Response (Select from dropdown)

2

Yes

Yes

Yes

Yes

ears

Have a well filled PSS section Percentage

0 0%

0 0%

y cases for;

# referred for GBV support services Percentage

4 100%

7 100%
 delivered. Stock on hand should be between 2-4 MOS for a facility to be having adequate s

on order fulfillment for the commodities below. In addition, indicate the stock on hand and Average monthly consumption for these co

ble at the facility?

Availability (Select from dropdown)

Yes

Yes

Yes

Yes

Yes

Yes

Quantities ordered Quantity received Order fulfillment Rate

50 50 100%

30 30 100%

100 100 100%

50 50 100%

20 20 100%

500 500 100%

200 200 100%

nd adolescents attending TB, Nutrition wards

un 2022 and record in the table below

eview and record all attendances, number

Received results Positive

11

11
lients according to their HIV status and

e followed up proactively

Scoring
n addition, Use the Linkage and Pre-ART
clients who were not initiated on ART and

ART Register: Started on ART on the Not initiated on ART;

same day Percentage with documented
follow-up attempts

100%
3

0
100%
3

Scoring

With a VL taken in the

last 6 months (with
result or called back for
On optimal dose bleeding)

session 1 month apart and a repeat Viral load done. In the

Repeat VL

3 IACs only 4 IACs or more Suppressed

onth window period around the due date for the VL test. This
as Aug 2021 or as late as Dec 2021

= (Feb 22 - Jun 22) & May 21 = (Mar 22 - Jul 22) & Jun 21 = (Apr
22 - Aug 22)

Received VL results and # that came for their

Awaiting VL results Suppressed at the 1st appt after
12mths test initiation

Formal Transfer outs 3 Months Retention

100%

Formal Transfer outs 6 Months Retention

100%
 Formal Transfer outs 12 Months Retention

100%

Formal Transfer outs 24 Months Retention

Scoring

g:
 Scoring

Scoring

Scoring

e the table below. Select 10 charts for children 0-9 years and 10
Scoring
be having adequate stock levels

nthly consumption for these commodities

Scoring

Total consumption in Days out of stock

Stock on hand the last 3 months (Apr- during last 3 months
Jun 2022)

71 34

53 22 15

109 64

67 26

33 13

583 390

277 173
 Percentage

Repeat VL
Non-suppressed and
Unsuppressed switched
 # followed up (Missed
# missed Appt Appt register / filled # returned after Follow
locator form ) up

0 2
Adjusted Average Monthly
consumption (AMC) MOS

11.3 6.26

8.8 6.02

21.3 5.1

8.7 7.7

4.3 7.6

130.0 4.5

57.7 4.8
SN. Assessment item (s) Assessment Period

1 Number of babies expected for 1st PCR Apr-Jun 2022

2 Number of babies expected for RDT at 18 months Apr-Jun 2022

3 OPD: Attendances /Screened / Eligibile Jun 2022

4 OPD: Tested for HIV / Received results / Positive Jun 2022
5 Nutrition: Attendances / Tested / Positive Jun 2022
6 TB: Attendances / Tested / Positive Jun 2022
7 IPD: Attendances / Tested / Positive Jun 2022

8 Index testing Apr-Jun 2022

9 Linkage to care: Tested positive Apr-Jun 2022

10 Linkage to care: Enroled in care Apr-Jun 2022
11 Linkage to care: Started on ART (Same day / Anytime) Apr-Jun 2022
12 Not initiated on ART; with documented follow-up attempts Apr-Jun 2022
13 Treatment Optimization 0 yrs - <10 yrs (below 20kgs) Jun 2022
14 Treatment Optimization 0 yrs - <10 yrs (above 20kgs) Jun 2022
15 Treatment Optimization 10yrs - < 15 yrs (below 30kgs) Jun 2022
16 Treatment Optimization 10yrs - < 15 yrs (above 30kgs) Jun 2022
17 Treatment Optimization 15yrs - < 20 yrs Jun 2022
18 Unsuppressed cascade (IAC and repeat VL uptake) Jun 2022
19 6 & 12 Months VL Coverage Jun 2022
20 3 months retention Apr-Jun 2022
21 6 months retention Apr-Jun 2022
22 12 months retention Apr-Jun 2022
23 24 months retention Apr-Jun 2022

24 OVC screening Jun 2022

25 PSS assessment Jun 2022

26 GBV referral Apr-Jun 2022

27 Commodities: Months of stock (MOS) Jun 2022
Data source Source Period
Mother baby pair tracking log (Apppointments) & EID register
Born in Feb-May 2022
(Returned)
EID Register Born in Oct-Dec 2020

OPD register Jun 2022

HTS register Jun 2022
Nutrition register Jun 2022
TB register Jun 2022
IPD register Jun 2022
Sample 30 files of adult patients > 20 years, record their children
Clients initiated between Jan-Mar 2022
and adolescent contacts
HTS register Apr-Jun 2022
Linkage and pre-ART Apr-Jun 2022
ART register Apr-Jun 2022
Missed appointments register Apr-Jun 2022
10 files 1st line active on ART 3 yrs - 10 yrs (below 20kgs) Jun 2022
10 files 1st line active on ART 3 yrs - 10 yrs (above 20kgs) Jun 2022
10 files 1st line active on ART 10yrs - < 15 yrs (below 30kgs) Jun 2022
10 files 1st line active on ART 10yrs - < 15 yrs (above 30kgs) Jun 2022
10 files 1st line active on ART 15yrs - < 20 yrs Jun 2022
Unsuppressed register Jul-Sep 2021
ART register Apr-Jun 2021
ART register Jan-Mar 2022
ART register Oct-Dec 2021
ART register Apr-Jun 2021
ART register Apr-Jun 2020

Sample 0-9 yrs (10 files) and 10-19 yrs (10 files) active on ART Jun 2022

Sample 0-9 yrs (10 files) and 10-19 yrs (10 files) active on ART Jun 2022

GBV register Apr-Jun 2022

order forms, delivery notes and Dispensing log Apr-Jun 2022
Source Period Guide

4 weeks (1 month) before the assessment period

18 months (1.5 Yrs) before the assessment period

Same as assessment period

Same as assessment period
Same as assessment period
Same as assessment period
Same as assessment period

3 months before the assessment period

Same as assessment period

Same as assessment period
Same as assessment period
Same as assessment period
Same as assessment period
Same as assessment period
Same as assessment period
Same as assessment period
Same as assessment period
9 months before assessment period
12 months before assessment period
3 months before assessment period
6 months before assessment period
12 months before assessment period
24 months before assessment period

Same as assessment period

Same as assessment period

Same as assessment period

Same as assessment period
Quarter UB IP District Facility STANDARDNumber ofNumber ofNumber ofNumber of
Q1 2022 Non-FocusMildmay Kyankwanzikiyuni 8 8 0 12

INSTRUCTIONS (DO NOT TAMPER WITH THIS SHEET UNTIL YOU HAVE FILLED THE DATA ABSTRACT
1. COPY ROW
paste in the online tool (as values).
2. Remember to paste
and only paste to your respective IP sheet
3. Paste in the right Quarter (expand the rows if they are grouped and minimize
background is for focus sites and light-red is for none-focus sites
 Number ofNumber ofTotal AttenTotal AttenTotal AttenScreened - Screened -Screened -Eligible forEligible fo
9 2 44 26 29 40 19 23 11 6

U HAVE FILLED THE DATA ABSTRACTION FORM)

1. COPY ROW 2 and

2. Remember to paste as values

hey are grouped and minimized). White

-focus sites
Eligible fo Tested - ChTested - AdTested - AdReceived reReceived reReceived rePositive - Positive - Positive -
11 11 6 11 11 6 11 0 0 0
Nutrition - Nutrition - Nutrition - Nutrition - Nutrition - Nutrition - Nutrition - Nutrition - Nutrition - TB - Total
0 0 0 0 0 0 0 0 0 0
TB - Total TB - Total TB - TestedTB - TestedTB - TestedTB - PositivTB - Positi TB - Positi IPD - Total IPD - Total
0 0 0 0 0 0 0 0 0 0
IPD - Total IPD - TesteIPD - TesteIPD - TesteIPD - PositiIPD - Posit IPD - Posit Index TestiIndex TestiIndex Testi
0 0 0 0 0 0 0 16 9 0
Index TestiIndex TestiIndex TestiIndex TestiIndex Testin
Index TestiIndex TestiIndex TestiIndex TestiIndex Testi
0 0 0 0 0 0 0 0 0 0
Index Test Index TestiIndex TestiIndex TestiSTANDARDHas linkageHas Pre-ART
HTS RegisteHTS RegisteHTS Registe
0 0 0 0 Yes Yes 3 0 3
Linkage andLinkage andLinkage andART RegisteART RegisteART RegisteART RegisteART RegisteART RegisteNot initiat
3 0 3 3 0 3 3 0 3 0
Not initia Not initia STANDARDFilled line lNo. of file No. of file No. of file No. of file No. of file On optimal
0 0 Yes 4 3 1 2 5 4
On optimalOn optimalOn optimalOn optimalOn optimalOn optimalOn optimalOn optimalOn optimalWith a VL
3 1 2 5 0 0 0 0 0 4
With a VL With a VL With a VL With a VL Unsuppresse
Unsuppresse
Unsuppresse
Unsuppresse
Unsuppresse
NO IAC at a
3 1 2 5 0 0 0 0 0 0
NO IAC at aNO IAC at aNO IAC at aNO IAC at a1 IAC only 1 IAC only 1 IAC only 1 IAC only 1 IAC only 2 IACs only
0 0 0 0 0 0 0 0 0 0
2 IACs only2 IACs only2 IACs only2 IACs only3 IACs only3 IACs only3 IACs only3 IACs only3 IACs only4 IACs or m
0 0 0 0 0 0 0 0 0 0
4 IACs or m4 IACs or m4 IACs or m4 IACs or mSuppressedSuppressedSuppressedSuppressedSuppressedUnsuppress
0 0 0 0 0 0 0 0 0 0
UnsuppressUnsuppressUnsuppressUnsuppressNon-suppreNon-suppreNon-suppreNon-suppreNon-suppreInitiated o
0 0 0 0 0 0 0 0 0 0
Initiated o Initiated o Initiated o Initiated o Had a timelHad a timelHad a timelHad a timelHad a timelReceived re
0 0 0 3 0 0 0 0 1 0
Received reReceived reReceived reReceived reHad a timelHad a timelHad a timelHad a timelHad a timelAwaiting VL
0 0 0 0 0 0 0 0 1 0
Awaiting VLAwaiting VLAwaiting VLAwaiting VLReceived VL
Received VL
Received VL
Received VL
Received VL
# that came
0 0 0 0 0 0 0 0 0 0
# that came# that came# that came# that came# missed Ap
# missed Ap
# missed Ap
# missed Ap
# missed Ap
# followed
0 0 0 3 0 0 0 0 0 0
# followed # followed # followed # followed # returned # returned # returned # returned # returned 3 Mths Rete
0 0 0 2 0 0 0 0 0 0
3 Mths Rete
3 Mths Rete
3 Mths Rete
3 Mths Rete
3 Mths Rete
3 Mths Rete
3 Mths Rete
3 Mths Rete
3 Mths Rete
3 Mths Rete
0 0 0 2 0 0 0 0 2 0
3 Mths Rete
3 Mths Rete
3 Mths Rete
3 Mths Rete
3 Mths Rete
3 Mths Rete
3 Mths Rete
3 Mths Rete
3 Mths Rete
3 Mths Rete
0 0 0 0 0 0 0 0 0 0
3 Mths Rete
3 Mths Rete
3 Mths Rete
3 Mths Rete
3 Mths Ret3 Mths Ret3 Mths Rete
3 Mths Rete
3 Mths Ret6 Mths Rete
0 0 0 0 100% 0
6 Mths Rete
6 Mths Rete
6 Mths Rete
6 Mths Rete
6 Mths Rete
6 Mths Rete
6 Mths Rete
6 Mths Rete
6 Mths Rete
6 Mths Rete
0 0 0 2 0 0 0 0 2 0
6 Mths Rete
6 Mths Rete
6 Mths Rete
6 Mths Rete
6 Mths Rete
6 Mths Rete
6 Mths Rete
6 Mths Rete
6 Mths Rete
6 Mths Rete
0 0 0 0 0 0 0 0 0 0
6 Mths Rete
6 Mths Rete
6 Mths Rete
6 Mths Rete
6 Mths Ret6 Mths Ret6 Mths Rete
6 Mths Rete
6 Mths Ret12 Mths Ret
0 0 0 0 100% 0
12 Mths Ret
12 Mths Ret
12 Mths Ret
12 Mths Ret
12 Mths Ret
12 Mths Ret
12 Mths Ret
12 Mths Ret
12 Mths Ret
12 Mths Ret
0 0 0 1 0 0 0 0 1 0
12 Mths Ret
12 Mths Ret
12 Mths Ret
12 Mths Ret
12 Mths Re12 Mths Re12 Mths Ret
12 Mths Ret
12 Mths Re12 Mths Ret
0 0 0 0 0 0 0 0 0 0
12 Mths Ret
12 Mths Ret
12 Mths Ret
12 Mths Ret
12 Mths Re12 Mths Re12 Mths Re12 Mths Re12 Mths Re24 Mths Ret
0 0 0 0 100% 0
24 Mths Ret
24 Mths Ret
24 Mths Ret
24 Mths Ret
24 Mths Ret
24 Mths Ret
24 Mths Ret
24 Mths Ret
24 Mths Ret
24 Mths Ret
0 0 0 1 0 0 0 0 0 0
24 Mths Ret
24 Mths Ret
24 Mths Ret
24 Mths Ret
24 Mths Re24 Mths Re24 Mths Ret
24 Mths Ret
24 Mths Re24 Mths Ret
0 0 0 0 0 0 0 0 0 0
24 Mths Ret
24 Mths Ret
24 Mths Ret
24 Mths Ret
24 Mths Re24 Mths Re24 Mths Re24 Mths Re24 Mths ReSTANDARD
0 0 0 1
1.The heal 2. Health w3.Health f 4.List of 5.Clear an 6.Existing 1.Health e 2.There is 1.HIV testi 2.ART servi
Yes Yes No No No No No Yes Yes Yes
3.SRHR ser4.TB servi 5.Nutrition6.Mental H7.OVC serv1.An updat2.Compreh3.Communit
4.A referra# Active in
Yes Yes Yes Yes No No Yes Yes No 7
# Active in #screened #screened # eligible # eligible # enrolled # enrolled Reasons forReasons forReasons for
9 0 0 7 9 0 0 adolescent0 0
Arears of sArears of sAreas of i Areas of i Areas of i Areas of i STANDARDHow manyDoes
sta the faDoes the fa
GBV cases 0 there is no0 0 0 2 Yes Yes
Does the faAre the 202Filled PSS Filled PSS Filled PSS sFilled PSS Filled PSS Filled PSS Referred foReferred fo
Yes Yes 7 9 0 0 0% 0% 4 7
Referred foReferred foReferred foReferred foReasons forReasons forReasons forSTANDARDAvailabili Availabilit
4 7 100% 100% 0 0 0 Yes Yes
Availabilit Availabilit Availabilit Availabilit Cycle - A Cycle - DT Cycle - DT Cycle - LP Cycle - LPVCycle - TLD
Yes Yes Yes Yes 5 5 5 5 5 5
Cycle - TLDQuantities Quantities Quantities Quantities Quantities Quantities Quantities Quantity r Quantity r
5 50 30 100 50 20 500 200 50 30
Quantity r Quantity r Quantity reQuantity reQuantity reOrder fulf Order fulf Order fulf Order fulfi Order fulfi
100 50 20 500 200 100% 100% 100% 100% 100%
Order fulfi Order fulfi Stock on h Stock on h Stock on h Stock on h Stock on h Stock on h Stock on h Total con
100% 100% 71 53 109 67 33 583 277 34
Total consTotal consTotal consTotal consTotal consTotal consDays out oDays out oDays out oDays out of
22 64 26 13 390 173 0 15 0 0
Days out ofDays out ofDays out ofAdjusted AAdjusted AAdjusted AAdjusted AAdjusted AAdjusted AAdjusted A
0 0 0 11.33333 8.8 21.33333 8.666667 4.333333 130 57.66667
MOS - AB MOS - DT MOS - DT MOS - LPVMOS - LPVMOS - TLDMOS - TLD END
6.26 6.02 5.109375 7.730769 7.615385 4.484615 4.803468 END
 Sampled facilities unique districts # of Focus # of Focus
facilities facilities
sn District Facility Name if selected Abim District 0 12

1 Bunyangabu DistricKibiito HC IV Adjumani District 0 17

2 Bunyangabu DistricRwimi HC III Agago District 0 17

3 Bunyangabu DistricYerya HC III Alebtong District 0 24

4 kabarole District Fort Portal Regional Ref Amolatar District 0 16
5 kabarole District Bukuku HC IV Amudat District 0 27
6 Kabarole District Kabarole HOSPITAL Amuria District 0 12
7 Kabarole District Kataraka HC IV Amuru District 0 10
8 kabarole District Kaswa HC III Apac District 0 103
9 kabarole District Kijura HC III Arua City 0 15
10 kabarole District Virika HOSPITAL Arua District 0 41
11 Kamwenge District Bwizi HC III Budaka District 0 9
12 Kamwenge District Rukunyu HC IV Bududa District 0 9
13 Kamwenge District Rwamwanja HC III Bugiri District 0 20
14 Kamwenge District Kamwenge HC III Bugweri District 0 6
15 Kasese District Bwera HOSPITAL Buhweju District 0 9
16 Kasese District Kilembe HOSPITAL Buikwe District 0 10
17 kasese District Kasese Municipal Counci Bukedea District 0 21
18 Kasese District Kagando HOSPITAL Bukomansimbi Distr 0 29
19 Kasese District St. Paul HC IV Bukwo District 0 28
20 Kasese District Kasanga Phc HC III Bulambuli District 0 28
21 kitagwenda DistrictNtara HC IV Buliisa District 0 20
22 Kitagwenda DistrictMahyoro Gvt HC III Bundibugyo District 0 17
23 Kyegegwa District Hapuuyo HC III Bunyangabu Distric 3 24
24 Kyegegwa District Kakabara HC III Bushenyi District 6 4
25 kyegegwa District Kyegegwa HC IV Busia District 0 10
26 Kyegegwa District Mpara HC III Butaleja District 0 65
27 Kyenjojo District Butiiti HC III Butambala District 0
28 Kyenjojo District Katooke HC III Butebo District 0
29 kyenjojo District Kigarale HC III Buvuma District 0
30 kyenjojo District Kisojo HC III Buyende District 0
31 Kyenjojo District Kyarusozi HC IV Dokolo District 0
32 kyenjojo District Kyenjojo Hospital Fort Portal City 0
33 kyenjojo District Mwenge Clinic HC III Gomba District 0
34 Bushenyi District Ishaka Adventist HOSP Gulu City 0
35 Bushenyi District Bushenyi Medical Cente Gulu District 0
36 Bushenyi District Comboni HOSPITAL Hoima City 0
37 Bushenyi District Bushenyi HC IV Hoima District 6
38 Bushenyi District Kyabugimbi HC IV Ibanda District 0
39 Bushenyi District Kyeizooba HC III Iganga District 0
40 Isingiro District Nakivale HC III Isingiro District 6
41 Isingiro District Nshungyezi HC III Jinja City 0
42 Isingiro District Rwekubo HC IV Jinja District 0
43 Isingiro District Kabuyanda HC IV Kaabong District 0
44 Isingiro District Nyakitunda HC III Kabale District 5
45 Isingiro District Kibengo HC II NGO Kabarole District 7
46 Kabale District Kamukira HC IV Kaberamaido Distri 0
47 Kabale District Kabale REGIONAL REF Kagadi District 3
48 Kabale District Kamuganguzi HC III Kakumiro District 4
49 Kabale District Kihefo Clinic Kalaki District 0
50 Kabale District Maziba Gvt HC IV Kalangala District 0
51 Mbarara District Mbarara REGIONAL REF Kaliro District 0
52 Mbarara District Bwizibwera HC IV Kalungu District 0
53 Mbarara District TASO Mbarara CLINIC Kampala District 22
54 Mbarara District Mbarara Municipal Coun Kamuli District 0
55 Rwampara District Kinoni HC IV Kamwenge District 4
56 Mbarara District Bugamba HC IV Kanungu District 0
57 Mbarara District Rubindi HC III Kapchorwa District 0
58 Mbarara District Kagongi HC III Kapelebyong Distric 0
59 Ntungamo District Rwashamaire HC IV Karenga District 0
60 Ntungamo District Kitwe HC IV Kasese District 6
61 Ntungamo District Rubaare HC IV Kassanda District 1
62 Ntungamo District St. Mother Francisca L Katakwi District 0
63 Ntungamo District Ntungamo HC IV Kayunga District 0
64 Ntungamo District Itojo HOSPITAL Kazo District 0
65 Rukungiri District TASO Rukungiri HC II Kibaale District 3
66 Rukungiri District Kisiizi NGO HOSPITAL Kiboga District 0
67 Rukungiri District St. Karolii Lwanga Nya Kibuku District 0
68 Rukungiri District Kebisoni HC IV Kikuube District 4
69 Rukungiri District Kisiizi Gvt HC III Kiruhura District 0
70 Rukungiri District Bugangari HC IV Kiryandongo Distric 0
71 Sheema District Kabwohe Clinical Resea Kisoro District 0
72 Sheema District Kitagata HOSPITAL Kitagwenda District 2

73 Sheema District Kabwohe HC IV Kitgum District 0

74 Kyankwanzi DistrictButemba HC III 74 Koboko District 0
75 Kyankwanzi DistrictNtwetwe HC IV 75 Kole District 0
76 Luwero District Bishop Asili Ceaser HC Kotido District 0
77 Luwero District Luwero HC IV Kumi District 0
78 Luwero District Nyimbwa HC IV Kwania District 0
79 Luwero District Zirobwe HCIII Kween District 0
80 Mityana District Bulera HC III Kyankwanzi District 2
 81 Mityana District Kyantungo HC IV Kyegegwa District 4
82 Mityana District Mityana HOSPITAL Kyenjojo District 7
83 Kassanda District Kassanda HC IV Kyotera District 0
84 Mubende District Kiganda HC IV Lamwo District 0
85 Mubende District Mubende RR HOSPITAL Lira City 0
86 Mubende District Kasambya HC III GOVT Lira District 0
87 Wakiso District Entebbe HOSPITAL Luuka District 0
88 Wakiso District Kajjansi HC III Luwero District 5
89 Wakiso District Kakiri HCIII Lwengo District 0
90 Wakiso District Kasangati HC IV Lyantonde District 0
91 Wakiso District Kira HC III Madi-Okollo Distric 0
92 Wakiso District Kisubi HOSPITAL Manafwa District 0
93 Wakiso District Nabweru HC III Maracha District 0
94 Wakiso District Namayumba HC IV Masaka City 0
95 Wakiso District Ndejje HC IV Masaka District 0
96 Wakiso District Nsangi HC III Masindi District 0
97 Wakiso District Wakiso HC IV Mayuge District 0
98 Luwero District Bombo General Militar Mbale City 0
99 Hoima District Hoima REGIONAL REF Mbale District 0
100 Hoima District Kigorobya HC IV Mbarara City 0
101 Kikuube District Kikuube HC IV Mbarara District 7
102 Kikuube District Kyangwali HC IV Mitooma District 0
103 Kikuube District Kyehoro HC II Mityana District 3
104 Hoima District Buseruka HC III Moroto District 0
105 Hoima District Kabaale HC III Moyo District 0
106 Hoima District Dwooli HC III Mpigi District 0
107 Hoima District Butema HC III Mubende District 3
108 Kikuube District Kabwoya HC III Mukono District 0
109 Kagadi District Kagadi HOSPITAL Nabilatuk District 0
110 Kakumiro District Kakumiro HC IV Nakapiripirit Distric 0
111 Kakumiro District Kakindo HC IV Nakaseke District 0
112 Kakumiro District Kisiita HC III Nakasongola Distric 0
113 Kibaale District Kibaale HC IV (Kibaale) Namayingo District 0
114 Kagadi District Kyaterekera HC III Namisindwa Distric 0
115 Kibaale District EMESCO HC III Namutumba Distric 0
116 Kibaale District Nyamarwa HC III Napak District 0
117 Kagadi District Kinyarugonjo HC III Nebbi District 0
118 Kakumiro District Nkooko HC III Ngora District 0
119 Kampala District Mulago Hospital Ntoroko District 0
120 Kampala District TASO Mulago CLINIC Ntungamo District 6
121 Kampala District Alive Medical Services H Nwoya District 0
122 Kampala District Kisenyi HC III Obongi District 0
123 Kampala District Kawaala Health Centre H Omoro District 0
124 Kampala District Kitebi HC III Otuke District 0
125 Kampala District Kiswa HC III Oyam District 0
126 Kampala District Kisugu HC III Pader District 0
127 Kampala District Komamboga HC III Pakwach District 0
128 Kampala District St. Francis Nsambya H Pallisa District 0
129 Kampala District Mengo HOSPITAL Rakai District 0
130 Kampala District Reach Out - Mbuya Clini Rubanda District 0
131 Kampala District Reach Out - Kinawataka Rubirizi District 0
132 Kampala District Uganda Cares Owino Cli Rukiga District 0
133 Kampala District Kawempe Home Care Ini Rukungiri District 6
134 Kampala District Naguru Hospital - Chi Rwampara District 1
135 Kampala District Lubaga HOSPITAL Sembabule District 0
136 Kampala District Family Hope Center Ka Serere District 0
137 Kampala District Kamwokya Christian Ca Sheema District 3
138 Kampala District Reach Out - Banda CLIN Sironko District 0
139 Kampala District Namungoona Orthodox H Soroti City 0
140 Kampala District Butabika NATIONAL RE Soroti District 0
Terego District 0
Tororo District 0
Wakiso District 11
Yumbe District 0
Zombo District 0
 selected district facility

yes/no count 2 2

Yes
max # of facilities per
No district=23 sn facility

1 74 Butemba HC III
2 75 Ntwetwe HC IV Holiday activities focussed on reaching in-school adolescen
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
 #VALUE!
Ntwetwe HC IV

Formula above is used

in name manager to
create a dynamic
dropdown for facilities

Formulae

% Retained = #Active / (#Initiated - #TO)

% Died = #Dead / (#Initiated - #TO)
% Lost = #LTFU / (#Initiated - #TO)

CONSUMP
TION Days out Adjusted MONTHS OF STOCK ON-
STOCK ON HAND during last of stock AMC HAND A/E
3 months during last = (B/(3-
3 months (C/30))
A B C E F
 UB Focus?

Focus ahfs

Non-Focus Trained designated adolescent fo

Youth/Adolescent corners

Designated clinic days for +ve ad

ties focussed on reaching in-school adolescents
Minimum services at AYP corners Follow-up mechanisms for new and lost patients

PEP Home visits

PrEP Phone call follow-ups for patients not initiated on the same day

Condoms Has an up-todate list of lost patients

Risk reduction counselling VHT visits & PLHIV Networks
Volunteer Male circumcision (VMCQuartely meetings with VHTs & PLHIV Networks
Gender Based Violence (GBV) scre Electronic Patient, Linkage and Retention system
QI

QI Project Improvement aim

AHD -INH for children and/or adolescents Improve AHD case management such asTB screening, an increase in the number of patients given and completed

VL suppression & IAC uptake for children and/or ad Improving utilization of VL results and adherence to timely and complete IAC sessions for virally unsuppressed

VL coverage for children and/or adolescents To improve viral load uptake among children and adolscent
Early retention for children and/or adolescents Improve early linkage of newly identified patients
Treatment Optimization for children and/or adolescImprove general retention, weekly appointment keeping and returning lost clients in care
HTC for children and/or adolescents Increasing the proportion of children and adolescents on optimal regimens
Postnatal attendance Increasing the number of children screened and tested for HIV
Repeat VL for unsuppressed children and/or adoles Improve postnantal attendance and testing for mothers attending immunization
ART adherence for children and/or adolescents Increase repeat VL coverage for unsuppressed patients
VL coverage for pregnant mothers Improve adherence to treatment for non-suppressed patients
Transitioning older adolescents Improving VL coverage for the pregnant mothers
Disclosure Transitioning adolescents aged between 17 and 19 years to adult clinic
Data quality Increasing the proportion of HIV positive adolescents older than 12 in the know of their status and empowered to overcom
Nutrition for children and/or adolescents Improve data quality and management
Children and/or adolescent Initiation on ART Increasing nutrition assessments for children and adolescents
Safe male cirmcusion To increase the percentage of HIV positive clients initated on ART who return for the second visit
DSD Increasing 6 months VL uptake for newly enrolled patients
Increase the number of circumcised male children and adolescents
Increase proportion of adolescents on DSD models
 Mechanisms for referral of pregnant mothers for ANC at health facilities from the
community
Mechanism

r of patients given and completed

VHTs and CLFs---VHTs and community linkage facilitators mobilize and refer pregnant mothers to the facility and co

ssions for virally unsuppressed Peer mothers---Follow-up by community peer mothers to ensure all positive mothers keep their appointments for A

Physical escorting---Peer mothers and linkage facilitators physically escort the pregnant mothers to the facility
CBOs---Help from other NGO's and CSOs like KCDC, nature africa and KISS, ARISE CSO
Outreaches---Monthly or routine outreaches to test,initiate and refill from the communities. This will also make the
TBAs---Liasing with Traditional Birth Attendants to refer mothers meant to deliver at their places back to the facility
Small clinics---Working with small community clinics to refer pregnant mothers and any complicated cases to the faci
Friends counsels---Pregnant mothers are tagged to friends counsels who conduct home visits, give self testing kits an
None---Facility has no mechanisms to facilitate this linkage. Mothers come on their own

of their status and empowered to overcome stigma

r the second visit

Positive infant follow-up mechanisms employed by
facilities
Phone calls

Home visits

VHTs & CLFs

Friends counsels & PLHIV networks

Mother appointments placed same day as babies
EID MIS
Search list
Health educating mothers on the benefits of early PCR 1
Peer mothers
pre-appointment reminders for mothers
Retention of mothers
Gifts as motivation
Follow up through the CBO
Mechanisms employed by facilities to facilitate same day ART initiation on all
week days

Everyday is an ART day. ART services are made accessible throughout the week

Physical escort by designated linkage facilitator or counsellor immediately after testing positive

Pre and post test-counselling

Health education and counselling on the benefits of starting ART at an early stage
Community starter packs and locator forms for outreaches
Peer educators that talk to adolescents that test positive and follow them up
Appointment reminders
Documentation and follow-up of those who are unwilling to start immediately
Weekend identified positives are followed-up on monday
Assurance that medication is available and free of charge
ART night
Standard practices in place to track clients who are referred to other facilities
Phone calling the focal person in thereceiving facility to confirm if client reached the facility and ge Follow-ups -- Facilitation for home based IAC and follow up of clients with
Immediately initiating ready clients and giving them referral forms to the destination facility
Keeping in contact with the adolescent
Referral book for documenting referrals and follow-up of these referrals
Clients are linked to a linkage LF to follow up on them until they start on ART
Leveraging PLHIV networks and VHTs to track clients
The adolescent is referred to a particular person in another facility so that the adolescent is given Recreational activities -- Recreation services like youth corner TV, descorati
Using whatsapp group forum to confirm with colleagues in other facilities
IP Support to facilities towards Ped and Adolescent Care and Tre
HR staffing -- HR support in terms of staffing and facilitating counsellors, p
Technical mentorship & support supervision -- Support supervision, onsite
Refreshments -- Refreshments such as porridge, tea, sugar, bread and sna
Tools support -- Furniture, clinical tools, lab equipment, test kits etc.
Case finding -- Facilitation for Case finding through outreaches, index testi
Peer support meetings -- Facilitation for peer support and care-giver meeti
ART re-distribution -- Emergency commodity re-distribution/ stock bufferin
Skills building -- Skills building through motivational speakers, postest club
Technical support -- Direct technical support like switching and subsitution
Data management -- Stationery, Electronic registers for easy reporting and
Medical supplies -- Medicine supply of other communicable diseases like S
OVC -- OVC related support
Saving schemes -- Saving schemes for adolescent youths and parents of vu
Gifts -- Gifts inform of bedsheets to mothers that bring their babies for tim
SMC -- Facilitating SMC
School support -- School fees and scholastic materials support to families w
Parties -- Christmas parties for adolescents and children
Facility exchange visits -- Facilitating facility exchange visits
 IP & District
Ped and Adolescent Care and Treatment, Adolescent Friendly services, HR, etc
based IAC and follow up of clients with missed appointments and DART (Difficult Adolescents on ART) throIP District

staffing and facilitating counsellors, peers, linkage facilitators, clinicians,YAPS and data teams Baylor Bunyangabu District

ervision -- Support supervision, onsite technical mentorship (CMEs) and trainings on care and treatment f Baylor Kabarole District

as porridge, tea, sugar, bread and snacks for children and adolescents on their clinic days and VL meeting Baylor Kamwenge District
ols, lab equipment, test kits etc. Baylor Kitagwenda District
nding through outreaches, index testing, evening testers and YAPS Baylor Kasese District
services like youth corner TV, descorations and playing materials like ludo,balls, ropes, chess and draft b Baylor Kyegegwa District
for peer support and care-giver meetings for unsuppressed children and adolescents thorough transpo Baylor Kyenjojo District
mmodity re-distribution/ stock buffering in case of stock-outs especially ART for pediatrics IDI-Bunyoro Hoima District
gh motivational speakers, postest clubs, ariel clubs and agrotherapy clubs where adolescents are providedIDI-Bunyoro Kagadi District
support like switching and subsitution IDI-Bunyoro Kakumiro District
ctronic registers for easy reporting and data management IDI-Bunyoro Kibaale District
of other communicable diseases like STI among adolscents IDI-Bunyoro Kikuube District
IDI-Kampala Kampala District
or adolescent youths and parents of vulnerable children Mildmay Kassanda District
mothers that bring their babies for timely PCR and watches to adolescents that suppress Mildmay Kyankwanzi District
Mildmay Luwero District
holastic materials support to families with semi-candidate and candidate positive children Mildmay Mityana District
scents and children Mildmay Mubende District
facility exchange visits Mildmay Wakiso District
EGPAF Bushenyi District
EGPAF Isingiro District
EGPAF Kabale District
EGPAF Mbarara District
EGPAF Rwampara District
EGPAF Ntungamo District
EGPAF Rukungiri District
EGPAF Sheema District
 3

4
2
6
4
7
6
3
4
3
4
22
1
2
5
3
3
11
6
6
5
7
1
6
6
3