This program is a level 2. It has:

  • Target population defined with rationale based on general priorities for HIV program intervention type.
  • More than two years of program implementation and has been scaled up or replicated.
  • Summative, midterm or final project evaluation detailing results and identifying positive effects.
  • More than two years of results that meet or exceed stated objectives.
  • Two-three years of funding.

Level 2


Focus Areas:
PMTCT: Community care and support
Treatment: Pediatric treatment
Implemented By: Elizabeth Glaser Pediatric AIDS Foundation
Participating Organization:Ministry of Health, U.S. government partners, faith-based organizations (FBOs), community-based organizations (CBOs), universities, and other nongovernmental organizations (NGOs)
Region: Africa
Country: Uganda
Environment: Clinic/Health facility
Setting: Peri-urban
Target Population: Females
Scope: > 50000
Implementation Years: Jan 2003 - Dec 2008

EGPAF’s strategy in Uganda has been to complement Uganda Ministry of Health and private partners to cover human resource, infrastructure and commodity gaps in health districts. EGPAF Uganda helps with the design, development, management, monitoring and technical support of the Uganda Ministry of Health PMTCT program.

Program Goals:

  • Build district capacity in HIV counseling, testing and provision of other HIV/AIDS services
  • Implement comprehensive PMTCT services
  • Generate sustainable capacity for district led program scale up

Core Components:

  • Support and strengthen linkages to longitudinal care for HIV-infected mothers and their families
  • PMTCT program integrated into Maternal & Child Health services, including community programs like VCT and Home Based Care

Noteworthy Results:

  • Increased access to PMTCT services – pregnant women and babies have accessed antiretroviral prophylaxis

Lessons Learned:

  • PMTCT services could not be maximized unless the health system foundations are strengthened
  • Increasing coverage demanded a dependable supply of test kits and drugs
  • PMTCT had greater coverage than ART services and the result was insufficient linkages to services
  • Provision of prophylaxis and follow-up of the exposed baby were the weakest links in the PMTCT cascade
  • Multiple approaches were needed to reach men with HIV information, testing, and services