Program Areas

Coordination of HIV & AIDS, TB, and Malaria Responses

NUMAT coordination photo

NUMAT-supported partner districts recruit qualified health workers to provide quality health care services to people.

NUMAT defined coordination as a process of harmonizing the activities of stakeholders through organized planning, implementation, monitoring and evaluation of responses in accordance to relevant Government of Uganda (GOU) guidelines and policies. NUMAT’s efforts to strengthen coordination reflected national policies and guidelines and also respected the fact that it was transitioning from an emergecny to a stable situation.

Approach

Partners: NUMAT engaged national and local partners to support the coordination and systems-building efforts of the national strategic plan. Emphasis was on strengthening decentralized coordination at lower local government levels in districts, sub-counties, parishes, and villages. NUMAT also recognized that local government support must be complemented with national technical support and work in partnership with others. Thus NUMAT worked with the Uganda AIDS Commission, local governments heading the Decentralized Response Self-Coordinating Entity (DR-SCE), and other main organizations including UNAIDS. NUMAT also worked with other nongovernmental organizations (NGOs), UN agencies, and donors that supported the coordination of malaria, AIDS, and TB (MAT) response in NUMAT-supported districts.

District Disaster Management Committees: The Uganda National IDP policy (2005) required districts to set up district disaster management committees (DDMC) to coordinate humanitarian response. In most of the program-supported districts, the DDMC meets at least once a month to discuss development interventions.DDMCs consist of NGOs and district local government departments. In the Acholi-sub-region, where the impact of the conflict was particularly hard-hitting, NUMAT worked within the UN-supported cluster systems and DDMC coordination mechanisms.

Support to districts: In the relatively secure Lango sub-region, NUMAT supported the work of district health teams (DHTs), district AIDS committees (DACs), district HIV & AIDS teams (DATs), sub-county HIV & AIDS committees and urban task forces under the auspices of the Alliance of Mayors’ Initiative for Community Action on AIDS at the Local Level (AMICAALL), and other key stakeholders to strengthen coordination of malaria, HIV, and tuberculosis (TB) activities. The program also worked with the district health systems to strengthen community participation and management of health facilities by re-establishing and training health unit management committees (HUMC). This promoted information-sharing collaboration and coordination between communities and district health systems.

Local capacity development: NUMAT also supported institutional and organizational development of civil society and faith-based organizations (FBOs) involved in MAT responses. NUMAT’s support included sub-granting and undertaking organizational self-assessment and strategic plan development, and strengthening AIDS service organizations (ASOs) networks so that PLHIV networks could more-effectively deliver services to their constituencies.

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Specific Activities

NUMAT worked with local governments to deepen planning and implementation processes of both NUMAT directly-supported activities and HIV & AIDS responses by districts. The program encouraged reviews of its district NUMAT-funded activities to learn and draw lessons for future support. NUMAT also worked with national-level stakeholders to explore opportunities for providing feedback, sharing and learning lessons, and best practices about core program areas such as interventions in malaria and prevention of mother-to-child transmission of HIV (PMTCT). Activities included:

  • Supported quarterly meetings and field monitoring visits by district and sub-county HIV & AIDS committees
  • Provided technical assistance to hospital boards and health unit management committees in planning, supervision, and management performance reviews
  • Developed and reviewed district HIV & AIDS strategic plans
  • Mainstreamed HIV & AIDS in district development plans (DDP) with the planning unit and heads of departments
  • Supported HIV & AIDS district networks
  • Helped civil society organizations develop HIV strategic plans

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