PROJECT
HIV/TB Prevention, Care and Access to Treatment
Funded by UPMB under the USAID- LSDA support
Program Spotlight: Strengthening Community Response to HIV & TB
The USAID-LSDA-UPMB initiative was a comprehensive project implemented by BACHI to enhance community health responsiveness in the Mayuge District. Spanning from March 2022 to September 2024, this program focused on reducing new HIV infections and mitigating TB transmission through evidence-based, community-led interventions.
Our Geographic Reach
We provided critical health services across 8 rural and peri-urban sub counties, including:
- Baitambogwe, Imanyiro, and Wairasa.
- Magamaga, Buwaya, and Bukatube.
- Kaluba and Mayuge Town Council.
Strategic Approach
We utilized a multi-layered model to ensure no one was left behind:
- Facility Collaboration: Partnered with Buluba Hospital and local Health Centers (HC IIs) for seamless case identification and treatment initiation.
- Community Mobilization: Deployed Village Health Teams (VHTs) and peer educators for hotspot mapping and home-based sensitizations.
- Integrated Service Delivery: Combined HIV testing with TB screening, PrEP initiation, and Gender-Based Violence (GBV) response.
- Data-Driven Management: Conducted weekly data analysis to ensure high-quality service delivery and adaptive programming.
Cumulative Impact & Results (2022–2024)
Our dedicated teams achieved significant milestones in reaching vulnerable populations:
| Key Activity | Total Impact / Results |
| HIV Case Finding | Over 3,400 people reached with HIV testing Successfully identified and linked 29+ HIV-positive individuals to care through social networks. |
| TB Detection & Care | 584+ clients sensitized; 42 confirmed TB cases successfully initiated on treatment. |
| Maternal & Child Health | 1,608 pregnant women referred for ANC/PMTCT services to ensure HIV-free births. |
| VMMC Services | 845 males referred and 823 successfully circumcised for HIV prevention |
| Prevention (PrEP) | Over 300 individuals initiated on Pre-Exposure Prophylaxis (PrEP). |
Advancing Gender Equality
The program was designed to dismantle barriers to care through gender-responsive strategies:
- For Women: We addressed specific vulnerabilities through ANC1 referrals and GBV response support, providing a safe pathway to healthcare.
- For Men: We successfully increased health-seeking behaviors among men through targeted VMMC and HIV self-testing initiatives.
- Economic Empowerment: Both male and female VHTs gained professional training and leadership experience, strengthening the local health workforce.
The Way Forward
Based on our learnings, BACHI is committed to:
- Developing tailored interventions to reach male partners and household heads.
- Providing further logistical support and formal integration for our community health workers.
- Expanding community dialogues to encourage partner disclosure and reduce the fear of seeking care.