Uganda

In Uganda, MEASURE Evaluation developed, adapted, and applied methods, tools, and approaches to address health information challenges and gaps and works with local partners to increase the capacity for rigorous evaluation.

Uganda is a landlocked country in East Africa, with an estimated population of 41.5 million people. With over 56 percent of its population under the age of 18 and about half (48.7 percent) under the age of 15, the country has one of the youngest populations in the world.  Uganda has a long history of successful HIV prevention; however, the burden of HIV is still an issue. The Joint United Nations Programme on HIV/AIDS (UNAIDS) estimates that 1.5 million people in Uganda are living with HIV (about 6%), including nearly 100,000 children under age 14.

To learn how this work is continuing after the MEASURE Evaluation project, please visit TB DIAH.

Due to HIV/AIDS, there are an estimated 660,000 orphans under age 17. Increased efforts are required to reach 90-90-90 goals [1] to help control the AIDS epidemic. Efforts are underway to reach the most at-risk populations, including men who have sex with men (MSM), sex workers, and orphans and vulnerable children (OVC).

Because so much of the population is young, with many in some way affected by HIV/AIDS, positive child development and protection remain critical challenges. An estimated 2.2 million children have lost one or both parents and estimates are that between 40,000 to 50,000 children are in residential care facilities or “orphanages” (MGLSD, 2012).  

In Uganda, MEASURE Evaluation developed, adapted, and applied methods, tools, and approaches to address health and social service information challenges and gaps and works with local partners to increase the capacity for rigorous evaluation.

MEASURE Evaluation’s focus in Uganda was to:

  • Work with the Ministry of Gender, Labor and Social Development (MGLSD) to assess, address, and monitor alternative care for children
  • Support the same ministry to assess and revise the vulnerability index tool, used to measure the vulnerability of OVC and their households
  • Develop materials to support the implementation of the vulnerability index and provide training to the users
  • Evaluate changes in program beneficiary outcomes for select indicators related to household economic strengthening, assess the strengths and weaknesses, and examine implications of potential implementation changes to a USAID-funded OVC program, while increasing the capacity of local staff to analyze and communicate data in a way that will support the use of evaluation information
  • Increase district-level capacity to identify persons infected with HIV who are not linked to care and facilitate this linkage and measure HIV prevention and treatment cascades in order to inform national and district plans, priorities, and polices for making progress to the 90-90-90 targets
  • Develop tools and build capacity for policy makers to use data for decision making

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Enabling and Expanding the Scope of Public Health Decision Making in Uganda to Reduce Maternal Mortality: Concept Note and Use Case

Pregnancy Decisions and HIV Testing among Adolescent Girls and Young Women Enrolled in the DREAMS Initiative in Northern Uganda: Qualitative Report

HIV Testing and Pregnancy Delay among Adolescent Girls and Young Women Enrolled in the DREAMS Initiative in Northern Uganda: Quantitative Report

Uganda: Snapshot of the Strength of the Health Information System as a Source of HIV Data

The Cost of Case Management in Orphans and Vulnerable Children Programs: Findings from Uganda

Mapping a Path to Improve Uganda’s Health Information System Using the Stages of Continuous Improvement Toolkit

Identifying Households Needing Services for Orphans and Vulnerable Children – Guidelines for Adapting a Beneficiary Identification and Prioritization Tool from Uganda

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Uganda Vulnerability Index Assessment Results

Gender Factors Influencing Participation in the Elimination of Mother-to-Child Transmission of HIV Program in Uganda under Option B+

“If my husband leaves me, I will go home and suffer, so better to cling to him and hide this thing”: The influence of gender on Option B_ prevention of mother-to-child transmission participation in Malawi and Uganda

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Uganda Country Profile: Health Information System Indicators

Alternative Care in Uganda



[1] By 2020, 90% of all people living with HIV will know their HIV status. By 2020, 90% of all people with diagnosed HIV infection will receive sustained antiretroviral therapy. By 2020, 90% of all people receiving antiretroviral therapy will have viral suppression. See http://www.unaids.org/en/resources/documents/2017/90-90-90

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