AIDS Integrated Model District (AIM) Project

Category 3

In support of the National Strategic Framework for HIV/AIDS in Uganda, the AIM Project was designed to assist with increasing the provision of high-quality integrated HIV/AIDS services at the district and sub-district levels. AIM was designed to work closely with local government, NGOs, CBOs, FBOs, the private sector, and other partners to increase availability and access to a range of core comprehensive HIV/AIDS services in selected districts. The mission of the AIM Project was to establish effective replicable models that would successfully contribute to the decrease in HIV prevalence and incidence in Ugandan adults and children, and that play a significant role in increasing the level of care and support to all those in Uganda affected by AIDS.

Goal of the Practice
  • To strengthen and support the capacity of government, nongovernmental organizations (NGOs), community-based organizations (CBOs), faith-based organizations (FBOs), and the private sector to plan, implement, manage, and provide high-quality services at the national, district, and sub-district levels.
  • To increase integration and quality of comprehensive HIV/AIDS prevention, care, and support services in selected districts.
  • To increase access to and utilization of high-quality HIV prevention services in selected districts and sub-districts.
  • To increase access to and utilization of high-quality HIV/AIDS clinical, community and home-based care in selected districts and sub-districts.
  • To increase access to and utilization of quality social support services for people infected and affected by HIV/AIDS including orphans, vulnerable children and adolescents in selected districts and sub districts.
Noteworthy Results
  • AIM was able to demonstrate the efficacy of integrated planning, implementation, and monitoring of multiple HIV/AIDS inputs at the local level with varying success.
  • In general, all AIM districts performed better than comparison districts on most Performance Monitoring Plan dimensions.
  • AIM reports impressive gains in VCT and PMTCT intake over the five-year life of the project, but available data from non-AIM districts show equally strong numbers, reflecting an improving national level effort to promote and engage people in VCT and PMTCT counseling.
Lessons Learned
  • The original project design was too complex and overly ambitious for the existing capacities of local government and health facilities, and for the five-year time frame allowed for the "test."
  • The HIV/AIDS campaign must be tailored to the nature of the problem at the local level.
  • The OVC strategy was to rely on the Ministry for Gender, Labor and Social Services in collaboration with many grant-funded CSOs to provide a variety of services to families and to the children. This strategy was found to be ineffective because the Ministry is understaffed and under budgeted, and the CSO grants were only for one year, making it difficult to develop a sustainable partnership.
  • The government's system is part of the problem, and must be part of the solution.
  • Multi-year contracts with CSOs and CBOs will produce effective services or adequate coverage.
Focus Areas
Prevention
Implemented By
JSI Research and Training Institute, Inc., World Education, and World Learning as consortium members
Participating Organization
  • Key Government of Uganda (GOU) partner institutions including the Ministry of Health (MOH)
  • Ministry of Local Government (MOLG)
  • Ministry of Gender
  • Labor and Social Development (MOGLD)
  • Uganda AIDS Commission (UAC)
  • Civil society organizations at the national and district level
Region
Africa
Country
Uganda
Environment
Other/Non-specified
Setting
Other/Non-specified
Target Population
People Living with HIV (PLWH)
Scope
> 50000
Implementation Years
05/2001 - 05/2006