The PEPFAR Uganda 2023 Science Summit on HIV and TB: Following the Science and Sustaining the Gains as PEPFAR Turns Twenty
This report is a record of the virtual summit organized by the United States President’s Emergency Plan for AIDS Relief (PEPFAR) Uganda for its stakeholders; Uganda Ministry of Health (MoH) including its Public Health Fellowship Program (PHFP), implementing partners, and other Ugandan health researchers.
Tuesday January 31st and Wednesday February 1st 2023, 8:00AM- 4:00PM
Location: Hotel Africana, Kampala (In-person and Virtual)
Objectives:
- To disseminate key findings from recent HIV- and TB- related scientific research and programs in Uganda
- To discuss implications for national HIV and TB programs and for PEPFAR Country Operating Planning (COP2023)
Participants: US government PEPFAR team and implementing partners, Government of Uganda (including but not limited to Ministry of Health and Public Health Fellowship Program), health scientists, civil society and development partners. [Estimate=180 in-person attendees plus max 500 virtually].
Organized under PEPFAR 2023’s Pillars:
- Health Equity for Priority Populations
- Sustaining the Response
- Public Health Systems and Security
- Transformative Partnerships
- Follow the Science
Presentations with * Due to preliminary analyses and unpublished data shared with the PEPFAR Uganda stakeholders, the presenters have requested that these presentations not be shared with the public at this time. When data can be shared, presentations will be added.
List of Presentations by day, PEPFAR Strategic Pillar, Session# and Co-chairs
Day 1 Tuesday 31st JAN 2023
Pillar #5 Follow the Science, Session#1: Studies, Trials, Surveys and Surveillance, co-chaired by; Estella Birabwa from Dept of Defense (DOD) and Rhoda Wanyenze Makerere Univ. School of Public Health (MUSPH)
- UGANDA ON TRACK – Population Based HIV Impact Assessment 2020 compared to 2016 | Wilford Kirungi | AIDS Control Program- Ministry of Health
- A mid-level health manager intervention to promote uptake of isoniazid preventive therapy among people with HIV in Uganda: a cluster randomized trial | Elijah Kakande | Infectious Diseases Research Collaboration
- Risk of birth defects and adverse birth outcomes among women living with HIV and HIV-negative women in Uganda, 2015–2021 | Robert Serunjogi | Makerere University John Hopkins University Research Collaboration (MUJHU) *
- HIV incidence among non-migrating persons following a household migration event: a population-based, longitudinal study in Rakai, Uganda | Robert Ssekubugu | Rakai Health Sciences Program (RHSP)*
Pillar #2 Sustaining the Response, Session#1: The first 95: HIV Testing including Assisted Partner Notification (APN) co-chaired by; Rose Apondi Centers for Disease Control and Prevention (CDC) and Peter Mudiope (Ministry of Health- AIDS Control Program)
- A comparative analysis of Spectrum PLHIV estimates and PEPFAR targets: Focus on HTS_POS | Rebecca Nsubuga | Strategic Information Technical Support Program (SITES)*
- Strategies to Increase HIV Testing of Male Partners of Pregnant Women with HIV: The Obumu Study | Faith Naddunga | Infectious Diseases Institute (IDI)
- Use of Index Testing/APN tracker to systematically track and regularly review performance improves identification of HIV positive individuals through the index client contact testing approach | Joel Kasakaire | Makerere University Joint AIDS Program (MJAP-LPHS-EC)
- Intensifying community testing strategies in achieving improved HIV case identification in the context of COVID-19 | Olive Apok | IntraHealth, RHITES-E
Public Health Fellowship Program HIV and TB Project Poster Session
- HIV Test Positivity and Testing for Recent Infections among Adolescent Girls and Young Women Aged 10-24 Years in Uganda, 2017-2021 | Patience Mwiine | Public Health Fellowship Program- Ministry of Health Uganda
- Loss to Follow-up among People Living with HIV on TB Preventive Treatment at Four Regional Referral Hospitals, Uganda, 2019–2021 | Edirisa Juniour Nsubuga | Public Health Fellowship Program- Ministry of Health Uganda
- Improving HIV pre-exposure prophylaxis (PrEP) initiation among high-risk pregnant and breastfeeding women using continuous quality improvement approach in Katakwi General Hospital, Eastern Uganda, May―October, 2022 | Sarah Elayeete | Public Health Fellowship Program- Ministry of Health Uganda
Pillar #2 Sustaining the Response, Session#2: The second 95: Antiretroviral Therapy (ART), HIV Drug Resistance (HIVDR) and Interruptions In Treatment (IIT), co-chaired by; Rachel Kwezi, PEPFAR Coordinating Office (PCO) and Andrew Kambugu Infectious Diseases Institute (IDI)
- Population Effectiveness of Dolutegravir Implementation in Uganda: Week 48 Results from the DISCO Cohort | Victoria Nanfuka | Mbarara University of Science and Technology (MUST)
- ART Optimization and DTG Resistance Surveillance | Cordelia Katureebe | Ministry of Health- AIDS Control Program
- Cyclical Acquired HIV Drug Resistance Surveillance: Focusing on Dolutegravir in Uganda | Christine Watera | Uganda Virus Research Institute (UVRI)*
- Use of Quality improvement collaborative approaches to reduce Interruptions In Treatment (IIT) for Facilities in Lango subregion | Jesica Basiima | LPHS-KL, Joint Clinical Research Center (JCRC)
Pillar #2 Sustaining the Response, Session#3: The third 95: Viral Load Testing and Viral Load Suppression (VLS) co-chaired by; Steve Reynolds, National Institutes of Health and Elijah Kakande, Infectious Diseases Research Collaboration (IDRC)
- Reducing Viral load Turn Around Time for sample transportation between Spoke Health facility and Laboratory Hub: A case study of Bukedi region, Eastern Uganda | Ronald Mangeni | USAID LPHS (Baylor)
- Factors associated with viral load non-suppression following transition to Dolutegravir-based antiretroviral regimens among People Living with HIV in Central Uganda | Jane Senyondo Nakaweesi | Mildmay Uganda
- Persistent low-level viremia in the era of dolutegravir in four African countries including Uganda (AFRICOS) | Estella Birabwa | US Department of Defense (DOD)
Pillar #2 Sustaining the Response, Session#4: EID and PMTCT co-chaired by; Sam Sendagala, Centers for Disease Control and Prevention (CDC) and Dithan Kiragga, Baylor Uganda
- Reducing MTCT rates: Lessons from 5 districts of Northern Karamoja region, FY22Q1-Q4 | Christine Zawedde | LPHS-ANECCA
- Integrated Community-based Prevention of Mother-To-Child Transmission (PMTCT) of HIV services finds new positives among pregnant women in North-Eastern Uganda | Saadick Ssentongo | The AIDS Service Organization (TASO) Soroti
- Improving Early infant diagnosis coverage through EID-Point of care testing: A case study of Baylor Uganda COE Clinic | Gerald Agaba Muzorah | Baylor Uganda
- Early Infant Diagnosis: Improving Access through Optimization of Point of Care Testing in Omoro and Nwoya Districts, Acholi Sub-Region | Isabel Kyobutungi | LPHS- Acholi
- Strengthening the EID POC Utilisation in the region positively impacts the performance of coverage of EID | Ritah Nakisige | Makerere University Joint AIDS Program (MJAP-LPHS)
Pillar #2 Sustaining the Response, Session#5: Non-Communicable Diseases and Cervical Cancer co-chaired by; Julius Kalamya, Centers for Disease Control and Prevention (CDC) and Cordelia Katureebe, Ministry of Health- AIDS Control Program
- Prevalence and factors associated with selected non-communicable diseases among persons living with HIV at Kalisizo Hospital in Kyotera district-Uganda | Asani Kasango | Rakai Health Sciences Program (RHSP)
- Improving the Quality of Cervical Cancer Services in Uganda: Onsite mentoring and coaching approach | Josephine Ninsiima | Monitoring and Evaluation Technical Support (METS)
- Outcomes from cervical cancer screening and treatment intervention in Mubende region, Uganda | Barbara Babirye | Mildmay Uganda
- Multipronged strategies increase uptake of cervical cancer screening services among eligible women living with HIV in Bugisu and Bukedi regions, Eastern Uganda | Lwanga Ssekiswa | USAID LPHS (Baylor)
Pillar #2 Sustaining the Response, Session#6: Tuberculosis co-chaired by; Deus Lukoye, Centers for Disease Control and Prevention (CDC) and Raymond Byaruhanga, National TB and Leprosy Program Ministry of Health
- Lessons from the CAST TB/Leprosy Campaign | Muzamiru Bamuloba | National TB and Leprosy Program Ministry of Health
- Impact of on-site GeneXpert on TB diagnosis and mortality trends in Uganda | Irene Najjingo | Makerere Institute of Lung Health
- Intensified Household TB screening and diagnosis through community structures to improve TB case notification: Lessons learnt from Pakwach district, West Nile region, Uganda | Alphonse Kwizera | Infectious Diseases Institute (IDI)
- Roll-out of Mobile Digital X-ray and CAD for Tuberculosis Case Detection in Uganda | Aldo Burua | USAID LPHS
- Response to the Drug-resistant TB outbreak in Bordering Bumbo Town: Namisindwa District | Geofrey Amanya | USAID LPHS
Day 2 Wednesday 1st FEB 2023
Pillar #1 HEALTH EQUITY FOR PRIORITY POPULATIONS, Session#1 Key and Priority Populations: co-chaired by; Gladys Tugume, United States Agency for International Development (USAID) and Richard Lusimbo, Uganda Key Populations Consortium
- Scaling up Integrated HIV Service Delivery for Key and Priority Populations in Catholic Health Facilities in Kampala and Wakiso Districts, Uganda | Justus Muhangi | Uganda Episcopal Conference (UEC)
- Adherence clubs a promising intervention to better PrEP Continuity among KP/PPs for HIV Prevention in Acholi sub region. | Edith Ssenyonga | LPMS Ankole and Acholi/TASO
- Quantifying burdens of HIV, TB and STIs and Assessing Trends in HIV Service Uptake among Key Populations Receiving Routine Services in Uganda, 2017-2021 | Julius Ssempiira | Centers for Disease Control and Prevention (CDC)*
- Integrated Bio-Behavioral Survey Utility for KP program in Uganda | George Kiwanuka | Makerere University School of Public Health (MUSPH)
- Impact of floods and on HIV Risk Behaviors, Sero-Prevalence, and Virologic Suppression in a Hyperendemic Fishing Village in Uganda | Hadijja Nakawooya | Rakai Health Sciences Program (RHSP)*
Pillar #1 HEALTH EQUITY FOR PRIORITY POPULATIONS, Session#2 Children and Adolescents: co-chaired by; Miriam Nakanwagi, Ministry of Health- AIDS Control Program Grace Namayanja Centers for Disease Control and Prevention
- Implementing A Modified Community Service Delivery Model for Children and Adolescents to Improve Viral Suppression In Acholi Region. | Richard Jjuuko | Local Partner Health Services (LPHS)
- SEARCH-Youth: a cluster randomized trial of a multilevel health system intervention to improve virologic suppression in adolescents and young adults living with HIV in rural Kenya and Uganda | Florence Mwangwa | Infectious Diseases Research Collaboration (IDRC)
- The effect of using client audit tool as innovation for improving HIV-care services and outcomes for children and adolescents: An intervention study | Carol Nabasumba | RHITES – N Acholi
Pillar #3 PUBLIC HEALTH SYSTEMS AND SECURITY, Session#1 Data Systems and Data Utilization: co-chaired by; Jenny Ward, Centers for Disease Control and Prevention Herbert Kiyingi, Centers for Disease Control and Prevention
- HIV Recency Testing & Surveillance Public Health Response in Masaka Region Uganda: Progress | Andrew Ssentongo | Rakai Health Sciences Program (RHSP)*
- Using Digital Platforms in Referral & Linkage to Health Services among Key and Priority Populations | Edward Kagguma Kakooza | SBCA
- Where are suboptimal outcomes in HIV program occurring? Using Data Quality Assessments for Program Monitoring and Improvement | Derrick Kimuli | Strategic Information Technical Support Program (SITES)
- Measurement of regional referral hospital health system capacity: Application of the progression model | Simon Muhumuza | Monitoring and Evaluation Technical Support Program (METS)
- HIV Recency Infection Surveillance: Early Results from Bunyoro region, mid-western Uganda | Betty Nsangi | Baylor Uganda
Pillar #3 PUBLIC HEALTH SYSTEMS AND SECURITY, Session#2 Ebola and COVID-19: co-chaired by; Estella Birabwa, US Department of Defense and Rogers Kisame, Baylor Uganda
- Leveraging Catholic Faith Structures for Community Engagement towards Ebola Virus Disease (EVD) Risk Reduction Messaging and Practices in Uganda | Patrick Kabagambe | Uganda Episcopal Conference
- Building Knowledge, Change in Attitudes and Perceptions on EVD Among Faith Leaders: A pre & post Training survey | Allan Simwogerere | Uganda Protestant Medical Bureau
- Population trends in HIV service delivery, viral suppression, and HIV incidence before and during the COVID-19 era in Rakai, Uganda | Victor Ssempijja | National Institutes of Health (NIH)*
- SARS-CoV-2 Infection and Variants Surveillance in South-Central Uganda | Charles Ssuna | Rakai Health Sciences Program (RHSP)*
Pillar #3 PUBLIC HEALTH SYSTEMS AND SECURITY, Session#3 Differentiated Service Delivery Models, (DSDM), Community Service Delivery and Multi-Month Dispensing (MMD): co-chaired by; Emilio Dirlikov, Centers for Disease Control and Prevention and Joseph Kagaayi, Rakai Health Sciences Program
- Differentiated service delivery model utilization among children and adolescents in Uganda, 2020─2022 | Rebecca Akunzirwe | MOH Public Health Fellowship program (PHFP)
- Multi-Month Dispensing among Youth Enrolled in AFRICOS | Micheal Semwogerere | Walter Reed Project (MUWRP)
- Use of Differentiated ART Delivery Models to anchor recipients of care retention and viral load suppression among fishing community in mid-eastern Uganda | Gilbert Obore | The AIDS Support Organization (TASO)
Pillar #4 TRANSFORMATIVE PARTNERSHIPS, Session#1 Partnerships: co-chaired by; Norma Ojehomon, United States Agency for International Development (USAID) and Kenneth Mwehonge CLM HEPS Uganda
- Engaging indigenous community-based organizations can improve access to TB care services; Lessons from the Karamoja subregion, North-Eastern Uganda | William Kasozi | PACT- Karamoja
- Leveraging faith communities to test and treat men living with HIV in Uganda | Arthur Fitzmaurice | Centers for Disease Control and Prevention
- Using data for adaptive management to successfully transition PEPFAR programs to Local Partners | Irene Mirembe | IntraHealth International, RHITES-E
- Dispensing quality prescriptions and re-distribution of health commodities reduces wastage of medicine and health supplies in Acholi sub-region | Julius Paalo | LPMS Ankole and Acholi/TASO
- Understanding and Dealing with TB case Finding Bottlenecks at Private not for Profit health facilities in Acholi Region | Dan Mugisha | LSDA/UPMB
- Private sector incentives to invest in HIV&AIDS responses. An analysis of 16 large private companies in Uganda | Sarah Khankwa | Uganda AIDS Commission
FEATURED PRESENTATIONS with high-level representation and media participation, Co-chaired by; Stella Alamo, Centers for Disease Control and Prevention and Wilford Kirungi, Ministry of Health AIDS Control Program
- Tuberculosis Preventive Therapy Scale-Up in Uganda, 2016–2022 | Deus Lukoye | Centers for Disease Control and Prevention (CDC)*
- Use of HIV Recent Infection Surveillance Result for Public Health Response for in Uganda | Emmy Muramuzi | Ministry of Health AIDS Control Program
- Scale-up of HIV Antiretroviral Therapy and Estimation of Averted Infections and HIV-Related Deaths — Uganda, 2004–2022 | Emilio Dirlikov | Centers for Disease Control and Prevention (CDC)
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