USAID/Uganda's District-Based Technical Assistance (DBTA)
ANNEX A. STATEMENT OF WORK STATEMENT OF WORK FOR EVALUATION OF USAID/UGANDA’S DISTRICT-BASED TECHNICAL ASSISTANCE (DBTA) PROJECTS, STRENGTHENING TUBERCULOSIS AND HIV/AIDS RESPONSES (STAR) PROJECTS IN EAST, EAST-CENTRAL, AND SOUTH-WEST UGANDA INTRODUCTION The STAR projects in East, East-Central, and South-West Uganda were the first in USAID/Uganda’s District Based Technical Assistance (DBTA) model featuring regional focus on improving accessibility, quality, and availability of integrated health service delivery as well as health financing and management. The STAR program is implemented by Management Sciences for Health (MSH) in East Uganda, by John Snow International (JSI) in East-Central Uganda, and by Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) in South-West Uganda, covering thirty- four districts in total. Working closely with the Ministry of Health and through district health management teams (DHMTs), district councils, health facilities, and communities, the projects’ goal is to increase access to, coverage of, and utilization of quality comprehensive HIV/AIDS and TB prevention, care, and treatment services within district health facilities and their respective communities. This will be achieved through the following objectives: (a) strengthening decentralized HIV/AIDS and TB service delivery systems; (b) improving the quality and efficiency of HIV/AIDS and TB service delivery within health facilities; (c) strengthening networks and referrals systems to improve access to, coverage of, and use of HIV/AIDS and TB services; and (d) increasing demand for comprehensive HIV/AIDS and TB prevention, care, and treatment services. All three STAR projects are designed to strengthen systems at the decentralized level to facilitate improved delivery and uptake of HIV/AIDS and TB services, including district-led performance reviews to help identify coverage and service gaps.
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