The Union Uganda Office

Since 2002, The Union Uganda Office has provided technical assistance to the National TB and Leprosy Programme in Uganda to strengthen interventions for prevention, diagnosis and treatment of tuberculosis (TB). The Union works with implementing partners across Uganda’s health system structure, providing TB and TB-HIV training. 

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The Union Uganda Office

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Updated:

Health challenges in Uganda

94,000+

TB cases annually

1.5mil

people are living with HIV

33%

HIV co-infection among people with TB

Source: WHO Global TB Report, 2019

Current projects

Child and Adolescent Tuberculosis Centre of Excellence: Sub-Saharan Africa

The Union’s Child and Adolescent Tuberculosis Centre of Excellence is a virtual network of TB professionals and organisations in the sub-Sahara Africa region, providing a community of learning and practice for childhood and adolescent TB. This network, coordinated by The Union’s Uganda Office in collaboration with the Global TB Branch in the Division of HIV and TB, U.S. Centers for Disease Control and Prevention (CDC), offers technical leadership, capacity building and funding opportunities, and promotes collaboration across the region.

Current Projects

Evaluation of TB preventive treatment in people living with HIV

The Union in collaboration with the CDC is leading on a project to evaluate tuberculosis preventive treatment (TPT) initiation, adherence and completion among people living with HIV of all ages, including children under 5 years. The project will also evaluate the frequency and severity of adverse events associated with TPT for this population in Uganda. The high-quality facility generated data from this project will be used to develop a TB clinical and TPT care cascade that will inform strategies that improve TPT adherence and completion among people living with HIV.

Past projects

DETECT Child TB

The DETECT (Decentralise TB services and Engage Communities to Transform lives of Children with TB) project piloted a model of care for child TB, aiming to strengthen district and community level health care delivery to improve childhood TB case finding, treatment and prevention with a focus on decentralising child TB services from hospitals to lower level health facilities. TB preventive therapy for children at risk of developing TB increased from five percent to 74 percent by the end of the pilot phase. In addition, treatment completion – in both children and adults – increased from 65 percent to 82 percent. Following the success of this project, the Ugandan Ministry of Health, working through the National TB and Leprosy Programme, scaled up this model of care to 10 new districts with support from the Global Fund.

Past projects

SPARK-TB (Slum Partnerships to Actively Respond to Tuberculosis)

This project was implemented in five districts in Kampala to improve TB care among vulnerable and under-resourced urban populations. It increased the number of private clinics offering TB care from 6 to 220, and 24 health facilities continue to receive TB medicines from the national medical suppliers.

Union Achiever

John Paul Dongo

Director, The Union Uganda Office

PEOPLE – AND THEIR CHILDREN – NEED OUR PROJECTS TO CONTINUE, UNINTERRUPTED, AND AT A HIGH QUALITY. WITHOUT CONSISTENT FUNDING, THAT BECOMES PRECARIOUS AND LIVES AND LIVELIHOODS ARE THREATENED