USAID Regional Health Integration to Enhance

Services in Eastern Uganda (USAID RHITES-E)

MTG-79048-054
From Lab Advisor
To Chief of Party
Through Director Health Services Delivery
Approved By Finance Analyst, Chief of Party, Director HSD, DCB&QI Team Lead

Activity Title Hub performance review meetings

Activity Created by Paul Okwalinga

Others on this task Patrick Godfrey Amodoi, Peter Collins Balayo, Solome Kalembe
Program Area HSD
Techinical Area Laboratory
Type of Activity Meeting Locality DIstrict Offices
Expected Start Date 01/07/2019 Expected Date of Completion 12/07/2019
Indicator Contribution Percentage of VL test results returned to lower level health facilities from respective
laboratory hubs
Areas of Integration
Techinical Code Program Area Tick what is Code Funding Stream Amount
Applicable to be Charged
Programs Program 0
HVTB TB/HIV Care 1.6 0
HLAB Laboratory 1.7 0
QI Quality Improvement 2.0 0
HRH HRH (HSS) 0
SCM SCM (HSS) 0
HMIS HMIS 0
District Operations District Operations 0
SBCC SBCC 0
HVSI/MEL Monitoring and Evaluation 0
CLA Colaborating Learning Adapting 0
Care and Treatment Care and Treatment 0
PDTX Pediatric Treatment 0
HBHC Adult Couselling and Support 0
PDCS Pediatric Care and Support 0
Prevention Prevention 1.5.1 0
eMTCT eMTCT 1.5.3 0
CIRC VMMC 0
HVOP/GYSIA Other Sexaul Prevention 0
Total Amount 0

17 July 2019 Page 1 of 3

Background
Ministry of Health through Uganda National Health Laboratory Services, Central Public Health Laboratories
(UNHLS/CPHL), coordinates the Hub / National Sample Transport Network, which facilitates transportation and
testing of laboratory samples to increase accessibility to quality health laboratory services throughout the country.
As part of the strengthening process, individual HUBs are mandated to organize quarterly review meeting with
the Regional Laboratory Coordinators to discuss challenges affecting uptake and utilization of HUB services
through improved sample transport network, collection, packaging while focusing on viral load, TB GeneXpert
and CD4 testing program in the region/country.
In these meetings, the HUB coordinators and regional laboratory coordinators will meet health facility in charges,
the DHT/DHO, DLFP, Laboratory Managers of HC IV’s and high volume HC III’s, ART/eMTCT Clinic in-charges, to
discuss issues related to the improvement of lab services in the catchment area like HIV Viral Load Scale up, CD4,
EID, Sample Transport Network, Hepatitis B Viral Load Program and managing Outbreaks etc.
Purpose of the Activity
To appraise the various stake holders on the strides made in hub operations across the RHITES-E supported
region, with a key focus on sharing facility specific performance on VL & TB indicators while stressing out the
gaps in performance and possible solutions
Objectives of the Activity
-To update stakeholders and share performance or achievements in Hub operations
-To identify existing gaps and discuss strategies for bridging gaps in Hub operations
-To share experience and receive feedback on how to improve Hub operations in the Bugisu RHITES-E region
Methodology
-This meeting will be presided over by the Hub coordinator and officiated by the DHO/Directors
-All facility in charges and focal persons for the selected departments will be invited through the DHO’s office and

facilitated to attend this meeting
-The regional laboratory coordinator will give a background on hub operations, including the roles and
responsibilities of each stakeholder
-The hub site will present their operational successes and challengesRHITES-E representative will share a brief on
scope of work and what has been done so far to the hubs and the regional/district/facility performance on key VL
& TB indicators
-Each facility shall share their performance on the key TB& HIV indicators
-Discussions and action planning will conclude the day, this session shall be chaired by the regional quality
assurance coordinator
-The activity report shall be written by the RHITES-E Laboratory Technical Officers to include action plans as
agreed in the meeting
Intergration, Quality Improvement and Monitoring
Integration
This meeting will provide an opportunity to discuss on how to improve facility indicators whose
performances are poor in the Districts, most especially i.e. HIV enrollment (Surge) versus CD4
uptake, Competence assessment for HIV testers, deteriorating CD4 performance, viral load
uptake and poor suppression rates, low GeneXpert utilization and overall low utilization of
laboratory hub services
Expected Outputs
-Action areas to foster service improvement developed
-Increase in the demand and utilization of hub services
-Activity report developed
-Re-routing of riders routes where necessary

17 July 2019 Page 2 of 3

 Activity Budget Total = 23,759,000
Item Unit Code Measure Qty Unit Cost Freq Total
Perdiem 516220-01 persons 4 161,000 11 7,084,000
SDA 516220-02 Persons 362 20,000 1 7,240,000
Participants Transport 516230-00 persons 370 24,000 1 8,880,000
Stationery 520020-00 Pcs 370 1,500 1 555,000
Staff Accommodation/Travel 516120-00 0 0 1 0
Box files 520020-08 0 0 1 0

Cost Share Contribution Total = 29,333,918

Title of Participants Monthly Rate per Day Total No. Amount Number of Total
Basic pay (Monthly /22) of Days per Person Participants Amount
Clinical officer 1,200,000 54,545 1 54,545 178 9,709,091
Senior labaratory Technologist 2,200,000 100,000 1 100,000 178 17,800,000
DHO 2,676,413 121,655 1 121,655 15 1,824,827

Activity Location Details

District Subcounty Health Facility Exact Location Expected
Completion Date
Bududa Bududa Town Council Bududa General Hospital 30/06/2019
Manafwa Manafwa Subcounty Bubulo Health Centre IV 30/06/2019
Mbale Mbale Northern Division Mbale Regional Referral Hospital 30/06/2019
Namisindwa Magale Town Council Magale Health Centre IV - UCMB 30/06/2019
Sironko Budadiri Town Council Budadiri Health Centre IV 30/06/2019
Budaka Budaka Town Council Budaka Health Centre IV 30/06/2019
Butaleja Busolwe Town Council Busolwe General Hospital 30/06/2019
Kibuku Kibuku Town Council Kibuku Health Centre IV 30/06/2019
Pallisa Pallisa Town Council Pallisa General Hospital 30/06/2019
Tororo Tororo Eastern Division Tororo General Hospital 30/06/2019
Bukwo Bukwo Town Council Bukwo General Hospital 30/06/2019
Kapchorwa central Division Kapchorwa General Hospital 30/06/2019
Kween Binyiny Town Council Kaproron Health Centre IV 30/06/2019

17 July 2019 Page 3 of 3