Uganda AIDS Commission Focuses on HIV Mainstreaming in Local Government Plans 2025/26

UGANDA AIDS COMMISSION OFFICE OF THE PRESIDENT LOCAL GOVERNMENT BUDGET CONSULTATIVE WORKSHOPS FOR FY 2025/26 GUIDELINES FOR HIV MAINSTREAMING INTO THE LOCAL GOVERNMENT PLANS AND BUDGET FOR FY 2025/26 BY Uganda AIDS Commission September 2024 - October 2024 #EndAIDS2030Ug

UGANDA AIDS COMMISSION OFFICE OF THE PRESIDENT Introduction HIV and AIDS epidemic still poses a substantial threat to Uganda s socio-economic development, imposing a heavy burden on individuals, families, communities and the nation The epidemic remains severe, generalized, and heterogeneous across geographical areas, socio-demographic and socio-economic subgroups. The latest estimates indicate approximately 1.5 million people were living with HIV in Uganda in 2023 with a prevalence of 5.1% Women remain disproportionately affected with a prevalence of 6.6% compared to their male counterparts at 3.8%. Considerable variations also exist among gender and age. There were an estimated 38,000 new HIV Infections in 2023 down from 97,000 in 2010 while the AIDS-related deaths dropped from 53,000 in 2010 to 20,000 in 2023 Of the 1.5 million people estimated to be living with HIV, 92% were aware of their status, of whom 90% are on ART and 94% of those on ART are virally suppressed. #EndAIDS2030Ug

UGANDA AIDS COMMISSION OFFICE OF THE PRESIDENT Introduction (cont..) Financing of key HIV/AIDS programs in Uganda is largely dependent on donor assistance with development partners contributing over 80% of the resources, while GoU provides about 13% and 5% by the private sector. The country is now implementing HIV/AIDS mainstreaming initiatives as a key sustainability financing strategy for continuity of HIV services, as donor contribution is dwindling. HIV Mainstreaming includes the 0.1% contribution from all government MDAs and LG budget for implementation of HIV interventions. #EndAIDS2030Ug

UGANDA AIDS COMMISSION OFFICE OF THE PRESIDENT HIV and AIDS Mainstreaming in the LG plans and budget Mainstreaming HIV into national development processes has been prioritized in the new program approach under the NDP III Largely to sustain the efforts in the response To increase domestic HIV financing as the country transition to sustainability of the response. As Government, it is our responsibility as duty bearers to ensure good health and well being of the Communities we serve and at our work places. Mainstreaming is in two key domains: The Internal (workplace): - to reduce vulnerability of employees The External (linked to the core function of a sector): - taking action to contain the threats posed by the epidemic to the achievement of the sector goals, as well as ensuring that the sector s practices do not exacerbate the epidemic. In Uganda, HIV Mainstreaming is enshrined in the PFTI and the NDPIII #EndAIDS2030Ug

UGANDA AIDS COMMISSION OFFICE OF THE PRESIDENT Budgeting for HIV/AIDS Mainstreaming Budgeting for HIV/AIDS Mainstreaming LGs are to allocate 0.1% of their total budget allocation (with the exception of Pensions, Gratuity, transfers and external donor resources) to implement HIV and AIDS interventions The MoFPED introduced a single budget output code 000013 for HIV/AIDS mainstreaming. Each entity should map one programme or Department to plan and cost their prioritized HIV and AIDS activities under the budget output code 000013 as guided by the MoFPED in the BCC issued from time to time #EndAIDS2030Ug

UGANDA AIDS COMMISSION OFFICE OF THE PRESIDENT Illustration of 0.1% computation for District X FY 2024/25 Ext. Financing 000 Program Area Total 000 Wage 000 Non-wage 000 Capital Dev t 000 Pension &Gratuity 000 Transfers 000 138,480 TOTALS 21,246,301 13,195,894 1,703,566 2,858,134 310,243 3,039,984 Calculating the 0.1%: (i.e. determining an institution s target allocation for HIV mainstreaming) a) b) c) d) Total Budget = 21,246,301,000 Wage= 13,195,894,000 Non-wage= 1,703,566,000 Capital Development= 2,858,134,000 e) f) g) Pension/Gratuity= 310,243,000 Transfers= 3,039,984,000 Ext. Financing = 138,480,000 #EndAIDS2030Ug

UGANDA AIDS COMMISSION OFFICE OF THE PRESIDENT Illustration of 0.1% computation for District X FY 2024/25 a) b) Funds subject to 0.1% allocation = a-(e+f+g) 21,246,301,000 - (310,243,000 + 3,039,984,000 + 138,480,000) = UGX 17,757,594,000 0.1% (or 0.001) of 17,757,594,000 = UGX 17,757,594 17,757,594 = shall be realized from the institution s budget. Allocation and budgeting is done by the Technical Planning Committee (TPC) for the LG (District, City and Municipalities). Possible sources of funds may include; unconditional grants and local revenues. All identified and prioritized HIV/AIDS activities shall be entered into the budget output code: 000013 c) d) e) f) g) #EndAIDS2030Ug

UGANDA AIDS COMMISSION OFFICE OF THE PRESIDENT Minimum HIV Mainstreaming activity package Care and Treatment HIV Prevention Provide referrals for staff living with HIV to access ART Support staff particularly PLHIV through MDAs/LGs/institutions medical insurance schemes Conduct HIV and AIDS sensitization at Work Place and Communities Conduct/refer staff and the affected communities for HTS Promote BCC interventions including dissemination of IEC materials at the work place and within the communities Promote HIV prevention interventions focusing on AGYW Promote condom education, distribution, correct/consistent use at work place and in Communities Promote access for referral mechanism for PMTCT, SMC, PrEP and PEP Engage men in HIV prevention at work place and the community Social Support and Protection Promote psycho-social support for PLHIV at workplace and within communities including Home Based Care Establish PLHIV support groups at the workplace and in communities Establish and strengthen mechanisms to address stigma and discrimination of PLHIV at the workplace and in communities Systems Strengthening Operationalize HIV&AIDS coordination structure at the work place Develop and operationalize HIV & AIDS workplace policy Submit period activity reports to UAC Conduct resource mobilization activities to ensure implementation of the institution s HIV and AIDS plans Convene quarterly coordination meetings to review progress and planning of activities

UGANDA AIDS COMMISSION OFFICE OF THE PRESIDENT Identified gaps Recommendations The output code 000013 should be mapped under one Department/Program area Allocate 0.1% mainstreaming package and utilize the budget output code 000013 for HIV mainstreaming Activities budgeted under the 000013 code should be HIV Mainstreaming activities Some LGs are not allocating 0.1% for HIV and AIDS mainstreaming Some LGs are allocating less than 0.1% of their total budget Some LGs are not utilizing the budget output code of 000013 and instead claim to mainstream under cross-cutting issues Some LGs plan for non-HIV/AIDS activities under budget output code 000013 There are Multiple budget output code 000013 contrary to the MoFPED guidance for minimum HIV #EndAIDS2030Ug

UGANDA AIDS COMMISSION OFFICE OF THE PRESIDENT Discussion Discussion Challenges Recommendations #EndAIDS2030Ug