Weekly Surge PPT Week 43 in Northern Uganda

Maternal health in Northern Uganda.

1. 1 USAID LPHS Acholi Weekly Surge (WK 39) By: Noah Kasunumba Date: 07/Oct/2024

2. USAID LOCAL PARTNER HEALTH SERVICES (LPHS) - ANKOLE AND ACHOLI ACTIVITY Weekly target Yield Linkage and retention > 95% > 3.0% >=95% 75% -95% 1 % - 3.0 % 90% - 94.9% < 75% < 1 % <90% COP 23 Performance over the weeks (Cumulative (wk39)) Data source: Weekly surge report Technical Area Indicators COP23 Target WK33 WK34 WK35 WK36 WK37 WK38 WK39 Cumulative (wk39) % Achieved by week 33 % Achieved by week 34 % Achieved by week 35 % Achieved by week 36 % Achieved by week 37 % Achieved by week 38 % Achieved by week 39 PREVENTION VMMC_CIRC 29853 681 10 913 673 22855 71.2% 71.2% 74.3% 76.6% 76.6% 76.6% 76.6% KP_Prev 6447 6200 6669 6865 6980 7105 7347 7466 7466 96.2% 103.4% 106.5% 108.3% 110.2% 114.0% 115.8% PP PREV 1025 5183 5270 5344 5426 5521 5611 5783 5783 505.7% 514.1% 521.4% 529.4% 538.6% 547.4% 564.2% Prep_CT 3434 2136 2582 3040 3544 4007 4269 4501 4501 62.2% 75.2% 88.5% 103.2% 116.7% 124.3% 131.1% Prep_New 5987 8037 8581 8835 8999 9180 9460 9637 9637 134.2% 143.3% 147.6% 150.3% 153.3% 158.0% 161.0% HIV TESTING HTS_TST 227,643 8216 6385 6549 5019 5383 4468 3880 271515 105.4% 108.2% 111.0% 113.2% 115.6% 117.6% 119.3% HTS_POS 4655 102 111 96 103 73 62 90 4072 76.0% 78.4% 80.4% 82.6% 84.2% 85.5% 87.5% Yield (%) 2.0% 1.2% 1.7% 1.5% 2.1% 1.4% 1.4% 2.3% 1.5% 1.5% 1.5% 1.5% 1.5% 1.5% 1.5% 1.5% HTS_INDEX 10,474 522 736 533 458 417 257 103 18374 151.5% 158.5% 163.6% 168.0% 172.0% 174.4% 175.4% HTS_Index_Pos 884 30 42 22 20 27 7 14 806 76.2% 81.0% 83.5% 85.7% 88.8% 89.6% 91. 5 % HTS_RECENT 2,309 51 49 38 49 32 27 32 1885 71.8% 73.9% 75.6% 77.7% 79.1% 80.3% 81.6% PMTCT_STAT 57,984 1553 1474 1675 1504 1719 1643 1348 73378 110.4% 112.9% 115.8% 118.4% 121.4% 124.2% 126.5% PMTCT EID 3,027 44 43 42 32 27 39 26 2303 69.2% 70.6% 72.0% 73.0% 73.9% 75.2% 76.1% PMTCT EID < 2 months 2,874 39 38 34 30 23 37 25 2071 65.6% 66.9% 68.1% 69.1% 69.9% 71.2% 72.1% TREATMENT TX_NEW 4333 107 98 84 95 71 55 57 3891 79.2% 81.4% 83.4% 85.6% 87.2% 88.5% 89.8% Linkage(%) 100% 105% 88% 88% 92% 97% 89% 63% 96% 97.0% 96.7% 96.5% 96.4% 96.4% 96.3% 97.0% CXCA_SCRN 4839 55 175 106 108 93 46 17 5305 98.4% 102.0% 104.2% 106.4% 108.3% 109.3% 109.6% TX_SV 100% 100% 92% 100% 88% 99% 91% 97% 95% 100% 92% 100% 88% 99% 97% 9 5 % TB/HIV TB_STAT 3,752 44 38 87 38 71 43 47 2338 53.7% 54.7% 57.0% 58.0% 59.9% 61.1% 62.3% IPT Initiation 4631 105 55 112 61 82 33 75 4058 78.6% 79.8% 82.2% 83.5% 85.3% 86.0% 87.6%

3. USAID LOCAL PARTNER HEALTH SERVICES (LPHS) - ANKOLE AND ACHOLI ACTIVITY COP 23 Performance over the weeks (Cumulative ( wk 39)) Indicator Agago Pader Nwoya Kitgum Lamwo Gulu City Omoro Amuru Gulu Grand Total VMMC_CIRC 47.2% 102.7% 126.7% 100.4% 119.6% 32.7% 106.9% 130.5% 254.5% 76.6% KP_PREV 76.9% 90.1%   76.4% 84.6% 333.5%   92.2% 87.5% 115.8% PP_PREV 2783.3% 369.4%   370.5% 1114.7% 166.5%   1158.5%   564.2% PrEP_new 158.4% 169.6%   88.6% 113.8% 278.3%   101.8% 140.6% 161.0% PrEP_CT 187.9% 157.8%   92.8% 38.4% 206.9%   111.5% 77.5% 131.1% HTS_TST 107.9% 118.0% 98.2% 111.7% 125.7% 108.7% 131.1% 147.9% 166.4% 119.3% HTS_TST_POS 71.6% 67.1% 123.2% 78.3% 61.9% 113.4% 75.1% 146.8% 191.1% 87.5% HTS_INDEX 204.9% 184.7% 186.9% 177.4% 125.2% 163.7% 109.8% 258.8% 618.9% 175.4% HTS_INDEX_POS 124.8% 56.7% 100.0% 82.1% 80.1% 77.5% 66.7% 193.1% 306.7% 91.5% TX_NEW 72.9% 67.6% 120.3% 79.6% 61.2% 130.7% 78.0% 141.7% 302.6% 89.8% PMTCT_STAT 121.3% 131.5% 96.9% 113.8% 166.6% 101.9% 189.9% 156.3% 80.2% 126.5% PMTCT EID 46.1% 102.0% 51.8% 94.3% 100.0% 100.0% 82.5% 68.3% 76.5% 76.1% PMTCT EID 2mnths 38.0% 99.5% 52.7% 84.4% 96.4% 101.1% 82.2% 60.7% 67.6% 72.1% TB Cases 79.1% 106.1% 57.7% 31.1% 87.6% 43.7% 82.5% 84.3% 117.8% 62.3% TB_PREV 95.5% 98.5% 86.7% 71.4% 95.3% 84.6% 68.2% 82.1% 174.4% 87.6% HTS_RECENT 61.8% 67.8% 86.8% 69.4% 54.2% 146.3% 99.7% 109.7% 116.3% 81.6% CXCA_SCRN 128.0% 137.2% 112.6% 155.5% 82.4% 109.1% 96.9% 95.8% 159.3% 109.6% Grand Total 107.2% 120.2% 98.8% 109.2% 125.3% 100.7% 132.9% 147.2% 149.7% 117.7% Rank_Current 7 5 9 6 4 8 3 2 1   REDS 6 4 3 3 3 2 2 2 1   Rank (0.5*total) - (0.5*REDS)) -2.46 -1.40 -1.01 -0.95 -0.87 -0.50 -0.34 -0.26 0.25   Final position 9 8 7 6 5 4 3 2 1  

4. USAID LOCAL PARTNER HEALTH SERVICES (LPHS) - ANKOLE AND ACHOLI ACTIVITY CXCA Cascade   CXCA_SCRN CXCA_SCRN_POS CXCA_TX % Treated District Achieved Annual target Performance       Omoro 762 786 96.9% 41 32 78.0% Nwoya 699 621 112.6% 45 24 53.3% Pader 505 368 137.2% 20 16 80.0% Agago 631 493 128.0% 38 38 100.0% Lamwo 1032 1253 82.4% 48 36 75.0% Kitgum 779 501 155.5% 64 44 68.8% Amuru 386 403 95.8% 10 5 50.0% Gulu 188 118 159.3% 12 4 33.3% Gulu City 323 296 109.1% 2 2 100.0% Acholi Total 5305 4839 109.6% 280 206 73.6%

5. USAID LOCAL PARTNER HEALTH SERVICES (LPHS) - ANKOLE AND ACHOLI ACTIVITY Missed opportunities on Recency during the COP for accredited sites District Eligible Recency Tests Postives at facility not done recency % screened Agago 162 16 1 1 99 % Amuru 270 191 79 70.7% Gulu City 290 238 52 82.1% Gulu 101 50 51 49.5% Kitgum 212 195 17 92.0% Lamwo 190 185 5 97.4% Omoro 407 348 59 85.5% Pader 347 298 49 85.9% Nwoya 297 202 95 68.0% Acholi 2276 1875 401 82.4%

6. COP 23 Yr2 Target summary US AID LPHS Ankole & Acholi activity (Acholi sub-region)

7. USAID LOCAL PARTNER HEALTH SERVICES (LPHS) - ANKOLE AND ACHOLI ACTIVITY Overall COP 23 Yr2 Target shift Indicator Acholi Gulu cluster Kitgum Cluster % Gulu cluster % Kitgum cluster   2024 2025 Diff %shift 2024 2025 Diff %shift 2024 2025 Diff %shift     CXCA_SCRN 4839 3399 1440 29.8% 2224 1314 910 40.9% 2615 2085 530 20.3% 38.7% 61.3% GEND_GBV 3496 2679 817 23.4% 1286 1274 12 0.9% 2210 1405 805 36.4% 47.6% 52.4% HTS_INDEX 10483 14123 -3640 -34.7% 4134 4147 -13 -0.3% 6349 9976 -3627 -57.1% 29.4% 70.6% HTS_INDEX_NEWNEG 9600 13707 -4107 -42.8% 3785 3955 -170 -4.5% 5815 9752 -3937 -67.7% 28.9% 71.1% HTS_INDEX_NEWPOS 883 416 467 52.9% 349 192 157 45.0% 534 224 310 58.1% 46.2% 53.8% HTS_RECENT 2308 1065 1243 53.9% 964 498 466 48.3% 1344 567 777 57.8% 46.8% 53.2% HTS_SELF 18604 8942 9662 51.9% 10473 5098 5375 51.3% 8131 3844 4287 52.7% 57.0% 43.0% HTS_TST 228404 131068 97336 42.6% 107226 57579 49647 46.3% 121178 73489 47689 39.4% 43.9% 56.1% HTS_TST_NEG 223748 129045 94703 42.3% 105249 56626 48623 46.2% 118499 72419 46080 38.9% 43.9% 56.1% HTS_TST_POS 4656 2023 2633 56.6% 1977 953 1024 51.8% 2679 1070 1609 60.1% 47.1% 52.9% KP_PREV 6447 3230 3217 49.9% 2246 1125 1121 49.9% 4201 2105 2096 49.9% 34.8% 65.2% OVC_SERV 4206 3861 345 8.2% 2702 2388 314 11.6% 1504 1473 31 2.1% 61.8% 38.2% PMTCT_ART 2866 2044 822 28.7% 1519 1112 407 26.8% 1347 932 415 30.8% 54.4% 45.6% PMTCT_EID 3026 2104 922 30.5% 1606 1143 463 28.8% 1420 961 459 32.3% 54.3% 45.7% PMTCT_STAT 57986 29510 28476 49.1% 30766 15397 15369 50.0% 27220 14113 13107 48.2% 52.2% 47.8% PMTCT_STAT_POS 2898 2053 845 29.2% 1536 1131 405 26.4% 1362 922 440 32.3% 55.1% 44.9% PP_PREV 1025 517 508 49.6% 564 284 280 49.6% 461 233 228 49.5% 54.9% 45.1% PrEP_CT 3434 2362 1072 31.2% 1244 857 387 31.1% 2190 1505 685 31.3% 36.3% 63.7% PrEP_NEW 5987 3000 2987 49.9% 2170 1088 1082 49.9% 3817 1912 1905 49.9% 36.3% 63.7% TB_ART 1135 592 543 47.8% 571 257 314 55.0% 564 335 229 40.6% 43.4% 56.6% TB_PREV 4310 1604 2706 62.8% 1795 636 1159 64.6% 2515 968 1547 61.5% 39.7% 60.3% TB_STAT 3752 1910 1842 49.1% 1784 864 920 51.6% 1968 1046 922 46.8% 45.2% 54.8% TB_STAT_POS 1137 607 530 46.6% 573 267 306 53.4% 564 340 224 39.7% 44.0% 56.0% TX_CURR 44465 43036 1429 3.2% 17719 16489 1230 6.9% 26746 26547 199 0.7% 38.3% 61.7% TX_NEW 4333 1930 2403 55.5% 1813 903 910 50.2% 2520 1027 1493 59.2% 46.8% 53.2% TX_PVLS 40127 38773 1354 3.4% 15991 14839 1152 7.2% 24136 23934 202 0.8% 38.3% 61.7% VMMC_CIRC 30612 11687 18925 61.8% 18376 6263 12113 65.9% 12236 5424 6812 55.7% 53.6% 46.4% Overall 724767 455287 269480 340642 196679 143963 384125 258608 125517 43.2% 56.8%

8. USAID LOCAL PARTNER HEALTH SERVICES (LPHS) - ANKOLE AND ACHOLI ACTIVITY COP 23 Yr2 Target shift – March 25 Indicator Acholi Gulu cluster Kitgum Cluster % Gulu cluster % Kitgum cluster   2024 2025 Diff %shift 2024 2025 Diff %shift 2024 2025 Diff %shift     CXCA_SCRN 2420 3399 980 40.5% 1112 1314 202 -18.2% 1308 2085 778 -59.5% 38.7% 61.3% GEND_GBV 1748 2679 931 -53.3% 643 1274 631 -98.1% 1105 1405 300 -27.1% 47.6% 52.4% HTS_INDEX 5242 14123 8882 -169.4% 2067 4147 2080 -100.6% 3175 9976 6802 -214.3% 29.4% 70.6% HTS_INDEX_NEWNEG 4800 13707 8907 -185.6% 1893 3955 2062.5 -109.0% 2908 9752 6845 -235.4% 28.9% 71.1% HTS_INDEX_NEWPOS 442 416 -26 5.8% 175 192 17.5 -10.0% 267 224 -43 16.1% 46.2% 53.8% HTS_RECENT 1154 1065 -89 7.7% 482 498 16 -3.3% 672 567 -105 15.6% 46.8% 53.2% HTS_SELF 9302 8942 -360 3.9% 5237 5098 -138.5 2.6% 4066 3844 -222 5.4% 57.0% 43.0% HTS_TST 114202 131068 16866 -14.8% 53613 57579 3966 -7.4% 60589 73489 12900 -21.3% 43.9% 56.1% HTS_TST_NEG 111874 129045 17171 -15.3% 52625 56626 4001.5 -7.6% 59250 72419 13170 -22.2% 43.9% 56.1% HTS_TST_POS 2328 2023 -305 13.1% 989 953 -35.5 3.6% 1340 1070 -270 20.1% 47.1% 52.9% KP_PREV 3224 3230 7 -0.2% 1123 1125 2 -0.2% 2101 2105 5 -0.2% 34.8% 65.2% OVC_SERV 2103 3861 1758 -83.6% 1351 2388 1037 -76.8% 752 1473 721 -95.9% 61.8% 38.2% PMTCT_ART 1433 2044 611 -42.6% 760 1112 352.5 -46.4% 674 932 259 -38.4% 54.4% 45.6% PMTCT_EID 1513 2104 591 -39.1% 803 1143 340 -42.3% 710 961 251 -35.4% 54.3% 45.7% PMTCT_STAT 28993 29510 517 -1.8% 15383 15397 14 -0.1% 13610 14113 503 -3.7% 52.2% 47.8% PMTCT_STAT_POS 1449 2053 604 -41.7% 768 1131 363 -47.3% 681 922 241 -35.4% 55.1% 44.9% PP_PREV 513 517 5 -0.9% 282 284 2 -0.7% 231 233 3 -1.1% 54.9% 45.1% PrEP_CT 1717 2362 645 -37.6% 622 857 235 -37.8% 1095 1505 410 -37.4% 36.3% 63.7% PrEP_NEW 2994 3000 7 -0.2% 1085 1088 3 -0.3% 1909 1912 4 -0.2% 36.3% 63.7% TB_ART 568 592 25 -4.3% 286 257 -28.5 10.0% 282 335 53 -18.8% 43.4% 56.6% TB_PREV 2155 1604 -551 25.6% 898 636 -261.5 29.1% 1258 968 -290 23.0% 39.7% 60.3% TB_STAT 1876 1910 34 -1.8% 892 864 -28 3.1% 984 1046 62 -6.3% 45.2% 54.8% TB_STAT_POS 569 607 39 -6.8% 287 267 -19.5 6.8% 282 340 58 -20.6% 44.0% 56.0% TX_CURR 44465 43036 -1429 3.2% 17719 16489 -1230 6.9% 26746 26547 -199 0.7% 38.3% 61.7% TX_NEW 2167 1930 -237 10.9% 907 903 -3.5 0.4% 1260 1027 -233 18.5% 46.8% 53.2% TX_PVLS 40127 38773 -1354 3.4% 15991 14839 -1152 7.2% 24136 23934 -202 0.8% 38.3% 61.7% VMMC_CIRC 15306 11687 -3619 23.6% 9188 6263 -2925 31.8% 6118 5424 -694 11.3% 53.6% 46.4% Overall 404680 455287 50608 -12.5% 187176 196679 9503 -5.1% 217504 258608 41105 -18.9% 43.2% 56.8%

9. TX_CURR Update US AID LPHS Ankole & Acholi activity (Acholi sub-region)

10. USAID LOCAL PARTNER HEALTH SERVICES (LPHS) - ANKOLE AND ACHOLI ACTIVITY Current TX_CURR Update (47 sites) IIT => 472

11. USAID LOCAL PARTNER HEALTH SERVICES (LPHS) - ANKOLE AND ACHOLI ACTIVITY Current TX_CURR Update, Gulu cluster (27/36 sites) IIT => 246

12. USAID LOCAL PARTNER HEALTH SERVICES (LPHS) - ANKOLE AND ACHOLI ACTIVITY Current TX_CURR Update, Kitgum Cluster (20/43 sites) IIT => 226

13. Q4 VL Update US AID LPHS Ankole & Acholi activity (Acholi sub-region)

14. USAID LOCAL PARTNER HEALTH SERVICES (LPHS) - ANKOLE AND ACHOLI ACTIVITY VL coverage Indicator Agago Amuru Gulu City Gulu Kitgum Lamwo Nwoya Omoro Pader Acholi All Patients 4713 3656 2185 2624 7039 5839 5103 5052 7344 43555 Under 15 patients 221 180 60 126 290 265 226 279 364 2011 Under 20 patients 347 262 93 203 513 414 335 412 549 3128 above 20 patients 4366 3394 2092 2421 6526 5425 4768 4640 6795 40427 All bled 3722 3131 2099 2325 6306 5425 4853 4266 6788 38915 Under 15 bled 271 205 73 150 382 298 308 269 405 2361 Under 20 bled 371 288 118 219 587 442 433 410 614 3482 above 20 bled 3351 2843 1981 2106 5719 4983 4420 3856 6174 35433 Balance 991 525 86 299 733 414 250 786 556 4640 All Coverage 79.0% 85.6% 96.1% 88.6% 89.6% 92.9% 95.1% 84.4% 92.4% 89.3% under 15 coverage 122.6% 113.9% 121.7% 119.0% 131.7% 112.5% 136.3% 96.4% 111.3% 117.4% Under 20 coverage 106.9% 109.9% 126.9% 107.9% 114.4% 106.8% 129.3% 99.5% 111.8% 111.3% above 20 coverage 76.8% 83.8% 94.7% 87.0% 87.6% 91.9% 92.7% 83.1% 90.9% 87.6% Female Coverage 82.4% 87.5% 98.1% 91.8% 89.2% 92.2% 95.8% 83.9% 94.7% 90.5% Male Coverage 68.2% 73.0% 85.5% 78.5% 84.7% 86.0% 82.5% 75.4% 79.0% 79.4%

15. USAID LOCAL PARTNER HEALTH SERVICES (LPHS) - ANKOLE AND ACHOLI ACTIVITY VL Suppression District All patient suppression rates Under 15 suppression rate Under 20 suppression rates < 10 suppression 10-<20 suppression Above 20 suppression rates Female suppression Male suppression Agago 89.2% 67.9% 67.9% 66.9% 68.4% 91.6% 90.6% 86.3% Amuru 92.7% 77.1% 79.2% 76.8% 80.1% 94.1% 93.9% 90.5% Gulu City 92.0% 67.1% 74.6% 72.5% 75.6% 93.0% 91.9% 92.2% Gulu 92.6% 82.7% 84.0% 79.7% 85.8% 93.4% 93.6% 90.5% Kitgum 92.3% 75.9% 75.3% 79.7% 74.1% 94.0% 93.6% 89.8% Lamwo 92.0% 73.5% 77.4% 78.1% 77.1% 93.3% 93.0% 90.3% Nwoya 94.5% 80.2% 80.6% 85.9% 78.2% 95.9% 95.2% 92.8% Omoro 94.4% 82.2% 85.9% 87.3% 85.4% 95.3% 94.6% 93.9% Pader 90.1% 65.4% 68.7% 62.8% 71.0% 92.2% 91.3% 87.3% Acholi 92.1% 74.4% 76.4% 76.0% 76.5% 93.7% 93.1% 90.2%

16. DQA Action Tracking update US AID LPHS Ankole & Acholi activity (Acholi sub-region)

17. USAID LOCAL PARTNER HEALTH SERVICES (LPHS) - ANKOLE AND ACHOLI ACTIVITY Current DQA Action status

18. USAID LOCAL PARTNER HEALTH SERVICES (LPHS) - ANKOLE AND ACHOLI ACTIVITY Current DQA Action status, by Area

19. DREAMS

20. COP23 AGYW_PrEV

21. ADDRESSING RISKS/VULNERABILITIES

22. PROVISION OF EDUCATION SUBSIDY

23. PROVISION OF GROUP IGA

24. Thank you