URC has helped more than 30 countries in Africa, Asia, Eastern Europe, and Latin and North America implement HIV programs to create better health outcomes for underserved and vulnerable populations. Working with local health care providers, community leaders, patient advocates, and government officials, we identify gaps in service delivery processes then develop and scale up best practices to achieve sustainable improvements. Our programs are designed to advance the US Global Health Initiative objective of creating an AIDS-free generation.
URC’s HIV work aims to:
- Improve the quality, availability, and consistency of HIV testing and treatment;
- Prevent HIV transmission, including reducing the stigma for getting tested and seeking treatment; and
- Conduct research that helps us to carry out the most effective programs possible.
Through global and bilateral projects, such as ASSIST, HEARD, and HCI, our work has focused on developing local capacity to apply a systems approach and proven quality improvement methods to achieve rapid improvements in HIV/AIDS service delivery and uptake. Our collaborative model has been used to prevent new HIV infections and increase the use and effectiveness of HIV services for key populations and reduce stigma and discrimination towards people living with HIV.
URC has 13 active projects centered around HIV/AIDS in Africa, Asia, and Latin America and the Caribbean. Through these projects, URC uses approaches in health system strengthening, research and evaluation, quality improvement, and social and behavior change to identify and address gaps in HIV health services by focusing on strengthening health and community systems and improving the quality of services.
For example, URC leads the Department of Defense HIV/AIDS Prevention Programs (DHAPP) in Niger, Uganda, and Eswatini to reduce the number of new HIV infections and other sexually transmitted infections among military members, their families, and the civilian communities served by these militaries. Through the scale up of the Nigerien Armed Forces (FAN) antiretroviral therapy program to achieve the UNAIDS 95-95-95 goals in Niger, Niger-DHAPP has increased the number of military facilities providing HIV testing (from 10 to 18) and the number of military facilities providing HIV care and treatment (from four to 15), which has helped identify more than 53% of HIV positive cases in FAN.
URC also works to increase the access and utilization of quality HIV health services in the Acholi region of northern Uganda and in East Central Uganda through the USAID RHITES N-Acholi and USAID RHITES-EC projects. By strengthening the capacity of districts and communities to increase access to and utilization of quality, integrated health services, we have supported 331 health facilities in Uganda to date.