Physical Health Uganda Project #72745

Establish a Youth HIV Drug Refill & Adherence Hub

by Youth Alive Uganda

Summary

There is need to Establish and Sustain Community Drug Delivery and Adherence Support Points for Non-Suppressed and Second/Third-Line adolescents in Lira Districts. The sudden closure of our Community Drug Delivery Points due to donor cuts has led to increased non-suppression for HIV positive adolescents who are now affected by non-adherence, drug resistance, and co-morbidities. some of these are now in second and third-line regimens with higher pill burden that require stricter adherence.

$9,554
total goal

$9,443
remaining

6
donors

0
monthly donors

7
months

Challenge

USAID funding cuts led to closure of all Youth Alive Uganda (YAU) community HIV drug points in Lira District, Uganda, risking treatment failure for two fragile groups: non-suppressed CLHIV needing intensive adherence support, and CLHIV on 2nd/3rd-line ART with complex, supply-chain-fragile regimens. Overburdened clinics cannot provide the specialized care needed, leading to high risk of drug resistance and loss to follow-up.

Solution

YAU will preserve advanced ART access and boost adherence for high-risk adolescents living with HIV in Lira district, thereby stopping viral failure/resistance by; 1. Re-establishing and activate a specialized community drug delivery points (CDDPs) within 6months 2. Achieving >90% viral load suppression among non-suppressed adolescents living with HIV within 12 months. 3. Ensuring 100% uninterrupted ART access for 2nd/3rd-line clients (zero stock-outs).

Long-Term Impact

The project will: Boost Viral Suppression: Drive >90% VL suppression in non-suppressed adolescents living with HIV, preventing disease progression Prevent Drug Resistance: Ensure 100% uninterrupted ART access for 2nd/3rd-line clients, preserving future treatment options Strengthen Local Capacity: Empower 10 Community Health Workers/peer leaders to sustain specialized adherence support post-project. Prevent Service Collapse: Re-establish a community delivery point, stabilizing the local