By Okongo Jude | Project Lead
Youth Alive Uganda, with support from GlobalGiving, implemented the Crisis in Care program to improve treatment adherence and nutritional status among 168 children living with HIV in northern Uganda who are not virally suppressed (NS). The closure of the USAID OVC Northwest Activity negatively affected viral load suppression in this group, with rates dropping from 92% in January 2025 to 83% in May. This program strengthened children’s immunity, supported consistent ART adherence, and contributed to better clinical outcomes and overall quality of life for these vulnerable children.
The CiC project responded to this emerging crisis by:
By the end of implementation, 162 of the 168 targeted children (83 females, 79 males) had been profiled and enrolled; 115 children and their households received focused home-based services; 111 children were nutritionally assessed; and 48 of 53 children who had missed appointments were successfully traced and returned to care. The project also detected and helped correct serious ART prescription errors in children on third-line regimens.
The Crisis in Care project demonstrated that, even in the wake of major funding cuts, targeted, community-based interventions can significantly stabilize care for non-suppressed CLHIV. Through profiling, home-based case management, nutritional monitoring, and active tracing of children with treatment interruption, YAU and its partners were able to re-establish a minimum standard of care and create a platform for further improvements.
The support from GlobalGiving and its donors was instrumental in preventing a deeper crisis among some of the most vulnerable children in Northern Uganda. Continued investment—in human resources, treatment literacy, community systems, and nutrition—will be critical to ensure that these children not only remain on treatment but can achieve and sustain viral suppression over the long term.
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