Baylor College of Medicine
Children’s Foundation - Uganda


The Local Partner Health Services Eastern and Karamoja (LPHS-EK)

The Local Partner Health Services Eastern and Karamoja (LPHS-EK) Activity, implemented by the Baylor Foundation Uganda, is in its fifth year of operation. The Activity supports the Ministry of Health in achieving the PEPFAR goals of reaching and maintaining HIV epidemic control by 2025 and ending AIDS by 2030 by increasing the availability and utilization of quality integrated HIV/TB services in the region.

It builds on the US Government investments and national advances in the region to increase access to and use of high-quality integrated services that accelerate the ability and capacity of health services to respond to the health needs of the area residents. Baylor Foundation Uganda implements the LPHS-EK Activity that was modified in June 2025 to support the delivery of life-saving treatment for HIV and TB interventions in 76 public health facilities in the Karamoja region. The scope has thus increased from 16 sub- national units (15 districts and 0I city) to 25 and from 189 Public Health Facilities to 382 public health facilities.

Areas of support

LPHS-EK works with districts and other implementing partners in the region to support the implementation of prevention and treatment of HIV and TB services in 189 health facilities of Bugisu, Budaka, Sebei and Karamoja sub-regions in Eastern Uganda and 193 in Karamoja region. LPHS-EK has supported the TB and HIV sample transportation network, which hosts 12 laboratory hubs in Mbale Regional Referral Hospital (RRH), Moroto (RRH), Pallisa, Tororo, Kapchorwa, Bukwo, Busolwe, Bududa, Kotido, Abim, Kaboong general hospitals and Budadiri HC IV.

The Activity ensures a reliable supply chain of commodities and materials necessary for efficient service delivery, and institutional capacity building in districts for sustained epidemics identification, control and maintaining responses. Further, LPHS-EK’s key objective is to ensure that individuals, families, and communities are supported for linkages and referrals to high-quality available HIV and TB services in the region. LPHS-EK supports access to quality maternal, newborn, child, and adolescent health, malaria services in addition to controlling epidemics in the regions.

Robust quality improvement, monitoring and evaluation teams support the activities in the sub-region. The teams ensure that the Activity’s evidence-based performance is captured through knowledge management avenues and communicated to various audiences such as the Ministry of Health, US Department of State and its implementing partners, the districts’ leadership, health facilities, and communities.

Program

Program Areas

HIV/TB, Malaria, Nutrition, Maternal Child Health, and Global Health Security

Area of Operations

In Eastern and Karamoja regions, LPHS-EK operates 24 Districts and 1 City in four sub-regions: Sebei (Bukwo, Kween, and Kapchorwa), Bugisu (Bulambuli, Sironko, Mbale, Mbale City, Manafwa, Bududa, and Namisindwa), Bukedi (Tororo, Butaleja, Budaka, Butebo, Kibuku, and Pallisa), and Karamoja (Nakapiripirit, Nabilatuk, Amudat, Moroto, Napak, Abim, Kotido, Kaabong, and Karenga).

The Activity has regional offices in Mbale City and Moroto Municipality. In partnership with the Offices of District Health Officers, it has secured office space in the following districts Kaabong, Kapchorwa, Manafa, Moroto, Nakapiririt, Pallisa, Sironko and Tororo.

Project Objectives

  • To improve the health of Ugandans in the eastern and Karamoja regions by supporting the achievement of the US Department of State’s following objectives:
  • To support the provision of quality facility-based HIV and TB prevention services to scale.
  • To support the provision of quality, targeted, high-yield, facility-based HIV testing and counselling services to scale
  • To support all diagnosed people living with HIV and TB to promptly initiate ART/TB treatment.
  • To support all diagnosed people living with HIV and TB who are on treatment to achieve viral suppression.
  • To support the target districts in building the institutional capacity to sustain epidemic control and maintain the response
  • And to support the improved quality of care of maternal, newborn, child, and adolescent health, malaria, and global health security services.