The Lango sub-region in northern Uganda has 2.1 million people living across nine districts; 80% are rural and 50% are below age 15. Up to 466,000 people were displaced during two decades of conflict. Though the conflict ended in 2006, its residual impact includes a weakened health system and poor health indicators. Working with the Ministry of Health and district government, the USAID-funded Regional Health Integration to Enhance Services-North, Lango (USAID RHITES-N, Lango) project is strengthening the health system in the Lango sub-region to improve access and availability of quality health services for individuals and their families.
The district-led and community-focused project covers multiple technical areas, including HIV, tuberculosis, maternal, newborn and child health, family planning, malaria, nutrition, and water and sanitation. The project strengthens district and health facility human resource capacity, health systems, and supports the uptake and rollout of government tools. USAID RHITES-N, Lango is also supporting community structures through direct grants to private not-for-profit hospitals and local civil society organizations to increase access and use of integrated health services.
In the first two years of implementation, USAID RHITES-N, Lango supported over 84,000 people living with HIV with life-saving antiretroviral treatment and reduced mother-to-child HIV transmission rates to 2.1%. USAID RHITES-N, Lango supported districts to provide voluntary medical male circumcisions to more than 81,962 males in its second year and has empowered adolescent girls and young women through DREAMS programming to keep them HIV negative and safe. In Lango, more than 96% of malaria cases are now confirmed with appropriate diagnostic tests and more than 95% of those confirmed cases are treated appropriately. In 2019, 111,770 pregnant women received antenatal care services and the facility delivery rate has improved to 65%, which is higher than the national average. USAID RHITES-N, Lango promotes the adoption of healthy behaviors like family planning and proper nutrition by raising awareness at the individual, provider, and community levels, with the goal of reducing delays in seeking care and lowering barriers to service usage.
JSI leads the USAID RHITES-N, Lango consortium in partnership with Amref Health Africa, CUAMM, Another Option, and The Medical Concierge Group.