The Programme for Accessible Health Communication and Education (PACE) is a local health non-governmental organization and remains an affiliate of PSI in Uganda. The vision of PACE is to be a leader in solutions for the Ugandan health market. PACE is an innovative, efficient and impact-oriented organization that works towards realizing a community of Ugandans empowered to sustain healthy behavior, while significantly contributing to Ministry of Health (MOH) priority health areas including HIV/AIDS, malaria, child health and reproductive health.
PACE has health interventions in malaria, reproductive health, maternal health, youth friendly services, safe water, child survival, and HIV/AIDS care and prevention. PACE uses social marketing to promote products, services and healthy behaviors that enable low-income and vulnerable communities to lead healthier lives.
PACE estimates that in 2015, its products and services helped avert 1,018,872 DALYs, including, by health area:
- 41,405 Malaria DALYs
- 441,075 HIV DALYs
- 514,052 FP DALYs
- 21,614 MNCH DALYs
- 524 WASH DALYs
- 201 NCD DALYs
PACE’s family planning program also provided 762,415 couple-years of protection.
Distribution of Long-Lasting Insecticide-Treated Nets (LLINs)
With funding from the Global Fund to Fight AIDS, Tuberculosis and Malaria, PACE has worked with the Ugandan Ministry of Health for the last four years to reduce the incidence of malaria through the distribution of long-lasting insecticide treated nets.
In 2015, PACE, in partnership with the Ugandan MoH, The AIDS Support Organization (TASO) and with support from the Global Fund, distributed over 340,000 long-lasting insecticide-treated nets (LLINs) to pregnant women. This was done during antenatal care visits in public and private not-for-profit health facilities. PACE conducts community social mobilization of pregnant women and their families, and trains health workers on malaria case management, using rapid diagnostic tests and LLINs in 31 districts in the Northern, Eastern and Central regions.
In addition, PACE trained village health teams (VHTs) to improve their knowledge and ability to communicate with their communities on malaria, TB and HIV/AIDS and supports awareness activities within communities and schools to ensure that the final recipients of these treated mosquito nets know how to use them and repair them to last longer.
These awareness activities were also geared towards increasing knowledge on prevention and treatment of malaria, TB and HIV/AIDS amongst these target populations.
Also with funding from the Global Fund, PACE is undertaking integrated community case management of malaria (iCCM) in 17 districts, mainly in northern Uganda. Under this project, PACE will be supporting the districts to train village health teams, as well as supporting them in community case management of malaria.
The village health teams will conduct household visits in their catchment area, providing each household with information on how to prevent malaria, and steps to take if signs and symptoms of malaria are present. This project will run through 2017.
LLIN Hang-up Campaign
With funding from UKAID and UNICEF, PACE is supporting the Ministry of Health to mobilize communities for mass distribution of long lasting insecticide treated nets (LLINs) and behavior change communication to ensure that nets are hung up and used in 27 districts in Eastern Uganda.
The entire campaign will see the distribution of 24 million nets to Ugandan households in 2017.
PACE is also supporting the Hang-Up of LLINs among the refugee communities in the West Nile region of Uganda. They are working with Village Health Teams (VHTs) to educate the refugee communities on prevention of malaria by sleeping under insecticide treated nets, and support them to hang up nets in their households.
MSD for Ugandan Mothers (MUM) Project
Since 2013, PACE has implemented a three-year project with support from MSD for Mothers. It aims at making high-quality maternal healthcare in the private health sector accessible and affordable. Under the MSD for Ugandan Mothers, PACE worked with partners like TransAid, Save for Health Uganda and the Association of Obstetricians and Gynaecologists of Uganda to tackle the three delays that contribute to maternal morbidity and mortality: the delay in decision to seek care, delay in reaching care, and delay in receiving adequate healthcare. The project is transitioning into a sustainable social franchise, Tunza, aimed at providing affordable, quality care, while remaining a viable enterprise for private health facility owners.
In 2016, PACE began implementing a project to improve maternal and newborn care in Uganda by availing misoprostol for postpartum hemorrhaging (PPH), and chlorhexidine for umbilical cord care in both the public and private health sector. The implementation of this project in the districts of Mukono, Luweero, Mpigi, Mubende, and Buikwe also involves the provision of health education to increase awareness about PPH prevention and cord care for newborn babies.
Accelerating Epidemic Control in 7 Districts of Mubende Region under PEPFAR
Under a consortium with MildMay Uganda, PACE is working in the Mubende sub-region of Uganda to scale up access to HIV prevention, care and treatment services for key and priority populations in the community, as well as access to HIV Counselling and Testing for adults, adolescents and children. The seven districts of implementation are Kiboga, Kyankwanzi, Luweero, Mityana, Mubende, Nakaseke and Nakasongola.
PACE is handling the community component of this project through strengthening community structures to support scale up of HIV prevention. Examples of work include: care and treatment services for key and priority populations in the community, male engagement in HIV prevention, treatment adherence, and care retention. PACE is also working with communities to set up TB support structures for community TB screening, contact tracing, referral, tracking, and follow up; as well as post gender-based violence (GBV) care at a facility and community level.
DREAMS Initiative and HIV/AIDS Prevention Support to the Ugandan People’s Defense Forces (UPDF)
HIV and Other Prevention
PACE, with funding from the US Department of Defense’s HIV/AIDS Prevention Programme, is working closely with the Uganda People’s Defense Forces (UPDF) to reduce the number of new HIV infections and other sexually transmitted infections (STIs) among members of the UPDF, their families, and the civilian communities surrounding military bases.
PACE is working with the UPDF to create a branded condom and carry out an extensive social marketing campaign to increase uptake of condoms, as well as support social behavior change communications to increase uptake of HIV prevention interventions.
Under the same grant, PACE is also working with the UPDF to reduce HIV incidence among adolescent girls and young women (AGYW) under the DREAMS intervention in Gulu and Mubende districts.
Under this initiative, PACE is tasked to work with the UPDF to promote and provide condoms to the AGYW; HIV and STI Testing Services and linkages; community mobilization to change communities’ attitudes, norms, and behaviors that result in gender inequality, GBV, and increased HIV vulnerability for AGYW; social protection; parenting/caregivers’ programs; school-based HIV and GBV prevention programs; and post-violence care and peer support programs.
- UK Department for International Development (DfID)
- United Nations Children’s Fund (UNICEF)
- The Global Fund to Fight AIDS, Tuberculosis and Malaria
- S. Centers for Disease Control and Prevention (CDC)
- US Department of Defense’s HIV/AIDS Prevention Programme (DHAPP)
- S. President’s Emergency Plan for AIDS Relief (PEPFAR)
- Norwegian Agency for Development Cooperation (NORAD)
- Civil Society Fund (CSF)
- United Nations Population Fund (UNFPA)
- MSD for Mothers
- Procter and Gamble
- Bill & Melinda Gates Foundation (BMGF)
- The Pfizer Foundation
- The Maverick Collective
- Ministry of Health
- Uganda AIDS Commission
- Reproductive Health Uganda
- Marie Stopes Uganda
- Marie Stopes International Uganda
- Various CBOs and NGOs