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Community Contribution

Improving Routine CD4 Testing for Chronic Care Client

Julian Natukunda

As part of a pilot implemented at Kabale Regional Referral Hospital in 2012, standard CD4 blood tests were routinized for chronic care HIV and AIDS patients before they were rolled out to other supported facilities by the Strengthening Uganda's Systems for Treating AIDS Nationally (SUSTAIN) project. This activity was championed by the SUSTAIN project and the clinical team at the hospital. Clinical team members had participated in a mentorship with the project's data officers to analyze the performance of client access to CD4 tests. Based on the results, adjustments were made to the process. By June 2015, the project had up to 59528 clients receiving a minimum of one clinical service at 12 supported healthcare facilities offering comprehensive HIV and AIDS services at the designated HIV clinics.


This case study was submitted as part of USAID's CLA Case Competition, held in August 2015. Taken together, this collection of submissions illustrates the diversity of ways collaborating, learning, and adapting approaches are being operationalized in the field. Stringent judging criteria was used to determine official CLA Case Competition winners, so not all submissions should be considered an official USAID endorsement of best practice. To view all entries, visit the CLA Case Competition page.