Attachment J.16 Uganda_Resilience_IEE_03092020.pdf

INITIAL ENVIRONMENTAL EXAMINATION

PROJECT/ACTIVITY DATA

Project/Activity Name: Resilience Project

Amendment (Y/N): N Geographic Location(s) (Country/Region):

Uganda/East Africa

Implementation Start/End: March 16, 2020 – March 16, 2022 Solicitation/Contract/Award Number: Multiple Implementing Partner(s): Multiple Tracking ID/link: Uganda Resilience Project https://ecd.usaid.gov/document.php?doc_id=52220 Tracking ID/link of Related RCE/IEE (if any):

See Annex D

Tracking ID/link of Other, Related Analyses:

DO1 Economic Growth PERSUAP https://ecd.usaid.gov/document.php?doc_id=43631

Climate Risk Management for Projects and Activities 10/15/2017;

Uganda Climate Vulnerability Assessment Report (august 2013);

Economic assessment of the impacts of climate change in Uganda by CDKN (2015);

Climate Risks to Conservation in Uganda (May 2017);

USAID/Uganda Environmental Compliance Support Report and Recommendations for Health Care Waste Management.

(December 2018);

See Annex E EMMPs will be uploaded at the request of the BEO to:

https://drive.google.com/drive/u/0/folders/11havIAxH08vgaiUt mpGXpv2I-xnRWSNK

ORGANIZATIONAL/ADMINISTRATIVE DATA

Implementing Operating Unit(s):

(e.g. Mission or Bureau or Office)

USAID/Uganda

Funding Operating Unit(s):

(e.g. Mission or Bureau or Office)

USAID/Uganda: Health and HIV/AIDS Office;

Economic Growth Office; Democracy, Governance, Conflict Office.

Funding Account(s): Multiple Funding Amount: $ 759,644,032 Amendment Funding Date: Amendment Funding Amount:

Other Affected Unit(s): NA Lead BEO Bureau: AFR https://ecd.usaid.gov/document.php?doc_id=52220 https://ecd.usaid.gov/document.php?doc_id=43631 https://www.usaid.gov/sites/default/files/documents/1868/201mal_042817.pdf https://www.usaid.gov/sites/default/files/documents/1868/201mal_042817.pdf https://www.climatelinks.org/sites/default/files/asset/document/ARCC-Uganda%2520VA-Report.pdf https://cdkn.org/wp-content/uploads/2015/11/UGANDA_Economic-assessment-of-climate-change_WEB.pdf https://cdkn.org/wp-content/uploads/2015/11/UGANDA_Economic-assessment-of-climate-change_WEB.pdf https://drive.google.com/drive/u/0/folders/11havIAxH08vgaiUtmpGXpv2I-xnRWSNK https://drive.google.com/drive/u/0/folders/11havIAxH08vgaiUtmpGXpv2I-xnRWSNK

Prepared by: USAID/Uganda Resilience Project Management Team (RPMT); and USAID/Uganda Mission Environmental Officer (MEO)

Date Prepared: December 31, 2019

ENVIRONMENTAL COMPLIANCE REVIEW DATA

Analysis Type: � Categorical Exclusion X Initial Environmental Examination � Amendment � Deferral

Environmental Determination(s): � Categorical Exclusion(s)

X Negative Determination X Positive Determination

Initial Environnemental Examination Expiration Date :

February 2022 (see BEO specific conditions #2 for extension instructions)

Additional Analyses/Reporting Required: EMMPs, ERF/ERR, WQAP, PERSUAP Climate Risks Identified (#): Low 4 Moderate _4_ High __4___

THRESHOLD DECISION MEMO AND SUMMARY OF FINDINGS

PURPOSE AND SCOPE OF THE INITIAL ENVIRONMENTAL EXAMINATION

The purpose of this document, in accordance with Title 22, Code of Federal Regulations, Part 216 (22 CFR 216), is to provide a preliminary review of the reasonably foreseeable effects on the environment of the USAID interventions described herein, and recommend a determination, as appropriate, conditions, for the entire portfolio of activities expected to be implemented by USAID/Uganda under the Resilience Project. Upon approval, this determination become affirmed, per 22 CFR 216, and specified conditions become mandatory obligations of implementation. This analysis also documents the results of the project-level Climate Risk Management process in accordance with USAID policy (specifically, ADS 201 mandatory reference 201mal_042817).

The primary objectives of this IEE and CRM include:

1. Document the required environmental analysis and threshold determination for Resilience Project activities.

2. Document the CRM for the entirety of the Resilience Project portfolio including new and ongoing activities.

Food for Peace (FFP) activities, namely, the Apolou Activity, Nuyok Activity in Karamoja, and the Graduation Pilot Activity in Kamwenge, shall also be implemented under the Resilience Project;

however, a review of their potential environmental impacts and recommended environmental threshold determination are covered in their respective, activity-specific IEEs, which have been approved. These activities are therefore not included in this Resilience Project IEE.

Activities under Uganda Resilience Project are analyzed in this IEE as identified in Table 1.

PROJECT/ACTIVITY SUMMARY

The USAID/Uganda Country Development Cooperation Strategy (CDCS) for 2016 – 2021 was approved in December 2016, the five-year goal being: Uganda's systems are accelerating inclusive education, health and economic development. In contrast to the previous strategy, the new CDCS proposes an integrated approach that will bring together a range of interventions under the following three integrated development objectives (DOs):

DO1: Community and household resilience in select areas and target populations increased;

DO2: Demographic drivers affected to contribute to long term trend shift; and DO3: Key systems more accountable and responsive to Uganda’s development needs.

The Mission will implement the following five projects under the above development objectives:

Health Systems Strengthening Project;

Demographic Drivers Project;

Resilience Project;

Market Systems Project; and Governance and Accountability Systems Project.

The purpose of the Resilience Project is “to strengthen the ability of targeted households and communities to plan for, prevent, withstand, and recover from shocks and stresses and reduce household and community vulnerability.” The Project supports DO1 of USAID/Uganda’s CDCS.

The Resilience Project seeks to: (i) strengthen household and community agency in responding to shocks and stresses; (ii) improve the capacity of government and other service providers to reach communities with high quality health, agriculture, and natural resource management services; and (iii) strengthen the early warning systems that will alert households and communities to emerging weather, food security, conflict, and health threats. Activities under this project will be supported by funding from the President’s Emergency Plan for AIDS Relief (PEPFAR), the President’s Malaria Initiative (PMI), the Global Health Initiative (GHI), Feed the Future (FTF), Food for Peace (FFP), the Global Climate Change Initiative (GCC), Power Africa, Education for All , the Biodiversity congressional earmark and USAID/Uganda’s democracy, human rights and governance portfolio.

The Resilience Project purpose is commensurate with DO1 in USAID/Uganda’s 2016 – 2021CDCS:

community and household resilience in select areas and target populations increased. The Project will directly contribute to the achievement of each of the four intermediate results (IRs) under DO1:

IR 1.1: Key drivers of vulnerability as identified by beneficiaries addressed;

IR 1.2: Capacity to manage risk increased;

IR 1.3: Enhanced prevention and treatment of HIV, malaria and other epidemics among the most vulnerable; and IR 1.4: Community and household assets increased and diversified.

THRESHOLD DETERMINATION

The 22 CFR 216 requirements are documented in this IEE for Resilience Project activities as noted in Table 1. These activities are assigned a Negative Determination as noted in this IEE Sections 4 and

5. Upon approval, this determination becomes affirmed, and the specified associated conditions become mandatory obligations of implementation.

TABLE 1: ACTIVITY LIST

Project 1: Resilience Project Sub-activity 1.1 Agricultural Research Activity Sub-activity 1.2 Harvest Plus/MENU – Promotion of Bio-fortified Crops Sub-activity 1.3 Secure Forests for Sustainable Landscapes and Resilient Livelihoods

Sub-activity 1.4 Biodiversity for Resilience Activity Sub-activity 1.5 Enhancing Resilience and Adaptive Agricultural Livelihoods Sub-activity 1.6 Vector Link Indoor Residual Spraying – Phase II1 Sub-activity 1.7 Defeat Tuberculosis (TB) Sub-activity 1.8 Regional Health Integration to Enhance Services (RHITES) Southwest (SW) Uganda Sub-activity 1.9 Local Transition Awards RHITES SW- TASO

Sub-activity 1.10 Local Transitional Award RHITES SW- JCRC Sub-activity 1.11 Modifications RHITES SW – Ebola Sub-activity 1.12 RHITES East Central (EC) Uganda Sub-activity 1.13 RHITES Northern (N) Uganda, Acholi Region Sub-activity 1.14 RHITES Northern (N) Uganda, Lango Region Sub-activity 1.15 RHITES Eastern (E) Uganda

Sub-activity 1.16 Malaria Commodities Procurement

Sub-activity 1.17 Malaria Environment and Compliance Assessment (GEMS II) Sub-activity 1.18 Malaria Indicator Survey (DHS) Sub-activity 1.19 Centers for Disease Control Inter Agency Agreement (IAA)and Technical Assistance

Sub-activity 1.20 End User Verification Sub-activity 1.21 Operational Research (IRS Study) Sub-activity 1.22 HIV/Health Initiatives in Workplaces Activity (HIWA) Sub-activity 1.23 Promoting Peaceful Co-existence and Reconciliation Activity Sub-activity 1.24 Securing Peace and Promoting Prosperity in Karamoja Activity (EKISIL) Sub-activity 1.25 Integrated Community, Agriculture and Nutrition (ICAN) Activity

Sub-activity 1.26 USAID Malaria Action Program for Districts (MAPD) Sub-activity 1.27 New Malaria Activity- MAPD Follow on Sub-activity 1.28 Uganda Housing Modification Survey (UHMS) and Enhanced Entomological Surveillance Sub-activity 1.29 MAPD – Ebola Sub-activity 1.30 Local Service Delivery (LSD) for HIV Activity Sub-activity 1.31 Resilience Project Operational Support

CLIMATE RISK MANAGEMENT

Climate risk analysis established that climate risks were moderate to high for project elements related to agricultural production, biodiversity conservation, malaria control and management, water, sanitation and hygiene (WASH) and conflict mitigation and management.

The USAID (2013) Climate Change Vulnerability Assessment identified temperature increases (2 degrees Celsius by 2030), seasonal variations in rainfall patterns and the likelihood of increased extreme weather events as key climate stressors. These will likely impact agricultural productivity and increase disease and post-harvest losses. The USAID (2017) assessment on Climate Risks to Conservation in Uganda noted that these conditions are also the primary direct climate stressors for biodiversity, especially in the dry cattle corridor and mountainous areas. Non-climate stressors are being exacerbated by climate factors and indirectly increasing risks to biodiversity, and fires are resulting in proliferation of invasive species. A World Bank (2016) assessment noted that in Africa, malaria could increase by five to seven percent among populations at risk in higher altitudes due to rising temperatures. The USAID (2017) analysis on climate risks in FFP geographies in Karamoja identified water scarcity and resource-use conflicts as key climate impacts.

These climate risks require that risk management options be identified and implemented.

Recommended climate risk management options include: research to develop drought, disease and pest tolerant crop varieties; promotion of fortified foods to fill nutrient deficiency in staple crops;

promotion of horticulture for diversification; integrating climate-risk management and contingency planning into community and local development planning; supporting local climate research, education and outreach; and increasing access to and use of quality meteorological information and early warning services. Because climate variability and change may halt or reverse the sustainability of traditional biodiversity conservation actions unless addressed, activity designs and procurements need to incorporate selected site-specific recommendations from the USAID (2017) assessment to reduce climate vulnerability. Addressing non-climate stressors and climate risks in the dry cattle corridor and mountainous areas should be prioritized in investment decisions. Designs and solicitations should also seek to leverage resources to increase access to water and pasture, especially in conflict hotspots, in order to improve WASH conditions and resolve climate-induced conflicts. To manage and control malaria, indoor residual spraying; bed nets; behavior change campaigns; malaria testing and treatment; and malaria indicator surveys will need to be adopted in activity designs and solicitations.

BEO SPECIFIED CONDITIONS OF APPROVAL

1. BEO Reporting Conditions

• New activities and those revised to incorporate a change in scope or nature will require an IEE amendment to identify and address potential environmental impacts. This condition is mentioned again in Section 7 of this IEE.

• Mitigation measures need to be determined for the environmental impacts at the level of the EMMP/EMMR. These EMMPs/EMMRs will be shared with the REA and the BEO Team (and other mission stakeholders, as appropriate) in a Google Drive folder.

• As there are WASH activities covered under this IEE, the AFR BEO requires that a water quality assurance plan (WQAP) is prepared according to the WQAP Template (https://www.usaid.gov/environmental-procedures/environmental-compliance-esdm-program-cycle/special-compliance-topics/water):

o Complete a WQAP for WASH-related activities under this IEE, and request and receive AFR BEO review and approval of WQAP.

o The review results should be written and on record in the Signing Statement of the WQAP.

• Annual environmental analysis shall be conducted for activities with Negative

Determination with conditions and Positive Determinations. This shall be a check on downstream environmental compliance and tracking the effectiveness of EMMP implementation.

2. BEO Conditions for Extension

• This IEE is approved for two years February 2020 from February 2022. The Mission may submit a recommendation for an IEE extension when the Mission demonstrates that partners are completing meaningful and detailed analysis of environmental impacts and are designing and implementing appropriate mitigation measures through their EMMPs.

• If consultations between the Mission, the REA and the BEO identify insufficiencies in this IEE, additional analysis and potentially additional mitigating conditions may be required through an amendment of this IEE or through a stand-alone Supplemental IEE.

IMPLEMENTATION

In accordance with 22 CFR 216 and Agency policy, the conditions and requirements of this document become mandatory upon approval. This includes the relevant limitations, conditions and requirements in this document as stated in Sections 3, 4, and 5 of the IEE and any BEO Specified Conditions of Approval.

https://www.usaid.gov/environmental-procedures/environmental-compliance-esdm-program-cycle/special-compliance-topics/water https://www.usaid.gov/environmental-procedures/environmental-compliance-esdm-program-cycle/special-compliance-topics/water

3/12/2020 https://ecd.usaid.gov/document.php?doc_id=52220

INITIAL ENVIRONMENTAL EXAMINATION

CONTENTS

1.0 PROJECT/ACTIVITY DESCRIPTION

1.1 PURPOSE AND SCOPE OF IEE

1.2 PROJECT/ACTIVITY OVERVIEW

1.3 PROJECT/ACTIVITY DESCRIPTION

2.0 BASELINE ENVIRONMENTAL INFORMATION

2.1 LOCATIONS AFFECTED AND ENVIRONMENTAL CONTEXT

2.2 APPLICABLE AND APPROPRIATE PARTNER COUNTRY AND OTHER

INTERNATIONAL STANDARDS (E.G. WHO), ENVIRONMENTAL AND SOCIAL LAWS,

POLICIES, AND REGULATIONS

3.0 ANALYSIS OF POTENTIAL ENVIRONMENTAL RISK

3.1 AGRICULTURAL PRODUCTION AND NUTRITION

3.2 BIODIVERSITY CONSERVATION

3.3 DISEASE CONTROL AND MANAGEMENT; SMALL SCALE CONSTRUCTION/

RENOVATION

3.4 GOVERNANCE and CONFLICT MITIGATION AND MANAGMENT

3.5 WASH INTERVENTIONS

3.6 ACTIVITIES WITH SUB-GRANT COMPONENTS

3.7 RESILIENCE PROJECT operational SUPPORT

4.0 ENVIRONMENTAL DETERMINATIONS

4.1 RECOMMENDED ENVIRONMENTAL CONDITIONS

4.2 CLIMATE RISK MANAGEMENT

5.0 CONDITIONS AND MITIGATION MEASURES

5.1 BEO SPECIFIC CONDITIONS

5.2 CONDITIONS

5.3 AGENCY CONDITIONS

6.0 LIMITATIONS OF THIS INITIAL ENVIRONMENTAL EXAMINATION

7.0 REVISIONS

ANNEXES

1.0 PROJECT/ACTIVITY DESCRIPTION

1.1 PURPOSE AND SCOPE OF IEE

The purpose of this document, in accordance with Title 22, Code of Federal Regulations, Part 216 (22 CFR 216), is to provide a preliminary review of the reasonably foreseeable effects on the environment of the USAID interventions described herein and recommend determinations and, as appropriate, conditions, for these activities. Upon approval, these determinations become affirmed, per 22 CFR 216 and specified conditions become mandatory obligations of implementation. This IEE also documents the results of the project-level Climate Risk Management process in accordance with USAID policy (specifically, ADS 201mal).

The primary objectives of this IEE and CRM include:

1. Document the required environmental analysis and threshold determination for Resilience Project activities.

2. Document the CRM for the entirety of the Resilience Project portfolio including new and ongoing activities.

This IEE is a critical element of USAID’s mandatory environmental review and compliance process meant to achieve environmentally sound activity design and implementation. Potential environmental impacts should be addressed through formal EMMPs and/or Environmental Assessments (EAs), if needed.

This environmental analysis addresses the entire portfolio of activities expected to be implemented by USAID/Uganda under the Resilience Project. The project is designed to strengthen the ability of targeted households to plan for, prevent, withstand, and recover from shocks and stresses, and to reduce household and community vulnerability. The Resilience Project IEE brings 30 activities, the bulk of which have already been evaluated in earlier IEEs and amendments, under one IEE. This IEE replaces and supersedes these previous IEEs (see Annex D); except that ongoing activities with an approved EMMP may continue operating under that EMMP. New activities or ongoing activities without an existing, approved EMMP must meet the conditions of this IEE regardless of the award date. Any future amendments will be made to this new IEE (see Annex E for a framework for amendments).

1.2 PROJECT/ACTIVITY OVERVIEW

The Resilience Project seeks to: (i) strengthen household and community agency in responding to shocks and stresses; (ii) improve the capacity of government and other service providers to reach communities with high quality health, agriculture, and natural resource management services; and (iii) strengthen the early warning systems that will alert households and communities to emerging weather, food security, conflict and health threats. Activities under the project will be supported by funding from PEPFAR, PMI, GHI, FTF, FFP, GCC, Power Africa, Education for All, the Biodiversity congressional earmark, and USAID/Uganda’s democracy, human rights and governance portfolio.

The Resilience Project’s development hypothesis is, “ if key drivers of vulnerability can be addressed; and if the capacities of targeted households and communities can be strengthened so that households and communities can: (i) better absorb shocks and stresses; (ii) adapt so that they are less exposed to the consequences of shocks and stresses; and (iii) benefit from systemic transformation so that the shocks are increasingly rare and stresses substantial eased, then, resilience will be realized and, in turn, well-being will grow and be sustained.”

Additionally, synergies built between the Resilience Project and other projects in USAID’s portfolio will further strengthen households and communities by: (i) helping them to realize healthier, more productive futures for the country’s youth (DO2 of the CDCS); and (ii) increasing their participation in market, social service, and democracy and good governance systems (DO3 of the CDCS).

In five years, as a result of the Resilience Project and synergies with other DOs:

Targeted households will have some combination of increased incomes from agriculture and alternative livelihoods; a greater level of diversified assets; reduced risk of illness and death from communicable diseases; increased information related to improving livelihoods and reducing risks; and greater capacity to: practice health, climate, conflict and gender-sensitive behaviors; access finance, energy, and information technology (IT) services; adapt to climate change; and deal with other vulnerabilities. Discernible numbers of households will be graduating out of poverty and vulnerability to poverty; and

Targeted communities will have increased capacity to organize for the common good and engage constructively with local government and other sources of support. With these capacities, depending upon the type of support they’ve received, they will realize some combination of increased capacity to deal with natural disasters; protect the environment;

mitigate conflict; facilitate household access to finance, clean water and sanitation; and benefit from the increased participation of women, youth, the disabled and the otherwise disadvantaged in community activities.

Government and other service providers will be delivering higher quality health, agriculture, natural resource management, and early warning services for climate, conflict and epidemics, all with greater accountability to the people they serve.

The Resilience Project covers a four-year implementation period (January 2020- October 1st, 2025), at a total estimated cost of $ 759,644,032 It includes a suite of closely integrated and complementary activity mechanisms including cooperative agreements, contracts, and grants.

1.3 PROJECT/ACTIVITY DESCRIPTION

The Resilience Project will directly contribute to the achievement of DO1: “Community and household resilience in select areas and target populations increased.” The Project will directly contribute to the achievement of each of the four IRs under DO1:

IR 1.1: Key drivers of vulnerability as identified by beneficiaries addressed;

IR 1.2: Capacity to manage risk increased;

IR 1.3: Enhanced prevention and treatment of HIV, malaria and other epidemics among the most vulnerable; and IR 1.4: Community and household assets increased and diversified.

TABLE 2: DEFINED OR ILLUSTRATIVE ACTIVITIES

Activity Description

Agricultural Research Activity

Brief Description: The overall objective of this activity is to promote the use and commercialization of improved crop varieties with yield and nutritional enhancing characteristics. The activity is focused on the continued improvement of crop genetics, bio-fortification, and integrated pest and disease management for both crops and livestock, in response to market-demand. The activity is specifically: i) facilitating the release and commercialization of varieties developed under previous and ongoing research efforts; ii) developing improved crop and animal production and management technologies in

Activity Description response to emerging threats and market demands; and iii) consolidating previous gains in institutional and human capacity development to align research with market needs, and mobilize domestic resources that will displace current development partner funding.

Type of Action: Field Support Budget Estimate: $10,0 00,000 Implementing Partner (IP): Consultative Group on International Agricultural Research (CGIAR) centers

Harvest Plus /Meals for Nutrition

(MENU)–

Promotion of Bio-fortified Crops

Brief Description: Bio-fortification is the breeding of crops to increase their nutritional value. Through the Consultative Group on International Agricultural Research (CGIAR) program on agriculture for nutrition and health, USAID is working in Uganda to improve household nutrition and agricultural livelihoods through production and consumption of bio-fortified foods. In addition to orange sweet potato and high iron beans, USAID is working to support the development of high iron pearl millet and sorghum, and vitamin A fortified maize.

Type of Action: Field Support Budget Estimate: $3,247,161 IP: Harvest Plus

Secure Forests for Sustainable Landscapes and Resilience Livelihoods

Brief Description: The Unites Sates Forest Service (USFS) will continue to support the implementation of institutional strengthening interventions, targeted primarily at the National Forestry Authority (NFA) and Uganda Wildlife Authority (UWA), for biodiversity conservation and protected-areas management to reduce threats to biodiversity and conserve critical ecosystems across Uganda’s landscapes to ensure sustained economic growth. The USFS will provide NFA and UWA with institutional capacity building across technical and managerial areas including development and expansion of partnership arrangements; organizational sustainability; payments for ecosystem services; strategic planning; and infrastructure management.

Key outcomes include reduced encroachment of Central Forest Reserves (CFRs); reduced threats to biodiversity; increased livelihoods and understanding of the value of the forest reserves, and their connection to the supply of water. USAID/Uganda is investing an additional $300,000 in this agreement to expand efforts to improve management of additional targeted CFRs that support resilience zones and targeted districts under the Mission’s Global Food Security Strategy.

In order to advance work in the immediate term on the conservancy model initiated by the Biodiversity Program in 2012, USAID/Uganda will invest in a conservancy “bridge” activity as a buy-in to an existing regional interagency agreement with the USFS. The Biodiversity Program supported two of three target conservancy areas (private and community land surrounding Lake Mburo, Murchison Falls and Kidepo Valley National Parks) to develop governance structures and attracted some outside partnerships, which are still in the initial stages of development. However, much of the work of a typical conservancy remains as yet undeveloped, and no economic benefits have accrued to the communities to date. The implementing partner will select and develop conservation enterprises based on available information. USAID/Uganda expects to continue its support for conservancies under the Integrated Biodiversity and Resilience Activity which will be designed concurrently with the implementation of the “bridge” activity.

Type of Action: Participatory Agency Program Agreement(PAPA), Field Support Budget Estimate: $3,500,000 IP: USFS, and African Wildlife Foundation

Biodiversity for Resilience Activity

Brief Description: This new activity shall support sustainable biodiversity conservation, local economic growth, and building resilient ecosystems and communities in and around priority protected areas in Uganda, including Lake Mburo, Murchison Falls and Kidepo Valley National Parks and Budongo and Kalinzu Central Forest Reserves. The activity shall use applied conservation science and conservation enterprises, including ecotourism, together with conservation education tools to provide opportunities to communities to develop economic services that should enhance their appreciation of Uganda’s natural resources, thereby protecting ecosystems while promoting broader, sustainable economic development. A critical component of building resilient communities and households is preserving the ecosystem services on which they depend. Reduced water availability, invasive species and extreme weather events are climate drive shocks that this activity will work to address.

The activity’s efforts will focus on developing and supporting the governance of community conservancy areas as the lynchpin for improving management of protected areas and buffer zones and increasing conservation-based economic growth. Specifically, the activity will continue earlier gains made in: 1) building the institutional capacity of UWA and NFA to manage biodiversity and monitor and mitigate threats; 2) increasing appreciation for Uganda’s biodiversity through education and partnerships; and 3) increasing community and landowner benefits from conservation and wildlife-friendly economic activities, including ecotourism and public private partnerships.

Type of Action: Cooperative Agreement Budget Estimate: $15,000,000

IP: TBD

Enhancing Resilience and Adaptive Agricultural Livelihoods

Brief Description: This is a research-based activity that generates and promotes/ disseminates climate smart agriculture tools and practices (both technological and institutional interventions like awareness, availability of technologies, and decision-making capacity) that contribute to building resilience of agricultural systems. The activity helps counteract reductions in productivity that would otherwise result from climate change and variability impacts and promotes the use of more climate-smart techniques to increase farmers’ ability to cope with reduced rainfall and changing temperatures. It has four key intervention areas, namely: (1) Promote the use of seasonal characteristics (cropping calendar) tool to guide farm decision making, (2) Adapt the shade tree advice tool to needs of Ugandan public/private extension to enable successful scaling, (3) Engage stakeholder innovation, action and reflection platforms (learning alliances) for effective up scaling of proven sustainable technologies, and (4) Address key research gaps for resilient small-scale farming systems.

Type of Action: Field Support Budget Estimate: $1,036,960 IP: International Institute for Tropical Agriculture

Vector Link Indoor Residual Spraying – Phase III

Brief Description: Uganda Indoor Residual Spraying (IRS) Phase III works to reduce the threat of malaria in households by spraying insecticide on the walls, ceilings, and other indoor resting places of mosquitos that transmit malaria. Support has been provided to empower local stakeholders to take over IRS activity planning, spray operations, and entomological monitoring, and established robust monitoring and evaluation procedures.

The implementer reports that since 2009, approximately 6,812,000 million people have been protected from malaria including 1,556,000 million children and 745,000 pregnant women.

Type of Action: Contact Budget Estimate: $81,333,012 IP: Abt Associates

Defeat Tuberculosis

(TB)

Brief Description: The objective of Defeat TB is to implement TB control efforts aimed at improving TB case notification and treatment outcomes while addressing the underlying health system barriers that are critical to improving service delivery to contribute to ending the TB epidemic in Uganda. A balanced approach spans the continuum of care:

detect (developing a surveillance capability that enables rapid detection and characterization of novel pathogens, it also includes the sharing of information across stakeholders), develop (augmenting the arsenal of antimicrobials available to combat novel pathogens), and deliver (improving the accessibility of diagnostics and antimicrobials worldwide with responsible use policies and practices).

Type of Action: Grant Budget Estimate: $19,932,748 IP: University Research Co., LLC

RHITES – SW

Uganda

Brief Description: The activity will implement comprehensive and integrated regional health, HIV/AIDS and nutrition assistance in 16 districts in southwestern Uganda. The activity purpose is achieved through five results: (1) increased availability of and accessibility to health services; (2) improved quality of health services; (3) increased availability of resources for public sector health services; (4) improved organization and management of service delivery; and (5) increased adoption of healthy behaviors and positive child development practices by communities in target population group. This activity has a sub/grant and construction/renovations component to enhance its implementation.

Type of Action: Cooperative Agreement Budget Estimate: $90,000,000 IP: Elizabeth Glaser Pediatric AIDS Foundation

Local Transitional Award RHITES

SW- TASO

Brief Description: USAID/Uganda intends to make a transition award under the RHITES SW activity to support the achievement of the Government of Uganda and PEPFAR goals of reaching and maintaining HIV epidemic control by 2020 and ending AIDS by 2030. The activity will be aligned to the jointly developed 2019 Uganda PEPFAR Country Operational Plan (COP) and subsequent COPs. The award will be made to The AIDS Support Organization (TASO) focusing on the Ankole sub-region.

Over the course of the activity, TASO will work through and support the public health sector to deliver quality HIV services along the 95-95-95 cascade including HIV prevention, support provision of quality TB prevention; and treatment services as well as sustaining epidemic control. TASO will be assigned annual targets tailored to the HIV and TB burden in the sub-region as the epidemics evolve throughout the life of the award.

TASO will focus on improving the quality of integrated HIV and TB health services, working towards attaining the HIV 95-95-95 targets across all age bands and improving TB case detection, treatment and prevention services.

Key result areas include:

1. Quality facility-based HIV and TB prevention services provided at scale;

2. Quality, targeted, high yield, facility-based HIV testing and counseling services provided at scale;

3. All diagnosed people living with HIV and TB are promptly initiated on treatment;

4. All diagnosed people living with HIV and TB on treatment achieve viral suppression; and

5. District leadership have institutional capacity to sustain epidemic control and maintenance

Type of Action: TBD Budget Estimate: $7,500,000

IP: TASO

Local Transitional Award RHITES

SW- JCRC

Brief Description: USAID Uganda intends to make a transition award under the RHITES SW activity to support the achievement of the Government of Uganda and PEPFAR goals of reaching and maintaining HIV epidemic control by 2020 and ending AIDS by 2030. The activity will be aligned to the jointly developed 2019 Uganda PEPFAR Country Operational Plan (COP) and subsequent COPs. The award will be made to The Joint Clinical Research Centre (JCRC) focusing on the Kigezi sub-region.

Over the course of the activity, JCRC will work through and support the public health sector to deliver quality HIV services along the 95-95-95 cascade including HIV prevention, support provision of quality TB prevention and treatment services as well as sustaining epidemic control. JCRC will be assigned annual targets tailored to the HIV and TB burden in the sub-region as the epidemics evolve throughout the life of the award.

JCRC will focus on improving the quality of integrated HIV and TB health services, working towards attaining the HIV 95-95-95 targets across all age bands and improving TB case detection, treatment and prevention services.

Key result areas include:

1. Quality facility-based HIV and TB prevention services provided at scale

2. Quality, targeted, high yield, facility-based HIV testing and counseling services provided at scale

3. All diagnosed people living with HIV and TB are promptly initiated on treatment

4. All diagnosed people living with HIV and TB on treatment achieve viral suppression

5. District leadership have institutional capacity to sustain epidemic control and maintenance

Type of Action: Cooperative Agreement Budget Estimate: $9,000,000

IP: JCRC

Modification

RHITES SW -

Ebola

Brief Description: Some districts covered by the RHITES-SW Activity including Rubirizi, Rukungiri, Kabale, Kanungu and Kisoro have been identified as high-risk areas for Ebola virus disease (Ebola). USAID is supporting the Government of Uganda’s National Task Force (NTF) to coordinate and implement Uganda’s National Ebola Virus Disease response and contingency plan aimed at enhancing Uganda’s capacity to prevent, quickly detect, and effectively respond to a possible Ebola outbreak in Uganda.

To provide support to NTF, USAID intends to leverage RHITES-SW to provide cross cutting support such as: Infection Prevention and Control, community engagement for adoption of health behaviors and general health systems improvement with cross-cutting health benefits including Ebola prevention, detection and response.

(This shall be implemented by RHITES SW in case of an Ebola attack)

Type of Action: Cooperative Agreement Budget Estimate: $200,000 IP: Elizabeth Glaser Pediatric AIDS Foundation

RHITES – EC

Brief Description:

The activity will implement comprehensive and integrated regional health, HIV/AIDS and nutrition assistance in East Central Region. The activity will focus on maximizing the impact of the Government of Uganda (GOU), the United States Government (USG), and other investments in health services and systems using a district-based integrated package of quality health, HIV/AIDS, nutrition, and child development services to contribute to significant, measurable, and sustainable impact on the beneficiary population.

The activity aims to increase utilization of health services (malaria; maternal, newborn, and child health; family planning (FP); nutrition; HIV prevention, care, and treatment;

tuberculosis (TB); and laboratory services) by strengthening district health systems, improving the quality of services, increasing availability of, access to, and demand for quality services, and supporting the health sector to sustain higher utilization of the services in 12 districts of East-Central Uganda. There are 531 healthcare facilities in the region: one regional referral hospital; 11 general hospitals; 18 Health Centre IVs; 108 Health Centre IIIs; and 354 Health Centre IIs. Private non-for-profit (PNFPs) health care facilities number 39; and 137 sites are accredited to offer antiretroviral therapy (ART) services (124 have PEPFAR targets).

The USAID RHITES-EC result areas are:

1. Increased availability and accessibility of health services

2. Improved quality of health services

3. Increased availability of resources for public sector health

4. Improved organization and management of service delivery, and

5. Increased adoption of healthy behaviors and positive child development practices by communities in focus areas and target population groups.

The activity will provide sub-grants to RRH to support the 'hub and spoke' model for integrated health outreach services to lower-level health facilities, HRH and provision of specialized HIV and TB services in the respective regions, including laboratory services.

This activity has a sub/grant and building small scale construction/ renovation component to enhance its implementation.

Type of Action: Cooperative Agreement Budget Estimate: $ 75,372,562 IP: University Research Co., LLC

RHITES – N

Uganda, Acholi Region

Brief Description:

Regional Health Integration to Enhance Services - North, Acholi (RHITES-N, Acholi) activity will implement comprehensive and integrated regional health, HIV/AIDS and nutrition assistance in Northern Uganda, Acholi Region. The Activity enhances health districts’ capacity to apply proven best practices across HIV prevention, care and treatment, Tuberculosis (TB), Maternal, Newborn and Child Health (MNCH) including minor renovation, Reproductive Health (RH), Family Planning (FP), Malaria, Nutrition and Water, Sanitation and Hygiene (WASH) services.

RHITES -N, Acholi aims to improve services access for all citizens and achieve break-through results in the eight districts of Agago, Amuru, Gulu, Kitgum, Lamwo, Nwoya, Omoro, and Pader. The RHITES-N, Acholi Activity works with partners to increase health care provider availability, improve commodity access, promote effective operation and maintenance of infrastructure and equipment, and improve the management and governance of health services. RHITES-N, Acholi implements a district-led health system approach to foster a sustainable and transparent program by working in close collaboration with the Ministry of Health, District Local Governments, the private sector, Civil Society Organizations, other USAID implementing partners, and community-based structures and institutions This activity has a sub/grant and building small scale construction /renovation component to enhance its implementation.

Interventions:

1. Facility and community based HIV and TB care and treatment services;

2. HIV prevention including including behavioural change communication and

Voluntary Medical Male Circumcision at facility and community outreach location

3. HIV testing and counseling

4. Malaria prevention and treatment

5. Reproductive Health (RH), Family Planning (FP), Nutrition and Water, Sanitation and Hygiene (WASH) services.

6. Renovation of selected health facilities;

7. Training of health workers and community volunteers

Action Type: Contract Budget Estimate: $ 58,300,000 IP: University Research Co., LLC (URC)

RHITES – N

Uganda, Lango Region

Brief Description: The activity will implement comprehensive and integrated regional health, HIV/AIDS and nutrition assistance in Northern Uganda, Lango Region. The activity purpose is achieved through three results: (1) increased availability and accessibility of health services, (2) increased health systems for quality services, and (3) increased adoption of healthy behaviors. The activity will provide sub-grants to RRHs to support the 'hub and spoke' model for integrated health outreach services to lower level health facilities; HRH and provision of specialized HIV and TB services in the respective regions; including laboratory services. This activity has a sub/grant and building small scale construction/renovations component to enhance its implementation.

Type of Action: Contract Budget Estimate: $68,839,270 IP: John Snow International

RHITES – E

Brief Description:

Regional Health Integration to Enhance Services in the Eastern region (RHITES-East) is an initiative that builds on USAID investments and national advances to increase access to and use of high-quality integrated services that accelerate the ability and capacity to respond to the specific health needs of residents in the Eastern region. RHITES-East is implemented by Intrahealth International in partnership with The AIDS Support Organization (TASO), The Malaria Consortium, Communication for Development Foundation Uganda (CDFU) and Medic Mobile. RHITES-E is the first integrated health activity in the Eastern region that spans all USAID health technical areas - HIV prevention, care and treatment, Tuberculosis (TB), Maternal, Newborn and Child Health (MNCH) including minor renovation, Reproductive Health (RH), Family Planning (FP), Malaria, Nutrition and Water, Sanitation and Hygiene (WASH) services. RHITES-E's goal is to increase utilization of high-quality services for approximately 6 million Ugandans living in 30 districts in the Eastern region.

RHITES-E works with district leadership and partners to increase health care provider availability, improve commodity access, promote effective operation and maintenance of infrastructure and equipment, and improve the management and governance of health services. RHITES-East implements a district-led health system approach to foster a sustainable and transparent program by working in close collaboration with the Ministry of Health, District Local Governments, the private sector, Civil Society Organizations, other USAID implementing partners, and community-based structures and institutions .

This activity has a sub/grant and building small scale construction/renovation component to enhance its implementation.

Interventions:

1. Facility and community based HIV and TB care and treatment services;

2. HIV prevention including including behavioral change communication and

Voluntary Medical Male Circumcision at facility and community outreach location

3. HIV testing and counseling

4. Malaria prevention and treatment

5. Reproductive Health (RH), Family Planning (FP), Nutrition and Water, Sanitation and Hygiene (WASH) services.

6. Renovation of selected health facilities;

7. Training of health workers and community volunteers

Action Type: Cooperative Agreement

Budget Estimate: $64,000,000 IP: Intrahealth International

USAID Malaria Action Program for Districts

(MAPD)

Brief Description: The activity focus is on the prevention, diagnosis and case management of malaria. The aim is to rapidly increase coverage of life-saving interventions with a dramatic impact upon the burden of malaria. Interventions entail distribution of mosquito nets – long-lasting insecticidal nets – through mass distribution campaigns as well as continuous distribution at health facilities. Assistance will also be provided to strengthening health and antenatal services to prevent malaria during pregnancy.

Community-based outreach, through radio programs and community dialogues to focus on promoting positive behaviors around malaria prevention are implemented alongside health delivery services.

Type of Action: Contract Budget Estimate: $29,172,525 IP: Malaria Consortium

Malaria Commodity Procurement

(GHSC-PSM)

Brief Description: The purpose of this funding is to increase availability and access to these essential commodities to reduce malaria-related morbidity and mortality. This funding will cover all shipping, insurance, customs clearance and inland transportation costs, cleared through Ugandan authorities and delivered to district or facility stores.

USAID/Uganda allocates funds to this mechanism annually. The availability of essential malaria commodities, such as long-lasting insecticide-treated bed nets, Artemisinin-based Combination Therapies, Artesunate injectable for severe malaria, and rapid diagnostics test kits, is critical to the successful implementation of President’s Malaria Initiative. Through this mechanism, USAID will procure essential malaria commodities primarily for the private-not-for-profit sector.

Type of Action: Contract Budget Estimate: $37,680,000 IP: Chemonics International, Inc.

Environment and Compliance Assessment

(ECOS)

Brief Description: The Environmental Compliance Support Project (ECOS) provides on-demand management, capacity-building and design of activities that are in compliance with USAID's mandatory environmental regulations. GEMS provides services in the following 3 broad areas: Training: General and sector-specific one-to-five day training events in environmental compliance/environmentally sound design and management; Technical and Analytical Support: Development and review of 22CFR216 environmental documentation;

development of environmental management and compliance guidance; support for post-disaster environmental management; and technical backstop support for USAID environmental officers; and Knowledge Management: Environmental management monitoring and evaluation; environmental compliance assessments; and dissemination of best practices.

Type of Action: Contract Budget Estimate: $120,475

Indicator Survey (DHS)

Brief Description: The purpose of the Malaria Indicator Survey is to provide data on key indicators covering prevention, diagnosis and treatment of malaria. Through this survey, Uganda will acquire updated population-based estimates on the prevalence of malaria and anemia. This will inform strategic program planning, implementation and evaluation of activities that have seen massive scale up since 1995. USAID intends to support Uganda Bureau of Statistics (UBOS) to carry out this survey. Specific activities will include questionnaire design, protocol development, household listing, sample design and pre-test, data collection, analysis and report writing.

Type of Action: Contract –TBD Budget Estimate: $600,000

Centers for Disease Control InterAgency Agreement (IAA) and Technical Assistance

Brief Description: The Inter-Agency Agreement with the Centers for Disease Control (CDC) was established to provide technical assistance to the President‘s Malaria Initiative (PMI) and the Government of Uganda (GOU). This activity will: fund the senior PMI technical adviser at CDC Uganda, whose role is to provide technical assistance to the GOU’s malaria program; provide short-term technical assistance from CDC to train GOU environmental compliance officers; support the indoor residual spraying program in conducting effective entomological monitoring; support case management and monitoring and evaluation; and provide other guidance to the PMI team; and support the field epidemiology and laboratory training program, which places two epidemiologists at the Ministry of Health.

Type of Action: Inter Agency Agreement Budget Estimate: $5,265,000

IP: CDC

End User Verification

Brief Description: End User Verification (EUV) Surveys provide useful data on supply chain management and malaria case management, which will be used to strengthen the health care system through informed decision-making. With FY 2017 funds, the Presidential Malaria Initiative (PMI) program will conduct EUV surveys in randomly selected health facilities in Uganda to determine the extent to which anti-malarial treatment is available at the end-user level and how effectively supply chain systems are used in managing malaria commodities.

Type of Action: TBD Budget Estimate: $500,000

Operational Research (IRS Study)

Brief Description: President’s Malaria Initiative is proposing to pilot an intervention to assess the impact and cost effectiveness of Proactive Community Treatment (ProAct).

Through ProAct, village health teams will conduct weekly door-to-door sweeps to identify people with fever, test them with rapid diagnostic tests, and treat positive cases. The PMI activity will initiate ProAct in the 14 current indoor residual spraying (IRS) districts as one of the exit strategies as IRS transitions out of these districts.

Type of Action: TBD Budget Estimate: $900,000

HIV/Health Initiatives in Workplaces Activity

(HIWA)

Brief Description: This activity will support delivery of comprehensive HIV/AIDS and health services in the workplace. The activity’s target population is the Uganda Police Force, private guards from security companies with a national coverage, UWA staff, including game rangers and park wardens and other national park staff, staff in selected hotels under the Uganda Hotel Owners Association, their families and surrounding communities.