Additional Context: Tuberculosis service delivery in Uganda has heavily relied on external funding. Its 2024 tuberculosis budget was funded in large part by U.S. grants at about 23%. The Global Fund comprised 50% of the budget at this time, which also suffered a decline in U.S. contributions.

According to the World Health Organization the Ugandan government is working to ensure financial sustainability amid declining donor support by prioritizing increased domestic funding for tuberculosis and leprosy services; develop and implement a phased transition plan to gradually absorb donor-supported staff into government structures; reallocating resources to high-impact interventions that address tuberculosis and leprosy drivers, and reduce transmission; integrating service delivery; and leverage existing platforms for tuberculosis care (e.g. through greater integration of tuberculosis within primary health care systems and with services for HIV, maternal and child health, and noncommunicable diseases).

Devex Researcher Note: USAID programs working on tuberculosis in Uganda, such as Defeat TB, prioritized community and local-level initiatives for prevention, diagnosis, and treatment. After cuts to U.S. aid, local organizations had trouble paying staff and ensuring project continuity, severely weakening Uganda's response abilities. In an effort to replace these debilitated projects and ensure financial sustainability amid declining donor support, the Ugandan Ministry of Health decided in February 2025: “stand-alone HIV/TB clinics must be phased out and integrated into general outpatient services.” NPR documented local health authorities' concerns about the feasibility of this transition, amid acute funding and staffing shortages which had likewise affected them.

Source: WHO