Largely as a result of U.S. funding cuts, the March 2025 round of a successful campaign to conduct active case finding, or ACF, did not take place. In 2024 the initiative reached 1.2 million individuals with tuberculosis, HIV, and malaria screening in Uganda.
Date: 11/25
Region: Africa
Country: Uganda
Topic: Health
Policy Lens: Global Health Security
Entry Type: Operational Impact
Additional Context: The Community Awareness Screening Testing and Treatment, or CAST, TB+ campaign, co-funded by USAID, PEPFAR, and the Global Fund was a a bi-annual door-to-door ACF initiative. Without sustained funding, this campaign appears to have ended. According to the WHO, the loss of these community-based engagement activities “explain the 14% reduction in tuberculosis case notifications during the first 6 months of 2025 compared with 2024”. In 2024, USAID accounted for 23% of Uganda’s TB funding and the Global Fund for a further 50%. Domestic funding accounted for only 11%.
Devex Researcher Note: Although there was no official termination notice for this campaign, the initiative website has since been deactivated. A project policy document for CAST TB+ frames the program as a permanent fixture of Uganda’s tuberculosis response.
Source: WHO