At the facility level, SPRING/Uganda works to strengthen nutrition assessment, counseling, and support (NACS) services as a complete package that is fully integrated as part of prevention of mother-to-child transmission of HIV (PMTCT) and/or antiretroviral therapy (ART) services in HIV clinics. SPRING/Uganda also supports the implementation of Ministry of Health guidance to expand NACS beyond HIV clinics to be fully integrated as part of routine health services, and cover everyone, irrespective of their HIV status. To strengthen NACS in health facilities, SPRING/Uganda conducts trainings of health workers and distributes anthropometric equipment to facilities, including mid-upper arm circumference tapes, weighing scales, and height/length measuring boards. SPRING/Uganda also supports and expands existing health facility quality improvement teams to strengthen the quality of nutrition service delivery. SPRING/Uganda supports NACS work in 51 health facilities across ten districts in the Southwest and East Central regions of Uganda.