Policy review of the CAST campaign in Uganda through the narrative lens: why has it worked?

Uganda has developed several health policies; however, implementing all the policies remains suboptimal. Existing challenge is because the stakeholders define health problems differently and have different interests since resources are scarce and ideas on how the problems can be best addressed. With divergent perspectives, it is not surprising that the successful implementation of several health policies remains suboptimal. This article celebrates Uganda's remarkable success in accelerating the country’s effort to Eliminate TB using Kingdon’s policy framework lens. The implementation of the Community Awareness Screening Testing and Treatment (CAST) policy campaigns has been a beacon of hope, bringing us closer to the 90:90:90 target for TB. It also underscores the crucial role of examining health system blocks for individual strengths and harmony in health policy analysis, offering a promising way to predict the likelihood of policy success during implementation. The narrative of the CAST campaign policy's success suggests that five health system buildings strongly supported TB Elimination efforts and needed minimal reinforcement from the implementing partners. However, the gravity of the situation is that health financing remains weak, but it was reinforced by implementing partners. The weak block has serious implications for sustaining the rollout of the CAST campaign policy; the government needs to urgently strengthen health finance as a health system building block, underlining the critical need for immediate action. While policy analysis using the Kingdon frame is significant, it's crucial to critically examine all the building blocks in the health system for strength and harmony. This calls for deliberate and sustained efforts to strengthen the weak blocks, inspiring a sense of commitment and motivation among all stakeholders.