Trends of the HIV Epidemic in North Eastern Uganda
Abstract:
The
purpose of this study was to investigate the trends of the HIV pandemic in North
Eastern Uganda to assess the current status and guide future programs aimed at ending
HIV as a public health threat in this region by 2030. The study established that
awareness about HIV was at 75% among the adolescents in the region and that only
63% of the population in the region had tested for HIV. These levels are below the
desired target of 95%. Overall HIV prevalence was found to be 3.7%, which is below
the national average of 5.8%. ART coverage was 53.6% among men and 69.9% among women
living with HIV in the region; this too is below the desired target of 95%. Viral
Load Suppression was found to be at an average of 78%, which is significantly lower
than the target of at least 95%. 36% of the people living with HIV felt significant
levels of stigma and discrimination, thus reducing their quality of life. Overall,
the study found that most of the key HIV indicators had stagnated in the region,
with some heading away from, rather than towards the targets for HIV epidemic control.
Recommendations for improvement include reviving HIV prevention and awareness programming
for young people, as well as addressing the multiple obstacles hampering HIV control
efforts in the region.
References:
[1]
CDC, MMWR, June 5, 1981. https://stacks.cdc.gov/view/cdc/1261
[2]
UNAIDS 2020: Forty years into the HIV epidemic,
AIDS remains the leading cause of death of women of reproductive age — UNAIDS calls
for bold action https://www.unaids.org/en/resources/presscentre/pressreleaseandstatementarchive/2020/march/20200305_weve-got-the-power
[3]
WHO 2017: President of Uganda Launches Fast
Track Initiative Ending HIV AIDS in Uganda by 2030 https://www.afro.who.int/news/president-uganda-launches-fast-track-initiative-ending-hiv-aids-uganda-2030
[4]
Ssenkaaba John - 2015: The Changing Livelihood
of the Karamoja people of North Eastern Uganda and Its Impact on the Survival of
Their Traditional Gender Roles. – The Artic University of Norway. https://munin.uit.no/bitstream/handle/10037/7782/thesis.pdf?sequence=2
[5]
Emunyu Ocan Charles and Ocan Charles - Pastoral
resources and conflicts in North-Eastern Uganda: the Karimojong case - Nomadic Peoples
- https://www.jstor.org/stable/43124077
[6]
AMICAALL, 2016, Baseline survey on HIV/AIDs
Among Young People in Karamoja sub-region December 2016.
[7]
UNAIDS Indicator Registry: https://indicatorregistry.unaids.org/indicator/people-living-hiv-who-know-their-status
[8]
UNFPA 2018: Leaving no one behind in Karamoja,
Issue brief 07, August 2018. https://uganda.unfpa.org/sites/default/files/pub-pdf/Issue%20Brief%207.%20Leaving%20no%20one%20behind%20in%20Karamoja.pdf
[9]
ICAP Columbia University, Uganda Population-Based
Impact Assessment - UPHIA 2016-2017 Final Report. https://phia.icap.columbia.edu/uganda-phia-final-report/
[10] ICAP Columbia
University, Uganda Population-Based Impact Assessment - UPHIA 2016-2017 Final Report.
https://phia.icap.columbia.edu/uganda-phia-final-report/
[11] ICAP Columbia
University, Uganda Population-Based Impact Assessment - UPHIA 2016-2017 Final Report.
https://phia.icap.columbia.edu/uganda-phia-final-report/
[12] UNFPA, 2018:
Leaving no one behind in Karamoja, Issue brief 07, August 2018. https://uganda.unfpa.org/sites/default/files/pub-pdf/Issue%20Brief%207.%20Leaving%20no%20one%20behind%20in%20Karamoja.pdf
[13] Ministry
of Health et al, 2019: Uganda Population-Based Impact Assessment - UPHIA 2016-2017
Final Report
[14] ICAP Columbia
University, 2022: Uganda Summary Sheet 2020-2021 PHIA Project: Retrieved from: https://phia.icap.columbia.edu/uganda-summary-sheet-2020-2021/
[15] Ssebunya
Rogers N, Rhoda K Wanyenze, Leticia Namale, Heather Lukolyo, Grace P Kisitu, Patricia
Nahirya-Ntege, Adeodata Kekitiinwa, 2018. Prevalence and correlates of HIV testing
among adolescents 10-19 years in a post-conflict pastoralist community of Karamoja
region, Uganda. https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-018-5544-0
[16] UNAIDS,
2017: Uganda HIV/AIDS Country Progress Report July 2016-June 2017 https://www.unaids.org/sites/default/files/country/documents/UGA_2018_countryreport.pdf
[17] NAFOPHANU,
2019: People Living with HIV Stigma Index Survey 2019, Uganda Country Assessment.
https://www.stigmaindex.org/wpcontent/uploads/2019/11/PLHIV-Stigma-Index-Report-Uganda-2019.pdf
[18] UNAIDS Understanding
FAST-TRACK 95:95:95 https://www.unaids.org/sites/default/files/media_asset/201506_JC2743_Understanding_FastTrack_en.pdf
[19] Uganda AIDS
Commission, 2017: The Uganda HIV/AIDS Country Progress Report July 2016-June 2017
https://www.unaids.org/sites/default/files/country/documents/UGA_2018_countryreport.pdf
[20]
ICAP Columbia University, Uganda Population-Based
Impact Assessment - UPHIA 2016-2017 Final Report. https://phia.icap.columbia.edu/uganda-phia-final-report/