In Uganda, the number of new HIV infection among 15-49 years old people is 5.1 per 1000 not infected for year, and the epidemic is firmly established in the general population. The estimated HIV prevalence among adults (aged 15 to 49) is different: women are disproportionately affected, with 7.6% of adult women living with HIV compared to 4.7% of men.
Women are particularly affected due to gender-based violence (including sexual abuse) and a lack of access to education, health services, social protection and information about how they cope with these inequities and injustices. UNAIDS has put forward a global Fast-Track target of reducing HIV infections to less than half a million per year by 2020. Reaching this ambitious target means committing to reducing new infections among women and girls by at least 75% over the next five years. The 90–90–90 treatment targets are also important as AIDS is the leading cause of death globally among women of reproductive age and of adolescent girls in Africa. The 90–90–90 treatment targets are: 90% of people living with HIV knowing their HIV status; 90% of people who know their HIV-positive status receiving treatment; and 90% of people on HIV treatment having a suppressed viral load so their immune system remains strong and they are no longer infectious
As regard HIV prevention, the country’s 2015/2016-2019/2020 prevention strategy identifies three objectives: to increase adoption of safer sexual behaviours and reduction in risk behaviours; to scale up use of biomedical HIV prevention interventions (such as voluntary medical male circumcision and PrEP); to mitigate underlying socio-cultural, gender and other factors that drive the HIV epidemic
We would aim to set up a composite model of HIV prevention among women referring to Comboni Samaritans Health Center of Gulu, using different interventions:
1. Offer rapid HIV and other (Syphilis, HBV) test and clinical/gynecologic exam for ulcerative lesions to women
2. Community-based peer education of women on reduction of risky behaviors
3. Local personnel education on how to implement composite HIV prevention strategies
“Pe atye kena” would set up a permanent laboratory for helping women to learn how to protect themselves from HIV and other sexually transmitted diseases