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Monitoring Visit in Uganda REPORT OF THE PARLIAMENTARY STANDING COMMITTEE ON HIV/AIDS AND RELATED MATTERS ON THE MONITORING VISIT TO SELECTED DISTRICTS IN EASTERN AND SOUTH WESTERN UGANDA IN FEBRUARY 2003 TABLE OF CONTENTS Page LIST OF ACRONYMS............................................................................................III ACKNOWLEDGEMENT .................................................................................... IIV 1.0 INTRODUCTION ........................................................................................... 1 1.1 THE UGANDA HIV/AIDS CONTROL PROJECT........................................... 2 1.1.0 The District Initiatives ................................................................................ 3 1.1.1 The Community led HIV/AIDS Initiatives (CHAI)...................................... 3 1.2 PURPOSE OF FIELD VISIT.............................................................................. 3 1.3 METHODOLOGY ............................................................................................. 4 2.0 DISTRICT SPECIFIC REPORTS............................................................ 5 2.1 EASTERN REGION.......................................................................................... 5 2.1.1 Bugiri District ............................................................................................. 5 2.1.2 Iganga District............................................................................................ 7 2.1.3 Kapchorwa District..................................................................................... 9 2.1.4 Kayunga District....................................................................................... 10 2.1.4 Mbale District ........................................................................................... 13 2.1.5 Mukono District ........................................................................................ 16 2.1.6 Pallisa District.......................................................................................... 19 2.1.7 Sironko District......................................................................................... 22 2.2 SOUTH WESTERN REGION.......................................................................... 23 2.2.1 Bushenyi District....................................................................................... 23 2.2.2 Mbarara District....................................................................................... 24 2.2.3 Kisoro District .......................................................................................... 25 2.2.4 Kabale District.......................................................................................... 26 2.2.5 Masaka District......................................................................................... 27 2.2.6 Rakai District............................................................................................ 29 2.2.7 Ssembabule District .................................................................................. 30 2.2.8 Kampala District....................................................................................... 31 2.3 GENERAL OBSERVATIONS - SOUTH WESTERN UGANDA.................. 33 2.3.1 District initiatives...................................................................................... 33 2.3.2 CHAI ......................................................................................................... 33 2.3.3 Prevention of mother to child transmission (PMTCT) ............................. 33 2.3.4 Anti-Retro-Viral Drugs (ARVs)................................................................. 33 2.3.5 Voluntary Testing and Counselling (VCT) ............................................... 34 2.3.6 Sensitisation Programmes ........................................................................ 34 2.3.7 Orphans..................................................................................................... 34 3.0 GENERAL COMMENTS AND RECOMMENDATIONS............ 35 3.1 CONCLUSION................................................................................................ 39 APPENDIX I: DISTRICTS AND GROUPS/PLACES VISITED....................... 40 ii LIST OF ACRONYMS ARV Anti-Retroviral CAO Chief Administrative Officer CBO Community-Based Organisation CCF Christian Children's Fund International CHAI Community-led HIV/AIDS Initiative DAT District AIDS Task Force DDHS District Director of Health Services DHAC District HIV/AIDS Committee DHCC District HIV/AIDS Coordination Committee IDAAC Integrated Development Activities And AIDS Concern LC Local Council NACWOLA National Community For Women Living With AIDS NGO Non-Governmental Organisation PAC Parish AIDS Committee PMTCT Prevention Mother To Child Transmission PEARL Programme for Enhancing Adolescent Reproductive Life RDC Resident District Commissioner SHAC Sub-County HIV/AIDS Committee STIP Sexually Transmitted Infections Project VCT Voluntary Counselling and Testing iii ACKNOWLEDGEMENT The Committee on HIV/AIDS and related matters wishes to acknowledge the support of all institutions, organisations and Government department officials in the districts visited that generously provided us with their time, materials and information, without which, this work would not have been accomplished. To the community members that participated in the consultative meetings, we appreciate your input. Special recognition is given to the management team of Uganda HIV/AIDS Control Project co-ordinated by the Uganda AIDS Commission for the facilitation of the field visits. iv 1.0 INTRODUCTION Parliament on August 16th, fully constituted the first ever standing Committee on HIV/AIDS. One of the tasks of this committee is to enhance the capacity of all Members of Parliament to effectively discharge their advocacy, representative, legislative and oversight functions in all aspects of the intensified national response to HIV/AIDS. The Committee consists of the following members of Parliament: 1. Hon. Dr. Elioda Tumwesigye, MP Sheema North (Chairperson) 2. Hon. Dr. Johnny Bulamu, MP Luuka County (Vice Chairperson) 3. Hon. Dr. Byatikke Matovu, MP Entebbe Municipality (Member) 4. Hon. Dr. Stephen Chebrot, MP Tingey County (Member) 5. Hon. Capt. David Matovu, MP Kooki County (Member) 6. Hon. Hood Katuramu, MP Western PWD (Member) 7. Hon. Jane Babiiha, MP Bundibugyo (Member) 8. Hon. Hanifa Kawooya, MP Sembabule (Member) 9. Hon. Victoria Sebagereka, MP Kayunga (Member) 10. Hon. Eriyo Jessica, MP Adjumani (Member) 11. Hon. Rainer Kafiire, MP Kibuku (Member) 12. Hon. Kasule Lumumba, MP Bugiri (Member) 13. Hon. Mukabera Annette, MP Kisoro (Member) 14. Hon. Kamana Wesonga, MP Bubulo West (Member) 15. Hon. Okot Santa, MP Pader (Member) This Committee Coordinates HIV/AIDS activities of Parliament and provides a link between Parliament and the AIDS Commission, the Ministry of Health and other local and international actors including other Parliaments on the problem of HIV/AIDS and related matters. The Committee also scrutinizes the HIV/AIDS policies and monitors and evaluates activities of government, local government and other bodies aimed at combating HIV/AIDS. In addition the committee examines and makes recommendations on relevant Bills and other matters relating to HIV/AIDS and in cooperation with the Uganda AIDS Commission and the Ministry of Health, initiates relevant Bills and motions required for combating the epidemic in Uganda. The Committee is required to report to Parliament twice in a year. In preparation of the first report, members of the Committee had meetings with various stakeholders and carried out field visits and oriented themselves with HIV/AIDS related activities being carried out by the Central and Local governments, Civil Society Organisations, Development Partners and other bodies. The Sixth Parliament authorised Government to borrow USD 50 Million to implement the Uganda HIV/AIDS Control Project. 1 Implementation of this project is well underway with its unique community led HIV/AIDS intervention (CHAI) sub-project. Under this subproject, community groups in selected districts are given funds to implement their own designed programmes. The Committee visited sampled communities in some of the first phase districts of this project such as Kampala, Masaka, Kabale, Mbale, Sironko, Kayunga and Mukono. The Committee also visited other HIV/AIDS related projects in other districts in South Western and Eastern Uganda like Rakai, Sembabule, Kisoro, Bushenyi, Mbarara, Iganga, Tororo, Bugiri, Kapchorwa and Pallisa. This was phase one and it is hoped that during phase two scheduled for the next financial year (2003/2004), the Committee will visit other selected districts in Western and Northern Uganda. This is a report of the phase one-district visits, which was facilitated by the Uganda HIV/AIDS Control Project co-ordinated by the Uganda AIDS Commission. 1.1 THE UGANDA HIV/AIDS CONTROL PROJECT This project is part of the World Bank supported multi-country Multisectoral AIDS Programme (MAP). The Government of Uganda received a credit from the International Development Association in various currencies towards the cost of this Uganda HIV/AIDS Control Project. (UACP). The Objectives of UACP include: a) Reducing the further spread of HIV infection b) Mitigating the health and socio-economic impact of HIV/AIDS at individual, household and community levels; and c) Strengthening capacity to respond to the HIV/AIDS epidemic. The project is operating at three levels i.e., National,
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