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Hiv/Aids Report MINISTRY OF HEALTH Policy Recommendations Based on the Major Findings of the 2004-05 Uganda HIV/AIDS Sero-Behavioural Survey HIV/AIDS REPORT September 2007 This report presents key findings of the detailed analysis of the 2004-05 Uganda HIV/AIDS Sero- Behavioural Survey (UHSBS), including the major issues identified and related policy recommendations. It is intended to provide policy guidance to HIV/AIDS stakeholders involved in policy formulation, programme planning, implementation, and monitoring and evaluation. The report was prepared by Alex Opio, Joshua Musinguzi, and Wilford Kirungi of the Uganda Ministry of Health and Vinod Mishra of Macro International Inc. The development of this report was supported by the United States Agency for International Development (USAID) and the President’s Emergency Plan for AIDS Relief (PEPFAR) through the MEASURE DHS project (#GPO-C-00-03-00002-00) at Macro International Inc. in Calverton, Maryland, USA. A draft of this report was presented to important HIV/AIDS programme managers, policymakers, and key stakeholders at a national dissemination seminar in Kampala on August 15, 2007. Additional information about this report can be obtained from the Ministry of Health, P.O. Box 7272, Kampala, Uganda (Telephone: 256.414.340.874 or 256.414.259.669; Fax: 256.414.348.278; E-mail: [email protected]). Recommended citation: Ministry of Health (MOH), Uganda. 2007. Policy Recommendations Based on the Major Findings of the 2004-05 Uganda HIV/AIDS Sero-Behavioural Survey. Kampala, Uganda: Ministry of Health. MINISTRY OF HEALTH Policy Recommendations Based on the Major Findings of the 2004-05 Uganda HIV/AIDS Sero-Behavioural Survey Ministry of Health Kampala, Uganda September 2007 Contents Acronyms....................................................................................................................................................v Executive Summary ............................................................................................................................... vii 1 Introduction and Background.......................................................................................................1 2 Data and Methods ...........................................................................................................................3 3 Prevalence of HIV............................................................................................................................5 Introduction ...................................................................................................................................5 Major findings ...............................................................................................................................5 Major issues ...................................................................................................................................7 Policy recommendations..............................................................................................................7 4 Prevalence of HSV-2 and Syphilis ...............................................................................................9 Introduction ...................................................................................................................................9 Major findings ...............................................................................................................................9 Major issues .................................................................................................................................11 Policy recommendations............................................................................................................12 5 Data Validity and Comparison with Other Data Sources .....................................................13 Introduction .................................................................................................................................13 Major findings .............................................................................................................................13 Major issues .................................................................................................................................14 Policy recommendations............................................................................................................14 6 Burden of HIV/AIDS in Uganda ................................................................................................15 Introduction .................................................................................................................................15 Major findings .............................................................................................................................15 Major issues .................................................................................................................................16 Policy recommendations............................................................................................................16 7 Knowledge of HIV/AIDS.............................................................................................................17 Introduction .................................................................................................................................17 Major findings .............................................................................................................................17 Major issues .................................................................................................................................18 Policy recommendations............................................................................................................18 iii 8 Attitudes Relating to HIV/AIDS ................................................................................................21 Introduction .................................................................................................................................21 Major findings .............................................................................................................................21 Major issues .................................................................................................................................22 Policy recommendations............................................................................................................22 9 HIV/AIDS-Related Behaviours...................................................................................................23 Introduction .................................................................................................................................23 Major findings .............................................................................................................................23 Major issues .................................................................................................................................25 Policy recommendations............................................................................................................26 10 HIV/AIDS-Related Behaviours of Youth..................................................................................27 Introduction .................................................................................................................................27 Major findings .............................................................................................................................27 Major issues .................................................................................................................................29 Policy recommendations............................................................................................................29 11 Factors Associated with HIV Infection .....................................................................................31 Introduction .................................................................................................................................31 Major findings .............................................................................................................................31 Major issues .................................................................................................................................32 Policy recommendations............................................................................................................32 12 Orphans and Vulnerable Children ............................................................................................33 Introduction .................................................................................................................................33 Major findings .............................................................................................................................33 Major issues .................................................................................................................................33 Policy recommendations............................................................................................................33 13 Programme Coverage....................................................................................................................35 Introduction .................................................................................................................................35 Major findings
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