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Uganda HIV and AIDS Country Progress Report July 2016

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Uganda HIV and AIDS Country Progress Report July 2016 UGANDA HIV/AIDS COUNTRY PROGRESS REPORT JULY 2016-JUNE 2017 THEME: “Reaching men, girls and young women to reduce new HIV infections” August 2017 Uganda AIDS Commission Contents LIST OF ACRONYMS ............................................................................................................................. iv LIST OF FIGURES ............................................................................................................... ..................... v LIST OF PICTURES .................................................................................................................................. v LIST OF TABLES ...................................................................................................................................... v LIST OF ANNEXES ................................................................................................................................. vi Foreword ................................................................................................................................................... vii ACKNOWLEDGEMENTS ..................................................................................................................... viii EXECUTIVE SUMMARY ....................................................................................................................... ix INDICATOR TABLES ........................................................................................................................... xiii INTRODUCTION AND BACKGROUND ............................................................................................... 1 1.1 Introduction ....................................................................................................................................... 1 1.2 Background ....................................................................................................................................... 2 1.3 Objectives of Annual Joint AIDS Review ........................................................................................ 2 1.3.1 Specific objectives ..................................................................................................................... 2 METHODOLOGY ..................................................................................................................................... 3 2.1 Report Writing Process ..................................................................................................................... 3 2.2 Review Approaches .......................................................................................................................... 3 2.2.1 Literature Review....................................................................................................................... 3 2.2.2 Key Informant Interviews .......................................................................................................... 3 2.2.3 Data Abstraction ........................................................................................................................ 4 2.2.4 Selection of Respondents ........................................................................................................... 4 2.3 Validation Meetings .......................................................................................................................... 4 2.3.1 Thematic Technical Working Group Meetings ......................................................................... 4 2.3.2 Meetings with UAC Leadership and Partnership Committee .................................................... 4 2.3.3 The Annual Joint AIDS Review (JAR) 2017 ............................................................................ 4 ACHIEVEMENTS, CHALLENGES AND LESSONS LEARNT ............................................................ 5 3.1 Overview of the progress .................................................................................................................. 5 3.2 Uganda Population-Based HIV Impact Assessment Survey (UPHIA) ............................................ 5 3.2.1 HIV Prevalence Among Adults Aged 15 – 49 Years by Survey Region .................................. 5 3.3 Progress Towards the 90-90 -90 targets............................................................................................ 8 3.4 Prevention- Achievements, Lessons Learnt and Key Gaps ............................................................ 10 3.4.1 Achievements ........................................................................................................................... 11 3.4.2 Lessons learnt........................................................................................................................... 25 3.4.3 Challenges ................................................................................................................................ 26 ii 3.5 Care and Treatment – Achievements, Lessons Learnt and Challenges .......................................... 27 3.5.1 Achievements ........................................................................................................................... 27 3.5.2 Lessons learnt........................................................................................................... ................ 34 3.5.3 Challenges ................................................................................................................................ 34 3.6 Social Support and Protection- Achievements, Lessons Learnt and Challenges ............................ 35 3.6.1 Achievements ........................................................................................................................... 35 3.6.4 Lessons Learnt ......................................................................................................................... 49 3.6.5 Challenges ................................................................................................................................ 49 3.7 Systems Strengthening- Achievements, Lessons Learnt and Key Gaps......................................... 50 3.7.1 Achievements ........................................................................................................................... 50 3.7.2 Lessons learnt........................................................................................................................... 66 3.7.3 Challenges ................................................................................................................................ 67 3.8 Systems Strengthening: Monitoring, Evaluation and Research ...................................................... 67 3.8.1 Achievements ........................................................................................................................... 67 3.8.2 Lessons learnt........................................................................................................................... 70 3.8.3 Challenges ................................................................................................................................ 70 CONCLUSIONS AND RECOMMENDATIONS ................................................................................... 71 ANNEXES ................................................................................................................................................ 72 iii LIST OF ACRONYMS ADP AIDS Development Partner AGYW Adolescent Girls and Young Women AIDS Acquired Immune Deficiency Syndrome ART Anti-Retroviral Therapy ARV Anti-Retro Viral CSOs Civil Society Organizations DAC District AIDS Committee DLG District Local Government EID Early Infant Diagnosis eMTCT elimination of Mother to Child Transmission of HIV FSG Family Support Groups GBV Gender Based Violence HCT HIV Counselling and Testing HEI HIV Exposed Infant HTS HIV testing and services JAR Joint AIDS Review KP Key Populations MARPS Most At Risk Populations MDAs Ministries, Departments and Agencies MGLSD Ministry of Gender, Labour, and Social Development MOES Ministry of Education and Sports MoH Ministry of Health MSM Men who have Sex with Men NPAP National Priority Action Plan NSP National HIV/AIDS Strategic Plan OVC Orphans and other Vulnerable Children OWC Operation Wealth Creation PEPFAR Presidential Emergency Plan For AIDS Relief PLHIV People Living with HIV PMTCT Prevention of Mother To Child HIV Transmission PrEP Pre-Exposure Prophylaxis RH Reproductive Health SAGE Social Assistance Grants for Empowerment SCEs Self-Coordinating Entities SDG Sustainable Development Goals SDGs Sustainable Development Goals SGBV Sexual and Gender Based Violence SRH Sexual and Reproductive Health TB Tuberculosis ToT Trainer of Trainers TWG Technical Working Groups UAC Uganda AIDS Commission UAC Uganda AIDS Commission UPHIA Uganda Population HIV Impact Assessment VL Viral Load VLS Viral Load Suppression WHO World Health Organizations YLP Youth Livelihood Program iv LIST OF FIGURES Figure 1 HIV prevalence according to the different regions 2011 and 2016.............................................. 6 Figure 2 HIV prevalence by age in years.................................................................................................... 7 Figure 3 HIV prevalence among adult population comparing by gender and residence over the years – Source UPHIA ............................................................................................................................................ 7 Figure 4 90-90-90 Cascade - data source DHIS2 ......................................................................................
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