HIV Care and Treatment

SUSTAIN Chronic Care ModelAccording to the Uganda Indicator AIDS Survey in 2011, 7.3% of Ugandan adults are HIV-positive, with a higher prevalence among women (8.2%) compared to men (6.1%).

The Government of Uganda has demonstrated commitment to fighting the HIV/AIDS epidemic through multiple policy decisions articulated in the National HIV/AIDS Strategic Plan 2015/2016 - 2019/2020. The overall goal of the National Strategic Plan is towards Zero new infections, Zero HIV and AIDS related mortality and morbidity, and Zero discrimination. The objectives include to: reduce the number of new youth and adult HIV infections; decrease HIV-associated morbidity and mortality; reduce vulnerability to HIV and AIDS and mitigation of its impact on people living with HIV (PLHIV) and other vulnerable groups; ensure an effective and sustainable multi-sectoral HIV and AIDS service delivery system; and ensure universal access and coverage of quality, efficient and safe HIV services.

In addition, the UNAIDS target of 90-90-90 has been adopted to enable 90% of people to know their HIV status, 90% of people who know their HIV status to access HIV treatment and 90% of people on HIV treatment to achieve viral suppression by 2020.

SUSTAIN supports regional referral and general hospitals to provide antiretroviral therapy (ART) to 57,594 clients. Eleven public healthcare facilities are supported to deliver comprehensive HIV/AIDS services in Uganda, including diagnosis and management of opportunistic infections, Cotrimoxazole preventive therapy, palliative care, clinical and laboratory monitoring, psychological care and support, nutrition assessment counseling and support, ART, targeted care for special groups like children, TB/HIV co-infected clients and clients on second line ARVs. Capacity building for the integration of key population friendly services is improving access to care. 

USAID/SUSTAIN implements the chronic care model (see diagram) to provide an enabling environment for improved access to care, quality of care, optimal treatment outcomes and retention in care.

Achievements 

  • From FY 11-FY 17, 53,532 clients were active on ART including: 35,860 females, 17,672 males and 4,004 children under age 15. In Northern Uganda supported facilities, 256,187 clients were active on ART including: 167,954 females, 88,233 males and  17, 904 children under age 15, in FY 18 (Q1-Q2).
  • The average 12-month retention rate for clients on ART was 89.2% during the period of October 2016 to September 2017.
  • The proportion of clients who are active on ART, who have been assessed, and who have achieved viral suppression was 89.2% in FY 17 and 42.8% in FY 18 (Q1-Q2) among clients attending Northern Uganda supported facilities.
  • 271 health workers have received HIV care/ ART patient monitoring systems and HIV core teams training
  • 463 health workers have been trained on the Revised HIV Prevention, Care and Treatment Guidelines and HIV Testing Services policy

Learn more in our  HIV Care and Treatment technical brief!