Program Areas

Community Services

HIV Prevention: Adult-Focused Activities

The NUMAT most-at-risk prevention strategy phased in HIV prevention activities for adults that targeted groups who drove the HIV epidemic in the north and who did not receive attention from other implementers.

NUMAT prevention session photo

The facility setting is instrumental in comprehensive HIV prevention among adults.

Targeting prevention efforts to most-at-risk populations (MARPs) is a strategy used world-wide to address the HIV epidemic. By focusing interventions toward populations and behaviors characterized by higher risk and likelihood of contributing to new infections, greater impact can be made in halting and reversing the epidemic. The National Strategic Plan (NSP) for Uganda identified truck drivers, sex workers, and other mobile populations as priority high-risk groups.

NUMAT’s MARP intervention relied on behavior change agents (BCAs) to encourage positive behavior change and use of specific health products and services among peers.


NUMAT’s MARP intervention built on networks of communication between individuals, families, and community members to identify and develop a network of BCAs. Trained community-based workers organized trainings for BCAs and employed the peer-to-peer approach to pass on the health messages.

The BCAs were trained to mobilize and educate their peers about health issues. The BCAs acted as MARP intervention campaign advocates at the community level and supported NUMAT’s other community mobilization activities, and some even served as community-based product distributors. NUMAT used the network as an interpersonal and community communication vehicle for various health topics including HIV, malaria, and tuberculosis.

Specific Activities
  • Adapted and disseminated marketing and educational materials for HIV prevention
  • Trained BCAs within workplace and women’s groups
  • Established and strengthened women’s groups
  • Established and strengthened workplace groups in the education sector and armed forces
  • Integrated alcohol and drug abuse prevention in home-based care and BCA trainings
  • Promoted condom use for armed services and other MARPs
  • Conducted behavior change activities, voluntary counseling and testing, peer counseling, and referrals
  • Improved condom education, demonstration, availability and distribution
  • Improved economic empowerment to create survival alternatives
  • Established links for education, agricultural tools, and supplementary feeding programs for MARPs and people living with HIV

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