Program Areas

Community Services

HIV & AIDS Prevention Activities

NUMAT supported awareness session

Distributing information and education materials is crucial to increasing HIV-related knowledge and awareness.

Data from the national HIV Sero-Behavioral Survey in 2005 showed significant differences between the North Central region and the rest of Uganda. People in the former were much less likely to have used a condom (among women, the rate was 17% vs. 47%), more likely to have sex before the age of 15, and significantly more likely to have had sex while drinking alcohol. People in the north had less comprehensive knowledge about HIV than the country as a whole, though a higher proportion knew their HIV status. There had also been a national increase in multiple partnering since the last survey, with youth ages 15-19 practicing this form of higher-risk sex at double the rate for all age groups (7.6 compared to 3.8).

Many risk factors contributed to higher HIV prevalence in this region, including: displaced populations; presence of armed forces; frequent sexual assault and rape; a high number of orphans; lack of health services; poverty; and a general environment of desperation, hopelessness, and depression. In addition, cultural norms such as early sexual debut, early and forced marriage, transactional and intergenerational sex, inequitable gender-based power relations, and alcohol abuse also contributed to a higher prevalence.

This study also found that 3.3% of cohabiting couples in the North Central region were discordant, and therefore at a high risk of infection. However, numerous studies showed that awareness of discordance is low in Uganda.

In the 2001 UNGASS HIV Declaration of Commitments, Uganda made three prevention-related commitments: a 25% reduction in the number of HIV-positive people aged 15-24; a 20% reduction in infants born HIV-positive; and 90% HIV prevention awareness among young people. Only the last of these goals was met by 2006.

In response to these challenges and goals, NUMAT’s HIV prevention strategy targeted the following groups:

  • Girls and women at risk for using sex for survival
  • Commercial sex workers
  • Discordant couples
  • Uniformed service members
  • Mobile male populations (long-distance truck and motorcycle drivers)
  • Men from fishing and farming communities
  • People living with HIV & AIDS (for positive prevention)
  • Young married women
  • Youth ages 10-24

Through its HIV prevention programs, NUMAT built on lessons learned and profitted from the vast experience of a consortium of partners in HIV prevention. NUMAT used the abstinence, be faithful, use condoms (ABC) strategy and worked closely with partners to roll out key elements of a comprehensive strategy for balanced and targeted prevention.

Specific Activities

  • Strengthened district capacity and links to coordinate prevention activities
  • Planed and implemented message dissemination
  • Improved prevention component of clinical services
  • Established and strengthened community-based groups to reinforce messages and provide ongoing support to most-at-risk populations

HIV Prevention: Adult-Focused Activities

HIV Prevention: Youth-Focused Activities

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