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Uganda
By 1993, Uganda had the highest HIV prevalence rates in the world. Although it has made remarkable progress in reducing its HIV infection rates in both rural and urban areas since then, HIV/AIDS still remains a major development challenge. With approximately 1 million people living with HIV the current adult HIV prevalence of 6.7 % remains unacceptably high. The high HIV-discordance rates among married or cohabiting partners are of particular concern.
Continuing
challenges include sustaining the involvement of political leaders at all
levels of public administration; strengthening management capacities,
particularly at the local level, in order to maintain an effective response
to HIV/AIDS and minimizing the social and economic impact of the epidemic
on households, communities and services. Realizing the close link between
HIV/AIDS and governance, the Uganda AIDS Commission has put in place a
Leadership Mobilization Strategy to ensure full involvement of leaders
at all levels in HIV/AIDS prevention and care activities.
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Total Population: 28, 816,000 (2006)
Estimated number of adults and children living with HIV/AIDS (2006):
- Adults and children: 1,000,000
- Adults (15-49): 900,000, Adult rate: 6.7 (%)
- Women (15-49): 520,000
- Children (0-14): 110,000
Estimated
number of deaths due to AIDS (in 2006):
91,000
Estimated number of orphans (under the age of 17) (2006):
- Current living orphans: 1,000,000
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Uganda National Chapter of the Alliance launched in November 2000
In 2001, a Plan of Action was developed for the AMICAALL Uganda Programme, and activities initiated with support from UNDP. A workshop to develop community-response proposals was conducted in early 2003 with 10 municipalities/divisions. A constitution was developed for the AMICAALL Programme, which was approved by mayors convened at a General Assembly. More recently, AMICAALL Uganda developed a five-year Strategic Plan of Action (2006-2010) to guide planning and programming of HIV activities in urban authorities throughout the country.
During 2005, with the support of UNDP, a community-based HIV project was initiated in Kitgum. AMICAALL Uganda initiated an HIV/AIDS Urban Workplace Programme, and the development of policy guidelines, with support from UNAIDS and UNDP, and the collaboration of local partners. Through the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), AMICAALL Uganda also received funding to support a Strengthening Urban Community Interventions for Orphans and Vulnerable Children project, which focuses on the technical quality of a continuum of services provided to these children and the community response for their care and support, as well as standards to improve their quality of life. This project is being implemented in four sites of Kampala, targeting support for approximately 1000 orphaned children.
To mark World AIDS Day, in December 2005, AMICAALL Uganda, in collaboration with UNDP Uganda, the Kitgum City Council and all districts in northern Uganda, brought together national and international partners in the country to focus attention on HIV in the northern region. Years of prolonged insurgency have fuelled the spread of HIV. Prevalence rates are as high as 10%-16% in this area. Prior to this event, AMICAALL Uganda had already initiated several activities in Kitgum, including: the organisation of sensitisation seminars on Voluntary Counseling and Testing and the Prevention of Mother-to-Child Transmission and distribution of food supplements to people living with HIV, and those taking anti-retroviral drugs.
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AMICAALL Uganda has received support for programme activities from a wide range of partners, such as UNDP, UNAIDS, UN APP, USAID and FCM and others. Some highlights include:
Federation of Canadian Municipalities (FCM)/Canadian International Development Agency (CIDA) - developed a city-to-city cooperation in collaboration with the AMICAALL Uganda Programme and the UN APP. The city of Kampala, with support from FCM, CIDA and AMICAALL Uganda, is implementing a project to facilitate community needs assessment and development of village and parish HIV action plans.
Global Fund to Fight AIDS, Tuberculosis and Malaria - provided funding to support economic assistance and vocational training to orphaned and vulnerable children, and affected households, in 10 selected municipalities.
PricewaterhouseCoopers (PwC) - through its Ulysses Programme, PwC provided technical assistance to AMICAALL Uganda in 2004 to improve municipal HIV/AIDS-related information and collection and management systems and overall coordination.
UNAIDS - provided a programme acceleration grant.
UNDP - allocated funding for programme activities, including development of a HIV/AIDS Workplace Programme.
USAID - provided a grant to support the development of a community-response project to aid orphans and vulnerable children in the municipality of Soroti; through PEPFAR funding, is supporting a project to strengthen community interventions on HIV, focusing on support services to orphaned and vulnerable children, targeting four urban centres in Kampala.
US Conference of Mayors / Centers for Disease Control (CDC) - supporting a city-to-city cooperation initiative; activities have been initiated between the City of Jinja and the City of Macon, Georgia, which have included visits and exhanges by both Mayors.
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Dr.
John B. Mugisa
AMICAALL Coordinator,
AMICAALL Uganda Programme
Workers' House 11th Floor, Northern Wing
Plot 1 Pilkington Road,
P.O. Box 26323, Kampala,
UGANDA
Tel: (+256) 41 34 13 40/ 41 25 01 02
Fax: (+256) 41 34 13 40
E-mail: amicaall@utlonline.co.ug, jbmugisa@hotmail.com
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