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Reflections on the Care and Treatment Response to the Uganda HIV/AIDS Epidemic

Reflections on the Care and Treatment Response to the Uganda HIV/AIDS Epidemic. Dr. Andrew D Kambugu HoD- Prevention Care and Treatment Programme, Infectious Diseases Institute, Makerere University College of Health Sciences. Ugandan Artist: Henry Mzili Mujunga.

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Reflections on the Care and Treatment Response to the Uganda HIV/AIDS Epidemic

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  1. Reflections on the Care and Treatment Response to the Uganda HIV/AIDS Epidemic Dr. Andrew D Kambugu HoD- Prevention Care and Treatment Programme, Infectious Diseases Institute, Makerere University College of Health Sciences

  2. Ugandan Artist: Henry Mzili Mujunga Ugandan Proverb: Mature Bulls Survive Many Falls (Interpretation): Robustness comes out of hardships

  3. “But the regard in which a nation is held in the eyes of the world depends upon the successful operation of a complex machinery: • First, we require political stability. My Government will seek to maintain that stability, by the strict maintenance of law and order … • Secondly, we require to safeguard the economy …… • Thirdly, we will press forward with social services within realistic bounds ……… • Fourthly, we need an efficient civil service to operate the Government. Uganda is well provided with well-qualified African officers and we shall continue to ensure that these are attracted into government service by the offer of the right terms ………….” Dr. A. M. Obote: First Prime Minister of Uganda (Independence Day Speech 9th October 1962)

  4. POST-INDEPENDENCE CHALLENGES

  5. Why Do Health Care Workers Migrate from Africa?

  6. Ugandan Artist: Henry Mzili Mujunga Ugandan Proverb: The Dark Spot on the Elders Eye Sees Best Translation: The Elderly (and by implication wise) are very insightful; Experience is the best teacher

  7. HIV/AIDS Care and Support: Where are we now ? National ART Program Number of Individuals on anti-retroviral Therapy 2000-2009Source: AIDS Control Programme, MOH Uganda, September-2009

  8. The Four Elders

  9. HIV/AIDS Care and Support: Where are we now ? Number of IDI Active Clients seen in the Clinic per Quarter 2005-2009Source: IDI Key Performance Indicators for Period Ending 31st September 2009

  10. Selected IDI Policy Influence • National: • The National AIDS Committee of the MOH • The National Subcommittee of the MOH • Adult HIV/AIDS Care and Treatment • HIV Drug resistance • Regional/Global • Regional AIDS Training Network (RATN) • The International Epidemiologic Database for the Evaluation of AIDS (IeDEA)- East African Chapter • The Europe-Africa Research Network for the Evaluation of Second-line Treatment (EARNEST) • The Canada-Africa Prevention Trails Network (CAPTN)

  11. Gilead Training Programmes at IDI

  12. Ugandan Artist: Henry Mzili Mujunga Ugandan Proverb: He who takes things steadily/calmly reaches very far. (Interpretation): In order to achieve one’s goals, one needs to build a firm foundation

  13. Recent Analysis of New HIV Infections in Uganda

  14. What are We Doing About Prevention? • Routine Partner & Children Testing • Discordant Couples Support • Young Adult Support • ART as Prevention • Promotion of Circumcision • Partnerships for Prep, PEP and Microbicides Research

  15. Mwebale Nnyo!! (Thank You!!) • AA • MOH • IDSA • …

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