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Uganda AIDS Commission: The ABC Approach to AIDS Prevention

Uganda AIDS Commission: The ABC Approach to AIDS Prevention. Nick Mark, Selena Nelson-Salcedo, Wendy Suiter, Stephen Ulrich. HIV/AIDS Epidemic. Worldwide: 57.8 million cases to date 20 million deaths 37.8 million living with AIDS Uganda: Est. 1 million infections Highest prevalence

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Uganda AIDS Commission: The ABC Approach to AIDS Prevention

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  1. Uganda AIDS Commission: The ABC Approach to AIDS Prevention Nick Mark, Selena Nelson-Salcedo, Wendy Suiter, Stephen Ulrich

  2. HIV/AIDS Epidemic • Worldwide: • 57.8 million cases to date • 20 million deaths • 37.8 million living with AIDS • Uganda: • Est. 1 million infections • Highest prevalence • 70% drop in prevalence since ’90s

  3. Uganda AIDS Commission (UAC) Background • First HIV/AIDS Case in Uganda: 1982 • President Museveni establishes AIDS Control Program: 1986 • Multi-Sectoral Approach and Uganda AIDS Commission Developed: 1992

  4. Stakeholder Analysis/ Voluntary Failure • Identification of partners at all levels and sectors • Ongoing relationships • “Top-down” system not feasible • Coordination of existing agencies

  5. Why are we talking about the Uganda AIDS Commission?

  6. ABC Approach to AIDS Prevention • Part of the prevention aspect • Behavioral approach • A: Abstain from Sexual Activity • B: Be Faithful • C: Condom Use

  7. Managing “Out” • People living with AIDS/HIV • Families, orphans • General public

  8. Symbolic Value of ABC • Simple, Clear Story • Reduces confusion • Effective even with high rates of illiteracy • Unifying Symbolism • Advocated by populist leader • Creates a sense of shared mission

  9. Managing “Up” • Talking to Partners • Internal and External Groups: • USAID, WHO, UNAIDS, Save the Children, etc

  10. ABC and Managing “Up” • Symbolic Value • Non-Consensus Approach • Political Value

  11. Managing “Down” • Local clinics, schools • District Coordinators • Local leaders

  12. Managing “Down” to Grassroots Efforts • Symbolism • Human Resources • Matches Organizational Efforts to Organizational style

  13. Wait a minute!

  14. Disconnected

  15. Lessons from the UAC • ABC: Utility of Symbolism and Political Activity • Coordination is Key • Importance of Structure • Utility of Regular Self-Assessment

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