Uganda
Uganda is a landlocked country in East Africa, with an estimated population of 41.5 million people. With over 56 percent of its population under the age of 18 and about half (48.7 percent) under the age of 15, the country has one of the youngest populations in the world. Uganda has a long history of successful HIV prevention; however, the burden of HIV is still an issue. The Joint United Nations Programme on HIV/AIDS (UNAIDS) estimates that 1.5 million people in Uganda are living with HIV (about 6%), including nearly 100,000 children under age 14.
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Due to HIV/AIDS, there are an estimated 660,000 orphans under age 17. Increased efforts are required to reach 90-90-90 goals [1] to help control the AIDS epidemic. Efforts are underway to reach the most at-risk populations, including men who have sex with men (MSM), sex workers, and orphans and vulnerable children (OVC).
Because so much of the population is young, with many in some way affected by HIV/AIDS, positive child development and protection remain critical challenges. An estimated 2.2 million children have lost one or both parents and estimates are that between 40,000 to 50,000 children are in residential care facilities or “orphanages” (MGLSD, 2012).
In Uganda, MEASURE Evaluation developed, adapted, and applied methods, tools, and approaches to address health and social service information challenges and gaps and works with local partners to increase the capacity for rigorous evaluation.
MEASURE Evaluation’s focus in Uganda was to:
- Work with the Ministry of Gender, Labor and Social Development (MGLSD) to assess, address, and monitor alternative care for children
- Support the same ministry to assess and revise the vulnerability index tool, used to measure the vulnerability of OVC and their households
- Develop materials to support the implementation of the vulnerability index and provide training to the users
- Evaluate changes in program beneficiary outcomes for select indicators related to household economic strengthening, assess the strengths and weaknesses, and examine implications of potential implementation changes to a USAID-funded OVC program, while increasing the capacity of local staff to analyze and communicate data in a way that will support the use of evaluation information
- Increase district-level capacity to identify persons infected with HIV who are not linked to care and facilitate this linkage and measure HIV prevention and treatment cascades in order to inform national and district plans, priorities, and polices for making progress to the 90-90-90 targets
- Develop tools and build capacity for policy makers to use data for decision making
Related Content
Quality of Tuberculosis Services Assessment in Uganda: Report
Quality of Tuberculosis Services Assessment in Uganda: Tools
Quality of Tuberculosis Services Assessment in Uganda: Report on Qualitative Findings
Implementation of the Uganda EMR: Results of a Security Assessment
Evaluation of the Partnership for HIV-Free Survival: Uganda
Uganda: Snapshot of the Strength of the Health Information System as a Source of HIV Data
The Cost of Case Management in Orphans and Vulnerable Children Programs: Findings from Uganda
Orphans and Other Vulnerable Children Household Vulnerability Prioritization Toolkit
Uganda Vulnerability Index Assessment Results
Gender and PMTCT/EMTCT Participation in Malawi and Uganda under Option B+ (webinar)
Uganda Country Profile: Health Information System Indicators
[1] By 2020, 90% of all people living with HIV will know their HIV status. By 2020, 90% of all people with diagnosed HIV infection will receive sustained antiretroviral therapy. By 2020, 90% of all people receiving antiretroviral therapy will have viral suppression. See http://www.unaids.org/en/resources/documents/2017/90-90-90