World Aids Day

Irene Zijp en Bobic Kiweewa • December 2, 2024

A Community-based HIV testing day

World AIDS Day is observed annually on December 1st. This international day serves as a crucial platform for raising awareness about the HIV/AIDS epidemic and honoring those who have lost their lives to AIDS-related illnesses. It aims to unite individuals and communities globally in the fight against HIV stigma and to promote education surrounding prevention and treatment options. Worldwide 31 million people are infected by HIV.


Recent estimates show that 1.49 million people in Uganda are living with HIV (4,8%!!), of which are about 95,000 children under the age of 14. The HIV virus itself does not directly cause death, but it severely weakens the immune system, making the body vulnerable to infections and cancers. Without treatment HIV normally leads to AIDS at which point the immune system is so weakened that even minor illnesses can become life threatening.


In the Ndegeya community our team is working effortlessly on care and prevention of HIV positive people. All the pregnant mothers who come to the Mother and Child Care Centre for support, for instance, do get tested for HIV. This is to prevent Mother-To-Child-Transmission (MTCT). If tested positive they immediately will receive the proper care, and be able to reduce the MTCT risk to less than 5%. Without intervention the risk ranges from 15-45%

There are still too many people that don’t know that they carry the HIV virus, and only come to the clinic when they have other related illnesses. By then it is often too late to be able to give proper care.


Prevention is therefore high on the agenda. This year the team has been proactive and organised an outreach program to visit the different remote area’s in and around Ndegeya with a Community HIV Testing Service (HTS). Four villages (Kisagazi, Kyaali, Kyalugo and Bugabira) were reached for testing.


Mobilisation of communities was done by the Ndegeya facility staff in churches. Also a motorcycle with public address systems was hired to inform people in the community about free HIV testing services to be provided by staff from the clinic. The testing was done in the community after a series of health talks to members of the community. At the clinic, onsite testing was also done.  All those tested consented for HIV testing verbally and were tested. The community  team consisted of a tester, counsellor and a mobiliser. To ensure privacy, results were given to individuals in an improvised safe space.

In one day, a total of 90 people received HTS from the comfort of their physical localities. Of these, 43 were females and 47 were males.

There are still some challenges to overcome:

Despite the efforts of ministry of Health Uganda in creating awareness on HIV/AIDs, there is still a lack of sufficient knowledge on prevention and treatment.
Unwillingness of the people to get tested and knowing their statues as most people still stigmatize those with HIV/AIDs

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