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AIDS/HIV Situational Report

Extracted from the ministry of health(uganda) website www.health.go.ug

This surveillance report is a compilation of information from all the 45 districts in the country; programs and organizations working on HIV/AIDS related diseases in Uganda. It focuses on data accruing from; HIV sentinel surveillance, Behavioural surveillance, AIDS case reporting, STD syndromic reporting and TB Morbidity reports. This report also highlights findings of HIV/AIDS data from observations at the Medical Research Council and the AIDS Information Center. Data on HIV infection trends is obtained from pregnant mothers attending sentinel surveillance sites in various parts of the country. In addition, the surveillance unit monitors infection trends among STD patients attending one major hospital in Kampala. In both instances, unlinked anonymous procedures are utilized to obtain information on HIV infection magnitude and trends.

AIDS case surveillance data is collected from health units. The AIDS case surveillance system is based on the AIDS clinical case definition. All patients reporting to health units who meet this case definition are therefore reported using an AIDS case reporting form.

AIDS case reporting is affected by among other factors accuracy and completeness of reporting by the various health units. Some health units are active at reporting while others are not. Therefore the number of AIDS cases in a particular district or health facility does not necessarily reflect the magnitude of the AIDS situation there. However, this AIDS information indicates trends overtime that decision makers at central and peripheral levels need for planning purposes.

Morbidity data on Tuberculosis and Syndromic STD data presented in this report is a result of collaboration with the National TB/Leprosy programme and the STD Unit of the STD/AIDS control programme. Like with AIDS case reporting, this data suffers from problems of underreporting although the DOTS strategy in the case of TB has greatly improved on this problem in the districts where it is operational.

In this report, We have also included data from observations from partners and institutions involved with HIV/AIDS Service delivery and research. The Medical research Council (MRC) which has been following a large rural Cohort in Masaka district for the last decade has a large data set including incidence and prevalence of HIV. We have included in this report a small part of this data.

We have also included in this report data on HIV prevalence from first time testers in Voluntary Counseling and testing at the AIDS information center (AIC) to highlight the changes over time in these population subgroups

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