Department of Defense HIV/AIDS Prevention Program (DHAPP) Uganda

Overview

URC is providing technical assistance and direct support to the Uganda People’s Defense Forces (UPDF) to aggressively scale-up the military ART program and achieve the UNAIDS 90-90-90 goals. URC is leveraging its expertise in HIV testing, treatment, and care services and experience in supporting Uganda’s HIV and TB programs to strengthen the UPDF’s capacity to ensure a healthy Ugandan military and ultimately reduce the HIV burden.

 

The Challenge

Uganda is known for spearheading a rigorous response to the HIV epidemic in the 1990s and early 2000s, making significant headway in the fight against HIV. Unfortunately, there was a resurgence of HIV infections between 2005 and 2013. Since then, the Ministry of Health and other stakeholders have been working to address the key drivers of the epidemic and reach zero new infections. PEPFAR estimates that the prevalence among key and priority populations – including military services – is between 15% - 37%, much higher than that of the general population, although the exact HIV prevalence rate for the military is not known. With a comprehensive HIV program implemented through 40 military-run health facilities, including 28 “ART accredited” facilities, the UPDF has a clear opportunity to strengthen HIV services and reduce HIV transmission among military personnel and local civilian communities.

 

Objectives

The project goal is to reduce the number of new HIV infections and other sexually transmitted diseases among members of the UPDF, their families, and the civilian communities served by the UPDF health services and reduce the associated mortality. The project will build institutional capacity within the military for leadership of HIV programming and provide technical assistance (TA) and material support to the UPDF health facilities to achieve project objectives. Key areas for capacity building include comprehensive HIV testing through multiple modalities, differentiated service delivery to retain clients on treatment, and strengthened linkages across the cascades of care for HIV, STIs, and TB. Objectives include:

  • Aggressively scale up HIV testing services in order to achieve the first 90 for military personnel
  • Scale-up military ART coverage to achieve the second and third 90 goals for HIV epidemic control within the military
  • Strengthen TB diagnostics and treatment
  • Strengthen comprehensive prevention services in the UPDF, their families and surrounding communities with special focus on PMTCT and VMMC
  • Improve the Clinical Laboratory Services in the military hospitals for HIV care and HIV Clinical Monitoring Systems for HIV/AIDS program.
  • Mitigate the impact of HIV on orphans and other vulnerable children (HKID)
  • Strengthen the institutional capacity of the UPDF to lead, plan and monitor the HIV response among the UPDF and their families

In addition to strengthening the overall capacity of the UPDF to achieve the 90-90-90 targets, URC’s direct TA to UPDF clinics will result in:

  • 28 clinics providing HIV treatment (ART) supported in testing, linkages to care, and treatment
  • 28 laboratories with improved quality and capacity
  • 28 facilities with strengthened electronic medical record (EMR) capabilities
  • Gender-based violence (GBV) responsive activities conducted in 28 sites

 

UPDF
Members of the Uganda People's Defense Force (UPDF). © 2007 Irene Kulabako, Courtesy of Photoshare
Duration
2018 to 2022
Funders 
The US President's Emergency Plan for AIDS Relief (PEPFAR)
US Department of Defense (DOD)
Partners 
Uganda People's Defence Force (UPDF)
Regions/ Countries