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IntroductionUganda, for the period 2010-2020, recorded a tremendous improvement in the fight against the HIV and AIDS epidemic. It is among the (08) countries in the world that had fully achieved the 90–90–90 targets by the end of 2020, the others being Eswatin, Switzerland, Rwanda, Qatar, Botswana, Slovenia and Malawi.
The number of People Living with HIV increased from 1.2M to 1.4M largely due to improved access and utilization of HIV services like testing, care and treatment. There was tremendous reduction in new HIV infections among the various age and population groups. The AIDS-related Deaths significantly reduced, hence reducing the number of AIDS-related orphans. Also, as a result of EMTCT HIV prevention programs, the country realized a reduction in the numbers and proportion of children who contract HIV from their HIV infected mothers.
This fact sheet gives the status of the national HIV and AIDS response in Uganda as of December 2020.
Annual AIDS-Related Deaths
HIV Prevalence Rate
According to the Ministry of Health estimates 2020, the HIV prevalence among adults (15-49 years) in Uganda is 5.4%. The prevalence is higher among females.
HIV and AIDS Burden
New HIV Infections
There has been a drastic reduction in the number of new HIV infections between 2010 and 2020.
New HIV Infection Disaggregated by Age Group and Sex
2010 2015 2020
All ages 94,000 66,000 38,000
Women (15+ ) 42,000 34,000 21,000
Men (15+) 29,000 20,000 11,000
Young People(15-24) 29,000 23,000 14,000
Children (0-14) 23,000 11,000 5,300
(Source: Ministry of Health Estimates 2020)
2021 Factsheet - Facts on HIV and AIDS in Uganda 2021 (Based on Data ending 31st December 2020)
01
02
03
Est. No. of PLHIV Disaggregated by Age Group and Sex(’000)
2010 2015 2020
All popn groups 1,200 1,300 1,400
Women (15+) 600 710 820
Men (15+) 400 460 490
Young People (15-24) 190 190 170
Children (0-14) 160 130 98
(Source: Ministry of Health Estimates 2020)
04
Females
6.8%Males
3.9%HIV Prevalence by District (%)
Number of AIDS-related deaths vs. number of deaths averted due to ART
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 20200
25K
50K
75K
0.1M
Nu
mb
er
Number of deaths averted due to ART: estimates
AIDS-related deaths: All Ages estimates
The map shows HIV prevalence across the districts.
(Ministry of Health Estimates 2020)
There was a decline of 61% (34,000) AIDS related deaths from 56,000 in 2010 to 22,000 in 2020.
Reduction in the Total Annual AIDS Related Deaths Based on Age Group and Sex
2010 2015 2020
All ages 56,000 32,000 22,000
Women (15+) 24,000 11,000 9,100
Men (15+) 15,000 13,000 9,000
Young People (15-24) 3,600 2,800 2,800
Children (0-14) 17,000 9,100 4,300
(Source: Ministry of Health Estimates 2020)
900,000Estimated number of AIDS-related orphans
(0-17) remain high by the end of 2020.
EMTCT Coverage
The testing among children born to HIV+ mothers within 2 months of birth (Early Infant Diagnosis) has increased from 40% in 2015 to 66% in 2020. EID among children is important in detecting HIV(+) children for enrolment into care and for providing HIV prevention services to the HIV(-) children. It was also estimated that 5.8% children got infected due to MTCT in the year 2020. This is good progress towards the global goal of eliminating mother to child transmission of HIV.
05
The estimated total number of PLHIV was 1,400,000 as of Dec 2020 compared to 1,200,000 in 2010.
18Kalangala District
0.2Nabilatuk DistrictLowest
Highest
94,000(2010)
38,000(2020)
Early Infant Diagnosis(%)
2018 2019 2020
49 58 66
MASAKA
BUTEBO
ALEBTONG
BUKEDEA
BUSIA
MOROTO
KABAROLE
MASINDI
KAMULI
BUDAKA
MARACHA
TORORO
KAGADI
KALANGALA
BUIKWE
LUWERO
KOLE
AMOLATAR
LAMWO
IBANDA
WAKISO
KAABONG
BUNYANGABU
IGANGA
NAKASONGOLA
KABERAMAIDO
NAMAYINGO
RUKUNGIRI
MUBENDE
BUVUMA
PAKWACH
RUBANDA
LUUKA
SOROTI
KALIRO
OMORO
RUKIGA
KWEEN
AMURU
KITGUM
KYEGEGWA
SERERE
KANUNGU
ZOMBO
BUKWO
KYENJOJO
JINJA
KAPCHORWA
BUTALEJA
AMURIA
SHEEMA
YUMBE
KASESE
RUBIRIZI
ADJUMANI
BUYENDE
KISORO
NTUNGAMO
MBARARA
NAKAPIRIPIRIT
GULU
BUKOMANSIMBI
KIBAALE
KIKUUBE
MPIGI
DOKOLO
MITOOMA
LWENGO
KAYUNGA
LYANTONDE
SSEMBABULE
BUDUDA
AGAGO
APAC
PALLISA
LIRA
KOTIDO
BUTAMBALA
KALUNGU
KATAKWI
KIRUHURA
BULIISA
KAMWENGE
MANAFWA
KYANKWANZI
NAPAK
BUHWEJU
NAMUTUMBA
KIBOGA
BUGIRI
OTUKE
KUMI
ARUA
SIRONKO
NEBBI
KAMPALA
PADER
MBALEKAKUMIRO
ABIM
NGORA
MUKONO
KYOTERA
KABALE
AMUDAT
MAYUGE
BUSHENYI
NAKASEKE
MITYANA
ISINGIRO
NTOROKO
NWOYA
BUNDIBUGYO
KIRYANDONGO
NAMISINDWA
OYAM
KOBOKO
BULAMBULI
GOMBA
RAKAI
MOYO
KIBUKU
KASSANDA
HOIMA
KWANIA
KAPELEBYONG
NABILATUK
BUGWERI
RWAMPARA
KITAGWENDA
MADIOKOLLO
KARENGA
OBONGI
KALAKI
KAZO
CENTRAL
EASTCENTRAL
ELGON
TESO
WEST NILEACHOLI
KARAMOJA
LANGO
WESTERN
SOUTH WESTERN
1.1
0.7
0.8
2.4
7.0 7.8
6.28.512.44.5
6.3
6.3
3.72.6
6.6 5.1
2.9
4.6
4.2
7.4
14.6
2.3
5.9
2.8 4.7 4.77.3
3.47.1
6.85.9
7.3
1.81.9 5.8
4.4
5.5
8.0
5.5
13.1
4.6
4.811.1
9.0
10.1 6.3
4.611.7
11.718.8
5.7
8.4
6.6
6.77.7
6.1
6.06.9
4.83.4
5.6
3.4
2.2
3.4
1.8
2.0
4.0
2.75.2
2.22.7
2.2
2.2
1.6 1.5
1.5
5.6
2.8
3.4
2.1
2.02.3 1.5
2.16.0
1.9
2.44.3 1.7
3.02.65.6
1.51.5
2.0
7.7
6.7
8.37.4
6.9
6.2
5.85.9
3.9
5.0
6.8
5.5
3.8
4.5
4.1 3.7
5.37.2
2.3 6.5
6.4
6.6
5.3
4.74.3
2.93.0
3.2
2.0
1.8
2.8
2.5
4.0
1.1
1.8 0.9
1.8
1.0
0.2
1.30.7
District HIV Prevalence 15-49 Years 2020 (%)
60% Decline730 New Infections every week
29 000(2010) to 14 000(2020) in Young People Aged 15-24
53% decrease
Of all new HIV infections were among young people aged 15-24yrs with 79% of these new HIV infections among young Women .
Of all new HIV infections by Adolescent girls and young women, despite representing just 10% of the total population.
37% 29%
Mother-to-child transmission of HIV in Uganda decreased by 77%, from 23 000 in 2010 to 5300 in 2020
95%
5300 in 2020
200,000
As of December 2020, over 95% of pregnant women attended at least one antenatal visit, all mothers enrolled on antenatal care knew their HIV status including those already known to be living with HIV
14%
1.1M
5.85%
Mother-to-child transmission of HIV accounts for up to 14% of all new infections.
New HIV infections averted
Number of HIV-exposed children uninfected
Final mother to child transmission rate including during breastfeeding
a) A half (49%) of new pediatrics infections were due to mothers who started on ART but defaulted/dropped
b) A third (31%) of new pediatrics infections were due to mothers who had been infected
c) one in five (20%) of new pediatrics new infections were as a resuly of mothers living with HIV not initiated on ART timely.
08
COVID-19 and HIV
HIV Testing And Treatment06
13
Special Interest Groups
Sex Workers MSM PWIDs Prisoners
Population; 130,000 24,100 7,400 151,000
HIV Prevalence (%) 31.3 13.2 17 4
Testing & Awareness (%) 88 54 45 -
ART Coverage (%) 65 66 78 89.1
Condom Use (%) 69.4 39 4
Active syphilis (%) 6.3 2.8
07
Uganda Progress towards 90 -90-90 targets (All Ages)
Treatment Cascade
91% 90% 82%
The Progress Towards 90-90-90 Targets
Uganda is one of the eight countries that achieved the 90–90–90 targets by the end of 2020.
HIV Testing and Treatment Cascade (Percent)
2015 2016 2017 2018 2019 2020
50.7 %Condom use at last high-risk sex
Multiple Sexual Behavior And Condom Use
09
11
10
among women aged 15 - 49
38.3%among men aged 15 - 49
62.4%
Condom use at last high-risk sex
According to the UPHIA report 2017, among the general population, there was low risk perception on casual sex and condom use. This was higher (58.6%) among the young people as compared to the adults (36.7%).
Call to ActionUganda AIDS Commission and Partners call upon you to take personal responsibility to end AIDS by 2030.
1. Stop new HIV infections by encouraging Abstinence, Being Faithful and consistent Condom Use
2. Support domestic resource mobilization efforts to ensure financial sustainability for the HIV response.
3. End stigma and discrimination against PLHIV
4. End violence against young women, adolescent girls, and women to reduce the number of new HIV infections.
5. Parents and guardians should be enabled to ensure their children living with HIV are taking the preferred ARV drugs and adhering to treatment, to ensure viral load suppression.
6. Men escort your pregnant wife for Antenatal care.
7. Leaders ensure that all People Living with HIV access ART and encourage everyone to go for COVID-19 vaccination.
8. Everyone take a stand and say no to COVID-19. Let us observe the SOPs by washing our hands, wearing masks, avoiding crowds and unnecessary movements.
Safe Male Circumcision
45% - SMC coverage stood by June 2020.
Since 2012 a total of about 5.7million males have received SMC.
12
Reduction in Stigma And Discrimination (Stigma Index Report August 2019)
Uganda made significant progress in reduction of stigma and discrimination against the PLHIV.
Gender Based Violence
GBV cases are usually associated with HIV infections especially among women. During the last one year there was an increase in GBV cases from 1,084 in 2019 to 11,883 in 2020 according to the GBV Dashboard from the Ministry of Gender and this could be attributed to the lock down period.
4.5%
1.3%
50%
24%
2013 2019 2013 2019
External stigma & discrimination reduced
Internal stigma reduced
2019 2020
1,084 11,883
516,000
2020
252,519
2012
485,823
2015
Sou
rce:
NA
SA
20
18/1
9
Number of GBV cases
Decline in HIV Testing due to the pandemic
A study of over 15,000 cases of COVID-19 in people living with HIV carried out by WHO found that:
PLHIV were 13% more likely to be admitted to hospital with severe or critical COVID-19 after controlling for age, gender and comorbidities.
PLHIV were more likely to die after admission to hospital with COVID-19; they had a 30% increased risk of death independent of age, gender, severity at presentation, and co-morbidities.
Among PLHIV, diabetes, high blood pressure, being male or over 75 years old were each associated with an increased risk of death.
UGX HIVExpenditure
Total HIV And AIDS Expenditure
2017/18 USh 2.2 trillion 2018/19 USh 2.14 trillion
International Entities - 83% 2017/18 USh 1.8 trillion 2018/19 USh 1.7 trillion
Domestic Private Entities - 8.4% 2017/18 USh172.3 billion 2018/19 USh179.7 billion
Public Entities - 8.5% 2017/18 USh 179.7 billion 2018/19 USh 183.3 billion
Uganda as one of the 15 priority VMMC countries contributed 18% of the total attainment of about 18 million VMMCs performed between 2016–2020, though it is below the 2020 target of 25 million.
41%Decline in Referrals for diagnosis and treatment
37%
The Ugandan Government’s contribution in absolute numbers has increased by 48% from 2008/09 to 2018/19
This publication was made possible with funding from UNAIDS, with support from Ministry of Health and HIV Partners.
For more information, please contact:
UGANDA AIDS COMMISSION SECRETARIAT
Plot 1/3 Salim Bey Road, Ntinda. P.O Box 10779, Kampala. (+256) 414 288 065 | [email protected] | www.uac.go.ug
Facebook: UgandaAIDSCommission | Twitter: @aidscommission
UGANDA AIDS COMMISSIONUNDER THE OFFICE OF THE PRESIDENT
Uganda HIV and AIDS Factsheet (Based on Data ending 31st December 2020)
2021
8083 85 86 89
91
55
62
71 72
8790
55
63 64
7882