Wakiso, Buganda Lead Uganda in New HIV Infections

Recent data reveals that Uganda is experiencing around 36,648 new HIV infections each year, equating to roughly 100 new cases daily. The Uganda AIDS Commission (UAC) indicates that the highest numbers are concentrated in the Buganda, Ankole, Tooro, and Busoga sub-regions, each recording over 2,000 new infections annually.

Wakiso district is identified as the epicenter, with close to 4,000 new infections per year. This figure starkly contrasts with the Karamoja sub-region, which reports only 290 cases annually.

Officials attribute the high rates in Wakiso to several factors, including complacency in prevention methods, shortages of free condoms and testing kits, and the proliferation of unregulated massage parlours and rural bars. High unemployment is also cited as a driver, pushing some youth towards transactional sex for survival.

Experts also highlight the role of alcohol consumption in increasing HIV risk, as it impairs judgment. Gender-based violence is another significant contributor, particularly in Wakiso, with many survivors not completing post-exposure prophylaxis (PEP) treatment.

Generally, urbanizing areas, new cities, and border towns show higher infection rates compared to rural areas. This is linked to increased mobility, broader sexual networks, and factors like poverty and anonymity that can encourage risky behaviors.

Young people, particularly adolescent girls and young women aged 15-24, are disproportionately affected, accounting for a substantial portion of new infections. While overall new infections have declined since 2010 due to scaled-up prevention and treatment programs, complacency and other barriers hinder the desired rate of reduction.

The Ministry of Health emphasizes that despite advancements in prevention methods like PrEP, the use of condoms remains crucial, and a combined approach to HIV prevention is recommended. Complacency, especially among youth, is a significant concern, as is the need for targeted interventions and increased risk perception.

Source: Daily Monitor (Uganda)