Health 21 September 2026 Nile Post
Makerere Students' HIV Prevention Gap: Knowledge vs. Practice
Despite knowing about HIV prevention, many Makerere University students avoid testing and prevention methods due to stigma, privacy concerns, and fear of positive results, leading to a significant gap between knowledge and safer practices. Source: https://nilepost.co.ug/news/372173/makerere-students-struggle-to-turn-hiv-knowledge-into-safer-practices
A significant gap exists at Makerere University where students, despite possessing substantial knowledge about HIV prevention, struggle to translate this awareness into consistent safer practices. This disconnect is largely attributed to persistent social stigma, fears surrounding privacy, and the anxiety associated with potential positive test results.
A 2022 study revealed that while a majority of undergraduate students (77.1%) had undergone HIV testing at least once, over half only did so when they felt a specific need, rather than adopting routine testing. This hesitancy is echoed by student accounts, with many preferring discreet options like private clinics or self-testing kits to avoid being seen on campus.
Even with the availability of free testing and counselling services at the Makerere University Hospital, privacy concerns remain a significant barrier. A survey indicated a high willingness among female students to self-test (over 93%), yet actual usage was considerably lower (19%). This suggests that the perceived lack of privacy, even in self-administration, is a deterrent.
Furthermore, preventative behaviours such as consistent condom use are lacking, with many students purchasing condoms off-campus. A 2024 study highlighted that a considerable number of male undergraduates are at high risk, often linked to multiple sexual partners and a low personal concern for the virus. The uptake of advanced prevention methods like PrEP and PEP is also alarmingly low, with many students unaware of their availability or accessibility.
While university initiatives and partnerships have aimed to improve access to HIV services by bringing them closer to students, increased accessibility has not automatically translated into higher uptake. Experts emphasize the need for continuous education, more youth-friendly approaches, enhanced privacy measures, and targeted campaigns within student residences to address social stigma and encourage the utilization of available prevention resources.