How Uganda reversed its HIV epidemic.
Uganda is one of only two countries in the world that has successfully reversed the course of its HIV epidemic. There remains much controversy about how Uganda's HIV prevalence declined in the 1990s. This article describes the prevention programs and activities that were implemented in Uganda during critical years in its HIV epidemic, 1987 to 1994. Multiple resources were aggregated to fuel HV prevention campaigns at multiple levels to a far greater degree than in neighboring countries. We conclude that the reversed direction of the HIV epidemic in Uganda was the direct result of these interventions and that other countries in the developing world could similarly prevent or reverse the escalation of HIV epidemics with greater availability of HIV prevention resources, and well designed programs that take efforts to a critical breadth and depth of effort.
Slutkin
Gary
G
University of Illinois, Chicago, USA.
Okware
Sam
S
Naamara
Warren
W
Sutherland
Don
D
Flanagan
Donna
D
Carael
Michel
M
Blas
Erik
E
Delay
Paul
P
Tarantola
Daniel
D
D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology* / Q000517:prevention & control*; D004196:Disease Outbreaks; D005260:Female; D015658:HIV Infections / Q000453:epidemiology* / Q000517:prevention & control*; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D033181:Information Dissemination; D008297:Male; D008402:Mass Media; D015995:Prevalence; D011314:Preventive Health Services / Q000458:organization & administration* / Q000592:standards; D016730:Program Development; D012725:Sexual Behavior; D012919:Social Behavior; D012922:Social Change; D012945:Social Values; D014454:Uganda / Q000453:epidemiology