Success in Uganda
Uganda is widely considered to be one of the world's earliest and greatest success stories in subduing a generalized HIV epidemic. The number of HIV infections increased rapidly throughout the country and by 1988, Uganda had the highest rate of HIV infection in Africa. By 1992, HIV prevalence in major urban areas was as high as 30% among women receiving antenatal care at sentinel surveillance sites. Then in 1993 in Kampala and at different times at other sentinel sites, a marked decline in HIV prevalence began among these antenatal women. By 2001, prevalence had declined by more than half in both urban and rural areas. No other country has had such high rates of HIV infection followed by such large declines.
Given this success, it is important to understand 1) the behavioral changes that led to the decline in HIV prevalence and 2) the policies, interventions and other factors that led to the behavior changes.
Five reports explore different aspects of Uganda's success. Although their contents overlap, they have different purposes and are designed for different audiences.
This article has been published in Sexually Transmitted Infections following peer review. It can also be viewed on the journal's website at http://sti.bmjjournals.com/