Public Health in Uganda

Week 8 Video - Farewell to Uganda!


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Week 2 Audio Interview with Women who Makes Paper Beads


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Week 4 Interview with Audience Member of Hatagote Performance


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Week Eight: So much at stake…

Uganda has been regarded internationally as one of the most successful countries in the fight against HIV/AIDS since it reduced national prevalence rates by 70% from 1992 to 2005. These accomplishments have been attributed to widespread commitment from national and local governments, non-governmental organizations and communities to encourage Uganda’s own pioneering “ABCs of HIV prevention” (Abstinence, Be faithful and Condoms) as well as widespread and frequent HIV testing. Although President Museveni was highly praised internationally in the 1980s and 90s for his aggressive stance against HIV/AIDS at a time when it was still one of Africa’s most taboo subjects, he has more recently been under attack by international human rights and public health groups for not including the LGBT community in any national or local HIV/AIDS policies despite the fact that men who have sex with men (MSM) have been shown internationally to be one of the highest risk populations for HIV transmission.

Uganda AIDS Commission has recently initiated a five year $2 billion National HIV & AIDS Strategic Plan aimed at decreasing the rate of new infections by 40% and although this report has acknowledged the need to “develop and implement strategies for HIV prevention targeting key population groups at higher risk,” notably absent from this otherwise very inclusive list of vulnerable populations (people living with HIV/AIDS, orphans and vulnerable children, people with disabilities, the elderly, youth, women, internally displaced people, and rural and urban poor communities) is the LGBT community. Because homosexuality is illegal and is extremely culturally unacceptable in Uganda, many LGBT individuals live double lives and have same-sex partners outside of their marriage. According to a recent study conducted in Botswana, Namibia and Malawi among MSM, “some 17% of men overall were in concurrent stable relationships with men and women and over half of the respondents had both male and female sexual partners in previous 6 months, suggesting that concurrency of sexual relationships which include both same and opposite sex partnerships may be an under-appreciated component of HIV spread in this region.” (http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2657212) In this way, discordant couples are at least in part caused by MSM extramarital sex. Therefore by denying the inclusion of the LGBT community in national HIV/AIDS prevention and treatment policies and by forcing them into further seclusion, Uganda’s government has purposefully increased the public health HIV risk for the entire country’s population.

As long as HIV prevention campaigns continue to ignore Uganda’s gays, they will be limited in their ability to slow the recent increase in new HIV infections…In the long run, given all of the resources that are being thrown into (not to mention all the lives that are being lost) Uganda, Eastern Africa and throughout the world, it seems so important to change these policies to be inclusive of the LGBT populations in these regions and in the world as a whole…Even if Uganda is actually trying to actively or passively “kill off” their own people because of what they view as their “carnal knowledge against the order of nature,” Ugandans should at least recognize that many of these infected individuals will unknowingly pass on HIV to their spouses and to their very own children because of the social climate surrounding homosexuality and the lack of targeted prevention campaigns. Perhaps gay rights groups in Uganda should spend their time and energy showing Ugandans how heterosexual Ugandans can be directly affected by their government’s ignorance on these issues.

UGANDA: “Stuck in the closet: gays left out of HIV/AIDS strategy” (UN Integrated Regional Information Networks, 2006)

http://www.irinnews.org/Report.aspx?ReportId=39429

UGANDA: “The government is only looking after straight people” (UN Integrated Regional Information Networks, 2008)

http://www.irinnews.org/Report.aspx?ReportId=78782

AFRICA: “Homophobia fuelling the spread of HIV” (UN Integrated Regional Information Networks, 2008)

http://www.irinnews.org/report.aspx?ReportId=79397

Week 7 Video Link


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Week 7

Week 3 - Audio Interview


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Week 2 - Classes Video!


Week 8

I find I’m constantly learning here, which, of course, is the entire point of a study abroad program. After spending weeks surveying garbage dumps, open sewage systems, a world where trash cans cannot be found on public sidewalks - I discovered the most curious, hopeful project.

In a tiny community near the NGO where I’ve come to work, I was taken on a tour where I saw first hand the stagnant water, lack of garbage management, lack of toilet facilities, etc. The man giving me a tour was busily recounting all of the area’s troubles, and all seemed very forlorn. And then I saw plastic.

A yard (quite large for this particular community’s standards) was packed every square inch, save a pathway, with plastic pitchers, chairs, assortments of other broken plastic objects. I was amazed. Only days before, Ugandans had been telling me that besides biodegradable material such as banana peels and matooke, their largest waste was plastic, such as plastic sacks. Here, in this tiny community not devoid of its own troubles, I found a plastic oasis, where an old man presided, telling me that he’d been collecting plastic for twenty years. From time to time, companies came by and collected the plastic for recycling. Even as I was talking with the old man, a community member approached the yard and casually tossed in an old plastic pitcher.

This is a prime example of the random, amazing projects one will find going on in Uganda. Never before have I met so many people determined to do something beneficial for their communities. It’s not uncommon for us to run into people our own age starting NGOs, or to spot a little community-based group in each little area we explore of this country. Ugandans are determined to make life better and their country stronger, not really for themselves, but for their fellow Ugandans. It is a selflessness, a community bond that is perhaps at times rare to find in the United States, where it is survivor-of -the-fittest world. I think the attitudes, ideas, and projects of these people we have encountered here display how wonderful this country is, how much hope this country has.

Week 8 Photos

Week 8 Audio Interview with Centurio Balikoowa


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