1. SRH/HIV SITUATION IN UGANDA PREPARED BY DRS. JUSTINE, CATHERINE, ANN, GLORIA. PRESENTED BY DR. JUSTINE. W

2. SITUATION ANALYSIS HIV/AIDS prevalence in Uganda is 6.1HIV/AIDS prevalence in Uganda is 6.1 IDI has 20,000 registered patients and 70% women of reproductive age (15-54yrs).IDI has 20,000 registered patients and 70% women of reproductive age (15-54yrs). There are 6000 young adults (16-24 yrs) attending a special clinic and about 500 discordant couples There are 6000 young adults (16-24 yrs) attending a special clinic and about 500 discordant couples

3. In 2007 Family planning use was 24% same as national average.Family planning use was 24% same as national average. High rate of unwanted pregnancies.High rate of unwanted pregnancies. Loss to follow up of young adults.Loss to follow up of young adults. No data on young adults and discordant couplesNo data on young adults and discordant couples

4. At the moment Started young adults and discordant couple clinics with specific HIV physicians. Increased knowledge in positive prevention.Started young adults and discordant couple clinics with specific HIV physicians. Increased knowledge in positive prevention. Introduced Family planning into the clinic.Introduced Family planning into the clinic. Introduced SRH clinic to follow up pregnant women and those with other reproductive health needs.Introduced SRH clinic to follow up pregnant women and those with other reproductive health needs. Proportion of Unintended pregnancies has reduced.Proportion of Unintended pregnancies has reduced. More patients using dual protection (condoms plus another FP method)More patients using dual protection (condoms plus another FP method)

5. challenges Consistent condom use in a long lasting relationship….failure leads to sero conversion of negative partner.Consistent condom use in a long lasting relationship….failure leads to sero conversion of negative partner. High rate of unintended pregnancies among young girls - inability to negotiate for safe sex, loss of hope for the future.High rate of unintended pregnancies among young girls - inability to negotiate for safe sex, loss of hope for the future. Increase in desire to have more children among PLWHA.Increase in desire to have more children among PLWHA.

6. Thanks

7. references End of funding evaluation of services offered through the HIV transition clinic and the discordant couple clinic-March 2010.End of funding evaluation of services offered through the HIV transition clinic and the discordant couple clinic-March 2010. SRH survey 2007SRH survey 2007 Infectious Diseases Clinic dataInfectious Diseases Clinic data