Setting
the Scene | Background
| The Trip | South
Africa | Botswana
| Uganda
| Exiting the Scene


We left Rosemary’s village to visit an
even smaller, more remote village area. Here we met Elizabeth
and her family. Again the family told us of the "miracle
of ARVs" and urged us to bring more medicines so that
others could receive treatment and return to better health.
And while many others are taking ARVs in town/city/settlement
type environments, the environments in which HBAC is taking
place are the very same environments where the detractors
from the WHO 3X5 Initiative believe no one will participate
in care. What the Uganda government has discovered is that
if people are sick, they are sick at home. If Uganda is
to be successful, most Ugandans living with HIV will need
to receive services in their homes, hence, home based AIDS
care.
After our brief visit with Elizabeth,
the film crew arrived to interview her for the documentary.
Several of us took this opportunity to meet some of the
other villagers. Every one we met told us they too were
sick and needed medicine. They wanted to know when the medicines
would be available to treat everyone in the village. We
explained that Elizabeth was part of a project to make certain
that the medicine worked and when they had the assurances—the
medicine would be available to everyone who needed it. This
answer seemed satisfactory as the villagers resumed their
activities.
After visiting with individuals families,
our delegation reconvened at the Mbale District office of
the AIDS Information Centre. AIC was established in 1990
as the first HIV voluntary counseling and testing (VCT)
program in Africa. Through more than 75 sites in 27 districts,
AIC provides HIV counseling and testing, syphilis testing
and treatment, diagnosis and treatment for other sexually
transmitted infections, and family planning services. Dr.
Hitimana Lukanika, AIC’s executive director gave us a brief
overview of their services and presented a client profile:
22% of first time testers were positive for HIV in 2002.
50% had less than primary education and 21% of the clients
tested as couples. Sero-positivity is very high among children
below 12, 25%. AIC served more than 110,000 in 2002, up
from 70,000 in 2001. Dr. Lukanika told our delegation that
AICs are the most important source of community-based support
and counseling for both HIV positive and HIV negative young
people across Uganda.
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