IntroductionUganda, for the period 2010-2020, recorded a tremendous improvement in the fight against the HIV and AIDS epidemic. It is among the (08) countries in the world that had fully achieved the 90–90–90 targets by the end of 2020, the others being Eswatin, Switzerland, Rwanda, Qatar, Botswana, Slovenia and Malawi.

The number of People Living with HIV increased from 1.2M to 1.4M largely due to improved access and utilization of HIV services like testing, care and treatment. There was tremendous reduction in new HIV infections among the various age and population groups. The AIDS-related Deaths significantly reduced, hence reducing the number of AIDS-related orphans. Also, as a result of EMTCT HIV prevention programs, the country realized a reduction in the numbers and proportion of children who contract HIV from their HIV infected mothers.

This fact sheet gives the status of the national HIV and AIDS response in Uganda as of December 2020.

Annual AIDS-Related Deaths

HIV Prevalence Rate

According to the Ministry of Health estimates 2020, the HIV prevalence among adults (15-49 years) in Uganda is 5.4%. The prevalence is higher among females.

HIV and AIDS Burden

New HIV Infections

There has been a drastic reduction in the number of new HIV infections between 2010 and 2020.

New HIV Infection Disaggregated by Age Group and Sex

2010 2015 2020

All ages 94,000 66,000 38,000

Women (15+ ) 42,000 34,000 21,000

Men (15+) 29,000 20,000 11,000

Young People(15-24) 29,000 23,000 14,000

Children (0-14) 23,000 11,000 5,300

(Source: Ministry of Health Estimates 2020)

2021 Factsheet - Facts on HIV and AIDS in Uganda 2021 (Based on Data ending 31st December 2020)

01

02

03

Est. No. of PLHIV Disaggregated by Age Group and Sex(’000)

2010 2015 2020

All popn groups 1,200 1,300 1,400

Women (15+) 600 710 820

Men (15+) 400 460 490

Young People (15-24) 190 190 170

Children (0-14) 160 130 98

(Source: Ministry of Health Estimates 2020)

04

Females

6.8%Males

3.9%HIV Prevalence by District (%)

Number of AIDS-related deaths vs. number of deaths averted due to ART

2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 20200

25K

50K

75K

0.1M

Nu

mb

er

Number of deaths averted due to ART: estimates

AIDS-related deaths: All Ages estimates

The map shows HIV prevalence across the districts.

(Ministry of Health Estimates 2020)

There was a decline of 61% (34,000) AIDS related deaths from 56,000 in 2010 to 22,000 in 2020.

Reduction in the Total Annual AIDS Related Deaths Based on Age Group and Sex

2010 2015 2020

All ages 56,000 32,000 22,000

Women (15+) 24,000 11,000 9,100

Men (15+) 15,000 13,000 9,000

Young People (15-24) 3,600 2,800 2,800

Children (0-14) 17,000 9,100 4,300

(Source: Ministry of Health Estimates 2020)

900,000Estimated number of AIDS-related orphans

(0-17) remain high by the end of 2020.

EMTCT Coverage

The testing among children born to HIV+ mothers within 2 months of birth (Early Infant Diagnosis) has increased from 40% in 2015 to 66% in 2020. EID among children is important in detecting HIV(+) children for enrolment into care and for providing HIV prevention services to the HIV(-) children. It was also estimated that 5.8% children got infected due to MTCT in the year 2020. This is good progress towards the global goal of eliminating mother to child transmission of HIV.

05

The estimated total number of PLHIV was 1,400,000 as of Dec 2020 compared to 1,200,000 in 2010.

18Kalangala District

0.2Nabilatuk DistrictLowest

Highest

94,000(2010)

38,000(2020)

Early Infant Diagnosis(%)

2018 2019 2020

49 58 66

MASAKA

BUTEBO

ALEBTONG

BUKEDEA

BUSIA

MOROTO

KABAROLE

MASINDI

KAMULI

BUDAKA

MARACHA

TORORO

KAGADI

KALANGALA

BUIKWE

LUWERO

KOLE

AMOLATAR

LAMWO

IBANDA

WAKISO

KAABONG

BUNYANGABU

IGANGA

NAKASONGOLA

KABERAMAIDO

NAMAYINGO

RUKUNGIRI

MUBENDE

BUVUMA

PAKWACH

RUBANDA

LUUKA

SOROTI

KALIRO

OMORO

RUKIGA

KWEEN

AMURU

KITGUM

KYEGEGWA

SERERE

KANUNGU

ZOMBO

BUKWO

KYENJOJO

JINJA

KAPCHORWA

BUTALEJA

AMURIA

SHEEMA

YUMBE

KASESE

RUBIRIZI

ADJUMANI

BUYENDE

KISORO

NTUNGAMO

MBARARA

NAKAPIRIPIRIT

GULU

BUKOMANSIMBI

KIBAALE

KIKUUBE

MPIGI

DOKOLO

MITOOMA

LWENGO

KAYUNGA

LYANTONDE

SSEMBABULE

BUDUDA

AGAGO

APAC

PALLISA

LIRA

KOTIDO

BUTAMBALA

KALUNGU

KATAKWI

KIRUHURA

BULIISA

KAMWENGE

MANAFWA

KYANKWANZI

NAPAK

BUHWEJU

NAMUTUMBA

KIBOGA

BUGIRI

OTUKE

KUMI

ARUA

SIRONKO

NEBBI

KAMPALA

PADER

MBALEKAKUMIRO

ABIM

NGORA

MUKONO

KYOTERA

KABALE

AMUDAT

MAYUGE

BUSHENYI

NAKASEKE

MITYANA

ISINGIRO

NTOROKO

NWOYA

BUNDIBUGYO

KIRYANDONGO

NAMISINDWA

OYAM

KOBOKO

BULAMBULI

GOMBA

RAKAI

MOYO

KIBUKU

KASSANDA

HOIMA

KWANIA

KAPELEBYONG

NABILATUK

BUGWERI

RWAMPARA

KITAGWENDA

MADIOKOLLO

KARENGA

OBONGI

KALAKI

KAZO

CENTRAL

EASTCENTRAL

ELGON

TESO

WEST NILEACHOLI

KARAMOJA

LANGO

WESTERN

SOUTH WESTERN

1.1

0.7

0.8

2.4

7.0 7.8

6.28.512.44.5

6.3

6.3

3.72.6

6.6 5.1

2.9

4.6

4.2

7.4

14.6

2.3

5.9

2.8 4.7 4.77.3

3.47.1

6.85.9

7.3

1.81.9 5.8

4.4

5.5

8.0

5.5

13.1

4.6

4.811.1

9.0

10.1 6.3

4.611.7

11.718.8

5.7

8.4

6.6

6.77.7

6.1

6.06.9

4.83.4

5.6

3.4

2.2

3.4

1.8

2.0

4.0

2.75.2

2.22.7

2.2

2.2

1.6 1.5

1.5

5.6

2.8

3.4

2.1

2.02.3 1.5

2.16.0

1.9

2.44.3 1.7

3.02.65.6

1.51.5

2.0

7.7

6.7

8.37.4

6.9

6.2

5.85.9

3.9

5.0

6.8

5.5

3.8

4.5

4.1 3.7

5.37.2

2.3 6.5

6.4

6.6

5.3

4.74.3

2.93.0

3.2

2.0

1.8

2.8

2.5

4.0

1.1

1.8 0.9

1.8

1.0

0.2

1.30.7

District HIV Prevalence 15-49 Years 2020 (%)

60% Decline730 New Infections every week

29 000(2010) to 14 000(2020) in Young People Aged 15-24

53% decrease

Of all new HIV infections were among young people aged 15-24yrs with 79% of these new HIV infections among young Women .

Of all new HIV infections by Adolescent girls and young women, despite representing just 10% of the total population.

37% 29%

Mother-to-child transmission of HIV in Uganda decreased by 77%, from 23 000 in 2010 to 5300 in 2020

95%

5300 in 2020

200,000

As of December 2020, over 95% of pregnant women attended at least one antenatal visit, all mothers enrolled on antenatal care knew their HIV status including those already known to be living with HIV

14%

1.1M

5.85%

Mother-to-child transmission of HIV accounts for up to 14% of all new infections.

New HIV infections averted

Number of HIV-exposed children uninfected

Final mother to child transmission rate including during breastfeeding

a) A half (49%) of new pediatrics infections were due to mothers who started on ART but defaulted/dropped

b) A third (31%) of new pediatrics infections were due to mothers who had been infected

c) one in five (20%) of new pediatrics new infections were as a resuly of mothers living with HIV not initiated on ART timely.

08

COVID-19 and HIV

HIV Testing And Treatment06

13

Special Interest Groups

Sex Workers MSM PWIDs Prisoners

Population; 130,000 24,100 7,400 151,000

HIV Prevalence (%) 31.3 13.2 17 4

Testing & Awareness (%) 88 54 45 -

ART Coverage (%) 65 66 78 89.1

Condom Use (%) 69.4 39 4

Active syphilis (%) 6.3 2.8

07

Uganda Progress towards 90 -90-90 targets (All Ages)

Treatment Cascade

91% 90% 82%

The Progress Towards 90-90-90 Targets

Uganda is one of the eight countries that achieved the 90–90–90 targets by the end of 2020.

HIV Testing and Treatment Cascade (Percent)

2015 2016 2017 2018 2019 2020

50.7 %Condom use at last high-risk sex

Multiple Sexual Behavior And Condom Use

09

11

10

among women aged 15 - 49

38.3%among men aged 15 - 49

62.4%

Condom use at last high-risk sex

According to the UPHIA report 2017, among the general population, there was low risk perception on casual sex and condom use. This was higher (58.6%) among the young people as compared to the adults (36.7%).

Call to ActionUganda AIDS Commission and Partners call upon you to take personal responsibility to end AIDS by 2030.

1. Stop new HIV infections by encouraging Abstinence, Being Faithful and consistent Condom Use

2. Support domestic resource mobilization efforts to ensure financial sustainability for the HIV response.

3. End stigma and discrimination against PLHIV

4. End violence against young women, adolescent girls, and women to reduce the number of new HIV infections.

5. Parents and guardians should be enabled to ensure their children living with HIV are taking the preferred ARV drugs and adhering to treatment, to ensure viral load suppression.

6. Men escort your pregnant wife for Antenatal care.

7. Leaders ensure that all People Living with HIV access ART and encourage everyone to go for COVID-19 vaccination.

8. Everyone take a stand and say no to COVID-19. Let us observe the SOPs by washing our hands, wearing masks, avoiding crowds and unnecessary movements.

Safe Male Circumcision

45% - SMC coverage stood by June 2020.

Since 2012 a total of about 5.7million males have received SMC.

12

Reduction in Stigma And Discrimination (Stigma Index Report August 2019)

Uganda made significant progress in reduction of stigma and discrimination against the PLHIV.

Gender Based Violence

GBV cases are usually associated with HIV infections especially among women. During the last one year there was an increase in GBV cases from 1,084 in 2019 to 11,883 in 2020 according to the GBV Dashboard from the Ministry of Gender and this could be attributed to the lock down period.

4.5%

1.3%

50%

24%

2013 2019 2013 2019

External stigma & discrimination reduced

Internal stigma reduced

2019 2020

1,084 11,883

516,000

2020

252,519

2012

485,823

2015

Sou

rce:

NA

SA

20

18/1

9

Number of GBV cases

Decline in HIV Testing due to the pandemic

A study of over 15,000 cases of COVID-19 in people living with HIV carried out by WHO found that:

PLHIV were 13% more likely to be admitted to hospital with severe or critical COVID-19 after controlling for age, gender and comorbidities.

PLHIV were more likely to die after admission to hospital with COVID-19; they had a 30% increased risk of death independent of age, gender, severity at presentation, and co-morbidities.

Among PLHIV, diabetes, high blood pressure, being male or over 75 years old were each associated with an increased risk of death.

UGX HIVExpenditure

Total HIV And AIDS Expenditure

2017/18 USh 2.2 trillion 2018/19 USh 2.14 trillion

International Entities - 83% 2017/18 USh 1.8 trillion 2018/19 USh 1.7 trillion

Domestic Private Entities - 8.4% 2017/18 USh172.3 billion 2018/19 USh179.7 billion

Public Entities - 8.5% 2017/18 USh 179.7 billion 2018/19 USh 183.3 billion

Uganda as one of the 15 priority VMMC countries contributed 18% of the total attainment of about 18 million VMMCs performed between 2016–2020, though it is below the 2020 target of 25 million.

41%Decline in Referrals for diagnosis and treatment

37%

The Ugandan Government’s contribution in absolute numbers has increased by 48% from 2008/09 to 2018/19

This publication was made possible with funding from UNAIDS, with support from Ministry of Health and HIV Partners.

For more information, please contact:

UGANDA AIDS COMMISSION SECRETARIAT

Plot 1/3 Salim Bey Road, Ntinda. P.O Box 10779, Kampala. (+256) 414 288 065 | uac@uac.go.ug | www.uac.go.ug

Facebook: UgandaAIDSCommission | Twitter: @aidscommission

UGANDA AIDS COMMISSIONUNDER THE OFFICE OF THE PRESIDENT

Uganda HIV and AIDS Factsheet (Based on Data ending 31st December 2020)

2021

8083 85 86 89

91

55

62

71 72

8790

55

63 64

7882