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The HIV PandemicLocal and Global Implications$
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Eduard J. Beck, Nicholas Mays, Alan W. Whiteside, and José M. Zuniga

Print publication date: 2007

Print ISBN-13: 9780199237401

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780199237401.001.0001

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(p.255) Chapter 17 Uganda
The HIV Pandemic

Justin O Parkhurst

Freddie Ssengooba

David Serwadda

Oxford University Press

This chapter reviews Uganda's response to its HIV epidemic. While Uganda has been widely praised for its political response to the HIV epidemic, and has seen substantial reductions in its HIV prevalence across the population, the roles of the political environment and health system must be assessed to understand what happened in the country. A key challenge now facing Uganda is how to develop a health system that is currently characterized by drug shortages, even observed for basic treatments like chloroquine, and difficulties in delivering relatively simple interventions such as immunizations, in order to deliver complex, resource-intensive, high-tech services such as management of opportunistic infections, voluntary counselling and testing, ART and prevention of mother-to-child transmission programmes will require the developments in all societal systems influencing health and healthcare.

Keywords:   ART, HIV epidemic, opportunistic infections, health system, mother-to-child transmission programmes

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