This community innovation has been accepted at the 2025 DHIS2 Annual Conference
Impact of HIV Prevention Strategies in Uganda
Uganda remains heavily impacted by HIV/AIDS, with 38,000 new infections in 2023. Despite interventions like PrEP and expanded screening, a comprehensive impact evaluation has been limited. This study used the HIV Prevention Tracker, a DHIS2-powered system, to assess HIV prevention efforts from 2017 to 2024, generating insights to accelerate progress toward zero new infections by 2030. The analysis focused on PrEP uptake, HIV/TB screening outcomes, and client retention, using descriptive statistics, trend analysis, and predictive modeling while ensuring ethical data protection. Key findings: 1. 1,793,561 individuals screened since 2017, with 77.7% eligible for PrEP, of whom 85.4% initiated it. 2. TB screening among high-risk groups rose from 0.36% (2017) to 41.27% (2024) due to HIV-TB screening integration. 3. Follow-up and engagement mechanisms improved retention, reducing program exits. 4. HIV testing increased by 7,291% (from 9,854 in 2017 to 728,121 in 2024), with 98.3% testing negative. 5. Linkage to ART improved, with 10,651 clients newly initiated in 2024. This study highlights the HIV Prevention Tracker’s role in program optimization, resource allocation, and policy development. Recommendations include: Addressing barriers to PrEP uptake and adherence, especially among high-risk groups. Expanding services to underserved regions. Strengthening community-based approaches for program sustainability. This data-driven evaluation offers insights for other countries, demonstrating how leveraging DHIS2, integrating screening services, and implementing targeted interventions can drive significant progress toward reducing new HIV infections worldwide.
Primary Author: Ausse Kalega
Co-Authors: Isaac Sebuliba, Gerald Pande, Caroline Ajilong, Enos Sande
Keywords:
DHIS2, HIV Prevention, Pre-Exposure Prophylaxis (PrEP), HIV Testing, TB Screening, Client Retention, Linkage to Care, Data-Driven Evaluation, Uganda, Public Health, HIV/AIDS Epidemic, Targeted Interventions, Resource Allocation, Community Engagement, Health Systems Strengthening
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