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- Title
Sustaining HIV service delivery to key population clients using client‐centered models during the debate and enactment of the Anti‐Homosexuality Act in Uganda.
- Authors
Vasireddy, Vamsi; Brown, Natalie E.; Shah, Neha; Crowell, Trevor A.
- Abstract
This article discusses the impact of the Anti-Homosexuality Act (AHA) in Uganda on HIV service delivery to key populations, particularly men who have sex with men (MSM). The AHA criminalizes same-sex sexual acts and the promotion of homosexuality, which includes routine public health activities such as HIV prevention. As a result, there has been a decline in visits to drop-in centers and safety incidents, leading to the closure of some centers. To adapt to these challenges, the United States President's Emergency Plan for AIDS Relief (PEPFAR) implemented innovative approaches such as telehealth interventions, reinforced safety measures, enhanced data security, home delivery of ART and prevention products, multi-month dispensing, community-based viral load monitoring, community drug dispensing points, and paralegal support. These adaptations have led to a return of key population clients, although the effect has not been consistent across all centers. The article emphasizes the importance of adapting healthcare services to maintain access for key populations and advocates for high-level advocacy for human rights and equitable healthcare access.
- Subjects
UGANDA; PRE-exposure prophylaxis; HIV; HEALTH facilities
- Publication
Journal of the International AIDS Society, 2024, Vol 27, Issue 5, p1
- ISSN
1758-2652
- Publication type
Article
- DOI
10.1002/jia2.26253