Global Health Projects: Uganda

Supporting Public Sector Workplaces to Expand Action and Responses Against HIV/AIDS (SPEAR) Project (2008–2013)


United States Agency for International Development



World Vision International (WVI), in partnership with RTI, is leading a five-year effort to improve the delivery of HIV-related programs in the Ugandan public sector workplace.

The public sector is Uganda's largest employer and is profoundly affected by the threat that HIV/AIDS poses particularly to young and middle-aged adults at the peak of productivity. It cripples productivity through absenteeism and the death of workers and their relatives, while increasing expenditures for health care and recruitment of new personnel.

Activities and Results

RTI is collaborating with four ministries—Education, Internal Affairs, Local Government, and Public Service—to develop HIV/AIDS policies and provide HIV prevention, care, and treatment services to employees and their families. RTI is analyzing each ministry's HIV/AIDS policy environment, along with employees' knowledge, attitudes, and use of current HIV-related services.

Policy improvements will address issues such as nondiscrimination, gender equality, confidentiality, prevention and care, and maintaining the employment relationship as long as infected employees are able to do so.

SPEAR will emphasize the actions needed to make the policies operational. For example, the project will collaborate with the ministries to develop work plans and allocate resources that support counseling and testing services at employment sites. SPEAR will also train ministry champions to conduct anti-stigma and discrimination campaigns.

Expanding Access to Quality HIV Prevention, Care and Support Services in the Ugandan Military (2008-2011)


U.S. Department of Defense HIV/AIDS Prevention Program (DHAPP)


In collaboration with the U.S. Naval Health Research Center, RTI is assisting troops in Africa through epidemiologic research and the implementation of HIV-related services funded by the U.S. Department of Defense HIV/AIDS Prevention Program (DHAPP), which supports multiple efforts to reduce the incidence of HIV/AIDS among uniformed personnel.

RTI is partnering with the Uganda People's Defence Force (UPDF)-HIV/AIDS Control Programme to implement HIV-related services that respond to Uganda's high rate of tuberculosis (TB), a co-infection responsible for many HIV-related deaths. The project aims to increase access to HIV/AIDS-related services by military personnel and their families and will help soldiers and their dependents via HIV counseling and testing; prevention of mother-to-child transmission; better care and treatment of the infected; improved diagnosis and management of TB; and programs that mitigate the effects of HIV on orphans, other vulnerable children, and their families.

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