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Makerere University Joint AIDS Program

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@MJAPUg

Continuously building partnerships & strengthening health systems that optimally respond to HIV/AIDS, TB & other diseases of public health importance in Africa.
Kampala, Uganda mjap.mak.ac.ug Joined May 2015
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Makerere University Joint AIDS Program Verified account @MJAPUg
饾悎饾惂饾惂饾惃饾惎饾悮饾惌饾悽饾惃饾惂: 饾悁 饾惀饾惃饾惏-饾悅饾惃饾惉饾惌 饾悘饾悋饾悅-饾悈饾惍饾惂饾悵饾悶饾悵 饾悘饾悺饾悮饾惈饾惁饾悮饾悳饾惒 饾悆饾悽饾惉饾惄饾悶饾惂饾惉饾悽饾惂饾悹 饾悓饾惃饾悵饾悽饾悷饾悽饾悳饾悮饾惌饾悽饾惃饾惂 饾惈饾悶饾悵饾惍饾悳饾悶饾悵 饾惁饾悽饾惉饾惉饾悶饾悵 饾悁饾悜饾悡 饾悮饾惄饾惄饾惃饾悽饾惂饾惌饾惁饾悶饾惂饾惌饾惉 饾悮饾惂饾悵 饾悋饾悎饾悤-饾悜饾悶饾惀饾悮饾惌饾悶饾悵 饾悞饾惌饾悽饾悹饾惁饾悮 饾悮饾惌 饾悐饾悽饾惌饾惒饾悶饾惈饾悶饾惈饾悮 饾悋饾悅 饾悎饾悤, 饾悓饾悮饾惒饾惍饾悹饾悶.
Following integration of ART dispensing into the general pharmacy at Kityerera HC IV, limited privacy at the shared dispensing window exposed clients to HIV-related stigma. At the same time, congestion and long queues discouraged timely medication collection.

These challenges contributed to increased missed ART appointments, with 150 recorded in March 2026, average waiting time at the pharmacy was about 2 hours, threatening treatment continuity and undermining the benefits of integrated service delivery.

Using Primary Health Care (PHC) funds, the facility modified the pharmacy dispensing area by installing an opaque privacy screen separating the waiting area from the dispensing window. Client flow was also reorganized to allow one client at a time to collect medicines privately, enhancing confidentiality, reducing congestion and improving dispensing efficiency without additional staffing.

Missed ART appointments declined from 150 in March to fewer than 40 in September 2026, a reduction of over 73%. Average pharmacy waiting time during busy clinic days reduced from 120 to 45 minutes (63% reduction). The modification improved client privacy, addressed stigma-related barriers to medication collection and strengthened appointment keeping and continuity of HIV care.
@Makerere
@MinofHealthUG
@SemitalaFred
@kariswi
Makerere University Joint AIDS Program Verified account @MJAPUg
饾悑饾悇饾悁饾悘 饾悊饾惀饾惃饾悰饾悮饾惀 饾悎饾惁饾惄饾惀饾悶饾惁饾悶饾惂饾惌饾悮饾惌饾悽饾惃饾惂 饾悡饾悶饾悮饾惁 饾悮饾惂饾悵 饾悢.饾悞. 饾悆饾悶饾惄饾悮饾惈饾惌饾惁饾悶饾惂饾惌 饾惃饾悷 饾悞饾惌饾悮饾惌饾悶 饾悤饾悽饾惉饾悽饾惌 饾悏饾悽饾惂饾悾饾悮 饾悅饾悶饾惂饾惌饾惈饾悮饾惀 饾悋饾悶饾悮饾惀饾惌饾悺 饾悅饾悶饾惂饾惌饾惈饾悶 饾悎饾悎饾悎.

Today, our teams are at Jinja Central Health Centre III, alongside the LEAP Global implementation team and representatives from the U.S. Department of State, to engage with facility teams and appreciate the integrated healthcare services

The facility continues to provide essential health services to the community, with annual service figures highlighting its contribution to healthcare delivery:

馃搶224 inpatient admissions
馃泴12,593 outpatient attendances
馃拤2,189 antenatal care attendances
馃┖22 deliveries

In HIV care, the facility supports 452 people living with HIV, achieving 98% viral load coverage and 95% viral load suppression.

The visit provides an opportunity to engage health workers, review service delivery progress, and strengthen collaboration in delivering accessible, quality, integrated healthcare to the communities served.
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Makerere University Joint AIDS Program Verified account @MJAPUg
Facility Leadership Calls for Investment in Essential Services
Dr. Eric Ogutti, representing the facility leadership, expressed appreciation for the support received, noting that the community's perception of the quality of care is improving.
He reaffirmed the facility's commitment to ensuring that existing infrastructure and resources are fully utilised to improve health outcomes. He also highlighted the need for additional support to operationalise and strengthen the facility's theatre, which would expand its capacity to provide essential health services.
Access to healthcare remains a significant challenge for communities on Sigulu Island, with some residents reportedly seeking treatment in neighbouring Kenya because of difficulties accessing services locally. Strengthening the capacity of Sigulu Health Centre III would help bring essential healthcare services closer to the communities that need them.
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Makerere University Joint AIDS Program Verified account @MJAPUg
Strengthening Healthcare Access for Island Communities in Namayingo

Today, our teams are aboard MV Sigulu in Namayingo District to observe and appreciate the health services we deliver to ferry travelers, with support from @MoWT_Uganda and @StateDept

The teams also held a debrief with Community Health Workers serving Sigulu Health Centre III, engaging on community-level health interventions and progress in reaching underserved island populations.

The visit further included monitoring progress at Sigulu Health Centre III under remodelling with supportport from @StateDept , assessing service delivery efforts and identifying opportunities to strengthen integrated healthcare for island communities.

@MinofHealthUG
@Makerere
@kariswi
@SemitalaFred
@namayingo