25/08/2026
Two recent reports. One urgent question for Ugandaโs HIV response: Are our investments reaching the people and communities most affected?
On August 7, 2026, New Vision reported a disproportionately high burden of HIV and other STIs among s*x workers across several Ugandan cities, with Mbarara recording the highest HIV prevalence among surveyed s*x workers at 42%, along with syphilis and HPV.
On August 24, 2026, Daily Monitor reported that Kampala is recording about 200 new HIV infections each week, with young people also significantly affected.
These findings should do more than generate alarming headlines. They should prompt serious reflection on how HIV prevention is designed, financed and delivered.
At Trans Youth Initiative-Uganda (TYI-Uganda), our work with rural transgender women, transgender s*x workers and gender-diverse young people reminds us that HIV vulnerability cannot be reduced to individual behavior.
We must ask harder questions:
Are HIV prevention investments reaching communities where the burden is highest?
Are condoms and lubricants consistently available? Is PrEP reaching those who need it? Can people access PEP promptly? Are HIV testing, self-testing and STI services accessible? Can transgender people, s*x workers and young people access these services safely, confidentially and free from stigma or discrimination?
Criminalization, violence, poverty, stigma, and exclusion from health services continue to shape HIV vulnerability. We cannot place responsibility for prevention on communities while leaving these structural barriers intact.
This raises an important question for governments, donors, implementing partners, and community-led organizations:
Are we investing enough in community-led and differentiated HIV prevention, and are resources being directed to where the evidence shows they are most needed?
Uganda already has effective prevention and treatment tools: condoms and lubricants, PrEP, PEP, HIV testing and self-testing, and ART and viral suppression. There is currently no approved HIV vaccine, despite misinformation circulating online.
The challenge is ensuring that these proven interventions actually reach those who need them.
That also means adequately financing community-led organizations that reach populations that conventional health systems may struggle to reach.
As HIV financing becomes increasingly constrained, limited resources should push us to invest more strategically, equitably, and according to the evidence, rather than leave communities carrying a disproportionate burden even further behind.
The data is giving us a clear signal.
Will Ugandaโs HIV policies, programs, and investments follow the evidence?
We welcome perspectives from government, development partners, donors, implementers, researchers, and fellow community-led organizations.
What needs to change in how we finance and deliver HIV prevention if we are serious about ending AIDS by 2030?