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STAR-EC Technical Brief: Minimizing Risk of HIV Transmission Among Female Sex Workers in East Central Uganda

Female sex workers (FSWs) have an increased risk of HIV infections due to a number of behavioral and structural drivers. Behavioral factors include multiple sexual partnerships, inability to negotiate condom use, inconsistent use of condoms, violence, and substance use; structural factors include migration and mobility, stigma, unemployment and poverty, criminalization of sex work, limited access…


STAR-EC Technical Brief: Promoting Condom Use for the Prevention of HIV in East Central Uganda

When used correctly, condoms are highly effective in preventing HIV. Widespread adoption of the consistent and correct use of condoms is critical to reducing the prevalence of HIV, and condom promotion is a central component of comprehensive, effective, and sustainable HIV prevention programming. In Uganda, where the national HIV prevalence among people aged 15-49 is…


STAR-EC Technical Brief: Improving Supply Chain Management for HIV in East Central Uganda

For HIV interventions to be maximally effective, having the right medicines and other health supplies at the right place at the right time and in the right quantity is crucial. A well-functioning supply chain management system is key to successful HIV service provision. In East Central Uganda, at the start of the STAR-EC project, evidence…


STAR-EC Technical Brief: Working Toward the Elimination of Mother-to-Child Transmission of HIV in East Central Uganda

The prevention of mother-to-child transmission (PMTCT) of HIV is integral to the achievement of an AIDS-free generation. Without intervention, it is estimated that 25-40 percent of infants born to HIV-positive mothers will become infected. Studies have estimated that in Uganda, the transmission of HIV from mothers to their babies during pregnancy, delivery, or breastfeeding, accounted…


STAR-EC Technical Brief: Improving Referral Systems to Increase Access to HIV Treatment, Care, and Support Services in East Central Uganda

To ensure an effective continuum of response to HIV and AIDS, strong links must exist between health service providers and communities to increase the ease and consistency with which people access prevention, care, and treatment services. Networked health service providers at the community and facility levels are able to collaborate more effectively and consistently provide…


STAR-EC Technical Brief: Integrating TB and HIV Services in East Central Uganda

Uganda is one of 22 countries identified as having a high burden of tuberculosis (TB) infection. In Uganda, an estimated one half of TB patients are co-infected with HIV1. TB is the leading cause of mortality and a common cause of morbidity among HIV patients. In order to eliminate new infections and to prevent deaths…


STAR-EC Technical Brief: Increasing Coverage of Voluntary Medical Male Circumcision in East Central Uganda

Voluntary medical male circumcision (VMMC) is a low-cost, minimally invasive procedure that offers several benefits to recipients, including reduced risk of the transmission of sexually transmitted infections (STIs). Following a multi-country, randomizedcontrolled trial, VMMC was shown to reduce men’s risk of acquiring HIV from female sex partners by 60 percent.1 Based on these findings, in…


STAR-EC Technical Brief: Encouraging HIV Prevention and Positive Living Among Youth in East Central Uganda

Uganda’s East Central region has a population of 3.3 million people and roughly 32 percent of them are between the ages of 10 and 24. Adolescents living with HIV (ALHIV) have unique sexual, reproductive health, and psychosocial issues. Health and community support systems find it challenging to adequately address the needs of ALHIV to enable…


Scaling Up Coverage of Voluntary Medical Male Circumcision

Voluntary medical male circumcision (VMMC) is a one-time, low-cost procedure that can dramatically reduce the risk of HIV transmission. In 2010, JSI's STAR-EC project launched an initiative to rapidly scale up VMMC service provision in East Central Uganda as part of a comprehensive HIV prevention strategy. Through six years of STAR-EC support, more than 408,000…


SPRING For the Long Haul: Financing Sustained Commitment to Nutrition

This brief is part of a series of "interim" technical briefs, culminating in a final two-year study report in 2016. In this technical brief, we review some of the global guidance countries can refer to for building sustainable and predictable funding mechanisms for nutrition. We share some of what we have found thus far on…


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