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" "Yes, it is. One of our key achievements is the introduction of the mobile approach for Voluntary Medical Male Circumcision (VMMC). I believe the UPDF was the first to implement this model, and now it has been adopted widely. It’s not just about pioneering these initiatives, but also about responding to the unique needs of the situation. We realized that establishing a traditional health facility to serve our troops would be impractical—when would we ever complete a whole battalion? And with soldiers often deployed to remote locations, getting them to a fixed facility would be challenging. This is why our funding model is so distinctive. Current funding focuses on high-incidence areas, but often, these areas don’t have our troops. Instead, our soldiers may be stationed in regions where the HIV prevalence is lower, but they still require services. In some of the most remote locations, the prevalence might not be high, but access to healthcare is extremely difficult. It's not just about providing services to soldiers, but also to the surrounding communities who live in these hard-to-reach areas. We must ensure that people in these regions have access to care. It’s been valuable that PEPFAR has recognized the unique challenges of military health needs and routed funding through URC-DHAPP, an organization that understands military logistics and can effectively negotiate at that level. When mapping HIV distribution across Uganda, the scientific approach is logical, but it doesn’t account for the large group of people—soldiers and civilians alike—who still need care, whether it’s treatment or prevention services. Without a tailored approach, these individuals might be overlooked.
Asiimwe Evarlyne Buregyeya (born 28 August 1975) is a Ugandan politician, major Captain and a psychologist. She is also a member of the Parliament of Uganda of the 10th Parliament representing the Uganda People's Defence Force representative.
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The primary challenge remains reaching soldiers stationed in very remote areas, especially since, during wartime, they are not allowed to move freely or travel alone. It’s not feasible to send just one soldier for testing; instead, we must move them in groups. To address this, we established teams equipped with security escorts to carry testing kits and reach soldiers in their deployed locations. Whether in a room, an open space, a tent, or even under a tree, these teams would set up a secure and professional environment to conduct testing. They ensured that the space was spacious and maintained confidentiality, even in such remote settings. Initially, we conducted one-on-one counseling and testing, but over time, as stigma decreased, we shifted to group counseling and testing, making the process more efficient and inclusive.
Our partners provide two key contributions. First, they bring in technical expertise that is not readily available within the military, allowing us to access specialist healthcare workers. Second, they ensure that resources are used efficiently, ensuring that funds allocated to programs are spent effectively and achieve their intended outcomes. They report both to the funders and to the military for program implementation. Partners help by hiring skilled professionals on a short-term basis, such as physicians, to carry out specific tasks. Additionally, they ensure that all activities align with the guidelines set by their funders while also delivering services to the military.
The UPDF was one of the key organizations that led the fight against HIV/AIDS, with guidance from the Commander-in-Chief. As one of the pioneering institutions, combining this effort with our regular military duties—especially in hard-to-reach areas—was no small accomplishment. It's an achievement we should not underestimate. Due to our presence in these remote regions, we have a responsibility to provide services not just to our soldiers, but also to the surrounding communities. As a result, the civilian populations in these areas have greatly benefited from our outreach efforts.