HIV activists in Mbale are raising alarm over a reduction in the number of people remaining on antiretroviral treatment (ART), highlighting a critical challenge in controlling the epidemic. The issue was discussed during an HIV Committee Meeting for Mbale District and Mbale City, held at Rates Hotel in Mbale City.
Robert Wandwasi, the HIV Focal Person for Mbale District, noted that while initial enrollment on ART remains at 100 percent, retention declines over time.
“At six months, 78% of people remain on treatment; at 12 months, 93% remain on ART; and by 24 months, only 81% are retained,” he said. Wandwasi stressed that interrupted treatment can lead to viral rebound, drug resistance, and increased risk of HIV transmission.
Despite approximately 95% of residents understanding the importance of HIV testing, only 52% have undergone testing in the past 12 months, he added. “Monitoring these trends and implementing remedial strategies is crucial for sustaining progress in HIV control,” he said.
Adherence to ART not only improves individual health outcomes by suppressing viral load and preventing opportunistic infections but also contributes to community-level HIV control by reducing transmission.
Young people in Mbale are particularly vulnerable. Statistics show that about 12% engage in sexual activity before the age of 15. Dr. Jonathan Wangisi, Mbale District Health Officer (DHO), explained that most new HIV infections occur among the youth, who often face challenges in disclosing their status or adhering to treatment.
“Tailored youth-friendly services are essential to ensure that adolescents and young adults receive appropriate counseling, testing, and adherence support,” he said.
Khaukha Sam Paddy, Mbale District Principal Education Officer, urged parents to actively educate their children on responsible sexual behavior. “Many parents have deferred this responsibility entirely to teachers, which is unfortunate,” he said, emphasizing that early education is key to preventing HIV infections.
Health authorities in Mbale are now calling for enhanced community sensitization, improved youth-focused services, and stronger follow-up mechanisms to ensure sustained treatment and testing.
