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Policy development, implementation and evaluation by the AIDS control program in Uganda: a review of the processes
Benson T Tumwesigye1, Damalie Nakanjako, Rhoda Wanyenze
1STD/AIDS Control Program, Ministry of Health Uganda, P.O. Box 7272, Kampala, Uganda.
Health Research Policy and Systems
|February 26, 2013
Summary
Uganda
Area of Science:
- Public Health
- Health Policy
- HIV/AIDS Research
Background:
- The AIDS Control Program (ACP) in Uganda has led the national HIV response for 30 years.
- ACP continuously updates policies to address evolving HIV epidemic dynamics.
- Concerns exist regarding the protracted nature of policy development processes.
Purpose of the Study:
- To document and analyze the policy development and revision processes for HIV/AIDS interventions in Uganda.
- To identify strengths and weaknesses in current policy development to inform future improvements.
- To support Uganda's goal of achieving zero HIV infections.
Main Methods:
- Qualitative study involving a review of policy documents.
- Key informant interviews with program officers involved in Safe Male Circumcision (SMC) and HIV Counseling and Testing (HCT) policy development.
- Manual analysis of qualitative data using pre-determined themes.
Main Results:
- SMC and HCT policy development/revision involved management and technical working group meetings.
- Identified gaps include: low awareness of national guidelines, limited policy analysis unit engagement, inadequate policy tracking/evaluation, lack of specific SOPs, and insufficient local funding impacting timelines.
- These factors contributed to delays in policy development and revision.
Conclusions:
- Policy development for SMC and HCT followed similar pathways with identified procedural and financial gaps.
- Lack of standardized protocols/SOPs and limited indigenous funding hinder adherence to timelines.
- Recommendations include active policy unit involvement and development of comprehensive SOPs for all policy stages.
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