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Last Updated: 08/18/2005“Slim”: HIV/AIDS in Uganda
HIV/AIDS was first discovered in Uganda in a small fishing village on Lake Victoria in 1982. Patients lost so much weight that the mystified villagers called the disease simply "slim." By 1999, there were 1,438,000 Ugandans infected with the disease. Along with taking a heavy toll in human life, the disease has ravaged the country's economy and infrastructure, and essentially become serious threat to human security in general.
In the last two decades, Uganda, like most other Sub-Saharan African countries, has been hard hit by the HIV/AIDS epidemic which has already claimed an estimated one million lives, leaving behind about two million orphans whose numbers are expected to increase in the next decades thus increasing the risks of having hundreds of thousands of youth on the streets as thieves, beggars, and drug addicts, and creating conditions for increased urban violence in the country.
This paper discusses the devastating effects the HIV/AIDS epidemic has had on the economic, personal, nutritional, environmental, and political security of
HIV/AIDS was first identified in
By 1999, there were 55,861 reported clinical AIDS cases and 1,438,000 HIV/AIDS infected people, and the country had already buried 838,000 people whose deaths were attributed to AIDS. By this time all parts of
The disease started by devastating urban areas and later it spread to rural areas where most people were illiterate and had no access to radio and newspapers and were therefore difficult to reach with standard anti-HIV/AIDS campaigns. By 2001 the average infection rate in the Ugandan capital of
Today the cumulative infection of HIV/AIDS in
Effects of HIV/AIDS on human security.
Human security has been defined as freedom from fear, freedom from want, and equal opportunities for all.The 1994 Human Development Report lists the seven most important values of human security as “economic security, food security, health security, environmental security, community security, and political security.” In short, human security means freedom from diseases, hunger, unemployment, crime, social conflict, political repression, and environmental hazards.
Clearly the idea is to protect the individual from both natural and man-made threats. I would like to argue that man must have a healthy body before anything else, and the rest will follow.
How has HIV/AIDS affected the values of human security?
As already observed, it is a healthy body that engages in gainful economic activities. If one is sick, there is no way he/she can make a living. Also, he will spend the few resources he has on treatment. In the case of HIV/AIDS in
Another strain exerted on the economy by the devastating effects of HIV/AIDS is the time lost by workers due to funerals and the expenses involved in buying and transporting coffins. At the beginning, no one realized that these expenses would amount to a lot of money. But as the disease took its toll, the funerals became very frequent and workers started spending fewer hours in the office. The trend continued to increase and the government found itself without a solution. With such a poor economy, if the government left the workers on their own they could not afford their expenses. Besides the bosses themselves were as affected as the workers.
On food security, as already mentioned, 87 percent of the people of
HIV/AIDS also poses a serious threat to health security in many ways. Normally it is not something to celebrate when a country realizes an increase in population growth rate, mainly because there are strains on national economies that cannot provide social services such as education and employment that a large population demands. But when a country realizes a reduction in its population growth rate as a result of a disease, this is a sure indicator of how dangerous that disease is. This is the case with HIV/AIDS in
Other figures also illustrate the serious affect the disease is having on the population. For example, life expectancy with AIDS stands at 42.6 years, while life expectance without AIDS is 54.1 years. Other figures show that gross death rates with AIDS stand at 19 percent while gross death rates without AIDS stand at 12.5 percent. For children, infant mortality rates with AIDS stands at 92.9 percent, while infant mortality rate without AIDS stands at 81.3 percent. Clearly the above figures suggest that HIV/AIDS is not only a threat to the health security of every Ugandan but is an actual killer that must be given the attention it deserves.
We have seen that another important value of human security is political security. This means that a human being should have freedom from political persecution, abuse of human rights by political establishments, politically instigated displacement, etc. This value can be affected by HIV/AIDS if the disease kills and threatens to wipe out good political leaders that have created conditions for democratic governance, transparency, and accountability. In the early 1990s Uganda lost very important political leaders that had contributed to the establishment of a new government that was promising, and indeed eventually instituted positive changes in the country that have led to successful reconstruction and establishment of democratic institutions accountable to the people of Uganda.
Throughout the 1970s and the 1980s
No sooner had the leaders of the NRA arrived in
One particular incident is instructive because it shows that HIV/AIDS can be a worse enemy than an armed combatant. In February 1991 three members of the NRA high command by the names of Col. Patrick Lumumba, Col. Stanley Muhangi, and Col.Fred Mugisha died of AIDS with in one month of each other. This single incident more than any other worried President Museveni so much that he thought all his comrades were at risk of being wiped out with in a short time. He decided to act by himself, mobilizing resources and promoting awareness about the threats paused by HIV/AIDS to his country both locally and internationally. Most importantly the quick demise of these commanders who had withstood the firepower of heavy artillery warned Ugandans that if nothing was done, they would fall in large numbers within a very short time.
What is significant here is that HIV/AIDS had killed good political leaders soon after a successful revolution, thus denying them the chance to participate in the creation of new institutions to ensure democratic governance and the protection of human rights for which they had fought. Thereafter very many of their comrades followed them to the extent that out of the 27 men that started the liberation war only 2 are still surviving today. Almost all of the rest fell to AIDS. Today Ugandans are regretting their death because their replacements did not measure up. Probably if these leaders had lived they would have resisted President Yoweri Museveni’s attempts to change the constitution to allow himself to stay in power.
What has been done?
Specific programs involving mass campaigns at the grassroots and the establishment of health education net works throughout the country have been established. Other programs involving the promotion and use of condoms and the promotion and popularization of the use of what has come to be known as the ABC Ugandan model (meaning Abstinance, Be faithful, and use a Condom) are taking place as well, not to mention the development of modules on behavior change, and the conducting of peer education in post-primary and tertiary institutions.
However a lot more still needs to be done. For example, there are remote areas that cannot easily be accesses by radio. Therefore, alternative means such as home delivery of weekly publications such as Straight Talk, published by the New Vision news paper and dedicated to the protection of the Youth against HIV/AIDS, should be devised to help raise the consciousness of the residents of such areas about HIV/AIDS.
As a result of the numerous programs taking place under the multisectoral approach against HIV/AIDS, HIV/AIDS awareness in
I cannot find better words to conclude this paper than what was expressed in the 2003 Uganda Poverty Report which observed that “HIV/AIDS is one of the major challenges to Human development at individual, community, and national levels. The disease poses a grave burden to the health of the people, reduces their incomes, threatens their livehoods, and poses a threat to the economy and security of the nation. Of all societal groupings, the poor have born and continue to bear the brunt of the problem”.With these words it is important for the world community to devote more energy and resources to the war against HIV/AIDS if man kind is to be freed from fear and want, and to create opportunities to enhance human development.
 Uganda Poverty status Report 2003, Ministry of Finance, Planning and Economic Development,
 Uganda Demographic and Health Survey 2000-2001,Ugand Bureau of Statistics, Entebbe Uganbda,pg 167
 UNDP Human Development Report(1994),IPS 6110 Human Security and Urban Violence Reader pg 18
 Ibid Pg 14
 Budget speech 2003, Ministry of Finance,
 Ibid pg 19
 Uganda Poverty Status Report 2003, ministry of Finance, Planning,and Economic Development,
Sam Kamanzi is from Uganda. He holds a Master's degree in International Peace Studies from the University for Peace.