Proceedings of The 1st Uganda National Field Epidemiology Conference (Kampala, 2017)

Oral presentation

The burden of HIV/AIDS and uptake of services among adolescents/youths in Kasensero fishing community, Rakai District

Cite this: Pan African Medical Journal - Conference Proceedings. Aug 2017; 1(1): 11. doi:10.11604/pamj.cp.2017.1.11.17

Submitted: 06 Aug 17   Accepted: 08 Aug 17   Published: 11 Aug 17

Key words: HIV, adolescents, Kasensero

© Richardson Mafigiri et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Corresponding author: Richardson Mafigiri, Uganda Public Health Fellowship Program, Kampala, Uganda (

This abstract is published as part of the proceedings of The 1st Uganda National Field Epidemiology Conference(UGANDA, )

The burden of HIV/AIDS and uptake of services among adolescents/youths in Kasensero fishing community, Rakai District

Richardson Mafigiri1,&,Anthony Ndyanabo2, Fred Nalugoda2, Tom Lutalo3, Gertrude Nakigozi3, Robert Ssekubugu3, Godfrey Kigozi3, Alex Riolexus Ario1


1Uganda Public Health Fellowship Program, Kampala, Uganda, 2Rakai District Health Office, Rakai, Uganda, 3Rakai Health Sciences Program, Rakai, Uganda



&Corresponding author
Richardson Mafigiri, Uganda Public Health Fellowship Program, Kampala, Uganda




Introduction: there is limited data on HIV burden and access to services among adolescents/youths in fishing communities in Uganda. Kasensero fishing community has an HIV prevalence of 41.0% and incidence of 3.9 per 100 person years. We assessed the burden of HIV and uptake of services among adolescents in Kasensero.


Methods: we analyzed data collected between 2013-2014 among youths aged 15-24 in the Rakai Community Cohort Study. Social demographic, behavioral and risk characteristics were collected and blood taken for HIV diagnosis using rapid and enzyme-immunoassay (EIA) tests. Adolescentsí characteristics in Kasensero were compared with those in two neighboring communities 4 and 12 kilometers apart. HIV prevalence and uptake of services was compared between communities using Chi square. Data was analyzed using Stata version 12.


Results: of the 789 youth interviewed 155 (19.7%) were HIV positive. HIV prevalence was higher among females than males 112/431(26.0%) vs 43/358(12.0%)) and was highest in Kasensero fishing community (25.1%) than neighboring communities (11.0% and 3.9%). HIV prevalence among females in Kasensero was 34.7% compared to 8.7% and 4.7% in the neighboring communities (P < 0.001). Youths in Kasensero were more likely to be married or separated, 81.5% compared to 75.2% and 52.0% for females, and 42.0% compared to 25.9% and 11.4% for males. HIV prevalence was highest among youths who were bar-workers (64.3%), do housework in own home (36.9%), and trading and vending (43.0%). Consistent condom use was practiced by only 3.4% of the youths (6.4% Male; 1.3% Female). Only 27.7% of HIV positive females and 7.0% of males were on ART, and 44.8% of non-Muslim males were circumcised.


Conclusion: HIV burden among youths in fishing communities is high especially among females yet uptake of prevention and care services is poor despite availability. There is need to provide youth friendly services in these MARPs.

















The 1st Uganda National Field Epidemiology Conference (Kampala)

The one-day Field Epidemiology Conference took place on December 11th, 2015 at Golf Course Hotel, Kampala. At this conference, Fellows presented investigations and epidemiologic studies they conducted since they joined the Fellowship in January 2015. Through these investigations and studies, important public health problems facing the nation were unveiled and strategies to address them proposed. This conference presented opportunity for national and international experts to discuss and propose solutions. This was the first Field Epidemiology Conference in Uganda and was attended by important dignitaries from the key partner institutions including Ministry of Health, UN agencies, Embassies, University officials, representatives from districts as well as other national and international delegates.

Country: UGANDA

Dates: 11 Dec 2015

Venue: Golf Course Hotel, Kampala

Organizers: Ministry of Health and Makerere University School of Public Health


Contact person: Dr. Alex Riolexus Ario (