The Role of NGOs in Hiv Aids Prevention and Care among the Residents of Makindye Division, Kampala District. A Case Study of Action Aid International, Uganda.

ABSTRACT 

This research set out to investigate the extent to which NGOs have played their role in HIV/ AIDS prevention and care among the residents of Makindye, Division Kampala District. The NGO that was used as a case study is Action Aid International, Uganda. The study had a number of objectives as follows; to assess community's attitude towards the methods of HIV/AIDS prevention and care among residents of Makindye Division, to assess the response of the residents of Makindye Division towards voluntary, counselling and testing services, to find out the various cultural practices which have led to the spread of HIV/ AIDS among the residents of Makindye, to assess how domestic violence has contributed to the high spread of HIV/ AIDS among the residents of Makindye, and to determine how best Action Aid can carry out prevention and care in Makindye division. The research was carried out because there was need to address the high prevalence of HIV/AIDS among the residents of Makindye Division. The extension of NGOs programs to grass root levels and improving on their efficiency in HIV/ AIDS care and prevention among the residents of Makindye Division will help to curb the HIV/ AIDS pandemic in the area and ensure adequate and proper care for those affected by HIV/ AIDS. Both qualitative and quantitative methods for data collection including impromptu interviews, self-administered questionnaires, observations and focus group discussions. Sample selection was done purposively since, it targeted members of the population with vital NGO information, knowledge and experience. The study concluded that, there is still a gap to be filled in order to stem the spread of HIV/AIDS. NGOs should incorporate religious leaders to preach the best method of prevention and caring by providing, promoting and supporting basic education vocation skills training and counseling

TABLE OF CONTENTS

DECLARATION ................................................................................................................................................. I

DEDICATION .................................................................................................................................................. 11

ACKNOWLEDGEMENT ...................................................................................... 111

TABLE OF CONTENTS ................................................................................................................................. IV

LIST OF TABLES ........................................................................................................................................... VI

ACRONYMS USED ........................................................................................................................................ IX

ABSTRACT ....................................................................................................................................................... X

CHAPTER ONE ................................................................................................................................................ l

1.0. INTRODUCTION TO THE STUDY .................................................................................................... 1

I.I.BACK GROUND TO THE STUDY ....................................................................................................... 4

1.2. STATEMENT OF THE PROBLEM.......................................... J l

1.3. PURPOSE OF THE STUDY ................................................................................................................ 12

1.4. STUDY ORJECTIVES ........................................................................................................................ 13

1.4.1. GENERAL OBJECTIVE ......................................................................................................................... ] 3

1.4.2. SPECIFIC OBJECTIVE .......................... ,. ....................................................................... 13

l.5.HYPOTHESIS ...................................................................................................................................... 14

1.6. THE SCOPE OF THE STUDY ............................................................................................................ 14

1.7. SIGNIFICANCE OF THE STUDY ..................................................................................................... 15

1.8. DEFINITION OF TERMS/CONCEPTS ....... ................... ,.. ...................................... 16

1.9. THEORETICAL FRAMEWORK ...................................................................................................... 17

CHAPTER TWO ............................................................................................................................................. 20

2.0. LITERATURE REVIEW .................................................................................................................... 20

2.1. DEFINITION OF NGOS, HJV/ATDS ................................................................... rn ........... ,.. .............. 20

2.2. EFFECTIVENESS OF COMMUNITY'S ATIITUDE TOW ARDS THE METHODS OF HIV/AIDS PREVENTION  ................................................................. 23

2.3. RESPONSE OF VOLUNTARY, COUNSELING AND TESTING SERVICES ............................. 30

2.4. CULTURAL PRACTICES INFLUENCE HIV/AIDS ....................................................................... 35

CULTURE, ENVIRONMENT, HUMAN RIGHTS AND BEHAVIOR ................................................. 39

2.5. POVERTY HAS LED TO SPREAD OF HIV/AIDS .......................................................................... 40

2.6. OOMESTIC VIOLENCE .................................................................................................................... 43

2.7. IMPACTS OFHJV/AIDS .................................... ,. .......... .,. ................................................................. 44

2.8. NGOS STRATEGIES IN PREVENTION AND CARE OF HIV/AIDS ........................................... 51

2.9. PROBLEMS AFFECTING HIV/AIDS RELATED NGOS .............................................................. 60

CHAPTER THREE ......................................................................................................................................... 63

3.0. RESEARCH METHODOLOGY.,,. ....................................................................................... : ..... ,.. .... 63

3.1. RESEARCH DESIGN .......................................................................................................................... 63

3.2. STUDY POPULATION ....................................................................................................................... 63

3.3. SAMPLING AND SAMPLE SIZES .................................................................................................... 63

3.4. DATA COLLECTION PROCEDURES ............................................................................................. 65

3 • .i:. PROCEDURE ....................................................................................................................................... 66

3.6. DATA PROCESSING AND ANALYSIS ............................................................................................ 66

3.7. LIMITATION OF THE STUDY ......................................................................................................... 67

CHAPTER FOUR ............................................................................................................................................ 68

4.0. DATA PRESENTATION, ANALYSIS AND INTERPRETATION ................................................ 68

4.1.INTRODUCTION ................................................................................................................................. 68

4.2. BACKGROUND INFORMATION .................................................................................................... 69

4.3 THE EFFECTIVENESS OF COMMUNITY ATTITUDE TOWARDS THE METHODS OF HIV/AIDS PREVENTION AND CARE ............................................. 76

4.4 THE RESPONSE OF THE RESIDENTS OF MAKINDYE DIVISION TOWARDS VOLUNTARY, COUNSELING AND TESTING SERVICES ·················· .. 80

4.5 THE VARIOUS CULTURAL PRACTICES WHICH HA VE LED TO THE SPREAD OF HIV/AIDS AMONG THE RESIDENTS OF MAKINDYE DIVISION ............................. 84

4.6. THE EXTENT TO WHICH POVERTY HAS LED TO THE SPREAD OF HIV/AIDS AMONG THE RESIDENTS OF MAKINDYE DIVISION .......................... 88

4.7. HOW DOMESTIC VIOLENCE HAS CONTRIBUTED TO THE SPREAD OF HIV/AIDS IN MAKINDYE DIVISION ................................................. 92

4.8 HOW BEST CAN NGOs CARRY OUT PREVENTION AND CARE IN HIV/AIDS AMONG RESIDENTS OF MAKINDYE DIVISION ········································ .. 95

4.9 INTERVIEW REPORT FROM KEY INFORMANTS ...................................................................... 98

CHAPTER FIVE ........................................................................................................................................... 100

5.0. SUMMARY, CONCLUSION AND RECOMMENDATIONS ....................................................... 100

5.l.lNTRODUCTION ............................................................................................................................... 100

5.2 .SUMMARY ........................................................ ,,, .............................................. ,,, ............................. 100

5.3 .CONCLUSION ................................................................................................................................... 104

5.4.RECOMMENDATIONS .................................................................................................................... 105

5.5. SUGGESTIONS FOR FURTHER RESEARCH ............................................................................. l 08

PRIMARY SOURCES: .................................................... " .............................................................................. 110

REFERENCE ................................................................................................................................................. 111

APPENDIX A: WORK PLAN ...................................................................................................................... 117

APPENDIX B: BUDGETARY FRAME WORK FOR RESEARCH ....................................................... 118

APPENDIX C: RESEARCH QUESTIONNAIRE ...................................................................................... 119

APPENDIX D ....................................................... ,. ................................................................................................................................................. 124

RESEARCH QUESTIONNAIRE FOR NGO OFFICIALS .................................................................... 124

INTRODUCTION LETTER ........................................................................................................................ 127

MAP OF MAKINDYE .............................................................................. 128