Evidence shows significant declines in HIV service delivery for key populations in Uganda after the AHA, highlighting serious care barriers.
Key Points
HIV service delivery declined significantly for key populations after the Anti-Homosexuality Act was enacted, limiting access to critical care.
Community-led monitoring revealed that men who have sex with men experienced notable reductions in important HIV services such as PrEP counselling.
Analyzing data from 320 public health facilities and 50 drop-in centers, changes were measured using the difference-in-differences logistic model.
The findings suggest that the Anti-Homosexuality Act created substantial barriers to healthcare access for marginalized groups, emphasizing urgent needs.