The Ministry of Health has announced the complete phase-out of stand-alone HIV/AIDS and tuberculosis (TB) clinics, integrating these services into routine outpatient and chronic care services across hospitals and lower-level health facilities.
The decision was confirmed by the Health Ministry’s Permanent Secretary, Dr. Diana Atwine, who emphasized that this move is aimed at improving service delivery, reducing stigma, and ensuring better management of chronic illnesses within the general healthcare system.
“We are now integrating HIV/AIDS and TB services into routine outpatient care. This will enhance access, streamline treatment, and reduce the burden of maintaining separate clinics,” Dr. Atwine stated.
She noted that this transition aligns with the government’s broader goal of strengthening the health system by ensuring that all chronic diseases, including HIV/AIDS and TB, are managed under one roof. This approach is expected to enhance efficiency, promote holistic patient care, and improve health outcomes for individuals affected by these conditions.
Improved Access and Reduced Stigma
The integration of HIV/AIDS and TB services into general outpatient departments is expected to improve accessibility, especially in lower-level health facilities where stand-alone clinics may have been underfunded or faced staffing challenges. Patients will now receive care in the same setting as those with other chronic conditions, such as diabetes and hypertension.
Health experts believe that this move will also help reduce stigma associated with HIV and TB, as patients will no longer be segregated into separate clinics. “One of the biggest challenges we have faced is stigma. Many people avoid HIV and TB clinics due to fear of being identified. With integration, they can now access services without fear of discrimination,” a senior health official explained.
Implementation and Transition Plan
To ensure a smooth transition, the Ministry of Health has directed all hospitals and lower-level facilities to absorb HIV/AIDS and TB services into their existing outpatient and chronic care structures. Health workers will undergo additional training to manage these cases effectively within the integrated model.
The ministry has also assured the public that all essential medications, diagnostic tools, and treatment regimens will remain available. Patients currently receiving care at former stand-alone clinics will be guided on where to continue their treatment within the integrated system.
While the decision has been welcomed by some health professionals and patient advocacy groups, there are concerns about whether general outpatient departments have the capacity to handle the additional workload. Some worry that already strained facilities might struggle to maintain the quality of care.
The Ministry of Health has pledged to monitor the transition closely, address any challenges that arise, and ensure that HIV/AIDS and TB patients continue to receive uninterrupted and high-quality care.
This integration marks a significant shift in Uganda’s healthcare system, with the potential to create a more inclusive and efficient approach to managing chronic illnesses.
