Health
Makerere Marks World Drowning Prevention Day
By Joseph Odoi
On 27th July, 2021, Makerere University joined the rest of the world to mark the 1st International Drowning Prevention Day. This follows a historic resolution by UN Assembly to declare 25th July the World Drowning Prevention Day.
This day was set aside to raise awareness about the devastating effects of drowning on families and communities globally.
According to WHO Data, an estimated 236,000 people drown every year, and drowning is among the ten leading causes of death for children aged 5-14 years. More than 90% of drowning deaths occur in Low- and-Middle-Income-Countries (LMICs), with Africa being among the most affected region.
While moderating Uganda’s webinar to mark this day under the Ugandan theme ‘Drowning: recognizing the silent burden and a call to action’, Dr. Olive Kobusingye, a Senior Research Fellow and Head of the TRauma, Injury And Disability (TRIAD) unit at Makerere University School of Public Health in a special way welcomed over 100 participants to the zoom session. She remarked that drowning is a big problem which affects many different types of people adding that it is preventable with good planning and investments at national and community levels.
‘’Nationally, we need to plan systems for gathering data, we need a work plan, resources, agencies and people mandated to prevent drowning. At the community level we need sensitization about the risk of drowning, we need people to report drownings when they happen, and we need them to participate in prevention efforts for the community (e.g. sensitization campaigns) and individuals (e.g. always wearing a life jacket when on water and heeding weather forecasts and warnings on dangerous waves on lakes)’’ Dr. Kobusingye explained.
Citing multi-sectoral approach, Dr. Kobusingye stressed the importance of different sectors working together to prevent drowning.
‘’Multiple sectors need to work together to bring about effective drowning prevention, but so far every sector is on their own. Some of the key sectors are not engaged at all. The lack of consensus around a common strategy and plan means that little action is taken’’ she added.
Moving forward, Dr. Kobusingye advised government to prioritize the fishing industry by providing leadership, coordination capacity and working with the private sectors to prevent drowning.
Presenting findings of a two-phased countrywide survey on drowning at the webinar, Frederick Oporia, a Research Associate and PhD Fellow at Makerere University School of Public Health revealed that drowning is among the silent leading causes of injury-related deaths in the country, and the most affected are fishing communities.
Highlights of the findings
Frederick noted that in the first phase, a total of 1,435 fatal and non-fatal drowning cases were recorded in administrative sources of 60 districts; 1009 (70%) in lakeside districts and 426 (30%) in non-lakeside districts.
’’In the seond phase, further exploration in just 14 districts out of the 60 was done. This phase involved community interviews. Through these interviews, a total of 2,066 new drownings were found, a number far higher than what was found recorded in administrative offices of 60 districts’’. he cited
Regarding demographics, he said fatal victims were predominantly male (85%), and mostly among the young adults with the average age of 24 years. Almost half (48%) of these drownings were related to an occupational activity. The study found that there was gross under-reporting of drowning incidents, partly because of the belief of most communities that drowning is ‘a will of God’ and so there’s no need to report what God has decided.
The majority (95%) of the people who drowned from a boating-related activity were not wearing a life jacket at the time of the incident.
To address these cases, Frederick revealed that MakSPH together with different stakeholders have developed the first ever National Water Safety and Drowning Prevention Strategy for Uganda. The strategy is hoped to guide all the efforts on drowning prevention in the country. As part of this strategy, he emphasized the importance of installing barriers to control access to high risk water sources, teaching children survival swimming skills, sensitization in communities to enhance behavioral change, safe boating and shipping regulations, training of first responders in safe search, rescue and resuscitation, building resilience and managing flood risks among others
In efforts to prevent drowning, Henry Ategeka, Principal Marines Inspector at the Ministry of Works and Transport revealed that the ministry has been donating some life jackets to police marines and some communities in dire need. He also said that there are plans by the government to strengthen laws around navigation to promote safety on Uganda’s water bodies.
As part of these plans, CP Ubaldo Bamunoba, the Commandant Marine Police said the country is in the process of unveiling a water safety strategy to curb drowning.
Mr. Ubaldo further revealed that his department is establishing several rescue centers at all major water bodies to support the rapid rescue operations. He also pointed out capacity building and marine training as one of the key mechanisms needed towards drowning prevention.
Mr. Sowed Suwagudde, Assistant Commissioner International Transboundary Water Resources at the Ministry of Water and Environment also stressed the need for partners to work together. “Water cuts across a number of sectors and if we are going to have success for our strategy, we will need to bring them all on board because they interact with the water environment.”
In his remarks, the WHO Uganda Country Office Representative, Dr. Fatunmbi Bayo Segun congratulated Uganda for marking the first ever World Drowning Prevention Day, adding that 2.5million drowning deaths in the last decade should remind everyone about the seriousness of the neglected injury. Moving forward, he emphasized the need for a multi-sectoral approach in reducing the burden of drowning.
In her closing remarks, the Minister of State for Relief, Disaster Preparedness and Refugees–Hon. Esther Anyakun acknowledged drowning as one of the leading causes of death, not just in Uganda but worldwide. She highlighted drowning as a silent burden with huge economic implications on the country thus calling for a multi-sectoral approach to counter it. She equally thanked Makerere University for taking lead in co-designing Uganda’s first drowning prevention strategy.
The webinar organised by Ministry of Water and Environment in Partnership with Makerere University attracted over 100 participants including policy makers, technical experts, researchers, civil society organizations, and researchers. Among issues discussed in a Q&A Session were causes of drowning, perceptions, laws, data, and policies around drowning. At this webinar, it was agreed by all participants that tackling drowning, a neglected injury needs a multi-sectoral approach where different sectors work together.
Uganda’s latest national HIV survey reveals lower viral suppression among adolescents and young adults living with HIV than among older adults, even as the country records substantial improvements in controlling the virus. The findings come from Uganda Population-Based HIV Impact Assessment (UPHIA 2025), a national household survey examining HIV prevalence and whether people living with the virus know their status, receive treatment, and achieve viral suppression.
Releasing the preliminary UPHIA 2025 findings at the Uganda Media Centre on 1 October 2026, Minister of Health Hon. Dr. Chris Baryomunsi called for earlier prevention and testing, particularly among adolescent girls and young women, alongside support for treatment adherence. “We must reach out to the young people, ensure that they have information, they test, take treatment, and adhere to the treatment guidance,” he urged.
Hon. Baryomunsi recalled how fear had discouraged testing during his university years: “I remember when we were at university, we went for testing at the university hospital. We sat there for three hours. Some of us left without even testing because it was scary.” Today, he explained, “even if you test HIV positive, you can be initiated on treatment, and you live normally like the rest of those who don’t have HIV.”
UPHIA 2025 was locally led under the Ministry of Health’s overall leadership, with Makerere University School of Public Health serving as the prime implementer, a role ICAP at Columbia University held in the previous two surveys. The Uganda Bureau of Statistics led sampling, while the Uganda Virus Research Institute and National Health Laboratory and Diagnostic Services led laboratory operations. Regional referral hospitals and local governments supported implementation, and the U.S. government provided US$10 million through PEPFAR, along with technical assistance from the U.S. CDC.
UPHIA collected data from July to September 2025 among people aged 15 and above, including those outside routine treatment services. Of 6,283 eligible households, 94.4% completed interviews. Researchers interviewed 13,801 people and tested 13,477 for HIV.
Testing followed Uganda’s national algorithm, with laboratory confirmation of positive samples, viral-load measurement, and checks for antiretroviral medicines to establish treatment use. Researchers weighted the estimates to account for the sampling design. Participants received counselling and results, and those who tested positive were referred for treatment.
Hon. Baryomunsi thanked participants and their families for welcoming survey staff and contributing their time, information and samples, without which the national evidence would not have been available.
National progress and the youth gap
The survey estimated HIV prevalence, which means the proportion of people living with HIV, at 5.9% among those aged 15 and above, corresponding to about 1.496 million people in this age group nationwide. Prevalence was 7.3% among women and 4.1% among men, ranging from 1.3% in Karamoja to 8% in the South Western region.
Among people aged 15 and above living with HIV, 86% had achieved viral suppression, meaning a low amount of HIV in the blood, measured in UPHIA as fewer than 1,000 copies per millilitre. Suppression stood at 69.3% among adolescents and young adults aged 15–24 living with HIV, compared with 89.9% among those aged 50 and above. These estimates cover people living with HIV regardless of whether they know their status or receive treatment.
HIV prevalence among people aged 15–24 was 1.5%, including 2% among young women and 1% among young men. Among young women, prevalence was 1.3% at ages 15–19 and 2.8% at ages 20–24. These differences support attention to earlier prevention and testing, although they do not establish when infections occurred.
The highest prevalence estimates occurred among middle-aged adults: 15.7% among women aged 40–44 and 11.7% among men aged 45–49. Lower suppression among young people therefore requires attention alongside the higher HIV prevalence among middle-aged adults. Comparing the same age group across both surveys, viral suppression among people aged 15–64 increased from 74.9% in 2020–21 to 86.1% in 2025, while HIV prevalence remained at 5.9%.
Diagnosis and the path to 2030
The treatment results identify diagnosis as the main national gap. Among people aged 15 and above living with HIV, 85.3% knew their status. Of those aware, 99.1% were receiving treatment; among those receiving treatment, 96.5% had achieved suppression.
The 95-95-95 targets aimed for 95% of people living with HIV to know their status, 95% of those diagnosed to receive treatment, and 95% of those receiving treatment to achieve viral suppression by 2025. Among people aged 15 and above, Uganda exceeded the treatment and suppression targets, while diagnosis remained below target. UNAIDS’s Global AIDS Strategy 2026–2031 retains these targets towards ending AIDS as a public health threat by 2030.
According to WHO, viral suppression protects health and helps prevent HIV transmission. Uncontrolled HIV weakens the immune system, increasing the risk of serious illness. With continued treatment as prescribed, sexual transmission risk is negligible when HIV remains suppressed but detectable, and zero when undetectable. The Uganda AIDS Commission estimated over 34,000 new HIV infections in 2025, underscoring the importance of early diagnosis, timely treatment, and sustained suppression alongside other prevention measures.
The demographic stakes are substantial. People aged 15–24 constituted 21.2% of Uganda’s population in the 2024 census. The country’s Fourth National Development Plan, covering 2025–2030, prioritises a healthy, knowledgeable, skilled and productive population and reducing HIV through primary health care. Protecting young people’s health, therefore, supports their participation in education, work, and national development; UPHIA helps identify where services need greater attention.
Turning evidence into action
The study’s conclusions identify three priorities: sustain treatment outcomes, find people unaware of their status, and improve suppression among younger people. Permanent Secretary Dr. Diana Atwine connected the findings to the Ministry’s planning.
“We do believe that these results are a true reflection of what is happening in our country as far as the HIV status is concerned, and we do believe that it will give us a very clear direction and the roadmap that we are going to take in the next five years to target and to get our targets achieved.”
Acting on these priorities requires funding for services and research. Hon. Baryomunsi outlined plans to target resources where needs are greatest, strengthen district services and align partner support with government priorities. Responding to journalists’ questions, he noted the government’s intention to increase domestic funding for the HIV response, including research.
“The HIV/AIDS response, including research and surveys such as this one, has largely been funded by partners in the past. The government of Uganda is committed to allocating more resources from our domestic budget to support the response and research,” he noted.
For the first time in the UPHIA series, the survey assessed selected noncommunicable disease indicators among people aged 15 and above: 15.5% had elevated blood pressure, 24.8% were overweight or obese, and 0.9% had raised random blood glucose. These screening findings align with the Ministry’s integration agenda and Hon. Baryomunsi’s call to bring HIV and chronic care services together to address people’s wider health needs.
Speaking at the release of the preliminary results, U.S. Embassy Chargé d’Affaires Mikael (Mika) Cleverley described UPHIA 2025 as the first Population-Based HIV Impact Assessment worldwide fully led and implemented by the country itself.
“The study was led by Ugandan scientists, Ugandan managers, Ugandan public servants, Ugandan field teams, from design to data collection to analysis. And this is what two decades of focused strategic U.S. foreign investments in the public health sector was meant to produce, is to reinforce Ugandan leadership and Ugandan-led efforts.”
At the survey launch on 29 May 2025, MakSPH Dean Prof. Rhoda Wanyenze highlighted the partnership’s contribution: “The partnership between Makerere University and CDC has not only helped build national capacity in surveillance and epidemiology, but has also strengthened our ability to lead high-quality, large-scale national surveys.”
The Dean added: “After two decades of joint work, we are proud that UPHIA is now a fully Ugandan-led effort. This is critical to the sustainability of the skills and knowledge generation to inform our local response.”
UPHIA 2025 shows how far Uganda’s HIV response has advanced and where gaps remain. As the country works towards ending AIDS as a public health threat by 2030, reaching young people with testing, treatment, and continued care will be essential to extending those gains.
Read the full UPHIA 2025 summary results here:
Uganda has released the preliminary findings of the 2025 Uganda Population-Based HIV Impact Assessment (UPHIA 2025), a national household survey that provides a current picture of the country’s HIV response and selected non-communicable disease indicators.
At the Uganda Media Centre today, 1 October 2026, the Minister of Health, Hon. Dr Chris Baryomunsi, released the preliminary results and said the evidence would guide policy, resource allocation and service improvement, with particular attention to people and communities with the greatest gaps. He urged Ugandans to know their HIV status, use prevention services and, when diagnosed, start treatment promptly and adhere to it.
Among adults aged 15 years and above, HIV prevalence was 5.9 percent, including 7.3 percent among women and 4.1 percent among men. Among adults aged 15–64, prevalence was also 5.9 percent, unchanged from 2020/21. Across the country, prevalence ranged from 1.3 percent in Karamoja to 8.0 percent in the South Western region. Of adults living with HIV, 85.3 percent knew their status; 99.1 percent of those aware were on treatment; and 96.5 percent of those on treatment had achieved viral load suppression. HIV-status awareness remains the central gap in the 95-95-95 cascade.
The survey also measured selected non-communicable disease indicators for the first time. Elevated blood pressure affected 15.5 percent of adults, while 24.8 percent had overweight or obesity and 0.9 percent had raised blood glucose.
Conducted from July to September 2025, UPHIA 2025 was the first population-based HIV impact assessment to be fully country-led. The Ministry of Health provided overall leadership, while Makerere University School of Public Health served as the prime implementing organisation, working with UVRI, UBOS, regional referral hospitals and local governments. PEPFAR funded the survey through the U.S. CDC.
Watch the UPHIA 2025 preliminary results launch:
https://www.youtube.com/live/QfHFBaJ-L-w
Read the UPHIA 2025 summary results:
https://drive.google.com/file/d/1nElGNwgcAcZyAo9CLCQKRpO2jJgyxjSc/view?usp=drive_link
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