Abstract
Mansoor Farahani, Wilford L Kirungi, Shannon M Farley, Veronicah Mugisha, David Hoos, Theodore F Smart, Giles A Reid, Samuel Biraro, Wafaa M El-Sadr
Abstract
Uganda’s national health system provides integrated health services, including HIV care, to refugees and citizens. However, few data are available comparing HIV outcomes among refugees and the general population. We compared HIV care cascade indicators between the general population and the refugee population using data from two nationally representative surveys. We analysed data from the Uganda Population-based HIV Impact Assessment (2020–21) and the Uganda Refugee Population-based HIV Impact Assessment (2021). Both surveys used two-stage sampling designs, with the Uganda Refugee Population-based HIV Impact Assessment using an approach specifically adapted for refugee settlements, including stratified cluster sampling among participants (ie, those aged ≥15 years). Key outcomes included HIV prevalence, awareness of HIV-positive status, antiretroviral therapy coverage, and viral load suppression (ie, <1000 copies per mL). Data from the general population in refugee-hosting regions were analysed using inverse probability weighting and Poisson regression models, and variances were estimated using the Taylor series linearisation approach.


