
The People Living with HIV/AIDS Stigma Index, Country Assessment, Uganda. The National Forum of People Living with HIV Networks in Uganda (NAFOPHANU). Uganda: A snapshot of PrEP scale-up, registration and resources for Uganda. Ending AIDS: Progress towards the 90–90–90 targets. Joint United Nations Programme on HIV/AIDS (UNAIDS). Uganda population-based HIV impact assessment, UPHIA 2016–2017. Positioning people with HIV as central to prevention has the potential to reduce stigma and improve prevention outcomes throughout social networks. Intention-to-treat analyses indicated significantly increased HIV prevention advocacy among HIV-positive participants and alters reduced internalized HIV stigma, increased HIV-serostatus disclosure, and increased social network density among HIV-positive participants and marginally reduced condomless sex among alters.

Results indicated high acceptability, demonstrated by participants’ and facilitators’ positive attitudes qualitatively and favorable ratings of intervention sessions quantitatively, and high feasibility (76% attended all intervention sessions).

Ninety-nine people with HIV (51 intervention, 48 wait-list control) and 58 of their social network members (alters) completed baseline and 5- and 8-month post-baseline assessments. We conducted a pilot randomized controlled trial of Game Changers, a 6-session group intervention that empowers people with HIV to be HIV prevention advocates in their social networks.
