Known as “The Pearl of Africa”, Uganda is located in East Africa. While English and Swahili are the official languages of Uganda, many people in Kampala speak Luganda, and over 30 different languages are spoken throughout Uganda.
- Historically, Uganda made great strides in reducing HIV prevalence rates from a peak of nearly 30% in the early 1990s to 10% by 1996 and to 6.5% in 2006, but in recent years has stagnated around 5.9%
- UNAIDS 90-90-90 goals as of 2018: 81 % of PLHIV know their status, of which 89% are on ART, of which 78% have suppressed viral loads
Clinical, Teaching, and Outreach Duties
The Baylor-Uganda Center of Excellence (COE) is where residents typically spend the majority of their clinical time. It is one of the busiest clinics in the BIPAI network, with 100-200+ patients seen daily. While many patients are well and coming for refills, there are often sick patients, with malnutrition, tuberculosis, ART-related side effects being commonly diagnosed problems. The clinic team mainly consists of medical officers, often joined by an internist and a pediatrician. Residents also have the opportunity to participate in educational activities including case presentations and HIV related lectures in clinic.
The COE is located next to Mulago National Referral Hospital where residents can elect to spend a portion of their time. There are multiple pediatric subspecialty wards, including acute care (emergency department), malnutrition, hematology/ oncology and infectious disease. On the wards residents will work alongside Makerere University pediatric residents and medical students.
There is an opportunity to travel out to Fort Portal (Western Uganda, near the border of the DRC) to participate in HIV care, community outreach, and also work on the pediatric ward at the Fort Portal Regional Referral Hospital.
The Texas Children’s Global HOPE (Hematology Oncology Pediatric Excellence) program is also located in Uganda This program offers a two-year pediatric hematology-oncology fellowship to East African pediatricians Interested residents can spend time with this group as well.