The social and economic upheaval following the collapse of functional health delivery systems has had a serious adverse effect on Ugandan families and social structures, exacerbated by widespread substance use and family violence.
Thousands of Ugandan children, adolescents and youths have been abandoned, left homeless, or institutionalized under abusive conditions. A huge number of adolescents are housed in state institutions, while an estimated 30,000 plus children have been made homeless and live on the streets of different small cities and over 9,000 children are incarcerated.
Two Hands One Life engages street-involved, incarcerated, and institutionalized children and youth in counseling and health education, and helps them access critical health care, information, sensitisation and psychosocial support, including HIV testing and treatment.
Uganda faces one of the fastest growing HIV epidemics in Africa, and the epidemic is concentrated within most at-risk populations, including people within fishing communities, those who use drugs, prisoners, sex workers, and homeless adolescents. Women are also especially vulnerable to HIV due in part to unequal power structures in sexual relationships, and pregnant women who are HIV infected face stigma within healthcare settings and violence in their relationships.
Two Hands One Life supports pregnant and parenting HIV-positive women, including those who use drugs, to help them access the care that they need and prevent mother-to-child transmission of HIV. For those women and girls who have experienced violence in their relationships, THOL offers case management-based counseling and an empowerment education intervention, together with counseling and behavior change education for men, women, boys and girls who have perpetrated violence.
-Over 2500 street-involved children and youth engaged in care and HIV-prevention education.
-Over 200 child prisoners engaged in HIV-prevention and general health education.
-Over 300 women and girls who are survivors of violence engaged in counseling sessions to help them overcome their trauma and improve their lives.
-Over 100 providers and responders, including medical workers, teachers, counselors and police, trained to deliver care that is free from stigma and addresses the special needs of marginalized populations.