Gender Analysis of PMTCT and related RH programs
Overarching Findings, Conclusions and Recommendations The gender analysis showed that there is a sound policy basis for integration of gender into PMTCT/ RH/ FP policies and services. However, it is apparent while numerous policies pertinent to PMTCT have been established, the level of gender responsiveness varies considerably. These policies could thus benefit from a systematic review that would ensure a consistent integration of gender issues across the board. In terms of practice, the picture that emerged was one of an adhoc approach to gender mainstreaming within PMTCT and related RH services. The institutional analysis at the district and facility level pointed to a number of gender issues.

The challenge of limited male involvement in PMTCT programmes emerged as a critical setback that is directly related to gender relations at household level. At service delivery level, actors that are gender aware lack strategies for effective mobilization of men, while some have interpreted the requirement for male attendance to the detriment of women by denying them services. It follows therefore that experiences of gender power relations at the household and community level are not consistently and sufficiently considered in service delivery. In view of the foregoing findings that reflect a lack of consistency in gender integration efforts in the policy – service delivery – service utilization chain, it can be deduced that there is a need to elaborate a clear and systematic gender mainstreaming strategy for PMTCT and related RH services in Uganda to improve the quality of HIV/AIDS prevention, care, and treatment and support services to affected families.

The strategy should respond to the specific findings and proposed actions for the macro, meso and micro levels as identified in this report. The good practices identified in the various districts should also be utilised to enrich the gender mainstreaming strategy. This report therefore provides the detailed analysis to back the development of an elaborate and coherent gender mainstreaming strategy for PMTCT and related RH services in Uganda.