ABOUT MARPI
Most At Risk Populations Initiative (MARPI) Limited is an indigenous Ugandan non-governmental organisation founded in 2008 to help communities overcome barriers to HIV prevention, treatment and essential health services.
WHO WE ARE
MARPI is registered and operates under the laws of Uganda. Our main office is at Ward 12, the STD/Skin Clinic at Mulago National Referral Hospital in Kampala. We complement government efforts to improve access to HIV prevention, testing, linkage to care, antiretroviral treatment, adherence support, retention and viral-load monitoring.
Our organisation began in response to the disproportionate HIV burden experienced by Key Populations and the shortage of services designed around their circumstances. We work with Key and Priority Populations, young people and other vulnerable communities, including people whose access to care is affected by stigma, discrimination, mobility, social exclusion or economic hardship.
We bring together health services, community participation and stronger local systems. Our programmes follow the policies, standards and clinical guidance of the Ministry of Health and other relevant national authorities.
Find MARPI and our service points →OUR DIRECTION
Our 2025 Annual Report sets out the vision, mission and values that guide our work.
Healthy people and socio-economically empowered communities.
To reach socially, economically and legally marginalised populations, and people affected by stigma and discrimination, with HIV, TB, STI, sexual and reproductive health and rights services, alongside social and economic interventions.
HOW WE WORK
The same person may need information, prevention, clinical care and follow-up at different points in their journey. MARPI connects these steps through health facilities, Drop-in Centres, outreach and trusted community relationships.
MARPI and health-facility partnerships provide a route to comprehensive HIV and TB prevention, testing, care and treatment, alongside STI and sexual and reproductive health services. Assessment and referral help clients reach the appropriate level of care.
Integrated outreach and Drop-in Centres bring services closer to people who may find conventional facilities difficult to access. MARPI works with district teams, facilities and peer leaders to mobilise communities and coordinate referral and linkage.
Peer educators and community structures support health information, service navigation and follow-up. The 2025 report describes community and home visits, psychosocial support, mental-health screening and linkage to appropriate services.
Communities help design, implement, monitor and improve programmes. Community-Led Monitoring connects service-user feedback with data collection, validation, dialogue, advocacy and follow-up on agreed improvements.
FIVE STRATEGIC PRIORITIES
Improve access to quality, confidential and responsive HIV, TB, STI and sexual and reproductive health services, with prevention, treatment and referral connected around clients’ needs.
Support community leadership, participation and ownership, helping communities influence health programmes and take part in economic and leadership activities.
Strengthen health workers, peer educators, community groups and partner organisations through mentorship, coaching and supportive supervision, including organisational governance and financial-management systems.
Work with communities and stakeholders to address stigma, discrimination, violence and other structural barriers that prevent people from accessing services.
Generate and use evidence, strengthen learning and explore practical innovations, including digital approaches, that improve programme design, service delivery and decision-making.
2025 ANNUAL REPORT
Selected results reported for 2025 across MARPI’s programme delivery. These are historical programme figures, not current-year totals.
Source: MARPI Annual Report 2025, printed pages 16–18. Tests, clients and commodities are different measures and should not be added together as a count of people reached.
The report describes MARPI’s cumulative reach across Uganda through its partnerships. This is not a count of currently active Drop-in Centres. Use our service directory for the listed locations and contact MARPI to confirm available services.
Explore the service directory →PARTNERSHIPS IN PRACTICE
MARPI’s work brings together government institutions, district local governments, health facilities, civil society and communities. Our 2025 report acknowledges the Ministry of Health and Uganda AIDS Commission, and describes collaboration with TASO, Reach Out Mbuya, IDI, Baylor Uganda, UPMB, JCRC and other partners.
Over the years, support through the Global Fund, PEPFAR/USAID, the Elton John AIDS Foundation and other mechanisms has helped extend targeted services and strengthen links to Uganda’s health system.
These descriptions refer to the 2025 reporting period and do not imply that every grant remains active today.
GOVERNANCE & CONTINUITY
The Board provides strategic direction and oversight, while management and staff translate priorities into programmes and services. Peer educators, volunteers and community organisations contribute trusted relationships, practical knowledge and feedback.
The annual report identifies sustainability, diversified funding, stronger community and facility systems, prevention choice, data use and digital innovation as priorities for the next phase of MARPI’s work. We continue to build on that direction while responding to changing needs.
Explore the full report, find a service or speak with MARPI about the support you need.
Institutional information drawn from the 2025 Annual Report, printed pages 2–6, 11–18 and 41. Page updated September 2026.
