If the drugs are available in their village, there are social stigmas still associated with AIDS. The people with the disease may not want to get the drugs near their neighbors, preferring the secrecy of going elsewhere.
As a part of the newspaper's Katine series of stories, Joseph Malinga of the Guardian profiles one villager who faces these obstacles.
James Akadi knows the dangers associated with failing to follow his treatment schedule. A single day without taking his drugs would make his situation complex and, worse still, could endanger his life.
Akadi, a resident of Abia village, in Ojama parish, Katine, is one of more than 200 people living with HIV/Aids in the sub-county who have openly declared their status, but are struggling to cope with life amid abject poverty.
Lack of food, unsafe drinking water, difficulty in accessing drugs, a lack of income generating activities and the stigma of having the virus are some of the problems Akadi faces as he strives to prolong his life.
But of all these challenges, problems accessing drugs is proving the biggest challenge. Twice a month, Akadi has to travel to Uganda Care, an NGO supporting the HIV/Aids patients, in Soroti town, 28km from Katine, to receive antiretroviral (ARVs) drugs. At times, he lacks transport to travel, meaning he will not be able to get his drugs and adhere to his treatment schedule.
"I'm facing a serious challenge of transport. Every month I travel to Uganda Care offices in Soroti to access drugs but most times I find it hard because I'm a very poor man with a family that I have to take care of. So saving money for travelling twice every month to Soroti town is a challenge," he said.
Although The Aids Support Organisation (TASO) has introduced community drug distribution centres in Katine, the stigma still attached to having the virus means some people still prefer to get their drugs in town.