Peersupport interventions, such as straight talk for 1519yearolds and young talk for 1014yearolds, enhance youths skills in communicating, negotiating sex, responding to peer. One in three sexually active women in uganda, both married and unmarried, want to avoid pregnancy, but are not using a method of contraceptionone of the highest recorded levels of unmet need for contraceptives in subsaharan africaaccording to a new report. Primary health care and health sector reforms in uganda. Reproductive health uganda rhu located in kampala, uganda. As of 20, life expectancy at birth in uganda was 58 years, which was lower than in any other country in the east african community except burundi. Weekly epidemiological bulletin, week 6, 3rd 9th feb 2020. Uganda developed and launched the reproductive maternal newborn child and. More than a decade ago, at the icpd, held in cairo, 179 countries agreed that. Promoting sexual reproductive health for women and youth. Womens health and sexual and reproductive health in uganda. Health statistics in uganda as a nonprofit, action for reproductive health arh is committed to improving the status of maternal and reproductive health in uganda. The objective of this study was to determine nmr as well as factors associated with neonatal mortality in the rural communities of three districts from eastern uganda. Uganda began its health sector decentralization process in 1997 following the enactment of the local government act, 1997.
Suboptimal sexual and reproductive health not only increases morbidity, mortality, and gender inequity, it also slows development 14, 24. Uganda suffers a chronic shortage of trained health workers and the few trained doctors keep grumbling over their pay cheque. Reproductive health of young adults in uganda the dhs program. The ministry of health, department of sexual reproductive health. Reproductive health uganda rhu, formerly the family planning association of uganda, was established in 1957. All publications ministry of health knowledge management. Get the inside scoop on jobs, salaries, top office locations, and ceo insights. Addressing adolescent sexual and reproductive health needs in uganda is especially important, as a growing number of young people are sexually active.
National health care system in uganda global health corps. A wellcoordinated and integrated approach can help. The overall goal of this policy is to mainstream adolescent health concerns in the national development process in order to improve the quality of life and standard of living of young people in uganda. Background, organization, polices and challenges article pdf available in a journal with only 1 volume 11. Uganda is one of the initiatives from the global programme to enhance reproductive health commodity security gprhcs and is conducted across 46 countries worldwide.
However, its geographical position in the great lakes region also exposes uganda to complex intrastate conflicts with bordering countries and nonstate armed groups. Community social capital and the use of health care services in uganda. Adolescent sexual and reproductive health in uganda. It is governments response, in line with health sector strategic plan ii for 200510, to develop and implement an effective, comprehensive and responsive health system to reach all newborns and their mothers, to reduce. Reproductive health uganda, plot 2 katego road, turfnel drive, p. Health statistics in uganda action for reproductive. Ministry of health set to award best performing players in the sector.
Uganda essential national health research enhr page 1 chapter one. While several measures to combat the poor reproductive health performance have been put in place by the government, maternal and. Pdf factors influencing access to reproductive health. The people of uganda face urgent sexual and reproductive health srh issues, with high prevalence of hiv and aids and unmet needs for contraception. Countries in this dashboard are grouped by who region, with each country represented by a circle. Compare pay for popular roles and read about the teams worklife balance. But for women in uganda, who risk death or serious disability due to lowquality health services, it can also be a time of great peril. Since then a number of activities have been organised. All too often, however, contraceptive methods are not on the shelf in the clinics and pharmacies that people depend on. Reproductive health commodity security strategic plan 200910 2014 recommended citation ministry of health. Reproductive health uganda rhu business profile on yellow. Apr, 2020 view details download weekly epidemiological bulletin week 9, 24th feb 1st mar 2020. Evaluation of health guarantee to centenary rural sida.
A contraceptive stockout is a time when one or more contraceptive options are unavailable at a. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Ensuring access to contraception is one of the most critical and costeffective means of improving women and childrens health and reducing maternal mortality. Ministry of health receives immunization cold chain equipment and transport to boost health service delivery. To provide policy makers and other key actors in the social and development fields, reference guidelines for addressing adolescent health concerns. The national integrated early childhood development policy action plan of uganda 20162021 the government of uganda as a signatory to the global and regional frameworks and standards on the rights of the child is committed to ensuring that all.
Bakeera sk, petzold m, pariyo gw, galea s, tomson g, wamala s. It has been instrumental in overseeing coordination and planning in situations like the wake of the ebola crisis, when the world, and especially who, overtly failed in offering leadership and effective coordination. Cultural factors that affect sexual and reproductive health in malawi thomas bisika commentary j fam plann reprod health care 2008. Decentralization, local government capacity and efficiency. Agricultural sector development strategy and investment plan dsip 2010. Emmanuel tenywa, alex muhereza, sarah nantono bunoti, stephen ojiambo wandera, peter james ibembe. Male involvement in reproductive, maternal and child. Adolescent sexual and reproductive health ugandas context. Uganda sexual and reproductive health guidelines, documents. In many contexts worldwide, men tend to be the decision makers within. We acknowledge world health organisation and hlsp for their technical, logistic and financial. The rationale was to increase both allocative and productive efficiency in health service provision. According to the world health organization who, a maternal death is the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management but not.
Accessing sexual and reproductive health and rights srhr services introduce. Like many developing countries, uganda has high maternal mortality ratio at 343 per 100,000 live births. Introduction and background to health research in uganda 1. Policy documents ministry of health republic of uganda. Mapping maternal health advocacy a case study of uganda. The importance of involving men in reproductive, maternal and child health programs has gained increasing recognition since the mid1990s when key international conferences in cairo and beijing highlighted the tremendous benefits that actively engaging men can have for the health of men, women and children 17. These factors combine to prevent women from accessing and paying for necessary. In addition, reproductive health serv ices remained inadequate yet the popula tion, according to the. There is paucity of data on factors associated with nmr in rural communities in uganda. Uganda has an organized national health system and health delivery in place within the strategic frame work and focus.
Strengthening health facilities for maternal and newborn. Women and children in uganda from the leading killers and conditions. The private health sector is comprised of private not for profit pnfp, private health practitioners phps, and traditional. Primary health care and health sector reforms in uganda christine kirunga tashobya1and peter ogwang ogwal2 1. Millennium development goals report for uganda 2015.
The uganda health sector strategic plan for the period 2000 to 2005 sets optimistic national targets for reproductive health, including an increase in contraceptive prevalence to 30 per cent, a decrease in maternal mortality to 354 per 100,000 live births and an increase in. The situation analysis of newborn health in uganda focuses on the prevailing health and care practices for newborns. Uganda reproductive health commodity security strategic plan 2010 2014. Sexual, reproductive health needs, and rights of young. Four countries kenya, malawi, south africa and uganda are. Cultural factors that affect sexual and reproductive. The people of uganda face urgent sexual and reproductive health srh issues, with high prevalence of hiv and aids and unmet needs for contraception presenting some of the most immediate and lifethreatening risks. The uganda national health research organisation is ugandas umbrella organisation for health research coordination. The literature reveals that male dominance and prevailing traditional is. The health sector in uganda has undergone tremendous changes over the past 20 years and multilateral and bilateral donor organisations have gradually moved from project to budget support over the period. Part of that work is monitoring health statistics in uganda as collected and reported by. Civil society advocacy for sexual and reproductive health, uganda. This paper describes the experience of building capacity for maternal and newborn care at a district hospital and lowerlevel. The aim is every pregnancy wanted, every birth safe, every newborn and child healthy.
Health in uganda refers to the health of the population of uganda. Uganda commences data collection for the second uganda populationbased hiv impact assessment uphia date. Although maternal health services have a potentially critical role in the improvement of reproductive health a recent study in wakiso demonstrated that adolescent mothers showed poor health seeking behavior for themselves and their children, and experienced increasing community stigmatization and violence l. Robinah najjemba is project coordinator at the geneva foundation for medical education and research. She is a medical doctor with a masters degree of public health of makerere university. As of 2015, the probability of a child dying before reaching age five was 5. Established in 2011 under the unhro act, the uganda national health research organisation works to coordinate, promote and provide guidance for health research and development in the uganda national health research organisation is ugandas umbrella organisation for health.
Adolescent sexual and reproductive health needs in uganda. The ministry of health moh working together with the other key stakeholders considers 5scontinuous quality. Uganda has a long history of civil war and continues to face ongoing internal conflict, armed insurgency and elections related violence. Women and children have a right to quality health care and to survivalfundamental rights that should be respected and protected.
Use of national health accounts the case of uganda. International health regulations in the ugandan healthcare. A synthesis of research evidence was written by stella neema, nakanyike musisi and richard kibombo, makerere institute of social research misr, makerere university, uganda. Find out what works well at reproductive health uganda from the people who know best.
Investment case for reproductive, maternal, newborn, child and. Social determinants of health care use for ugandan. We champion,provide and enable universal access to rights based srhr information and services to vulnerable and. Current status and trends of adolescent health care in uganda. The authors thank denis bataringaya, maxima tibwita and peter a. National adolescent health policy for uganda unesco hiv. Health planning department, ministry of health abstract the health system in uganda has undergone a number of changes since independence in 1962 and the phc concept was a. Anglican, the uganda muslim supreme council and the uganda catholic secretariat, have many programs on adolescent sexual and reproductive health. This report will not only guide the global programme, but also many stakeholders and implementing partners in uganda, to better focus their resources in ensuring rmnch. In uganda, slow pace in scaling up access to reproductive health care services costing thousands of lives and billions of shillings.
Hssip 11,july 2010 the national health system is comprised of both private and public sectors. In uganda maternal and neonatal mortality remains high due to a number of factors, including poor quality of care at health facilities. Danidahealth sector programme support, ministry of health 2. For instance, there is the uganda public health emergency operation center, a coordinating body established in 2007. In uganda, neonatal mortality rate nmr remains high at 27 deaths per live births.