Revitalization of IUCD Services in Ethiopia: Results and Lessons

Total Page:16

File Type:pdf, Size:1020Kb

Revitalization of IUCD Services in Ethiopia: Results and Lessons STRIDES for Family Health: Opportunities for Partnering with the Private Sector Background In Uganda, there is strong potential for strengthening partnerships with the private sector to increase access and use of reproductive health (RH), family planning (FP), and child survival (CS) services through its multiple channels, products, and services. There is already wide use and acceptance among Ugandans of the private sector for a range of health products and services—even among the poorest groups. For example, just over half (52 percent) of women obtain their family planning methods from the private sector; approximately 19 percent receive their antenatal care from the private sector.1 Private sector distribution channels (shops, pharmacies, and open markets) account for sourcing of over 60% of mosquito nets; non-governmental and faith-based organizations represent another 14 percent.2 While public sector facilities are recognized by the general public for their management and diagnosis of malaria, the private sector is also the major source for anti-malarials.3 The Ugandan Ministry of Health (MOH) recognizes the importance of the private sector in meeting the country’s overall health goals, and its National Health Policy4 encourages making the private sector “a major partner in Uganda’s national health development by encouraging and supporting its participation in all aspects of the National Health Programme.” In the health sector, the private sector is defined as for-profit and non-profit, with the non- profit including faith-based organizations such as the Uganda Catholic Medical Bureau and the Protestant Medical Bureau, as well as a large number of non-governmental organizations (NGOs) and USAID- supported programs. Private Partnership Opportunities for the STRIDES project The STRIDES for Family Health project aims to improve the quality of and increased access to integrated RH/FP and CS services to the people who need them in collaboration with the Ugandan MOH and the private sector. To assist in identifying initial opportunities for partnering with the private sector, STRIDES conducted a rapid assessment of on-going private sector activities, including gaps, weaknesses, and opportunities for collaboration as outlined in its Year I workplan. This assessment was conducted by Meridian Group International Inc., the STRIDES partner supporting increased linkages with the private sector. The assessment included interviews with health officials from various STRIDES 1 Uganda Bureau of Statistics (UBOS) and Macro International Inc. 2007. Uganda Demographic and Health Survey 2006. Calverton, Maryland, USA: UBOS and Macro International Inc. 2 Ibid. 3 Understanding Malaria Health-Seeking Behavior in Selected Districts in Uganda: A Formative Survey. Ministry of Health Uganda, Medicines for Malaria Venture, Population Services International, January 2008. 4 Ministry of Health, The Republic of Uganda, National Health Policy, September 1999. 1 Collaboration with the Private Sector districts to better understand their perceptions of the private sector’s role in Kyenjojo District in their respective districts and their current coordination with the private sector. The assessment also included facility-level visits to a The Kyenjojo district serves an estimated population of 435,000 with approximately 40 limited number of private not-for-profit and for-profit facilities to health centers (HCs). There is no district understand some of the issues they face in the delivery of services, and hospital in Kyenjojo. Three of its health meetings with the major social marketing organizations and other centers are HC IVs, and the remaining are HC projects working on public-private partnerships in Uganda.5 These IIIs and IIs. The Kyenjojo district collaborates activities were conducted as a pre-cursor to the baseline/needs with private providers on a number of levels. assessment currently being implemented by STRIDES in each district, Firstly, approximately 10 (HC IIIs and IIs) of providing input into the design of the private sector component of the its 40 health centers are owned and operated directly by private not-for-profit baseline/needs assessment instrument. organizations. These 10 organizations are designated by the districts to receive Poverty Based on this initial rapid assessment, there are a variety of Alleviation Funding (PAF) funding from the opportunities for working with the private sector, including: Ministry of Finance to support provision of services. Seven of these are managed by the Building and strengthening existing linkages between service Catholic Dioses in specific sub-counties; two delivery systems in the public and private sectors. This type of public are located on tea plantations although they private partnership seeks to maximize and improve existing service also serve the general community; and the delivery systems and opportunities for better collaboration and other facility is owned and operated by the coordination between public and private sector initiatives at the district 7th Day Adventist Church. level. In addition, the district also collaborates with a number of NGOs on various services, Expanding access and coverage of services through new, including community mobilization, training, innovative partnerships/collaboration. This type of public private and capacity building activities. These NGOs partnership seeks to identify new linkages, initiatives to increase access include Bringing Hope to the Family, Kind to RH/FP/CS products and services in under-served areas. Uganda, FXB, Toil and Promote Agriculture, GTZ, International Medical Corp, BRAC Increasing corporate contributions to RH/FP/CS. This type of Uganda, PACE, Baylor College of Medicines, partnership seeks to increase participation by the commercial sector in and the UHMG/AFFORD project. The district key health activities through their corporate contributions or corporate has formal memorandum of understandings (MOUs) in place with most of these social responsibility initiatives. organizations, which are signed and executed by the District’s Chief Administrative Officer. Opportunities for building and strengthening linkages between the public and private sectors District-Level Initiatives 5 District level interviews were conducted with health district officials from Kamwenge, Kasese, and Kyenjojo during the STRIDES initial workplan meeting with these western districts. Facility level visits were conducted in Kasese district. 2 The Ministry of Health’s recognition of the importance of the private sector in meeting basic healthcare needs has led to increased collaboration with the private sector at the district level. Many districts have identified Collaboration with the Private privately-owned facilities that receive support from the government for Sector in Kamwenge District the provision of services. These organizations, which are primarily faith- based organizations, receive government support (called Poverty The Kamwenge district serves a population Alleviation Funds), or PAF, through the Ministry of Finance in of approximately 315,000, with 33 health coordination with the district. They receive a bi-monthly allowance that centers. There is no district hospital in covers a portion of medical staffing and supplies, and are considered to be Kamwenge; two of their facilities are health a part of the official district health network. center IVs, and the remainder are HC IIIs and IIs. Kamwenge also has a number of One example of this type of partnership is the Kilembe Mines Hospital in health centers that are owned and operated by not-for-profit organizations (primarily the Kasese district. This hospital was started by Kilembe Mines Ltd. to faith-based) that receive PAF support. provide healthcare services for its employees and the surrounding community. In 1993, when the company was no longer able to run the In addition, the districts maintains hospital on its own, the company established a tripartite agreement with memorandums of understanding with other the government and Catholic diocese.6 In this case, Kilembe Mines Ltd. NGOs such as the Adventist Development Relief Agency (ADRA), Samaritan Pulse, provides the physical infrastructure of the hospital, housing for healthcare Parents Concern, Marie Stopes personnel, and some utility expenses. Approximately 70% of the International, MildMay, Egpaf, CRS, UNICEF, hospital’s medical staff is funded by the government, and the hospital also PACE, Baylor College of Medicine. receives medical supplies from the government. The remaining costs are covered through patient fees and donations provided by the Catholic In terms of collaboration with these NGOs, there is often a sharing of medical diocese. In this case, the hospital functions as the sub-district infrastructure, supplies, and healthcare headquarters for Sungora South (serving a population of 174,000), and personnel. For example, Marie Stopes oversees approximately 20 health units—a well-established example of International often conducts outreach public-private collaboration at the district level. Other PAF-funded services for long-acting and permanent facilities, however, receive significantly less funding—for example, the methods—they provide the medical Bishop Masereka HCIII (also in Kasese) receives funding for only one personnel and supplies for these services at clinic officer out of its 26 total healthcare personnel. Several of the district health facilities. In general, Kamwenge district officials recognized a districts interviewed for
Recommended publications
  • Kayunga District Statistical Abstract for 2017/2018
    Kayunga District Statistical Abstract for 2017/2018 THE REPUBLIC OF UGANDA KAYUNGA DISTRICT LOCAL GOVERNMENT STATISTICAL ABSTRACT 2017/18 Kayunga District Local Government P.O Box 18000, Kayunga Tel: +256-xxxxxx September 2018 E-mail: [email protected] Website: www.Kayunga.go.ug i Kayunga District Statistical Abstract for 2017/2018 TABLE OF CONTENTS TABLE OF CONTENTS .................................................................................................................... II LIST OF TABLES .............................................................................................................................. V FOREWORD .................................................................................................................................. VIII ACKNOWLEDGEMENT ................................................................................................................... IX LIST OF ACRONYMS ....................................................................................................................... X GLOSSARY ..................................................................................................................................... XI EXECUTIVE SUMMARY ................................................................................................................ XIII GENERAL INFORMATION ABOUT THE DISTRICT ..................................................................... XVI CHAPTER 1: BACKGROUND INFORMATION ................................................................................
    [Show full text]
  • Kilembe Hospital to Re-Open Today Rumours on ADF Lt
    WESTERN NEWS NEW VISION, Tuesday, June 4, 2013 9 UPDF dismisses Kilembe Hospital to re-open today rumours on ADF Lt. Ninsima Rwemijuma, the By JOHN THAWITE He disclosed that the 84 nurses are homeless after the untreated water from Uganda People’s Defence hospital would start by offering their houses were washed the Kasese Cobalt Company Forces second divison Kilembe Mines Hospital in services such as anti-retroviral Faulty away by the floods. factory. We have to purify spokesperson, has warned Kasese district re-opens its therapy, eye treatment, dental He requested for cement, it before using and it is not politicians in the Rwenzori gates to out-patients today, care, orthopaedics and timber and paint to be used enough for a big patient region against spreading after a month’s closure. immunisation. Dr. Edward Wefula, in repairing the hospital’s population,” Wefula added. rumours that Allied Democratic The facility was closed after Wefula said the 200-bed the superintendent of infrastructure. The hospital is co-managed Forces(ADF) rebels have it was ravaged by floods that hospital was not yet ready for Kilembe Mines Hospital, Wefula said the break down by Kilembe Mines, the Catholic crossed into Uganda. He said hit the area on May 1. in-patient admissions and said the sewerage system in the facility’s sewerage Church and the health such people want to disrupt “The out-patient department major surgical operations in the facility was down system had resulted in the ministry. peace. Ninsiima said according is ready to resume services. because most of the essential contamination of water.
    [Show full text]
  • Respond Year Two Quarterly Report
    RESPOND YEAR TWO QUARTERLY REPORT EMERGING PANDEMIC THREATS PROGRAM 1 APRIL 2011 – 30 JUNE 2011 This publication was produced for review by the United States Agency for International Development. It was prepared by the RESPOND team. RESPOND YEAR TWO QUARTERLY REPORT EMERGING PANDEMIC THREATS PROGRAM Project Title: RESPOND Sponsoring USAID Office: GH/HIDN/API Award number: GHN-A-00-09-00015-00 Award recipient: DAI Date of Publication: August 8, 2011 The authors’ views expressed in this publication do not necessarily reflect the views of the United States Agency for International Development or the United States Government. TABLE OF CONTENTS TABLE OF CONTENTS .......................................................................................................... I ACRONYMS ........................................................................................................................... 3 I. EXECUTIVE SUMMARY ..................................................................................................... 8 GLOBAL ACTIVITIES ...................................................................................................... 8 EAST CONGO BASIN ..................................................................................................... 8 WEST CONGO BASIN .................................................................................................... 9 SOUTHEAST ASIA ......................................................................................................... 9 II. GLOBAL ACTIVITIES ...................................................................................................
    [Show full text]
  • Ministry of Health
    UGANDA PROTECTORATE Annual Report of the MINISTRY OF HEALTH For the Year from 1st July, 1960 to 30th June, 1961 Published by Command of His Excellency the Governor CONTENTS Page I. ... ... General ... Review ... 1 Staff ... ... ... ... ... 3 ... ... Visitors ... ... ... 4 ... ... Finance ... ... ... 4 II. Vital ... ... Statistics ... ... 5 III. Public Health— A. General ... ... ... ... 7 B. Food and nutrition ... ... ... 7 C. Communicable diseases ... ... ... 8 (1) Arthropod-borne diseases ... ... 8 (2) Helminthic diseases ... ... ... 10 (3) Direct infections ... ... ... 11 D. Health education ... ... ... 16 E. ... Maternal and child welfare ... 17 F. School hygiene ... ... ... ... 18 G. Environmental hygiene ... ... ... 18 H. Health and welfare of employed persons ... 21 I. International and port hygiene ... ... 21 J. Health of prisoners ... ... ... 22 K. African local governments and municipalities 23 L. Relations with the Buganda Government ... 23 M. Statutory boards and committees ... ... 23 N. Registration of professional persons ... 24 IV. Curative Services— A. Hospitals ... ... ... ... 24 B. Rural medical and health services ... ... 31 C. Ambulances and transport ... ... 33 á UGANDA PROTECTORATE MINISTRY OF HEALTH Annual Report For the year from 1st July, 1960 to 30th June, 1961 I.—GENERAL REVIEW The last report for the Ministry of Health was for an 18-month period. This report, for the first time, coincides with the Government financial year. 2. From the financial point of view the year has again been one of considerable difficulty since, as a result of the Economy Commission Report, it was necessary to restrict the money available for recurrent expenditure to the same level as the previous year. Although an additional sum was available to cover normal increases in salaries, the general effect was that many economies had to in all be made grades of staff; some important vacancies could not be filled, and expansion was out of the question.
    [Show full text]
  • Highlights of the Ebola Virus Disease Preparedness in Uganda
    HIGHLIGHTS OF THE EBOLA VIRUS DISEASE PREPAREDNESS IN UGANDA 21st MAY 2019 (12:00 HRS) – UPDATE NO 118 SITUATION UPDATE FROM DEMOCRATIC REPUBLIC OF CONGO FOR 20th MAY 2019 WITH DATA UP TO 19th MAY 2019 Cumulative cases: 1,826 Confirmed cases: 1,738 Probable: 88 Total deaths: 1,218 a) EVD SITUATIONAL UPDATE IN UGANDA There is NO confirmed EVD case in Uganda. Active case search continues in all communities, health facilities and on formal and informal border crossing in all districts especially in the high-risk ones. Alert cases continue to be picked, isolated, treated and blood samples picked for testing by the Uganda Virus Research Institute (UVRI). The alerts are highlighted in the specific district reports below under the Surveillance section. b) PREPAREDNESS IN THE FIELD (PROGRESS AND GAPS) COORDINATION SURVEILLANCE ACTIVITIES Kasese District Achievements Two (2) suspected cases from Kyaka II Camp were detected, samples were picked and taken to Uganda Virus Research Institute (UVRI) for testing. 32 school zonal leaders were trained on chlorine preparation at the district headquarters. Gaps and Challenges 1 There is lack of EVD logistics such as gloves, infrared thermometers, batteries, triple packing etc. Ntoroko District Achievements Support supervision was conducted at PoEs in the district. Surveillance team visited Stella Maris HCIII and MTI facilities where they updated staff and volunteers on EVD. Number of people screened at PoEs in Ntoroko District on 20th May 2019. No PoE site No of persons screened 1 Kigungu 34 2 Ntoroko Main 67 3 Fridge 0 4 Transami 153 5 Kanara 0 6 Rwagara 258 7 Katanga 56 8 Kamuga 99 9 Katolingo 24 10 Mulango 43 11 Rwentuhi 65 12 Haibale South 57 13 Kabimbiri 0 14 Kyapa 53 15 Kayanja I 31 16 Kayanja II 69 17 Budiba 0 2 Total 1,009 Gaps and Challenges Some PoEs have no tents.
    [Show full text]
  • Vote: 523 2013/14 Quarter 1
    Local Government Quarterly Performance Report Vote: 523 Kayunga District 2013/14 Quarter 1 Structure of Quarterly Performance Report Summary Quarterly Department Workplan Performance Cumulative Department Workplan Performance Location of Transfers to Lower Local Services and Capital Investments Submission checklist I hereby submit _________________________________________________________________________. This is in accordance with Paragraph 8 of the letter appointing me as an Accounting Officer for Vote:523 Kayunga District for FY 2013/14. I confirm that the information provided in this report represents the actual performance achieved by the Local Government for the period under review. Name and Signature: Chief Administrative Officer, Kayunga District Date: 20/10/2014 cc. The LCV Chairperson (District)/ The Mayor (Municipality) Page 1 Local Government Quarterly Performance Report Vote: 523 Kayunga District 2013/14 Quarter 1 Summary: Overview of Revenues and Expenditures Overall Revenue Performance Cumulative Receipts Performance Approved Budget Cumulative % Receipts Budget UShs 000's Received 1. Locally Raised Revenues 702,927 163,853 23% 2a. Discretionary Government Transfers 1,886,638 443,779 24% 2b. Conditional Government Transfers 17,964,242 4,969,056 28% 2c. Other Government Transfers 563,940 122,159 22% 3. Local Development Grant 501,618 125,405 25% 4. Donor Funding 440,445 93,471 21% Total Revenues 22,059,810 5,917,723 27% Overall Expenditure Performance Cumulative Releases and Expenditure Perfromance Approved Budget Cumulative
    [Show full text]
  • Kayunga DLG.Pdf
    Local Government Workplan Vote: 523 Kayunga District Structure of Workplan Foreword Executive Summary A: Revenue Performance and Plans B: Summary of Department Performance and Plans by Workplan C: Draft Annual Workplan Outputs for 2016/17 D: Details of Annual Workplan Activities and Expenditures for 2016/17 Page 1 Local Government Workplan Vote: 523 Kayunga District Foreword Page 2 Local Government Workplan Vote: 523 Kayunga District Executive Summary Revenue Performance and Plans 2015/16 2016/17 Approved Budget Receipts by End Proposed Budget Dec UShs 000's 1. Locally Raised Revenues 806,526 440,275 1,117,379 2a. Discretionary Government Transfers 3,811,918 1,306,119 3,548,991 2b. Conditional Government Transfers 18,803,947 9,129,257 22,425,677 2c. Other Government Transfers 1,057,192 328,999 396,948 3. Local Development Grant 380,387 0 4. Donor Funding 812,000 495,577 1,005,438 Total Revenues 25,291,583 12,080,615 28,494,434 Revenue Performance in 2015/16 The District received Shs 6,388,894,000/=; Shs 219,641,000/= Local revenue; 4,894,086,000 Central government transfers; Shs 618,080,000/=, direct transfers from Ministry of Finance, Shs 179,236,000 grants from Other government Agencies and 319,563,000/= was from donor agency. Most grants performed above 20% apart from the Other Government Transfers which was at 17%. Planned Revenues for 2016/17 The District has planned this FY 2016/17 to receive more fund s compared to last FY 2015/16. This is because of an estimated increase in the locally raised revenues,central Government transfers and donor funded projects.This increment is due to Government’s commitment to fulfil the 15% Teacher’s pay rise, increase development funding to the LLGs, and have retiring staff and already existing Pensioners receive their entitlements as well as facilitating Local Government political leaders to fulfil their mandate.Also, more resources have been provided for transitional grants to cater for IFMS and the Construction of the District Building block.
    [Show full text]
  • Uganda Road Fund Annual Report FY 2011-12
    ANNUAL REPORT 2011-12 Telephone : 256 41 4707 000 Ministry of Finance, Planning : 256 41 4232 095 & Economic Development Fax : 256 41 4230 163 Plot 2-12, Apollo Kaggwa Road : 256 41 4343 023 P.O. Box 8147 : 256 41 4341 286 Kampala Email : [email protected] Uganda. Website : www.finance.go.ug THE REPUBLIC OF UGANDA In any correspondence on this subject please quote No. ISS 140/255/01 16 Dec 2013 The Clerk to Parliament The Parliament of the Republic of Uganda KAMPALA. SUBMISSION OF UGANDA ROAD FUND ANNUAL REPORT FOR FY 2010/11 In accordance with Section 39 of the Uganda Road Act 2008, this is to submit the Uganda Road Fund Annual performance report for FY 2011/12. The report contains: a) The Audited accounts of the Fund and Auditor General’s report on the accounts of the Fund for FY 2011/12; b) The report on operations of the Fund including achievements and challenges met during the period of reporting. It’s my sincere hope that future reports shall be submitted in time as the organization is now up and running. Maria Kiwanuka MINISTER OF FINANCE, PLANNING AND ECONOMIC DEVELOPMENT cc: The Honourable Minister of Works and Transport cc: The Honourable Minister of Local Government cc: Permanent Secretary/ Secretary to the Treasury cc: Permanent Secretary, Ministry of Works and Transport cc: Permanent Secretary Ministry of Local Government cc: Permanent Secretary Office of the Prime Minister cc: Permanent Secretary Office of the President cc: Chairman Uganda Road Fund Board TABLE OF CONTENTS Abbreviations and Acronyms iii our vision iv
    [Show full text]
  • MAUL Bulletin, We Share with You a Detailed
    MAUL July 2020 BULLETIN Volume 3 Issue 2 INSIDE THIS ISSUE Hello, • Support to National Response and Relief Ef- forts in Combating COVID-19 Enhancing human health involves the use of innovative ap- • Emergency Delivery of Medicines to Kilembe proaches and best practices to procure and deliver medi- Mines Hospital Amid Flash Floods cines and health commodities to patients when and where • Logistics Team in Action During the COVID- they need them the most. However, with the emergence of 19 Pandemic the COVID-19 pandemic, we have had to find new and in- • Procurement Agency: Mitigating Sourcing Risk During COVID-19 novative ways to ensure an uninterrupted supply of medi- • CDC & Implementing Partner Communica- cines to over 240,000 people. We implemented a business tors’ Meeting continuity plan that aimed at keeping staff safe while ensur- • Working From Home: Joseph’s Experience ing continuity of procurement, supply chain and health sys- • COVID-19 Pandemic: Our Response & Inno- tems strengthening operations to avert treatment interrup- vation tions for the people that need the medicines the most. • COVID-19 Training: Infection Prevention and Use of Virtual Working Applications Through the MAUL bulletin, we share with you a detailed insight into how we have been able to continue our opera- EDITORIAL TEAM tions running sustainably, keeping our staff and the wider • Arthur Muwanga community safe while delivering on our commitment of en- • Sheba Nakimera suring access to life-saving medicines to all that need them. • Josephine Tamale • EmmaLinda Nassali Cheers! 1 SUPPORT TO THE NATIONAL RESPONSE & RELIEF EFFORTS IN COMBATING COVID-19 Medical Access Uganda Limited (MAUL) donated managing the current COVID-19 crisis.
    [Show full text]
  • Emergency #1473 26.09.2021
    Emergency #1473 26.09.2021 Name Vehicle Accident in Uganda Type Vehicle Accident - Car,truck,etc Date 2019-02-04 Injured/Dead person 48/4 Affected buildings 0 Evacuated/Rescued person 0/0 Population density in affected area 0 Rescuers 0 Rescue means/aviation 0/0 Description: Four people died on the spot and 48 others sustained injuries in an accident involving Link Bus in Nakasongola district along the Kampala-Gulu highway. The accident occurred at around 10 am today when a Link Bus, registration number, UBA 332B swerved off the road after a tire puncture. After losing control, the bus overturned and slipped into the trench at Namayonjo village in Wabinyonyi sub-county along Kampala-Gulu highway. Police officers and residents rushed to the scene where many of the injured were removed from the wreckage and rushed to Nakasongola military hospital, Bombo military hospital, Nakasongola health center IV, and Luweero health center IV and Mulago hospital for treatment. The dead have been transferred to Nakasongola health center IV mortuary. Savannah regional police spokesperson Paul Kangave said that the injured sustained multiple wounds on legs, arms, and heads. On Saturday last week, one person died on the spot and nine others critically injured in an accident involving Gaagaa bus in Nakasongola district along Kampala-Gulu highway. The accident occurred at around at Kibira zone in Migyera township&#039s when Gaagaa bus registration number UAP 765H heading to Kampala knocked a stationary trailer registration number UAW 766T/UAS 116K of Panfric company from behind before it overturned. Director of the International Monitoring and Coordination Center ICDO.
    [Show full text]
  • Further Observations on the Relationship Between Serum Mitochondrial Aspartate Transaminase and Parasitic Infection
    FURTHER OBSERVATIONS ON THE RELATIONSHIP BETWEEN SERUM MITOCHONDRIAL ASPARTATE TRANSAMINASE AND PARASITIC INFECTION. UNEXPECTED ABSENCE OF HUMAN SCHISTOSOMIASIS AROUND LAKES GEORGE AND EDWARD (UGANDA) T.R.C. Boyde Biochemistry Department, University of Hong Kong. ~d J.D. Gatenby Davies, Nairobi Laboratories, Nairobi, Kenya. ABSTRACT 1) Contrary to prediction, no cases of schistosomiasis could be detected in two lakeside communities. 2) Serum levels of mitochondrial aspart'ate tr~saminase (mAAT) in these communities were apparently unrelated to the presence or ,absence of detectable malaria parasites .. 3) By contrast, serum mAAT was significantly raised in 3 'healthy' cases of schistosomiasis who were otherwise comparable with the lakeside dwellers. (Significance was reached notwithstanding the paucity of cases). 4) These observations should be extended especially in respect of the Asian region where different species of Schistosoma are i~volved in para• sitisation, but progress has been blocked by lack of finance. INfRODUCTION Ongom and Bradley (1) studied a community living beside the Nile at Panyagoro, West Nile (Uganda) and found ~ extremely high level of infection with Schistosoma m~soni. They suggested that communities living in similar conditions elsewhere, including specifically t~~ area of the study reported here, would be found to have similar para?ite loads. The Hippopotamus population of Lakes George and Edward is infected with parasites of the same genus (2,3) ~d carrier snails of an appropriate species are present (4). Nevertheless, m~y Uganda residents believed that these lakes were safe and it therefore seemed worth determining what the prevalence really was, for reasons both of scientific and local public health interest.
    [Show full text]
  • Kasese Town Council
    KASESE TOWN COUNCIL Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Environmental Impact Statement for the Proposed Waste Composting Plant and Landfill for Kasese Town Council Prepar ed By: Enviro-Impact and Management Consults ST Public Disclosure Authorized Total Deluxe House, 1 Floor, Plot 29/33, Jinja Road P.O. Box 70360 Kampala, Tel: 41-345964, 31-263096, Fax: 41-341543 E-mail: [email protected] Web Site: www.enviro-impact.co.ug February 2007 Kasese Town Council PREPARERS OF THIS REPORT ENVIRO-IMPACT and MANAGEMENT CONSULTS was contracted by Kasese Town Council to undertake the Environmental impact Assessment study of the proposed Waste Composting Plant and Landfill, and prepare this EIS on their behalf. Below is the description of the lead consultants who undertook the study. Aryagaruka Martin BSc, MSc (Natural Resource Management) Team Leader ………………….. Otim Moses BSc, MSc (Industrial Chemistry/Environmental Systems Analysis and Management) …………………… Wilbroad Kukundakwe BSc Industrial Chemistry …………………… EIS Kasese Waste Site i EIMCO Environmental Consultants Kasese Town Council TABLE OF CONTENTS PREPARERS OF THIS REPORT ........................................................................................................I ACKNOWLEDGEMENTS.............................................................................................................. V ABBREVIATIONS AND ACRONYMS ......................................................................................... V EXECUTIVE SUMMARY...............................................................................................................VI
    [Show full text]