“We Have to Keep on Improvising”

Total Page:16

File Type:pdf, Size:1020Kb

“We Have to Keep on Improvising” “WE HAVE TO KEEP ON IMPROVISING” AN ETNOGRAPHIC FIELD STUDY ABOUT THE CHALLENGES AND STRATEGIES OF NURSES IN CENTRAL UGANDA MADELEINE RAHMBERG LINNEA STENLUND ”WE HAVE TO KEEP ON IMPROVISING” AN ETNOGRAPHIC FIELD STUDY ABOUT THE CHALLENGES AND STRATEGIES OF NURSES IN CENTRAL UGANDA MADELEINE RAHMBERG LINNEA STENLUND Rahmberg, M & Stenlund, L. We have to keep on improvising. An ethnographic field study about the challenges and strategies of nurses in central Uganda. Degree project in nursing 15 credit points. Malmö University: Faculty of health and society, Department of care science, 2015. Aim: To explore what kind of challenges nurses are facing in their work at a hospital in central Uganda and what strategies they used due to these challenges. Background: In Uganda, life expectancy is 53 years old and 50% of the population is under 14 years. This means that the spectrum of diseases looks different in comparison from European countries. The most common causes of death are malaria, pneumonia and complications related to HIV and AIDS. State funding of health care is lower than in other sub-Saharan countries. The hospital in Entebbe should, as recommended by the Ugandan Ministry of Health, have 46 nurses and 11 doctors but in the present situation the number of nurses are 18 and 7 doctors. Method: An ethnographic study based on observations of the nurses at the hospital in Entebbe, Uganda and interviews with nurses at the same hospital. The study was done in four weeks from November to December 2014. The material was analysed using content analysis. Findings: The nurses experienced that the biggest challenges in their work was the shortage of staff, lack of equipment and dependence on relatives of patients. The strategies the nurses used were improvisation, faith in God, gathering every week and individually plan their shift. Conclusion: The nurses at Entebbe hospital faces a range of challenges and applies various kinds of strategies to deal with those. Due to the cultural and economic context both the challenges and strategies differs from the situation in Sweden. Further research should be done for a deeper understanding. Keywords: Challenges, nurses, relatives, strategies, Uganda ”VI MÅSTE FORTSÄTTA ATT IMPROVISERA” EN ETNOGRAFISK FÄLTSTUDIE OM UTMANINGAR OCH STRATEGIER FÖR SJUKSKÖTERSKOR I CENTRALA UGANDA MADELEINE RAHMBERG LINNEA STENLUND Rahmberg, M & Stenlund, L. Vi måste fortsätta att improvisera. En etnografisk fältstudie om utmaningar och strategier för sjuksköterskor i centrala Uganda. Examensarbete i omvårdnad 15 högskolepoäng. Malmö högskola: Fakulteten för hälsa och samhälle, institutionen för vårdvetenskap, 2015. Syfte: Att undersöka vilka utmaningar sjuksköterskor möter i arbetet på ett sjukhus i centrala Uganda samt att undersöka vilka strategier de använder för att hantera dessa utmaningar. Bakgrund: I Uganda är medellivslängden 53 år och 50% av befolkningen är under 14 år. Det gör att sjukdomspanoramat ser annorlunda ut i jämförelse med europeiska länder. De vanligaste dödsorsakerna i Uganda är malaria, pneumoni och följdsjukdomar relaterat till HIV/AIDS. Den statliga finaniseringen av sjukvården är lägre än i andra subsahariska länder. Sjukhuset i Entebbe bör enligt rekommendationer från det Ugandiska Hälso Ministeriet ha 46 sjuksköterskor och 11 läkare men i dagsläget är antalet sjuksköterskor 17 och läkare 7 stycken. Metod: En etnografisk studie baserad på observationer av sjuksköterskor på sjukhuset i Entebbe i Uganda samt intervjuer med sjuksköterskor på samma sjukhus. Studien gjordes under fyra veckor, November – December 2014. Materialet analyserades med innehållsanalys. Resultat: Sjuksköterskorna upplevde att de största utmaningarna i deras arbete låg i brist på personal, otillräcklig utrustning och beroendet av anhöriga till patienter. De strategier som sjuksköterskorna använde var att improvisera, tron på Gud, att samlas varje vecka och att individuellt planera sina arbetspass. Slutsats: Sjuksköterskorna på sjukhuset i Entebbe mötte många olika utmaningar och använde olika strategier för att hantera dem. På grund av den kulturella och ekonomiska kontexten så skiljer sig både utmaningarna och strategierna från situationen i Sverige. Mer forskning är eftersträvansvärd för en fördjupad förståelse. Nyckelord: Anhöriga, strategier, sjuksköterskor, Uganda, utmaningar. CONTENTS INTRODUCTION 4 BACKGROUND 4 Uganda 4 The health care system in Uganda 5 Spectra of diseases 5 Entebbe Hospital 5 The study's theoretical approach 6 Concept of culture 6 Post colonialism and international placements 6 Symbolic interactionism 7 AIM 7 METHOD 7 Ethnography 7 Study population 8 Observations 8 The role of the researcher 9 Informal talks 9 Interviews 9 Analysis of data 9 Ethical considerations 10 RESULT 10 Organization of staff 11 Shortage of staff 11 Lack of motivation 12 Lack of equipment 12 Dependency upon attendants/relatives 12 Strategies 13 Improvisation 13 Faith 14 Support 14 Individual planning 14 DISCUSSION 15 Method discussion 15 Study population 16 Observations 16 Interviews 16 Result discussion 16 Organizations of staff 17 Lack of equipment 17 Dependency upon attendants/relatives 17 Strategies 18 CONCLUSION 19 FUTURE RECOMMENDATIONS 19 ACKNOWLEDGMENT 20 REFERENCES 21 APPENDIX 1 23 APPENDIX 2 24 INTRODUCTION The idea of this study came in 2012 when we first heard about the Minor Field Study Program during our nursing education in Malmö, Sweden. We believe that we develop different strategies to deal with the challenges we are facing due to the context in which we live and work. As for the nurse, it also depends on what kind of patient you meet; the illness, the age etc. which all evoke feelings and thoughts in the nurse which has to be taken care of somehow. Since the spectra of illnesses and the life expectancy in Uganda differ greatly from Sweden, the challenges of the nurses are most likely different and one can expect that the strategies developed also differs. What kind of strategies does the nurse in Uganda use? To explore that, we wanted to participate in the nurses' work at a hospital in Uganda. We wanted to see for ourselves what kind of challenges the nurses are facing to be able to understand it. That we decided on Uganda was because of the contacts we had made there which facilitated the project. We believe that learning about different cultures will help us as future nurses to deal with the challenges of a multicultural society. Nursing is a female-dominated profession which status deserves to be raised. One of the methods to achieve that could be to highlight the different kind of strategies that nurses come up with every day in their daily work. BACKGROUND A short description of Uganda, its health care system and the countries spectrum of diseases are presented in this section. An overview of Entebbe Hospital is given in the end of this section as well as the theory that the study is based on. Uganda Uganda is located on the equator, south east in Africa. The country borders to Kenya, South Sudan, Democratic Republic of Congo, Rwanda and Tanzania. Uganda was a British colony from the 1860s until 1962 when the nation gained independence. After the independence, the country suffered from two military coups by Milton Obote and later Idi Amin. During Amins regime approximately 300.000 people died and he made the country‟s economy in total depravity. After eight years, Obote took the power once again and the Civil war and misgovernment continued until Youori Museveni took control 1986. He has been the president of Uganda ever since. The country has stabilized and the standard of living for the population has risen (Nationsencyclopedia, 2014), but still approximately 25% lived under the poverty line 2010 (less than 1, 25 US per day). Uganda‟s population has grown quickly since the independence 1962 from about 7 million to 36 million in 2012 (World Bank, 2014). The majority of the population lives in rural areas in the country. Population density is high but varies within the country depending on the fertility of land. The majority of the population lives in the fertile part along Lake Victoria's north shore, especially between the cities Kampala and Jinja. There are around 40 minorities in the country and they can be divided into four groups related to their languages; Westnilotic from the northern part, Eastnilotic from the eastern part, ethics groups that speaks Sudanese languages 4 from the north west and the bantupeople from the south and southwest of Uganda. The last mentioned group is the biggest in the country, approximately 2/3 of the population. There are about as many local languages as there are ethnic groups. English is the official language of Uganda but it is only spoken by 10-20 per cent of the population, mainly urban citizens (Utrikespolitiska institutet, 2014). In 2010, there were approximately 100,000 refugees in the country and the largest group came from the Democratic Republic of Congo, DRC. After South Sudan's independence in 2013, a large group fled to Uganda from South Sudan. In the summer of 2014, the number of refugees has risen to about 300,000 (ibid.). The health care system in Uganda In Uganda US33 $ per capita is spent on health care. Of the country‟s total health expenditure 18, 95% are governmental funding‟s which is about half of that in other sub Saharan countries as well as in other low income countries (Ministry of health, 2012). Health governance in Uganda is led by Ministry of health, MoH, together with other ministries, health development partners, district leadership as well as representatives of civil society organizations. The public sector includes national and regional hospitals. At the higher levels there are regional referral hospitals, and above these are the national referral hospitals. Entebbe general hospital is a regional hospital. MoH is responsible for the regulation and supervision of the health sector performance, but the supervision in government hospitals has been shown to be very irregular. In 2007 no visits at all were carried out (MoH, 2008).
Recommended publications
  • Environmental Consequences of Sand Mining on the Shores of Lake Victoria: a Case of Study of Kiyirira Village Katabi Sub Countø’, ~4 Akiso District
    Environmental Consequences of Sand mining on the shores of Lake Victoria: A case of study of Kiyirira Village Katabi Sub CountØ’, ~4 akiso District By LUUTU IVAN BEM/0993/21 /DU Supervised by DR. TWAHA BASAMBA ALl A research Report submitted in partial fulfillment of thep ward of the degree in Bachelor of En~ ironmental management of Kampala International University SEPTEMBER 2005 DECLARA ION I, Luutu Ivan, I declare that, this work is original and has not been submitted in part or whole, to any institution of higher learning or any University for any degree or other award. The s~urces of information quoted in here have been duly acknowledged. Signature~~~ Date ~OtO5 LUUTU IVAN This dissertation has been submitted with ñiy a~proval as the University supervisor. Signature.. Date..9— DR. TWAHA BASAMBA ALT DEDICAnON This work is dedicated to my Lord, Jesus Christ~ my dear family especially my mother, Ms. Nakalinzi Sarah who toiled to see me through my academic, arena and my late grandfather, Mr. Mukasa Joseph. 4 II ACNowLEJ~EME~ I acknowledge with sincere apprecia~joj and gratitude the assistance given to me by various people. Special thanks are extended to my supervi~ i.e. Dr. Twaha Basamba Au, Miss Tumushabe Ann and Mrs. Abesiga Nancy for their guidance, suggestio~ and encouragement through out the study. Lastly, am also grateful to my father, Mr. ICizito George, my brother and sisters, ICayizzi Henry, Namubiru Flavta, Namutebi Diana Vicky, my uncles, aunties as well as my grandmothe~~ I cannot also forget my colleagues who assisted me in one way or another when I needed their suppoft and encouragement especially, Ireri, Ammon, I4adija, Gibson, Peter, Henry, Opira and the rest.
    [Show full text]
  • Vote:752 Entebbe Municipal Council Quarter2
    Local Government Quarterly Performance Report FY 2017/18 Vote:752 Entebbe Municipal Council Quarter2 Terms and Conditions I hereby submit Quarter 2 performance progress report. This is in accordance with Paragraph 8 of the letter appointing me as an Accounting Officer for Vote:752 Entebbe Municipal Council for FY 2017/18. 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: Accounting Officer, Entebbe Municipal Council Date: 29/08/2019 cc. The LCV Chairperson (District) / The Mayor (Municipality) 1 Local Government Quarterly Performance Report FY 2017/18 Vote:752 Entebbe Municipal Council Quarter2 Summary: Overview of Revenues and Expenditures Overall Revenue Performance Ushs Thousands Approved Budget Cumulative Receipts % of Budget Received Locally Raised Revenues 4,313,592 2,705,669 63% Discretionary Government Transfers 6,002,056 766,052 13% Conditional Government Transfers 7,609,309 3,043,100 40% Other Government Transfers 30,000 5,751,205 19171% Donor Funding 0 0 0% Total Revenues shares 17,954,957 12,266,026 68% Overall Expenditure Performance by Workplan Ushs Thousands Approved Cumulative Cumulative % Budget % Budget % Releases Budget Releases Expenditure Released Spent Spent Planning 124,414 45,109 61,869 36% 50% 137% Internal Audit 47,230 22,879 22,879 48% 48% 100% Administration 1,609,033 872,146 872,146 54% 54% 100% Finance 1,049,758 1,051,096 1,051,096 100% 100% 100% Statutory Bodies 1,122,556 664,327 664,327
    [Show full text]
  • ENTEBBE MC BFP.Pdf
    Local Government Budget Framework Paper Vote: 752 Entebbe Municipal Council Structure of Budget Framework Paper Foreword Executive Summary A: Revenue Performance and Plans B: Summary of Department Performance and Plans by Workplan C: Draft Annual Workplan Outputs for 2013/14 Page 1 Local Government Budget Framework Paper Vote: 752 Entebbe Municipal Council Foreword This Budget Frame Work Paper has been prepared through wide consultations with the relevant stakeholders and it will serve as a background to the 2013/14 Budget. In particular, the paper will help the Municipality leaders to focus on the priorities and the level of expenditure that will enable execution of the mandated services efficiently and effectively using the available resources. The document has been prepared in line with the principals of the Fiscal Development Strategy (FDS), which introduces some flexibility in the recurrent non-wage grant allocation by the Local government. The main thrust for the next financial year will be to increase the Local Revenue by implementing the Revenue Enhancement Plan. We also hope to improve the productivity of the existing Revenue Resources so as to facilitate the sectors to enable them fulfill their mandates. Successful implementation of the planned activities will depend on availability and timely disbursement of funds as well as the proper coordination of ongoing programmes. I wish to thank the Central Government for its continued support, the council and the Municipal Planning Committee for the commitment and the Municipal Planning unit for the technical assistance rendered in the preparation of the Budget Framework Paper. ACKNOWLEDGEMENT This Budget Framework Paper is intended to facilitate the Budget preparatory process for the Financial Year 2013/14 by providing background information and identifying expenditure priorities for the medium term.
    [Show full text]
  • Vote: 555 Wakiso District Structure of Budget Estimates - PART ONE
    Local Government Budget Estimates Vote: 555 Wakiso District Structure of Budget Estimates - PART ONE A: Overview of Revenues and Expenditures B: Detailed Estimates of Revenue C: Detailed Estimates of Expenditure D: Status of Arrears Page 1 Local Government Budget Estimates Vote: 555 Wakiso District A: Overview of Revenues and Expenditures Revenue Performance and Plans 2012/13 2013/14 Approved Budget Receipts by End Approved Budget June UShs 000's 1. Locally Raised Revenues 2,144,169 1,791,635 3,239,245 2a. Discretionary Government Transfers 3,059,586 2,970,715 2,942,599 2b. Conditional Government Transfers 32,601,298 31,996,803 36,235,037 2c. Other Government Transfers 10,299,801 4,724,322 4,865,053 3. Local Development Grant 962,178 652,142 991,290 4. Donor Funding 0 795,158 Total Revenues 49,067,033 42,135,617 49,068,381 Expenditure Performance and Plans 2012/13 2013/14 Approved Budget Actual Approved Budget Expenditure by UShs 000's end of June 1a Administration 1,673,530 1,422,732 1,658,273 2 Finance 876,480 826,781 981,379 3 Statutory Bodies 996,706 786,619 1,242,096 4 Production and Marketing 3,314,816 3,219,151 3,191,107 5 Health 5,350,708 5,126,200 6,580,574 6 Education 24,488,156 23,891,768 27,393,555 7a Roads and Engineering 9,464,392 3,891,931 4,560,385 7b Water 1,007,375 652,692 972,899 8 Natural Resources 467,285 286,132 615,856 9 Community Based Services 848,277 724,202 712,587 10 Planning 409,569 422,709 983,878 11 Internal Audit 169,739 107,085 175,793 Page 2 Local Government Budget Estimates Vote: 555 Wakiso District 2012/13 2013/14 Approved Budget Actual Approved Budget Expenditure by UShs 000's end of June Grand Total 49,067,033 41,358,002 49,068,381 Wage Rec't: 24,004,735 23,918,051 27,484,152 Non Wage Rec't: 16,069,523 11,035,117 12,068,153 Domestic Dev't 8,992,775 6,404,834 8,720,918 Donor Dev't 0 0 795,158 Page 3 Local Government Budget Estimates Vote: 555 Wakiso District B: Detailed Estimates of Revenue 2012/13 2013/14 UShs 000's Approved Budget Receipts by End Approved Budget of June 1.
    [Show full text]
  • Vote: 752 Entebbe Municipal Council Structure of Workplan
    Local Government Workplan Vote: 752 Entebbe Municipal Council 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 2012/13 D: Details of Annual Workplan Activities and Expenditures for 2012/13 Page 1 Local Government Workplan Vote: 752 Entebbe Municipal Council Foreword Entebbe Municipal Council plans to spend 13,129,558,000/= during the FY2012/13 as listed below:- LR=2,182,639,000/= (16.6% of the budget), Discretionary Govt transfers=773,986,000/= (5.9%of the total budget),Conditional Govt transfers 4,098,108,000/= (31% of the budget), Other Govt transfers 5,824,150,000/= (44.6% of the budget) and lastly LDG of 250,675,000/= (1.9% of the budget). Page 2 Local Government Workplan Vote: 752 Entebbe Municipal Council Executive Summary Revenue Performance and Plans 2011/12 2012/13 Approved Budget Receipts by End Approved Budget June UShs 000's 1. Locally Raised Revenues 1,872,166 940,587 1,995,231 2a. Discretionary Government Transfers 917,345 906,306 773,986 2b. Conditional Government Transfers 3,490,835 3,471,491 4,098,108 2c. Other Government Transfers 2,454,377 1,034,840 1,087,946 3. Local Development Grant 250,878 238,334 250,675 Total Revenues 8,985,601 6,591,558 8,205,946 Revenue Performance in 2011/12 Entebbe Municipal council planned to collect local revenue(LR) of Shs 1,872,166,000/= and by June 2012 it achieved 50.2% (shs.
    [Show full text]
  • Motivation and Employee Performance in Public Pharmaceutical Sector in Uganda: a Case of National Medical Stores Nabulya Olivi
    MOTIVATION AND EMPLOYEE PERFORMANCE IN PUBLIC PHARMACEUTICAL SECTOR IN UGANDA: A CASE OF NATIONAL MEDICAL STORES BY NABULYA OLIVIA KINTU 2016/FEB/MHRM/M219129/WKD A DISSERTATION SUBMITTED TO THE SCHOOL OF BUSINESS ADMINISTRATION IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE AWARD OF THE DEGREE OF MASTERS OF SCIENCE IN HUMAN RESOURCE MANAGEMENT OF NKUMBA UNIVERSITY OCTOBER, 2018 1 DECLARATION I hereby declare that this of dissertation titled “Motivation and Employee Performance in Public Pharmaceutical Sector in Uganda, focusing on National Medical Stores" is my own work towards the accomplishment of Masters degree in Human Resource Management and that, to the best of my knowledge, it contains no material previously published by another person nor material which has been accepted for the award of another degree of the University except where due acknowledgement has been made in the text. However, references from the work of others have been clearly stated. Signature:...................................................................................... NABULYA OLIVIA KINTU Date: ................................................................................................. i APPROVAL This research dissertation is submitted to the School of Business Administration with my approval as the research supervisor. SIGNATURE……………………….………..……………….………….. Dr. E.B. Mugerwa (Supervisor) DATE……………………………………..……………….……………… ii DECLARATION I dedicate this report to Almighty God, my parents, Mr. Ben Kintu and Mrs. Mary Kamya Kintu, my Mother Mrs. Jane Kayizi (late) my brothers, Sisters, my husband and children and Mr. Francis Ssengendo who morally and financially supported me through my academics and finally to all those who encouraged and believed with me that I can make it despite ups and downs that I went through. Thank you Lord…... iii ACKNOWLEDGEMENT My gratitude goes to the Almighty God for granting me good health, guidance, and helping me this far in my education.
    [Show full text]
  • Study Protocol
    Study Protocol Title: Does Neonatal BCG Immunisation Provide Protection Against Heterologous Invasive Infectious Disease by Stimulating the Innate Immune System? ISRCTN: 59683017 Names of applicants: 1) Dr Sarah Prentice 2) Dr Stephen Cose Position of applicants: 1) Wellcome Trust Clinical Fellow, London School of Hygiene and Tropical Medicine, UK 2) Senior Immunologist, MRC/UVRI Uganda Research Unit on AIDS, Entebbe, UG Lecturer in Immunology, London School of Hygiene & Tropical Medicine, London, UK Hon. Senior Lecturer, Makerere University College of Health Sciences, Kampala, UG Sponsor Professor Alison M. Elliott, Programme Head, MRC/UVRI Uganda Research Unit on AIDS, Entebbe, UG Professor of Tropical Medicine, London School of Hygiene & Tropical Medicine, London, Primary Supervisor Dr Stephen Cose Senior Immunologist, MRC/UVRI Uganda Research Unit on AIDS P.O Box 49, Entebbe, Uganda Lecturer in Immunology, London School of Hygiene & Tropical Medicine, London, UK Hon. Senior Lecturer, Makerere University College of Health Sciences, Kampala, UG Secondary Supervisor Professor Hazel Dockrell Professor of Immunology London School of Hygiene & Tropical Medicine, Keppel Street, London WC1E 7HT, UK. Clinical Trial Sponsor London School of Hygiene and Tropical Medicine Collaborating Institutions Dr Moses Muwanga, Medical Superintendent, Entebbe General Hospital, Entebbe, UG Dr Robert Asaba, Medical Superintendent, Kisubi Hospital, Kisubi, UG London School of Hygiene & Tropical Medicine, UK Dr Alexander Drakesmith, Weatherall Institute for
    [Show full text]
  • Factors Associated with Early Discontinuation of Contraceptive Implants Among Women of Reproductive Age in Wakiso District, a Facility Based Cross-Sectional Study
    FACTORS ASSOCIATED WITH EARLY DISCONTINUATION OF CONTRACEPTIVE IMPLANTS AMONG WOMEN OF REPRODUCTIVE AGE IN WAKISO DISTRICT, A FACILITY BASED CROSS-SECTIONAL STUDY BY DDUNGU UMARU MB.Ch.B (Mak) A DISSERTATION SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE AWARD OF MASTERS OF PUBLIC HEALTH OF MAKERERE UNIVERSITY NOVEMBER 2019 APPROVAL i DECLARATION ii ACKNOWLEDGEMENT I extend my gratitude and sincere appreciation to all those that supported me in ensuring that this study is a success. My sincere thanks go to my supervisors Dr. Simon Peter Kibira and Mr. Ssenyonga for availing adequate time for engagements and support during the period of the study. I also thank the district health team especially health facility in-charges of Wakiso district for support and coordination during data collection in their respective facilities. Special recognition goes to Dr. Sseviri Mathias, Betty Nabuuma and Namulondo Edith sharing information about the district during literature review. Special thanks go to my research assistants who were committed and provided valuable time in data collection. They included Nabagesera Prever, Nakiyimba Viola, Tindimweebwa Ruth, Nakalembe Margaret Bateera Ann and all assistants from private health facilities who participated in data collection. On a similar note, I also thank all respondents who participated in the study for their time and efforts to respond to questions as honestly as possible. Lastly, appreciate the support from my work manager Dr. Kirima Andrew who provided a favorable studying environment
    [Show full text]
  • Uganda Pdf Icon[187 KB, 2 Pages]
    INTERNATIONAL ACTIVITIES REPORT FY 2014–2015 UGANDA OVERVIEW Since 2008, the Centers for Disease Control and HIGHLIGHTS Prevention (CDC) has provided funding to the Uganda • Hosted two Symposia where we disseminated National Influenza Center (NIC). The aim of the data on influenza in Uganda. cooperative agreement is to consolidate achievements • Inaugurated the Uganda National Immunization in influenza surveillance from the first round of funding Technical Advisory Group (UNITAG). and develop a sustainability plan. In 2014, new funding • Presented the National Immunization Policy to was provided by CDC to assist Uganda in defining Uganda Parliament. a road map for introduction of seasonal influenza • Organized a meeting for the Influenza Technical vaccines and their increased use through a process of Committees of the UNITAG and KENITAG (Kenya informed analysis of available scientific evidence and National Immunization Advisory Group) to assessment of the needs and barriers. explore possibilities for collaboration. SURVEILLANCE We have maintained an efficient routine influenza LABORATORY surveillance system in Uganda that collects, analyzes The laboratory received 2,093 SARI samples and 1,781 and reports quality data on severe acute respiratory ILI samples from the sentinel sites. All samples were infections (SARI) and/or influenza-like illness (ILI), and tested. We did not discard any samples, an indication it includes virologic and epidemiologic data on both that the sample collection, storage, and transportation children and adults. The system collects, analyses and are doing well. There were 178 (8.5%) SARI and 275 reports epidemiologic and virologic data on both (15.4%) ILI samples positive for an influenza virus. All mild and severe influenza-associated disease from positive samples were subtyped.
    [Show full text]
  • ATOMIC ENERGY COUNCIL (AEC) Protecting the Public and Environment
    ATOMIC ENERGY COUNCIL (AEC) Protecting the Public and Environment ! ATOMIC ENERGY COUNCIL ENHANCES FACILITY COMPLIANCE WITH RADIATION PROTECTION AND NUCLEAR SAFETY The Atomic Energy Council (AEC) has continued to nuclear safety is verified through the authorization and implementation of the radiation safety requirements of Council will deal with this as the law provides. The public is facilities which are licensed to avoid or mitigate the risks make tremendous progress in regulating Atomic Energy inspection processes by assessing the levels of compliance the Atomic Energy Act No.24 of 2008 and Atomic Energy encouraged to inform the Council about facilities operating associated with unregulated exposure to ionizing radiation applications in the country. Established by the Atomic Energy with regulatory requirements. Regulations, 2012. During the same period, 1463 radiation without authorization for the necessary action to protect the which may cause radiation hazards dangerous to human Act No.24 of 2008(AEA,2008) the Council is mandated to safety inspections have been conducted. These inspections public from any risks associated with ionizing radiation. health. regulate the peaceful applications of ionizing radiation in Over the last five financial years, there has been significant include announced, unannounced, follow-up and special Uganda to provide for the protection and safety of society and improvement in compliance levels in radiation protection, inspections. A lot of progress has been made in Management AEC will continue to liaise with unlicensed facilities to provide The table below shows the licensed and unlicensed facilities environment from dangers resulting from ionizing radiation. nuclear safety and nuclear security in the country. In the of disused and orphaned radioactive sources, Environmental them with the appropriate regulatory guidance concerning as at 15/12/2020.
    [Show full text]
  • 11932258 01.Pdf
    䌎䌯㪅 ࠙ࠟࡦ࠳࿖ ਛᄩ࠙ࠟࡦ࠳࿾ၞක≮ᣉ⸳ᡷༀ⸘↹ Ḱ஻⺞ᩏ㧔੍஻⺞ᩏ㧕 ႎ๔ᦠ ᐔᚑᐕ᦬ 㧔ᐕ㧕 ⁛┙ⴕ᡽ᴺੱ࿖㓙දജᯏ᭴ ၮ⋚ 㪡㩷㪩 ⚻ᷣၮ⋚㐿⊒ㇱ 㪇㪐㪄㪇㪋㪌 ࠙ࠟࡦ࠳࿖ ਛᄩ࠙ࠟࡦ࠳࿾ၞක≮ᣉ⸳ᡷༀ⸘↹ Ḱ஻⺞ᩏ㧔੍஻⺞ᩏ㧕 ႎ๔ᦠ ᐔᚑᐕ᦬ 㧔ᐕ㧕 ⁛┙ⴕ᡽ᴺੱ࿖㓙දജᯏ᭴ ⚻ᷣၮ⋚㐿⊒ㇱ ᐨ ᢥ ᣣᧄ࿖᡽ᐭߪ࠙ࠟࡦ࠳࿖ߩⷐ⺧ߦၮߠ߈ޔห࿖ߩޟਛᄩ࠙ࠟࡦ࠳࿾ၞක≮ᣉ⸳ᡷୃ⸘↹ޠߦଥࠆḰ ஻⺞ᩏ㧔੍஻⺞ᩏ㧕ࠍⴕ߁ߎߣࠍ᳿ቯߒޔ⁛┙ⴕ᡽ᴺੱ࿖㓙දജᯏ᭴ߪᐔᚑ 20 ᐕ 11 ᦬ 2 ᣣࠃࠅᐔᚑ 20 ᐕ 11 ᦬ 26 ᣣ߹ߢ⺞ᩏ࿅ࠍ⃻࿾ߦᵷ㆜ߒ߹ߒߚޕ ߎߩႎ๔ᦠ߇ޔ੹ᓟ੍ቯߐࠇࠆᧄᩰ⺞ᩏߩታᣉޔߘߩઁ㑐ଥ⠪ߩෳ⠨ߣߒߡᵴ↪ߐࠇࠇ߫ᐘ޿ߢߔޕ ⚳ࠊࠅߦޔ⺞ᩏߦߏදജߣߏᡰេࠍ޿ߚߛ޿ߚ㑐ଥฦ૏ߦኻߒޔᔃࠃࠅᗵ⻢↳ߒ਄ߍ߹ߔޕ ᐔᚑ 21 ᐕ 3 ᦬ ⁛┙ⴕ᡽ᴺੱ࿖㓙දജᯏ᭴ ⚻ᷣၮ⋚㐿⊒ㇱ㐳 㤥ᩉ ବਯ ⋡ ᰴ ⋡ ᰴ ࿾ ࿑ ౮ ⌀ ⇛⺆⴫ ╙㧝┨ ⺞ᩏ᭎ⷐ ·············································································································································1 㧝㧙㧝 ⷐ⺧ౝኈ ·········································································································································1 㧝㧙㧞 ⺞ᩏ⋡⊛ ·········································································································································2 㧝㧙㧟 ⺞ᩏ࿅ߩ᭴ᚑ··································································································································2 㧝㧙㧠 ⺞ᩏᣣ⒟ ·········································································································································3 㧝㧙㧡 ਥⷐ㕙⺣⠪······································································································································3 㧝㧙㧢 ⺞ᩏ⚿ᨐ᭎ⷐ··································································································································5 㧝㧙㧢㧙㧝 వᣇߣߩද⼏⚿ᨐ ··············································································································5
    [Show full text]
  • UGANDA MEDIA CENTRE Ministry of ICT and National Guidance
    UGANDA MEDIA CENTRE Ministry of ICT and National Guidance Thank You Uganda Cranes You unified the Nation! INDEPENDENCE DAY 9TH OCTOBER 2016 EAC ANTHEM CONTENTS Verse 1 Ee Mungu twaomba ulinde Foreward 1 Jumuiya Afrika Mashariki Tuwezeshe kuishi kwa amani Editors Note 3 Tutimize na malengo yetu IGAD Summit in Somalia 4 Promoting Patriotism, National Unity and Hard Work 9 Chorus Jumiya Yetu sote tuilende The 23 Directives 13 Tuwajibike tuimarike Kisanja Hakuna Mchezo 14 Umoja wetu ni nguzo yetu Idumu Jumuiya yetu. Uganda Cranes Oyee 17 Branding 20 Verse 2 Uganda’s Contribution in Africa 23 Uzalendo pia mshikamano Viwe msingi wa Umoja wetu Evolution of Uganda’s Economy 26 Natulinde Uhuru na Amani Evolvement of Transport in Uganda 29 Mila zetu Na desturi zetu. Modern Abattoir 32 Verse 3 Ministry of ICT and National Guidance 34 Viwandani na hata mashambani Strides in Health Sector 37 Tufanye kazi sote kwa makini Energy Sector 40 Tujitoe kwa hali na mali Tuijenge Jumuiya bora Bee Farming in Busoga 43 Religious Criminality 46 Operation Fika Salama 48 UGANDA NATIONAL ANTHEM Cocoa Farming in Uganda 50 1. Oh Uganda! May God uphold thee, Patriotism and Uganda’s Independence 52 We lay our future in thy hand. Corruption Delays Development 53 United, free, The Revival of the Agriculture Sector 56 For liberty Middle Income Status Achievable 59 Together we’ll always stand. The Journey of Cooperatives 62 2. Oh Uganda! The land of freedom. Tourism Contribution to the Economy 66 Our love and labour we give, REDD+ 69 And with neighbours all At our country’s call Evolution of Coffee Production in Uganda 72 In peace and friendship we’ll live.
    [Show full text]