Uganda: Aligning Local and National Concern for Maternal Health Case Study (Full) | Jillian Larsen | December 2014
Total Page:16
File Type:pdf, Size:1020Kb
Load more
Recommended publications
-
Abortion and Postabortion Care in Uganda
FACT SHEET Abortion and Postabortion Care in Uganda ■■ Despite large reductions in pregnancy- ■■ The abortion rate for Uganda is slightly challenge for the Ugandan health related deaths in Uganda over the past higher than the estimated rate for the system. two decades (the maternal mortality East Africa region as a whole, which ratio dropped from 684 per 100,000 was 34 per 1,000 women during High cost of abortion and live births in 1995 to 343 per 100,000 2010–2014. postabortion care in 2015), the high number of maternal ■■ The amount women pay for a clan- deaths there remains a public health ■■ Within Uganda, abortion rates vary destine abortion varies. In 2011–2012, challenge. widely by region, from 18 per 1,000 the average out-of-pocket cost for women in the Western region to 77 an unsafe procedure, treatment of ■■ Unsafe abortion continues to con- per 1,000 in Kampala. complications prior to arriving at a tribute significantly to this public health facility or both was US$23. In health problem: A 2010 report by the Availability of postabortion care 2003, an abortion was estimated to Ugandan Ministry of Health estimated ■■ Of the 2,300 health care facilities cost a woman US$25–88 if performed that 8% of maternal deaths were due across Uganda that can provide post- by a doctor, US$14–31 if performed to unsafe abortion. abortion care, an estimated 89% treat by a nurse or midwife, US$12–34 if postabortion complications. performed by a traditional healer and ■■ Ugandan law explicitly allows abor- US$4–9 if self-induced. -
The History of Resource Mobilization and Social Spending in Uganda
Working Paper 2014–6 The History of Resource Mobilization and Social Spending in Uganda Marianne S. Ulriksen and Mesharch W. Katusiimeh prepared for the UNRISD project on Politics of Domestic Resource Mobilization March 2014 UNRISD Working Papers are posted online to stimulate discussion and critical comment. The United Nations Research Institute for Social Development (UNRISD) is an autonomous research institute within the UN system that undertakes multidisciplinary research and policy analysis on the social dimensions of contemporary development issues. Through our work we aim to ensure that social equity, inclusion and justice are central to development thinking, policy and practice. UNRISD, Palais des Nations 1211 Geneva 10, Switzerland Tel: +41 (0)22 9173020 Fax: +41 (0)22 9170650 [email protected] www.unrisd.org Copyright © United Nations Research Institute for Social Development This is not a formal UNRISD publication. The responsibility for opinions expressed in signed studies rests solely with their author(s), and availability on the UNRISD Web site (www.unrisd.org) does not constitute an endorsement by UNRISD of the opinions expressed in them. No publication or distribution of these papers is permitted without the prior authorization of the author(s), except for personal use. Introduction to Working Papers on The Politics of Domestic Resource Mobilization for Social Development This paper is part of a series of outputs from the research project on The Politics of Domestic Resource Mobilization for Social Development. The project seeks to contribute to global debates on the political and institutional contexts that enable poor countries to mobilize domestic resources for social development. It examines the processes and mechanisms that connect the politics of resource mobilization and demands for social provision; changes in state-citizen and donor-recipient relations associated with resource mobilization and allocation; and governance reforms that can lead to improved and sustainable revenue yields and services. -
Palliative Care for People Living with HIV/AIDS in Uganda: an Investigation of Patients and Caregivers' Outcome and Professional Perspectives
Palliative Care for People Living with HIV/AIDS in Uganda: An Investigation of Patients and Caregivers' Outcome and Professional Perspectives By Wesley Too, BSe Nursing (Hons), MPH Thesis submitted to The University of Nottingham for the degree of Doctor of Philosophy ©October 2011 ABSTRACT Background: Although antiretroviral treatment is expanding in sub-Saharan Africa, the World Health Organization advocates for integration of palliative care with HAAR T because pain, other distressing symptoms and complex psychosocial challenges persist throughout the HIV trajectory. Palliative care improves the outcome for patients with HIV and may complement antiretroviral treatment by increasing adherence through better management of side effects from the treatment, providing patient and family-centred holistic care, and giving end-of-life care when necessary. However, integrating what have become two disciplines is challenging. Aim: To study the implications for palliative care provision in the context of changing policy to universal access to HAART for people living with advanced AIDS (PL WA) in Uganda. Research questions addressed in the study included: 1. How do patients with advanced AIDS (stage III and IV) and with palliative care needs and their families experience care delivery and receipt over a period of8 weeks? 2. How is the morphine roll-out programme among advanced AIDS patients operationalized in Uganda? 3. What are the challenges faced by health care workers involved in delivery and implementation of integrated palliative care for patients with advanced AIDS? 4. What are the views of key opinion leaders on development of palliative care policies in Uganda? Methods: A mixed methods approach was employed. -
Understanding Newborn Care in Uganda – Towards Future Interventions
From the Department of Health Policy, Planning and Management, Makerere University School of Public Health, College of Health Sciences, Kampala, Uganda and The Division of Global Health (IHCAR), Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden Understanding Newborn Care in Uganda – Towards Future Interventions Peter Waiswa MAKERERE UNIVERSITY Kampala and Stockholm 2010 The front cover pictures: the first shows a male community health worker making a home visit in the first week after birth. and the second picture shows two health newborn babies delivered under a skilled provider in a hospital setting. The picture at the back shows a a couple being transported to a health facility for delivery. Such motorcycles, commonly called boda boda, are a common means of transport in peri-urban Uganda. All pictures were taken by the Uganda Newborn Study team Published by Karolinska Institutet and Makerere University. Printed by Universitetservice US-AB © Peter Waiswa, 2010 ISBN 978-91-7409-869-3 To Daddy with honour and love “Knowing is not enough, we must apply; willing is not enough, we must do.” - Goethe ABSTRACT Background: The highest rates of newborn deaths are in Africa. Existing evidence-based interventions could reduce up to 72% of the 3.8 million newborn deaths which occur every year worldwide, but are yet to be operationalised at scale in sub-Saharan health systems. Aim: To explore community perceptions, determine uptake of evidence-based newborn care practices, and identity delays leading to newborn deaths in Uganda. Methods: Studies were conducted from 2007 to 2009 in Iganga and Mayuge districts in eastern Uganda, and in an embedded Health Demographic Surveillance Site (HDSS) as follows: Qualitative methods with focus group discussions and in-depth interviews (I and IV); a population based cross-sectional study (II) and a case series approach of newborn deaths in the HDSS (III); and a health facility survey (III and IV). -
October 8, 2014 the Africa Commission on Human And
October 8, 2014 The Africa Commission on Human and Peoples’ Rights Re: Supplementary Information on Uganda scheduled for review by the Africa Commission on Human and Peoples’ Rights during its 56th Ordinary Session Introduction This letter is intended to supplement the periodic report submitted by Uganda, to the African Commission on Human and Peoples’ Rights (the African Commission) in keeping with Article 62 of the Africa Charter on Human and Peoples’ Rights (Africa Charter),1 which will be reviewed by the Commission. The Center for Reproductive Rights (the Center), a global legal advocacy organization with headquarters in New York, and offices in Nairobi, Bogotá, Kathmandu, Geneva, and Washington, D.C., and the Center for Health, Human Rights and Development (CEHURD) a Ugandan non-governmental organization hope to further the work of the Commission by providing independent information on the rights protected in the African Charter, the Protocol of the African Charter on Human and Peoples’ Rights on the Rights of Women in Africa (Maputo Protocol)2, and the African Charter on the Rights and Welfare of the Child (African Children’s Charter)3. The letter provides information on the following issues of greatest concern: lack of access to comprehensive family planning services and information, lack of access to safe abortion services and post-abortion care, the high rates of preventable maternal mortality and morbidity; discrimination against people living with HIV and AIDS; and discrimination against women and girls, including violence, and forced pregnancy testing and expulsion of pregnant school girls. The information in this letter regarding unsafe abortion and lack of access to family planning information and services is drawn from the Center’s fact-finding report, The Stakes are High: The Tragic Impact of Unsafe Abortion and Inadequate Access to Contraception in Uganda (the Stakes are High), 4 which has been submitted with this letter. -
Maternal Healthcare in Eastern Uganda: the Three Delays, Mothers Making Empowered Choices, and Combatting Maternal Mortality Emma Gier SIT Study Abroad
SIT Graduate Institute/SIT Study Abroad SIT Digital Collections Independent Study Project (ISP) Collection SIT Study Abroad Summer 2016 Maternal Healthcare in Eastern Uganda: The Three Delays, Mothers Making Empowered Choices, and Combatting Maternal Mortality Emma Gier SIT Study Abroad Follow this and additional works at: https://digitalcollections.sit.edu/isp_collection Part of the African Studies Commons, Family Medicine Commons, Health Policy Commons, Maternal and Child Health Commons, Nursing Midwifery Commons, Obstetrics and Gynecology Commons, Pediatrics Commons, and the Women's Health Commons Recommended Citation Gier, Emma, "Maternal Healthcare in Eastern Uganda: The Three Delays, Mothers Making Empowered Choices, and Combatting Maternal Mortality" (2016). Independent Study Project (ISP) Collection. 2442. https://digitalcollections.sit.edu/isp_collection/2442 This Unpublished Paper is brought to you for free and open access by the SIT Study Abroad at SIT Digital Collections. It has been accepted for inclusion in Independent Study Project (ISP) Collection by an authorized administrator of SIT Digital Collections. For more information, please contact [email protected]. Fall 16 Maternal Healthcare in Eastern Uganda: The Three Delays, Mothers Making Empowered Choices, and Combatting Maternal Mortality Emma Gier Charlotte Mafumbo | SIT Uganda: Development Studies Fall 2016 Eastern Uganda: Mbale District, Manafwa District and Kween District “She’s happy. She comes and she smiles with her beautiful baby girl. So, you touch people’s lives and likewise their lives touch you sometimes. It’s really nice being w ith people.” – A M i d w i f e I want to dedicate this project to all mothers, as being a mother is the most difficult job around. -
Facing Uganda's Law on Abortion
FACING UGANDA’S LAW ON ABORTION Experiences from Women & Service Providers July 2016 social justice in health I Foreword ganda’s law on abortion prohibits several acts and omissions relating to abortion and We need all of the help that we can get to reduce the prevalence of maternal mortality in Usets out to punish women and health workers who perform any of the prohibited acts. Uganda. With unsafe abortions contributing to over a quarter of all maternal mortality in And yet it should also be noted that every woman has a right to make decisions relating to Uganda, there is need to address the underlying factors that lead women into seeking unsafe her reproductive health and this decision includes the right to terminate or keep a pregnancy. abortions. Health workers need to operate in an environment without fear of being arrested This right can be read into the obligation of the state to provide medical services to the and harassed. In turn, women should be able to seek safe abortion services knowing that population, to enable women in exercising their full reproductive and maternal functions they will not suffer stigma or be punished for services they need. and the exception to the right to life that prescribes the development of a law that provides for instances in which a pregnancy may be terminated. Clarifying Uganda’s abortion law should be accompanied by the expansion of instances for which abortion can be accessed –such as cases of incest, rape, defilement and other Abortion affects girls, women, health workers, lawyers, police, and communities, with indications in which the health and life of the woman may be threatened. -
Tuberculosis Treatment Adherence in Lima, Peru Gorgeous!
Practicum Topics Serving Size: 1 Practicum per Student Servings per e-Magazine: 10 Continents/Regions 5 Countries 9 Student International Practicum Experiences AFRICA Ghana: MOTECH Program Evaluation Sharon Attipoe-Dorcoo Uganda: Maternal & Child Health Caryn Turner Ethiopia: Integrated Family Health Program Tseday Woubishet EUROPE Switzerland: World Health Organization, HIV/AIDS Katelyn Kassarjian NORTH AMERICA Canada: Training Lay Inuit Health Workers Véronique Morin SOUTH AMERICA Colombia: Child Health in Bogotá Christopher Kaipust Peru: Tuberculosis Treatment Adherence Brian Lackey Guatemala: Hygiene and Sanitation in Xela Stephanie Ossowski Guatemala: Water Sanitation & Hygiene Gabriela Villanueva SOUTH EAST ASIA Philippines: Multi-Drug Resistant Tuberculosis Lilalyn Punsalan MOTECH PROGRAM EVALUATION Highlights Schematic of the Overall MOTECH had a positive impact MOTECH on access to healthcare for pregnant information flow women in the Kassena Nankana district of the Upper East region. The rates of access to NoANC decreased with MOTECH implementation, from 11.2% Grameen Foundation to 2.1% with women been six times Report. “Mobile Technology more likely to have antenatal care under for Community Health in MOTECH than without. Ghana.” Second Edition September 2012. From an efficiency standpoint, the long term impact on health costs with MOTECH implementation is positive with an incremental cost of $74,756 for MOTECH to be added to the existing CHPS strategy. Mobile Technology for Community Health in Ghana. By: Sharon Attipoe-Dorcoo Kassena Nankana in the Upper East region of The government of Ghana decided to implement a Ghana was done to assess the health outcome Advice community-driven healthcare effort in 2000 on women registered in the program with pre- known as CHPS (Community-based Health MOTECH (2009) and post-MOTECH (2011) • Program evaluation is a Planning and Services Initiative). -
A History of Ethnicity in the Kingdom of Buganda Since 1884
Peripheral Identities in an African State: A History of Ethnicity in the Kingdom of Buganda Since 1884 Aidan Stonehouse Submitted in accordance with the requirements for the degree of Ph.D The University of Leeds School of History September 2012 The candidate confirms that the work submitted is his own and that appropriate credit has been given where reference has been made to the work of others. This copy has been supplied on the understanding that it is copyright material and that no quotation from the thesis may be published without proper acknowledgement. Acknowledgments First and foremost I would like to thank my supervisor Shane Doyle whose guidance and support have been integral to the completion of this project. I am extremely grateful for his invaluable insight and the hours spent reading and discussing the thesis. I am also indebted to Will Gould and many other members of the School of History who have ably assisted me throughout my time at the University of Leeds. Finally, I wish to thank the Arts and Humanities Research Council for the funding which enabled this research. I have also benefitted from the knowledge and assistance of a number of scholars. At Leeds, Nick Grant, and particularly Vincent Hiribarren whose enthusiasm and abilities with a map have enriched the text. In the wider Africanist community Christopher Prior, Rhiannon Stephens, and especially Kristopher Cote and Jon Earle have supported and encouraged me throughout the project. Kris and Jon, as well as Kisaka Robinson, Sebastian Albus, and Jens Diedrich also made Kampala an exciting and enjoyable place to be. -
Uganda Hospital and Health Centre IV Census Survey 2014
THE REPUBLIC OF UGANDA MINISTRY OF HEALTH Uganda Hospital and Health Centre IV Census Survey 2014 THE REPUBLIC OF UGANDA MINISTRY OF HEALTH Uganda Hospital and Health Centre IV Census Survey 2014 2 4 6 Table of Contents FOREWORD MINISTER ............................................................................................................................ 3 ACKNOWLEDGEMENT ............................................................................................................................. 5 Table of Contents .................................................................................................................................... 7 List of tables ............................................................................................................................................ 9 List of figures ......................................................................................................................................... 11 List of Acronyms .................................................................................................................................... 17 EXECUTIVE SUMMARY .......................................................................................................................... 18 INTRODUCTION ..................................................................................................................................... 32 1.1. Background ............................................................................................................................ -
Reaching Poor People with Services in Sexual and Reproductive Health: an Evaluation of the IPPF
Sida Evaluation 06/55:1 Reaching Poor People with Services in Sexual and Reproductive Health: An Evaluation of the IPPF Volume 2: Country Reports from Bangladesh, Uganda and Ethiopia Kim Forss Marilyn Lauglo Anna Nilsdotter Department for Democracy and Social Development Reaching Poor People with Services in Sexual and Reproductive Health: An Evaluation of the IPPF Volume 2: Country Reports from Bangladesh, Uganda and Ethiopia Kim Forss Marilyn Lauglo Anna Nilsdotter Sida Evaluation 06/55:1 Department for Democracy and Social Development This report is part of Sida Evaluations, a series comprising evaluations of Swedish development assistance. Sida’s other series concerned with evaluations, Sida Studies in Evaluation, concerns methodologically oriented studies commissioned by Sida. Both series are administered by the Department for Evaluation and Internal Audit, an independent department reporting directly to Sida’s Board of Directors. This publication can be downloaded/ordered from: http://www.sida.se/publications Authors: Kim Forss, Marilyn Lauglo, Anna Nilsdotter. The views and interpretations expressed in this report are the authors’ and do not necessarily refl ect those of the Swedish International Development Cooperation Agency, Sida. Sida Evaluation 06/55:1 Commissioned by Sida, Department for Democracy and Social Development Copyright: Sida and the authors Registration No.: 2005-005718 Date of Final Report: November 2006 Printed by Edita Communication AB, 2006 Art. no. Sida32385en ISBN 91-586-8248-1 ISSN 1401— 0402 SWEDISH INTERNATIONAL DEVELOPMENT COOPERATION AGENCY Address: SE-105 25 Stockholm, Sweden. Offi ce: Valhallavägen 199, Stockholm Telephone: +46 (0)8-698 50 00. Telefax: +46 (0)8-20 88 64 E-mail: [email protected]. -
Evidence from the Demographic and Health Surveys
Causes of Health Inequalities in Uganda: Evidence from the Demographic and Health Surveys RESEARCH SERIES No. 96 CAUSES OF HEALTH INEQUALITIES IN UGANDA: EVIDENCE FROM THE DEMOGRAPHIC AND HEALTH SURVEYS SSEWANYANA SARAH KASIRYE IBRAHIM OCTOBER, 2012 Economic Policy Research Centre - EPRC Causes of Health Inequalities in Uganda: Evidence from the Demographic and Health Surveys RESEARCH SERIES No. 96 CAUSES OF HEALTH INEQUALITIES IN UGANDA: EVIDENCE FROM THE DEMOGRAPHIC AND HEALTH SURVEYS SSEWANYANA SARAH KASIRYE IBRAHIM OCTOBER, 2012 Economic Policy Research Centre - EPRC Causes of Health Inequalities in Uganda: Evidence from the Demographic and Health Surveys Copyright © Economic Policy Research Centre (EPRC) The Economic Policy Research Centre (EPRC) is an autonomous not-for-profit organization established in 1993 with a mission to foster sustainable growth and development in Uganda through advancement of research –based knowledge and policy analysis. Since its inception, EPRC has made significant contributions to national and regional policy formulation and implementation in the Republic of Uganda and throughout East Africa. The Centre has also contributed to national and international development processes through intellectual policy discourse and capacity strengthening for policy analysis, design and management. The EPRC envisions itself as a Centre of excellence that is capable of maintaining a competitive edge in providing national leadership in intellectual economic policy discourse, through timely research-based contribution to policy processes. Disclaimer: The views expressed in this publication are those of the authors and do not necessarily represent the views of the Economic Policy Research Centre (EPRC) or its management. Any enquiries can be addressed in writing to the Executive Director on the following address: Economic Policy Research Centre Plot 51, Pool Road, Makerere University Campus P.O.