Medical and Health Sciences

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Browsing Medical and Health Sciences by Author "Budget Monitoring and Accountability Unit"

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    Access to Health Care Services. Experiences of Persons Living with Disabilities in Eastern and Northern Uganda
    (Budget Monitoring and Accountability Unit, 2019) Budget Monitoring and Accountability Unit
    Over the last two decades, the Government of Uganda (GoU) has increased access to health services through various programmes and projects including investment in health infrastructure, medicines and other health supplies; and human resource development. Despite the investments, the desired universal health coverage is far from attainment as some sections of the population (persons with disabilities and or clients with special conditions) fail to have easy access to basic health care services. Article 25 of the UN Convention on the Rights of Persons with disabilities (CRPD) states that Parties recognize that persons with disabilities have the right to the enjoyment of the highest attainable standard of health without discrimination on the basis of disability. It also states Parties shall take all appropriate measures to ensure access for persons with disabilities to health services that are gender-sensitive, including health-related rehabilitation. This briefing paper presents the experiences of persons living with disabilities while seeking health care from selected Health Center IVs (Mungula,Yumbe, Aboke, Kiyunga, Budondo, Busesa, Midigo) in Eastern and Northern Uganda. The issues identified in this paper are a proxy of the status of service delivery at all levels of care thus the proposed recommendations are aimed at addressing overall sector service delivery challenges.
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    Nutrition: A path way to reducing maternal and child mortality that must be strengthened
    (Budget Monitoring and Accountability Unit, 2019) Budget Monitoring and Accountability Unit
    Uganda faces various nutrition challenges. Today 29% of Uganda’s children aged 6-59 months are stunted (short for their age), 4% are wasted (thin for their height), 11% are under weight (low weight for their age) and another 4% over weight (high weight for their age), according to the 2016 Uganda Demographic Health Survey. Adequate nutrition is a prerequisite for human development and socio-economic wellbeing. Optimal maternal nutrition is an important contributor to the survival of both the mother and child, and promotes women's overall health, productivity, and well-being.This policy brief highlights the progress made by the health sector in addressing malnutrition, identifies the gaps and what needs to be done to overcome them. The analysis reviews available literature on nutrition and government policy documents such as the second National Development plan.
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    Unclear unit costs of collection, limits availability of blood in health facilities
    (Budget Monitoring and Accountability Unit, 2019) Budget Monitoring and Accountability Unit
    Blood is a vital health care resource used in a number of clinical services worldwide. According to the Uganda Blood Transfusion Services Strategic Plan (2010-2015), it is very key in prevention and treatment of anemia, reduction of mortality among women and children, prevention of HIV/AIDS, attendance to accidents and emergencies among others. Over the years, budget allocations to blood provision have been increasing in both nominal and real terms. However, the change in targets is minimal and the country continues to suffer blood shortages with over 2,000 deaths annually over the years. A total of 10,000 lives have been lost due to anemia in the last four years (2014/15 to 2017/18). Some of the deaths are preventable given availability of blood and timely transfusions. This policy brief highlights trends and linkage between annual budgetary allocations and safe blood provision targets in relation to amounts of units of blood collected, tested and issued to health facilities. The scope of the analysis covers 11 years from FY 2007/08 to FY 2017/18.