Sexual health in the UK and Caribbean

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Sexual health in the UK and Caribbean Prof
Laura Serrant-Green Professor of Community and
Public Health Nursing School of Health Social
Care, University of Lincoln
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The Ugandan experience Joash Magambo Ugandan
National Nursing Association Visiting
Commonwealth Fellow Public Health and Influence
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• PRESENTATION ON COMMUNITY HEALTH IN UGANDA
• AT THE CPHVA ANNUAL PROFESSIONAL CONFERENCE
• FROM 14TH 16TH OCTOBER 2009

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PRESENTED BY

• JOASH ISABIRYE MAGAMBO
• RN, BSN
• MULAGO NATIONAL REFERRAL HOSPITAL
• BRANCH SECRETARY UGANDA NURSES AND MIDWIVES UNION
  (UNMU)
• KAMPALA, UGANDA.

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OUTLINE OF THE PRESENTATION

• Introduction
• Health Systems In Uganda
• Gaps In Ugandas Health System
• Public Health Issues In Uganda
• Challenges In Public Health In Uganda
• Conclusion

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INTRO MAP OF AFRICA
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MAP OF UGANDA
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GEOGRAPHY OF UGANDA

• Uganda is Land locked and one of the African
  countries, in E. Africa
• Covers an area of 241,039 square kilometers.
• Shares its Borders with Kenya - East, Tanzania
  - South, Rwanda - South west, Sudan
  - North
• Has a decentralized system of government and
  other function coded to the local governments.

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Demographic Characteristics

• Total Population - 30 million
• Population growth rate - 3.4
• Doubling time - 21 years
• Life expectancy at birth - 42 yrs

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DEM Contd

• HIV Sero-prevalence - 6.2
• Infant Mortality Rate (IMR) - 88/1000 Live
  Births (L.B).
• Under 5 mortality rate - 157/1000 L.B.
• Maternal Mortality Ratio (MMR) - 435/100,000 L.B.

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Dem Contd

• FERTILITY
• The UDHS 2006 showed that the total fertility
  rate (TFR) is 6.7 births per woman in central
  7.9 births per woman in the northern regions.
• BIRTH INTERVALS
• The health status of young children, short
  births intervals closely associated with poor
  health of children (less) than 24 months after
  previous siblings).

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INTRO, Contd

• An efficient and effective health care system
  depends largely on having a carefully planned,
  effectively trained, equitably distributed and
  optimally utilized health worker force.
• In the achievement of an optimal balance in
  employee numbers, skill-mix, staff distribution,
  deployment and career progression to enhance
  attraction, staff motivation, retention,
  performance and maximum productivity.

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INTROD Contd

• Public health sector in Uganda has not had
  adequate information regarding the Human resource
  shortage at all levels of health care.
• This situation exerts serious operational
  constraints and human resource bottlenecks that
  impede the efficient running of public hospitals
  and lower level health facilities.

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HEALTH SYSTEMS IN UGANDA

• Infrastructure is grouped into
• National referrals (30 million people)
• Regional referrals (2 million people)
• District General Hospitals (500,000 people)

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Contd

• County Health Center IV ( 100,000 people)
• Sub-county Health center iii ( 200,000 people)
• Parish Health Center ii ( 5,000 people)
• Village Health center I ( 1,000 people)

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OVER VIEW OF THE NATIONAL HEALTH PROGRAMMES

• Uganda has instituted several policies to help
  improve the health status and life of its people.
  
• GOAL
• Is to influence future, demographic trends
  and patterns in desirable directions to improve
  the quality of life and standards of living of
  the people.

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AIMS OF THE HEALTH PROGRAMMES

• Reduce infant and child mortality.
• Reduce maternal mortality and fertility.
• To increase life expectancy of the population.
• Increase levels of full immunization among
  children.
• Increase levels of supervised deliveries.
• Increase the contraceptive prevalence rate.

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GAPS IN HEALTH SYSTEM

• HR Policy inadequate staffing especially in
  public health facilities (53 of the total
  required health workers)
• Population Policy High fertility rate in the
  region of 6.9
• HIV/AIDS Policy Prevalence rate static at 6.7
• Decentralization Policy Poor professional
  development, poor infrastructure, lack of staff
  accomodation at the Health facilities.
• Inadequate health sector financing of 7 of the
  National Budget lack of supplies and equipment
  in public health facilities.

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LINKAGE BETWEEN COMMUNITY AND HEALTH SYSTEM

• VILLAGE HEALTH TEAMS
• Sensitize the community members about primary
  health care services.
• Sanitation
• Immunization
• Family planning

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Contd

• Malaria control and prevention
• Nutrition
• DOTS for TB management
• Community mobilization on Health related programs
• To identify of community health needs.
• These Teams are linked to health Centre II

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CONCLUSION

• Well as Uganda has developed good health
  policies, little has been done to transform
  these policies into activities that improve the
  health Indicators of Uganda.
• Therefore Professional Organizations like the
  Uganda Nurses and Midwives Union need to partner
  with other organizations/institutions to
  supplement government efforts to address Health
  issues in Uganda

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Good services bring happiness to everybody
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Thank You For Your Attention
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