Africa > East Africa > Uganda > Uganda Health Profile

Uganda: Uganda Health Profile

2015/01/29

mulago-hospital

The Health sector led by the Ministry of Health is focused on the attainment of a good standard of health for all Ugandans through promotion of a healthy productive life and reductions in mortality and morbidity from the major causes of ill health and premature death.
For example in year 2011, the health sector achieved progress by increasing availability of basic medicines and also achieved the following:

  • Immunization rates of children against major killer diseases of 90%.
  • Infant and maternal mortality rates have reduce to 54 per thousand persons and 352 per hundred thousand persons
  • Polio immunization coverage was 95 percent among the children below 5 years of age.

Regulatory Framework

Ministry of Health (MoH)
The Ministry of Health Uganda, is a government body set up with the responsibility of policy formulation and policy dialogue with Health Development Partners, resource mobilization and budgeting, strategic planning, regulation, advising other ministries on health matters, setting standards and quality assurance, capacity development and technical support, provision of nationally coordinated services such as epidemic control, coordination of health research and monitoring and evaluation of the overall sector performance.

Functions

  • For policy formulation and policy dialogue with Health Development Partners.
  • Resource mobilization and budgeting, strategic planning, regulation, advising other ministries on health matters.
  • Setting standards and quality assurance, capacity development and technical support.
  • Provision of nationally coordinated services such as epidemic control, coordination of health research and monitoring and evaluation of the overall sector performance.

National Medical Stores
NMS is responsible for ensuring continuous distribution of pharmaceutical products in a financially viable and sustainable manner. The Ministry of Health direct distributions to the Districts

National Drug Authority
The National Drug Authority was established as a regulatory body responsible for regulation of drugs in the country. It was established by the National Drug Policy and Authority (NDP/A) Act, Cap. 206 to ensure the availability at all times of essential, efficacious and cost effective drugs to the entire population of Uganda as a means of providing satisfactory health care and safeguarding the appropriate use of drugs.

The NDA is responsible for licensing and regulating the delivery of pharmaceuticals in Uganda and for testing all drugs including bioavailability and bioequivalence testing.

Uganda National Health Research Organisation
Responsible for coordination, alignment and harmonization of health research in the country it is the body that sets priorities for essential national health research and adherence to research ethics and good practice.

It comprises of two research institutes namely:

  • Uganda Virus Research Institute
  • National Chemotherapeutic Council

National Health Research Policy
This policy strengthens stewardship and governance of health research in the country and establishes a mechanism for alignment, harmonization and coordination of health research within the context of Uganda’s National Development Plan (NDP).

Uganda National Health Laboratory
This aims at providing a framework for ensuring that the health laboratory services in Uganda are strengthened so as to adequately support the effective and efficient delivery of the Uganda National Minimum Health Care Package (UNMHCP) to all people in Uganda, as advocated by the National Health Policy.

The key players in the provision of health services   include government, private sector , not for profit organisations, private health practitioners, traditional and complementary medical practitioners and the informal sector.

Characteristics of the sector

  • Uganda has scored a lot of success in the fight against HIV/AIDS
  • The population’s ability to purchase medicines and health supplies has generally improved over the recent past.
  • In Uganda, medicines are supplied through both the public and the private sectors
  • The health status indices of Uganda are still very low
  • Effective management of the healthcare sector is still lacking resulting in the misuse of the resources allocated to the sector by government.
  • Uganda’s doctor-to-patient ratio is low
  • The sector is suffering from inadequate funding for the development of the infrastructure

Health infrastructure in Uganda

  • A network of properly functioning health facilities is not yet attained.
  • The government hospital lack capacity to maintain the medical equipment.

Geographical access to health services

  • The national average for the percentage of people living within 5 kilometres radius to a health facility is estimated to be 57%
  • There are variations with access ranging from as low as 7% of the population within 5 kilometres of a health facility in Kotido to 100% in Jinja, Tororo and Kampala districts.
  • Rural communities are particularly affected mainly because health facilities are mostly located in towns along main roads.
  • Private health facilities to date are mainly more concentrated in urban centres than in the rural locales.