1. Public Health I Adolescent Girls I Northern Uganda
Chris I Diseases, Risks, Concerns Melissa I Medical Systems, Infrastructure
Angie I Gender Based Violence Luisa I Infant and Maternal Mortality

2. Health Risks I Diseases I Concerns

3. HIV/Aids
Malaria
Pregnancy
Water

4. HIV/Aids
Females 15+
60 % HIV Positive
30% correct knowledge
1,200,000 children orphaned
35% condom use

5. Malaria
Malaria is prevalent in all parts of country
Issues:
Insect protection
Only 30% of children under 5 have access to bed
nets

6. Water
sanitation vs. drinking
spreads infectious diseases
(recent hep.e / ebola outbreaks)
30% access to improved sanitation
40% children receive proper diarrhea treatment
continue cycle of infection

7. Medical Facilities in Uganda

8. Uganda Healthcare system
• 8.2 % of the national budget is dedicated to healthcare.
• The public healthcare system is structured by a referral system.
• Health Centre I (HC I)- a satellite health facility with no definite physical structure; it
is where health facility out-reach teams meet the community for EPI, Health
Education etc activities
• HC II- the closest structural Health facility to the community; it delivers the MAP
(Minimum Activity Package of the NMHCP). It is at parish level of the politico-
administrative system and serves a population of up to 5000.
• HC III- The facility that delivers the Intermediate Referral Activity Package (IRAP) of
the NMHCP It handles referrals from the HC II as well as referring to HC IV. By
level, it equates the sub-county level of the Local Government administration.
• HC IV- Is a mini hospital and delivers the CAP (Complimentary Activity Package). It

9. •Private health sector
•NGOs (Red Cross, OXFAM, Save the Children, etc...)
•Traditional medical practitioners (herbalists, spiritual
healers, etc...)
•Informal practitioners (illegal trade of drugs, people
without formal training treating patients.

10. Challenges
• There is 1 hospital bed per 1,000 people.
• Approximately 1 doctor per 1,000 people.
• Constant lack of medical supplies.
• Less than 40% of Northern Uganda live farther than 5km
to the nearest health center. Compared to Kampala
which is 100%.

11. Healthcare facilities in Uganda

13. 12 year old Nancy Lamwaka one the thousands of victims of LRA war but now tormented by a new disease called nodding disease. March 2012
Gender Based Violence
Main Issues:
Domestic violence
Sexual abuse of girls
Sexual violence
Violence during pregnancy
Sex trafficking
Sex workers
Women far from home
Sexual Discrimination

14. According to the 2006 Uganda Demographic and Health Survey nationwide data showing that about
60 per cent of women in Uganda have experienced physical violence since age 15.
Fact: Domestic violence rates are high and under-reported.
The majority of gender-based violence against women in Uganda is committed by an intimate partner.
"Our culture says that you don’t wash your dirty linen in public. So they (women) would rather keep
domestic abuses to themselves. Some working class women also think reporting domestic violence
would make them lose respect in the community, especially considering the lavish weddings that
they had.”
Domestic violence is tolerated and considered a normal part of marriage as long as it does not result
in serious injury (meaning that no blood is shed). Some described domestic violence as acceptable or
even positive if the wife is lazy, quarrelsome, unclean, a bad cook or disobedient.

15. SEXUAL VIOLENCE
• The Uganda Demographic and Health Survey found that 39 per cent, more than one in
three, women and girls aged 15-49 had experienced sexual violence during their lifetime.
• This includes those whose sexual initiation was against their will. Almost half, 44 per
cent, of women who experienced sexual violence experienced this violence at the hands of
a current husband or partner, while 22 per cent experienced sexual violence by a former
husband or partner.

16. The Lives of young women in Northern Uganda:

17. February 2012: atleast 600 Ugandan Girls
forced into Malaysia’s sex trade
They are lured in by being promised high paying jobs

18. The 2011 Ingrid Turinawe attack inspired protest
Women are attacked for: Pursuing democracy, Wearing pants
In Uganda, on Friday, the police attacked Ingrid Turinawe. She was in her car, driving to a protest
meeting. The police dragged Turinawe out of her car, and in full view of smart phones and video cameras,
groped and mauled her. Basically, the attitude is that it’s Ingrid Turinawe’s fault. Women who pursue
democracy and autonomy must learn to expect State sexual terrorism. In patriarchal circles, it’s
calle.d the ‘price of freedom’, or, more simply, the ticket in.
Today, women protested, stripping off their tops, the police attacked, and six women were detained. As
Barbara Allimadi, one of the organizers, explained: “We were there to show we’ve had enough, we will not
tolerate this kind of behavior.” Others agreed: “We respect our bodies and we expect to be respected.”

19. Infant and Maternal Mortality

20. Death During Childbirth
In Uganda, 16 Women Die Everyday from
Childbirth-Related Complications
Of the 1000 women who die every day, 570 live in sub-Saharan Africa,
300 in South Asia and five in high-income countries.
There is an under-five mortality rate of
128 out of 1,000 births

21. WHY?
Mothers’ Deaths
Fever, Anemia, Fistula, Incontinence, Infertility and Depression.
Children’s Deaths
Acute respiratory infections (ARIs), Diarrhoea, Malaria,
Malnutrition and Neonatal complications
WHY?
Lack of access to family planning services
42% of women under 18 are mothers
Lack of prenatal services
Only 42% of women receive prenatal services
Lack of education
Lack of skilled health-care professionals
Functional medical facilities
Access HIV treatment

22. Difficult Access to Healthcare Facilities in Rural
Areas
When she felt the labour pains at midnight, the nearest health facility from her home
was 12 kms (7.4 miles) away. Her husband had to act fast.
The only ambulance that used to serve the district broke down three years ago.
The ambulance was donated to the district by UNICEF and was serving 17 health
centres with a population of 161,000.

23. Achieving the Millennium Development Goal for child survival demands focused and coordinated action to improve
nutrition, to strengthen health systems, and to reduce inequalities in access to and use of effective interventions to
prevent and treat pneumonia, diarrhoea, malaria, and the causes of neonatal deaths.”
— Dr. Jong-wook Lee, Director General WHO, 2003-2006