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UGANDA

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by

Gabriella Grant

on 16 January 2014

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Transcript of UGANDA

U
G
A
N
D
A

Improvements
Maternal deaths in Uganda have been decreasing at a rate of 5.1%

The Hunger Project
Increases awareness and access to maternal care
Professional nurse practitioners
Provides nutrition to mothers, giving them better chances of survival during birth.
Safe Motherhood Program (SMP)
adolescent health policy
provide education about adolescent friendly services, sex education and building life skills
minimum age for marriage is 18 to counter adolescent pregnancy
2010, Global Strategy for Women’s and Children’s Health
MDG
Background
Uganda is a small country located in the East African region
It is bordered by The Democratic Republic of the Congo, Sudan, Kenya, Rwanda, and Tanzania
Contains desert regions, swampy lowlands, and woodlands
Multi-party democratic republic
Experienced many violent actions from rebel groups and corrupt leaders
Joseph Kony
Uganda is ranked #205 in the world in GDP per capita
24.5% are below the poverty line
Life expectancy of around 54 years
Maternal Health
Background
still remains high
440 maternal deaths per 100,000 live births
every maternal death in Uganda = 6 survivors with chronic or debilitating ill health
94% of women giving birth received some care by a healthcare professional. In rural areas, only 36% of women delivered in a health facility compared to 79% in urban areas
wealthy= more likely to deliver in healthy facility
Causes
Most caused directly from pregnancy or unsafe abortion
obstetric complications such as severe bleeding, infection, hypertensive disorders, and obstructed labor
abortion-related 85,000 yearly, 10 hourly
Malaria, diabetes, hepatitis, and anaemia
62% deliver outside facilities without professional care
Health systems challenges and poor social determinants of health slow the improvement
37% anemic
Income and Education
fertility rates, access to family planning, and antenatal coverage
Action Plan
Why This is a Priority
In 2006, the government stopped midwifery trainings
Health care is free, therefore doctors often require bribes
Uganda has a supply shortage of all medications, gloves, syringes, etc
Women have to buy their own medications from private Pharmacies
Ambulances are hundreds of miles away, and are usually just bikes or motorcycles
Child Mortality
HIV/AIDS
Uganda's Medical Care
If the mother dies during child birth, the baby is left without a mother and possibly orphaned
Uganda experienced 38,000 stillbirths in 2009
Without help from professional nurses, diseases are easily transmitted from mother to child
21% of deaths in children occur during pregnancy, 75% die after being born.
Time after birth is crucial for close care, and without a mother and professional nurses there is little chance of survival.
Support "The Hunger Project"
Enforce the importance of nutrition, midwife and health professionals
Proper, clean procedures
Advise strategic interventions
Speak with Uganda Government to prove the vitality of nutrition
37% of mother anemic, 33% of children (5 and younger) stunted, 14% underweight
Promote UNAP (Uganda Food and Nutrition Policy)
Legally bind Uganda to follow through with obligations as a nation to improve nutrition
Provide foreign aid (carrots)
Originated in the Lake Victoria region
Fourth worst country involving AIDS
AIDS has brought down life expectancy from 48 in 1980 to 43 in 1995
Approximately 900 children were infected with HIV per day in 2011, over 90% in Sub-Saharan Africa
62,000 died from AIDS in 2011, orphaning 1.1 million children
1.4 million people live with HIV, which includes 190,000 children
Only 39% of people, ages 15 to 24, are educated about HIV prevention
Many women are forced to marry at a young age to older men, putting them a higher risk for contracting this disease


Doctors

75% of Doctors operate illegally, which often times causes:
Privacy violations
Wrong or unauthorized prescription drugs
Sexual Abuse
Many doctors work under the influence of Alcohol
1 Doctor per every 24,000 People.
Midwives
1 Midwife per every 9,000 women
Afghanistan: 1 to every 63
Katie Cuercou
Gabriella Grant
Matt Pfeiffer
Keerstin Robinson
Midwives are leaving the practice or the country
The country is banning men from the Nursing and Midwife Professions.
Traditional Birth Attendant
Since their society is very conservative many women choose to use a Traditional Birth Attendant (TBAs)
Most are self taught with no formal
education.
Full transcript