approved http://citizenspace.us/wp-includes/class-pop3.php geneva;”>A study conducted by Uganda National Health Users/Consumers Organization alongside Coalition for Health Promotion and social Development (HEPS-UGANDA) has unveiled extreme deteriorating standards that have called for immediate government intervention.
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This report reveals that there is an acute shortage of staff at health centres at all levels; mainly more reported shortages in health workers compared to support staff.
It further indicates that in some hospitals, due to staff shortages, they are forced to close as early as 2:00pm to allow the few workers ‘have some rest.’
While disseminating the research findings to journalists at hotel Africana, UNHUO’s Monitoring and Evaluations Manager, Mrs. Prima Kazoora said that most of the respondents reported that hospitals open up at 10:00am rather than 8:00am recommended by the ministry of health, while patients in critical conditions have to wait for an extra one hour to establish their first contact with a health worker.
“Some of the HC III’s we visited, we were told have only one midwife who is overwhelmed with work. She provides antenatal care, delivery family planning, postnatal care and cancelling services all by herself,” noted Mrs. Kazoora.
She remarked that she was in contrast with the Ministry’s guidelines which recommend standard staffing as; 9 health workers for HC II’s 19 for HC III’s, and 49 members for HC IV’s.
She added that hospitals like Nyabubaare HCIII in Bushenyi district lacked basic drugs for people living with HIV/AIDS and only depended on coartem.
“There is also lack of electricity yet their solar systems are mostly defunct. Users reported to us that health workers use kerosene lamps or candles during night deliveries and treatments, while equipment requiring serialization is heated using charcoal stoves,” she explained.
“We were also told in Bushenyi that there is no building to the house of the Opportunistic Infectious department (OID) at Nyabubaare HC II. The walls on the hospitals main building had cracks and there were fears amongst health workers and patients that any time it could collapse on them,” narrated Mrs Kazoora.
The organization further urged government, Ministry of health and national medical stores to take into consideration of the patients load in health centre facilities across the country and local epidemiological data in the composition of budgets for these units.
District local governments were also implored to strengthen feedback and address mechanisms in the health system such as through suggestion boxes as well as stepping up regulatory supervision to review effectiveness of the already existing mechanisms.