Uganda: Our Impact

 {Photo credit: Tadeo Atuhura/MSH.}Rose Chebet (right) with her twins, her husband, and the linkage facilitator Helen Chelengat (middle).Photo credit: Tadeo Atuhura/MSH.

When Rose Chebet was five months pregnant with twins, she visited Kapchorwa Hospital in Eastern Uganda for a routine antenatal visit. She was devastated to learn that she was HIV positive and she feared her twins would not survive. Health workers referred Chebet, a first-time mother, to an antiretroviral therapy (ART) clinic where she began taking medication.

 {Photo credit: Tadeo Atuhura/MSH}In six months, 485 girls in six schools in Mbale District received HIV & AIDS education.Photo credit: Tadeo Atuhura/MSH

When Sylvia Kabuya entered Mbale Progressive Secondary School in eastern Uganda, she knew little about HIV & AIDS, how it was transmitted, or where to get tested. The 16-year-old’s knowledge about the disease was based on conjecture passed among her peers. Less than 40 percent of Ugandan women aged 15 to 24 have comprehensive knowledge about HIV & AIDS, according to the 2013 Uganda Demographic Health Survey.

 {Photo credit: Geoffrey Ddamba}A peer educator mobilizes clients for outreach services in Kawempe, Uganda.Photo credit: Geoffrey Ddamba

This story was originally published in US Agency for International Development (USAID)'s Frontlines newsletter and also appeared on the Leadership, Management & Governance (LMG) Project's website, LMGforHealth.org. The LMG Project is funded by USAID and led by Management Sciences for Health (MSH) with a consortium of partners.

{Photo credit: Rui Pires}Photo credit: Rui Pires

Management Sciences for Health (MSH), through its USAID-funded Leadership, Management and Governance (LMG) Project, trains executive boards in the practices of good governance -- cultivating accountability, engaging stakeholders, setting shared direction, and stewarding resources -- to ultimately improve health outcomes. LMG’s interventions contribute to developing and fine-tuning executive board’s roles and responsibilities. Methodology Links Learning with Results

 {Photo credit: Anicia Filda/RHU Gulu}Reproductive Health Uganda's Gulu Branch Health Center, Uganda.Photo credit: Anicia Filda/RHU Gulu

Located in northern Uganda, Reproductive Health Uganda’s (RHU) Gulu Branch Health Center (Gulu) is one of the busiest clinics in the country—serving over 25,000 clients with sexual and reproductive health (SRH) services per month. When demand for SRH services outpaced Gulu’s supply of sexually transmitted infection (STI) drugs and other essential medicines, the clinic could not continue offering essential SRH services to many who needed them, threatening the equitable access to health care in the community.

 {Photo credit:  Diana Sharone Tumuhairwe} MDR-TB patients receiving continuous health education at Lira hospital.Photo credit: Diana Sharone Tumuhairwe

Although the incidence of tuberculosis (TB) in Uganda is declining, multidrug resistant TB (MDR-TB), a strain of TB that cannot be treated with the two most powerful first-line medicines, is a growing concern. This is especially true in Uganda’s Lira district, a commercial hub in the Northern region.

 {Photo credit: Rui Pires}Mpigi STRIDES program, Vaccine Day.Photo credit: Rui Pires

STRIDES for Family Health is wrapping up six years of work in Uganda with “impressive” results in reducing malnutrition and expanding access to and improving the quality of integrated reproductive health, family planning, and child survival services. Achievements between 2009 and 2015 included: reaching 614,338 children under the age of five through nutrition programs, achieving average cure rates for moderate malnutrition of 80 percent in some districts; reaching 921,112 new family planning users and serving 720,674 returning clients;

{Photo credit: Mark Tuschman}Photo credit: Mark Tuschman

Malnutrition is an underlying cause of 45 percent of deaths in children under the age of five worldwide and leaves 165 million children stunted, compromising cognitive development and physical capabilities. Chronically malnourished children are, on average, nearly 20 percent less literate than those who have a nutritious diet. Thus, malnutrition can shape a society's long-term health, stability, and prosperity.

Chronic diseases account for about 28 percent of deaths in sub-Saharan Africa, and by 2030 they will kill nearly twice as many people in the region as they do today. In Uganda, screening for cancer, diabetes, cardiovascular disease, and other illnesses remains limited despite the availability of inexpensive and effective diagnostic techniques.

 {Photo credit: Rui Pires.}A woman receiving antenatal care undergoes an ultrasound at Mpigi Health Center IV in Uganda.Photo credit: Rui Pires.

Annette Mbwirahe didn’t know what was wrong—the pain in her lower abdomen wasn’t getting any better. Finally, unable to endure it, she decided to get help. Mbwirahe, 25, left Buyiwa village and went to Buwama Health Center III in the Mpigi district of Uganda where midwife Zura Kyotazaala examined her with an ultrasound scan. “I discovered that she was carrying a seven-week twin pregnancy,” Kyotazaala said.

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