Uganda: Our Impact

 {Photo credit: Rui Pires}Accredited drug shop (ADS) in Uganda.Photo credit: Rui Pires

The World Health Organization (WHO) estimates that nearly one-third of the developing world population lacks regular access to quality essential medicines. In rural areas of sub-Saharan Africa, most people first turn to community drug shops for their medicines; yet these shops may not be legally licensed, have trained staff, or sell quality-assured medicines. Committed to Expanding Access to Quality Essential Medicines 

{Photo credit: Glenn Ruga/MSH, Uganda.}Photo credit: Glenn Ruga/MSH, Uganda.

After much anticipation, the USAID-funded Strengthening TB and AIDS Response – Eastern Region (STAR-E) project, led by Management Sciences for Health (MSH), has begun supporting the roll out of the Option B+ treatment program in Uganda.

Nakubulwa, one of the midwives trained by STRIDES, conducts antenatal care services during an outreach visit in Mityana district. {Photo credit: Tadeo Atuhura/MSH.}

 After giving birth to her third child, Margaret Nalubega wanted to take time to support her business and aptly care for her children--which meant delaying becoming pregnant again.To find out what her contraceptive options were, Nalubega visited Mityana hospital and had a lengthy conversation on family planning with Sarah Nakubulwa, a midwife.After counseling on all available methods of contraception, Nalubega decided to use the intrauterine device (IUD) to prevent future pregnancies.The IUD will prevent Nalubega from becoming pregnant for up to 12 years, giving her time to attend to her

A woman from the Positive Deviance Hearth program educates women on good nutrition practices. {Photo credit: Tadeo Atuhura/MSH.}

Living in a wobbly shack with mud walls and a grass roof has not deterred Tushemerirwe Esparanza from becoming a change agent in the fight against child malnutrition in her village of Nantungo, in Lwebitakuli Sub County Uganda. Tushemerirwe has helped teach her home village that balanced nutrition is important for children’s health and development—malnutrition is responsible for nearly 60 percent of infant deaths in Uganda. But spreading that message was not easy for her at first.“When I was starting out, many women despised me.

Imulani Mutyaba, a village health team member, meets with Nabasumba Scovia and her family. {Photo credit: T. Atuhura/MSH.}Photo credit: T. Atuhura/MSH.

Kyobe Sawula and Nakasumba Scovia, residents of Bekiina village in Mityana district, Uganda, are the parents of three children. They recently decided to start using depo provera, an injectable form of contraception, and say they now feel in control of their family and future.This was not the situation four years ago, said Scovia: “Having conceived at only 17 years of age, I was forced into marriage.” After delivering her first child, Scovia accidentally conceived when her baby was only six months.

The Management Sciences for Health (MSH) global team of over 2,300 people from more than 70 nations is commemorating World AIDS Day 2012 in over 30 country offices around the world, including Nigeria, Democratic Republic of the Congo (DRC), Afghanistan, Ethiopia, South Africa, Uganda, Haiti, and the United States.On World AIDS Day, MSH Nigeria, in collaboration with the Discovery Channel Global Education Partnership, Chevron, and Access Bank Plc, will be hosting a launch of the award-winning film titled “INSIDE STORY: The Science of HIV/AIDS” in Lagos, Nigeria.

In Uganda, management of tuberculosis (TB) medicines is fully decentralized. Like other government and private programs, the Ministry of Health’s (MoH) National Tuberculosis and Leprosy Program (NTLP) procured and supplied tuberculosis (TB) medicines independently to district stores.

One of the new prescription and dispensing logs distributed to facilities through Uganda SURE. {Photo credit: MSH.}Photo credit: MSH.

Providing more patient information in medical records and making those records easily accessible helps health care workers ensure that patients take their properly prescribed medicines correctly.

Tanzanian Health Market Innovations awardees in Uganda {Photo credit: MSH.}Photo credit: MSH.

Pharmacies and health care services are not always easily accessible to patients living in developing countries. Many have to walk several miles – if they are able to – just to reach a health care center that can provide them with medicines and treatment.With support from the Bill & Melinda Gates Foundation, Management Sciences for Health (MSH) has been working with local governments (starting in Tanzania) since 2002 to improve access to affordable, quality medicines and pharmaceutical services by developing accredited retail drug shops in such underserved areas.

The millions of children orphaned and made vulnerable by the AIDS pandemic face particular challenges, including loss of their primary care givers, increasing poverty and a greater risk of dropping out of school. When the President’s Emergency Plan for AIDS Relief (PEPFAR) was launched nearly 10 years ago, interventions were put in place to address the specific needs of orphans and vulnerable children. Over the past decade, research regarding the effectiveness of these strategies has identified successful program interventions and potentially fruitful new directions.

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