By Goodluck Musinguzi
On 3rd June 2016, President Yoweri Kaguta Museveni directed all Constituencies in Uganda to have Health Center IVs after rehabilitation and remodeling health Center IIIs so that specialized health care services are brought near to people.
Wakiso District Council approved Kira Municipality due to high urbanization, population, stable revenue base and need to improve service delivery. In July 2015 Kira was established by an Act of Parliament as a Municipal Council and became operational in financial year 2016/2017 under vote 781.
Bonny Natukunda Elubu , Wakiso District Senior Health Educator says Kira Municipality has 40 Villages being served by 160 Village Health Teams serving a population of 470,000 people. Its made up of three divisions of Namugongo, Kira and Bweyogerere which are divided in huge 6 parishes.
Armed with these facts Dr Diana Atwine, Permanent Secretary Ministry of Health budget for Kira Health Center VI to be constructed after the Kisosonkole family donated land in a gesture that is beyond understanding. Such Land would have cost billion shiilings from government or delay the project.
“We have provided shs700 million to start the Mega project, we shall continue providing more money until the health Center VI is complete. Its true we are fulfilling Presidential Directives for health sector service improvement given in 2016”, Dr Diana said.
Under the Health Center VI we are supporting several health Center IIIs and IIs in infrastructure development.
Bonny Natukunda Elubu, Senior Health Educator says Kira Municipality Health Center IV will boost health services in the Area. My team will push for health promotion, education and Communication in fulfillment of Presidential Directives.
Dr Ivan Nyenje, a Senior Medical Officer Overseeing Kira Health Centers said the health center IV will have three theatres , a private wing , women’s wing and pediatric intensive care unit, the facility has been modeled to serve a total population of over 500,000 people from within Kira Municipality and the neighborhood.
“This Super Health Center IV is equivalent to a hospital, the difference is the name and the directive which says a hospital serves a district”, says Dr Ivan Nyenje.
WAKISO DISTRICT, UGANDA’S MOST POPULOUS DISTRICT HAS IMPROVED ACCESS TO HEALTH CARE IN A RADIUS OF HALF A KILOMETER
Wakiso District with more than 3 million people is Uganda’s most populous district that is building a robust health care system. Bonny Natukunda Elubu, the Senior Health Educator says there are 3,185 facilities providing access to health care within a distance of half a kilometer compared to the national lever of 5 kilometers.
Wakiso District is the biggest district and the most populous in the country with 720 villages, 148 parishes and 27 lower local governments, expected to host Entebbe City.
Bonny Natukunda Elubu says they have 25 hospitals as follows, 1 Regional Referral Hospital, 2 Private Not for Profit, 22 Private for profit. However, the district leadership is requesting for a Government Hospital after Entebbe Grade B was elevated to a Regional Referral and taken over by Ministry of Health.
Entebbe Leaders have since petitioned Dr Diana Atwine, Permanent Secretary Ministry of Health to upgrade Wakiso Health Center IV to a district hospital.
Matiya Lwanga Bwanika, Chairman Wakiso district is appealing to the Ministry of Health to fund a District Hospital to replace Entebbe Regional Referral Hospital.
Bonny Natukunda Elubu further said Health Center IVs for government are 7 , 44 are Private for Profit , Health Center IIIs are 25 for government , 16 Private not for Profit and 360 are Private for Profit.
Health Centers IIs for government are 38 , Private not for Profit are 14 , Private for Profit are 484, Pharmacies are 312 and Drug Shops are 1960.
Hospitals = 25, H/C1Vs = 51, HCIIIs= 401, HC11s=536, Pharmacies= 312 and 1960= drug shops
- They are staffed at 93% with the health workers including medical doctors that carry out surgical procedures needed by the communities.
Covid19 has over stretched most health facilities across Uganda and Africa at large. A majority of Africans, mostly the poor and those in the middle income bracket expect Governments to provide free health services while a small percentage are able to pay for services in quality private hospitals.
The private health sector, which represents half of all health services delivered in Uganda, has an important role to play in the country’s development.
Improvements in quality, availability, and access to health services in this sector can increase its already considerable contribution to reducing Uganda’s disease burden.
In addition, the private healthcare industry can support economic development by providing employment and business opportunities, while contributing to the country’s fiscal base.