THE HEALTH CENTER DEPARTMENT PROPOSAL

The background situation of Health services in Makukuba community.

Health department is one of the most important program needed as we plan to change
the living standards of people in the 9 villages. The area has a total population of
6,500 both children and adults living in the 9 villages that makes up Makukuba
parish/ Ward. In all the 9 villages the nearby health center to give medical services
to people are in a distance of 5 to 6 miles. To make matters worse, Makukuba parish
communities has no a reliable transport means but mainly hired private motor cycles
as Boda-Boda (Motor cycle) and use of bicycles. For so many years pregnant women
and children suffer most to reach to hospitals and its more worse when emergency
cases happens in night hours. Death rate are high among pregnant women as a result
of such circumstances. The research we made about the area further shows that;
Over 45% of the men have more than one wife.
Nearly 60% of community members see malaria as the greatest sickness; HIV/AIDS
and stomach problems rank the second at 26%
Nearly 70% get water from ponds and unprotected wells yet only 9% treat drinking
water.
Over 30% have no pit latrines and don’t see the importance of latrines.
82% don’t wash hands after toilet use.
85% have no idea on nutrition.
Over 50% have no idea on family planning or contraceptives.
Above 50% of the women deliver babies in communities with Traditional Birth
Attendants (TBA). Becoming a T.B.As, depends on how many children you have
delivered.
Nearly 50% of community children never had any immunization.

The general health picture of Health situation in Uganda.

Health in Uganda refers to the health of the population of Uganda. As of 2016 health
report, life expectancy at birth in Uganda was 60 years, which was lower than in any
other country in the East African Community except Burundi. Uganda's healthcare
performance is still ranked as one of the worst in the world by the World Health
Organization (WHO), the country is ranked 186th out of 191 nations.
Ugandan's health and life expectancy is among the lowest across the globe.
In Uganda, one in every 200 births ends the mother's life, around 1 million people
are living with HIV and although malaria accounts for 14% of all deaths, less than
10% of children under five are sleeping under insecticide-treated”
1. The probability of a child dying before reaching age five was 5.5 %.
2. The Total health expenditure as a percentage of gross domestic product was
7.2 % in 2014.
3. In 2015, only 47 % of Ugandan women receive the recommended four
antenatal care visits, and only 42 % of births are attended by skilled health
personnel.
4. Among the poorest 20 percent of the population, the share of births attended
by skill health personnel was 29 %, compared to 77 % among the wealthiest
20 percent of the population.
5. Wikipedia Report - for 2016, the five leading causes of death in Uganda
included communicable diseases such as HIV/AIDS with an estimated 1.5
million people in Uganda were infected with HIV, and the HIV prevalence
rate in the country was at 7.2 %. Secondly malaria- Uganda has the highest
incidence rate of malaria in the world, with 478 people out of 1000 population
being afflicted per year.
According to ministry of Health of Uganda, the following are the group diseases/
Health issues our communities experience and needs partnership. The government
of Uganda is trying its best but mainly in its aided hospitals. See below;
 Community Health Communicable Diseases Mental Health Diseases
▪ Feeding ▪ Ebola ▪ Alcoholism
▪ Child health/ school health ▪ Eye disease ▪ Anxiety
▪ Disability and Rehabilitation ▪ HIV/AIDS ▪ Autism
▪ Disease surveillance/ outbreaks ▪ Hepatitis ▪ Bipolar disorder
▪ Environmental health and ▪ Leprosy ▪ Dementia
sanitation ▪ Malaria ▪ Mania
▪ Food and Nutrition ▪ Rabies ▪ Schizophrenia
▪ Health education ▪ Sexually Transmitted Diseases ▪ Stress
Waterborne Diseases Sexual and Reproductive Health Neglected Tropical Diseases
▪ Amoebiasis ▪ Abortions ▪ Leishmaniasis
▪ Giardiasis ▪ Adolescent health ▪ River Blindness
▪ Cholera ▪ Family Planning ▪ Scabies
▪ Diarrhea ▪ Gender Based Violence ▪ Schistosomiasis
▪ Dysentery ▪ Maternal Health ▪ Trachoma
▪ Filariasis ▪ Traditional Birth Attendants ▪ Trypanosomiasis
▪ Salmonella ▪ Yaws

What is our plan as shared Love Uganda?

The organization, started on plans of building a community Health center
to extend better health services to beneficiaries. We aim at reducing the
distance from 5 to 6 miles people walk to access health services. It’s also
our plan to reduce on death rates among pregnant mothers/ women due to
long distances they have walk. We want the health center to be a center of
awareness programs on a number health issues, such as importance of
circumcising male, Proper child feeding, Child immunization among
others.
What has been done so far by shared Love Uganda?
1. We have secured some land space for health center construction
2. As a way to doing something to save the situation, the organization
has been organizing free medical camp outreaches in partnership
with local rotary clubs. Per day of the camp we could work on 300
people.
3. We have built some small facilities in two metallic containers to
start with as we work on future expansion
4. 4 single rooms for health workers to attend patients at night have
been built
5. Digging and laying brick wall for pit latrine plus roofing
Goal:
To enhance communities Access better medical Services to vulnerable
people for healthy living especially mothers and children. As we say; We
treat, God Heals.
 Where Help and funding is needed? Below is the Budget details in Euros
No. Items need support Quantities Rate COST IN Euros at
rate of UGX= 3800
1. Installing medical equipment’s 21,053 21,053
2. Painting the Health center 2,632 2,632
3. Completion of the pit latrine 1 latrine 2,632 2,632
4. Solar lighting system 3 panels 3,158 9,474
5. Installation of water 6,579 6,579
6. Health center furniture/ Facilities 6,579 6,579
7. Health workers allowances per month 5 staff 526.4 2,632
8. Buying extra land for further expansion of 2 Acres 3,158 6,316
the health center
9. Construction of more Buildings for health One big block
26,316 26,316
center
10. Construction of Health workers houses. 6 houses 2,632 15,789.5

We are moving by God’s Grace, kindly join us.