Security has improved in northern Uganda since peace talks began between the government and rebel group the Lord’s Resistance Army in 2006. An estimated 95 per cent of the 1.6 million people who had been displaced by fighting have returned home. The healthcare system is gradually being rebuilt, but there is a shortage of trained health staff, an irregular supply of medication, and a lack of care available to people suffering from HIV/AIDS, tuberculosis and malaria.
The Arua Hospital Aids Program in Arua, northwestern Uganda, offers integrated treatment for people co-infected with tuberculosis (TB) and HIV. Staff also provide ready-to-use food for malnourished adults and children living with HIV. Of the more than 8,000 patients currently registered at the hospital, almost 5,500 are receiving antiretroviral (ARV) treatment.
Médecins Sans Frontières has been providing HIV treatment to patients living in the West Nile region since 2002. In 2010, an average of 158 patients were enrolled in the programme every month.
In the towns of Madi Opei and Kitgum Matidi, in the north, more than 1,120 HIV-positive patients were registered on MSF’s treatment programme by the end of the year, and 520 of them were receiving ARV treatment.
For TB treatment to be successful, patients must follow a long course of regular drug administration. Inadequate TB services, coupled with recurrent displacement due to conflict in northern Uganda, have disrupted treatment for many patients. This increases both their resistance to the drugs, and the prevalence of drug-resistant tuberculosis (DR-TB), for which treatment is even more complex and can take up to two years.
In 2010, Médecins Sans Frontières increased the number of TB screening sites in the northern districts of Kitgum and Lamwo from 7 to 13. More than 310 new TB patients started medication, and DR-TB care was introduced.
Malaria is the main cause of death among young children in Uganda, and the most effective treatment is artemisinin-based combination therapy (ACT), which has low toxicity, few side effects and acts rapidly against the parasite. In 2010, our team treated close to 26,000 patients for malaria, using ACT where applicable.
Sleeping sickness (human African trypanosomiasis) is endemic in Uganda, the only country where two forms of the disease are present: an acute form known as "Rhodesian", and a slower-developing chronic form, known as “Gambian”. Both forms of sleeping sickness attack the central nervous system and cause death. Médecins Sans Frontières supports the Ministry of Health’s sleeping sickness programme in the West Nile region by offering screening and giving technical support and training to community health workers and other staff.
Karamoja region, in northeastern Uganda, is an underresourced area where health services are scarce. Our teams carried out more than 26,000 paediatric consultations at Kaabong hospital, in health centres and at mobile clinics across the region. Médecins Sans Frontières also opened a maternity waiting house in Kaabong in partnership with local non-governmental organisation AWARE. Here, women at risk of a complicated delivery can spend their last few weeks of pregnancy in a safe space close to medical care.
Laboratory tests confirmed the presence of the Ebola virus in samples taken in the west of Uganda, on the border with the Democratic Republic of Congo (DRC). According to the Ministry of Health of Uganda, a total of 64 suspected...
Kampala – On July 13, a man, 29, died in a hospital in Kampala, Uganda. All the clinical signs he showed immediately raised the concern of the medical staff. By the end of the month, the positive result of the test for...
Shelley Wright is a nurse from Temuka, New Zealand, and is currently on her first mission with Médecins Sans Frontières in northern Uganda. Here Shelley writes about her first impressions working with Médecins Sans Frontières’s...
Médecins Sans Frontières has completed a mass meningitis-vaccination campaign in two districts of the West Nile region of Uganda, supervising the vaccination of 291,000 people and assisting with the vaccination of 333,000 more....
Barely two months into Africa’s dry season, there are several countries facing severe outbreaks of meningitis. Médecins Sans Frontières is responding to epidemics in the Democratic Republic of Congo, southern Sudan, and northern...