My areas of keen interest in Uganda’s health sector performance report of 2021-22.
Health financing: 3.3 trillion shillings in 2021-2022 from 2.7 trillion shillings in 2020-2021.
Photo credit: Your Commonwealth
Health facility performance: Registered community health-workers are 38,395 of which 18,620 are males and 15,458 are females.
Photo credit: Centre for Health Journalism
Viral Load suppression: For the People Living With HIV/AIDS on Anti-Retroviral Drugs, it is at 96% achieving the 95% target.
However, Anti-Retroviral Treatment retention at 12 months was 83% in financial year 2021-2022 below the target of 95%.
Photo credit: UNICEF Uganda
Reduced fertility and dependence rate: There is also a growing diversity and greater equality between long acting and reversable contraceptives and short-term methods, with implants and injectables dominating as below:
- Injections – 39%
- Implants – 29%
- Male condom – 9%
- Pills – 6%
- Intra Uterine Devices – 5%
- Female sterilization – 5%
- Other modern methods – 4%
- Standard days method – 3%
- Male sterilization – 0%
- Lactational Amenorrhea Method – 0%
Photo credit: The Independent Uganda
Conditions that led to health facility admissions: Malaria remained the commonest cause of admissions of all ages accounting for 26.2% (834,329 out of 3,188,471).
Abortions in financial year 2020-2021 accounted for 59,447 admissions and 58,657 admissions in financial year 2021-2022.
Acute diarrhoea in financial year 2020-2021 accounted for 56,495 admissions and 57,496 admissions in financial year 2021-2022.
Photo credit: Uganda National Institute of Public Health
Mental health conditions: These were recorded 455,153 times of 44,577,830 of all Out-Patient Department attendances.
- Epilepsy remains the most common mental health condition constituting 55.4% of attendances.
- Bipolar disorder comes in second at 9.7%
- Anxiety disorders come in third at 8.8%
- The number of Out-Patient Department attendances due to substance use disorders increased by 156% from 2,399 cases reported in 2019-2020 to 6,155 cases in 2021-2022.
- Alcohol Use Disorder reduced by 52.4% from 22,000 cases in 2019-2020 to 10,468 cases in 2021-2022.
- Out-Patient Department attendances due to mental health conditions was highest among females 20 years above compared to other population group.
- Alcohol use disorder and substance (drug) use disorders are highest among males in both the 5-19 and 20+ age group brackets.
Photo credit: the United Nations
All the information here was retrieved from a book published by the Ministry of Health Uganda, with financial support from UNICEF and USAID through the Uganda Health System Strengthening (UHSS) Activity.