Health Care in Bumwalukani

In rural eastern Uganda, where Project Bumwalukani is based, lack of health infrastructure and health care personnel has left many households without access to adequate health care. Similarly, lack of health knowledge and skills in the communities of Bududa leaves many individuals unequipped of protecting themselves and their families.

Holes in the health care system have had wide-reaching consequences for rural communities. The 2006 Uganda Demographic and Health Survey - see footnote on the attached graph - indicated dramatic health disparities when comparing health indicators from the eastern region of Uganda to the national average. These data demonstrate that lack of access to health care is compounded by lack of health knowledge, as many of these health conditions are preventable and treatable in the home. In response to these issues, Project Bumwalukani’s Community Health Educators program was designed as a community-based health intervention that would empower residents of Bumwalukani to take ownership of their own health and the health of their families.

All data for Uganda collected from the Uganda Demographic and Health Survey, 2006: available online at www.measuredhs.com/pubs/pdf/FR194/FR194.pdf.

+ Literacy is defined as the ability to read and write above age 15.  US data collected from the CIA World Factbook; available online at https://www.cia.gov/library/publications/the-world-factbook/fields/2103.html
++ “Skilled attendance” refers to the presence of formally trained health worker with midwifery skills.  This may include doctors, nurses, or midwives.  US data from USA Health Profile compiled by the World Health Organization: available online at http://www.who.int/countries/usa/en/.
+++ Basic vaccinations for children in Uganda include the diphtheria, tetanus toxoid, and pertussis series (DTaP), polio, Haemophilus influenza B (HiB), measles, and tuberculosis (BCG).  Basic vaccinations in the US are the same, except that the BCG vaccine is not required and measles is included as part of the measles-mumps rubella series (MMR).   US data from National Center for Immunization and Respiratory Disease, Centers for Disease Control and Prevention.  Available online at: http://www.cdc.gov/vaccines/stats-surv/nis/data/tables_0809.htm.
*For US adults, aged 15-64.  US data collected from the HIV/AIDS Fact Sheet, compiled by the Kaiser Family Foundation; available online at http://www.sc.edu/healthycarolina/pdf/facstaffstu/sexhealth/HIVTestingInTheUnitedStates.pdf