The Reasons for Hope Clinic Lukuli
In 2000, when the clinic was formed, Lukuli at the southern edges of Kampala was a mixture of a few large older houses and farmed smallholdings with simple one or two room dwellings. The administrative parish called Lukuli encompassed seven 'zones' and each of those was a few dozen houses. The founding members of the clinic provide a cross-section of the population: a retired teacher formerly at Gayaza Girls School, a civil engineer, a retired civil servant, a shopkeeper who also designs traditional Gomesi dresses and her husband, a local council official, a teacher, an accountant and a business women working in Kampala.

The 2001 Census recorded 12,000 people in Lukuli, with adjoining parishes combining to 53,000 people living within 2km of the clinic. However this population has been growing more rapidly than the road network or electricity supply. Most households used shared taps or spring water. The nearest Government health facility, Kiruddu health centre is three miles (5km) away from the clinic by road. Whilst the wealthy and more mobile people tended to choose larger clinics in the city, few private or government centres serve this poorer urban population. Lukuli-Nanganda, our village’s full name, is part of the Makindye administrative Division of Kampala.

Open land - fast disappearing	Walking, cycling - rural population	Hope Clinic - "it needed to be done"

In 2001, the Census recorded 300,000 people in Makindye - it is now estimated at 400,000. Much of the open farming land has been developed and enclosed so rainwater for farming is harder to manage for crops and livestock can't graze freely. The demand for services has led to higher prices and there are few providers of 'socially priced' services to ensure that the majority of the population can access them. Hope Clinic Lukuli has a catchment reaching to Lake Victoria and the islands - over ten thousand households. Our services are priced to remain accessible for low income and very-low income households, those living in the most underserved parts of the district. In close cooperation with elected officials and community leaders, we do what we can for our neighbours.