Maternity
care was our founding reason - so children's health is
naturally what we now do too
Over half the patients who visit Hope Clinic
Lukuli are under the age of 18 years - the under 5s account
for 30-35% of all the out-patients. Those first five years
of life are the focus for public health programmes and
national health services in more developed countries.
In the United
Kingdom, Birth to Five gives parents the information
and assurance they need for many of the rashes, screams,
eating, not-eating, fevers and vomiting that they will
face from the children. Uganda doesn't have that from
the Government.
Through
the extended family, the new mother spends the period
before delivery and the months of the newborn with her
mother and aunties, or her mother-in-law. A home visit
from the delivery midwife or community nurse is highly
unlikely. The new mother is reliant on a combination of
older wives' tales, traditional practices and her own
reading and age peers, limited by the available services.
Even simple matters such as breastfeeding, or not, expressing
milk or demand feeding, her diet and baby's weight gain
are expected to occur without a trained medical input.
Hope Clinic Lukuli works with the aunties and grand-mothers
to supplement their advice with medical tools, comparisons
and a broad range of medical services and reference literature.
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 |
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New baby - new mother, so we help |
Fun and learning - nutrition
in a sack |
Lifeskills protect and inform
kids |
The
Millennium Development Goals (MDGs) are a set of targets
against which Uganda and other developing countries can
set themselves targets, compare their rate of improved
services and also guide supporters and implementers as
to what are the priorities. When it comes to Uganda's
progress in achieving the MDG targets, the regular
reports by UNAIDS and UNICEF reveal the progress and the
remaining journey. Much of the most recent data is from
2006.
Percentage
of children determined as under-weight for age.....................16%
in 2006, from 20% in 1988.
Percentage
of children under 5 years, with diarrhoea receiving oral
rehydration therapy/ fluids alongside continued feeding......39%
in 2006, up from 29% in 2000.
Percentage
of children below the age of 5 years sleeping under a
mosquito net.....10% in 2006.
Immunisation
coverage: Measles 68%, three does DPT 68%, 3 doses of
Hib 64%. Level was already 60% in 1994.
Percentage
of children with suspected pneumonia taken to 'appropriate'
health provider.....73% in 2006.
As
at 2008: Uganda had 6.1 million under 5s in a population
of 32.2 million (19%). 1.4 million born that year. The
statistics predict 85/1000 infant mortality [almost 124,000
of the babies born that year].