Situation analySiS

Situation analySiS of Children in uganda 2015According to the MoH’s service availability and readiness assessment (MoH, 2013d), only1% of facilities meet all the child health services across the four readiness components(staff and guidelines, equipment, diagnostics, and medicines and commodities). Moreover,basic emergency obstetric and newborn care (BEmONC) services are available in only 15%of facilities, while neonatal resuscitation is available in 51%.Children with disabilities are especially vulnerable since the major causes of disabilityare inadequate ante- and neonatal health care services as well as rehabilitation facilities.Causes of disability range from poor nutrition (lack of Vitamin A may lead to blindness) tothe prevalence of communicable diseases. In fact, studies find that from one-third to halfof disabled children acquired an illness before the age of five years that led to disability(ACPF, 2011; UBOS, 2002). Figure 6 represents the types of services available to childrenwith disabilities in Uganda.FIGURE 6: heAlth cAre service providers used by children with disAbilitiessource: Acpf, 20113.3.2 ImmunisationUganda’s immunisation schedule includes tuberculosis, polio, measles, diphtheria, tetanus,whooping cough, hepatitis B, and haemophilous influenza type B (MoH, 2012a). However,although vaccination coverage in Uganda has improved over the last 10 years (see Figure7), in 2011 only 52% of children aged 12–23 months were fully vaccinated and only 40%34 thE rIGht to SUrvIvaL