Situation analySiS

More documents

Recommendations

Info

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
Situation analySiS of Children in uganda 2015of children aged 12–23 months were immunised before their first birthday (UBoS and ICFInternational, 2012). The Expanded Programme on Immunisation (EPI) under the Ministryof Health is aimed at ensuring all children are fully immunised by their first birthday, but asof 2013 it is only available in 80% of facilities (UNICEF, 2014). Previously there were genderdisparities in rates of immunisation but by 2011, 51.7% of girls aged 12–23 months and51.6% of boys had had all basic vaccinations (UBOS and ICF International, 2012). However,4.4% of girls have no vaccinations compared to 3% of boys, suggesting that there is still aneed to ensure that all children – girls and boys – receive their basic vaccinations.FIGURE 7: trends in immunisAtion by type of vAccine (2000–13)source: who, 2014Children living in urban areas are more likely than those living in rural areas to be fullyvaccinated (61% and 50%, respectively). According to the 2011 UDHS, children residingin Kampala (63%), South-West (62%), and Western (60%) regions are most likely to havereceived all their vaccinations, while children living in the East Central (39%), Central 1(44%) and Central 2 regions (43%) are the least likely to be fully immunised (see Appendix2). Vaccination coverage decreases as birth order increases: firstborn children are morelikely to be fully immunised (58%) than sixth or higher births (43%) (UBOS and ICFInternational, 2012). Men’s minimal participation in health care, particularly vaccinationservices, also has a negative effect on the routine immunisation of their children (UBOS andICF International, 2012; MoH, 2012a).Children in households from the middle wealth quintile are less likely to have been fullyimmunised than children in households in other wealth quintiles: in the 2011 UDHS, 50.6%of children from the lowest quintile and 54.9% of children from the highest quintile werefully vaccinated, but only 48.7% from the middle quintile were vaccinated (UBOS and ICFInternational, 2012).thE rIGht to SUrvIvaL35
Page 1: 2015Situation analySiSof Children i
Page 4 and 5: 4Situation analySiS of Children in
Page 6 and 7: Situation analySiS of Children in u
Page 45: Situation analySiS of Children in u
Page 64 and 65: 48 thE rIGht to SUrvIvaLSituation a
Page 100 and 101:
Situation analySiS of Children in u
Page 102 and 103:
Page 104 and 105:
88 KEy ChaLLENGES aND PoLICy rECoMM
Page 106 and 107:
Page 108 and 109:
Page 110 and 111:
Page 112 and 113:
Page 114 and 115:
Page 116 and 117:
Page 118 and 119:
Page 120 and 121:
Page 122 and 123:
Page 124 and 125:
Page 126 and 127:
Page 128 and 129:
Page 130 and 131:
Page 132 and 133:
Page 134 and 135:
SITUATION ANAlySIS of ChIldreN in U
Page 136 and 137:
Page 138 and 139:
Page 140 and 141:
Page 142 and 143:
Page 144 and 145:
Page 146 and 147:
Page 148 and 149:
Page 150 and 151:
Page 152 and 153:
Page 154 and 155:
Page 156 and 157:
Page 158 and 159:
Page 160 and 161:
Page 162 and 163:
Page 164 and 165:
Page 166 and 167:
Page 168 and 169:
Page 170 and 171:
Page 172 and 173:
Page 174 and 175:
Page 176 and 177:
Page 178 and 179:
Page 180 and 181:
Page 182 and 183:
Page 184 and 185:
Page 186 and 187:
Page 188 and 189:
Page 190 and 191:
Page 192 and 193:
Page 194 and 195:
Page 196:
2015Situation analySiSof Children i
show all

Situation analySiS

Create successful ePaper yourself

Delete template?

Save as template?