39 districts lack hospitals, 29 constituencies do not have health centre lVs –Minister Ruth Aceng

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Health Minister Jane Ruth Aceng on Tuesday told parliament that a total of 39 districts have no hospitals
These are: Alebtong, Amuria, Amuru, Bukedea, Bukomansimbi, Bulambuli, Buvuma, Buyende, Dokolo, Gomba, lsingiro, Kalangala,



Others are: Kaliro, Kamwenge, Kibuku, Koboko, Kole, Kotido, Kween, Kyankwanzi and Kyegegwa.
Also on the list is: Luuka, Lamwo, Lwengo, Manafwa, Mitoma, Nakapiripirit, Namutumba, Namayingo, Ntoroko, Otuke, Pader, Rubirizi, Serere, Sironko, Kibale, Kakumiro, Rubanda and Omoro.
The minister revealed that the population of most of these districts does not meet the recommended catchment population for a general hospital except lsingiro, Amuria and Serere.
The minister also told parliament that Of the 290 constituencies, 29 do not health centre lVs.



‘ ‘The plan is to revamp existing health centre lVs and construct new ones or upgrade health centre IIIs to lVs in constituencies without lVs.’’ She said.
The total cost for constructing 29 HC lVs is shs101.5 billion and equipping is shs43.5 billion & the cost of functionalizing them comes to shs19.6 billion annually.
Hon Ruth Aceng revealed that Cabinet advised that ‘ ‘we conclude the HC lll’s before we commence the HC IV construction’’



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Ambulance
On transportation, Minister Aceng said the country has 441 ambulance vehicles and majority are in private hands.
65 per cent of ambulances in the private sector are in Kampala metropolitan area. ‘ ‘This cannot be rationally distributed because they are privately owned’’
Hon. Aceng said the recommended ambulance vehicle population ratio is 1: 100,000, meaning that Uganda requires 400 ambulance vehicles for basic emergency care response.



The gov’t owns 173 ambulances showing a deficit of 225 type B ambulance vehicles
The minister said, The gap will be filled over the medium term, the existing 173 ambulance vehicles need to be re-equipped and staffed to meet the minimum ambulance standards.
Cabinet is currently discussing the Draft National Health Insurance Bill, 2014 that seeks to create a National Health insurance Scheme



The legislation will be a major milestone in the journey of attaining Universal Health Coverage because it will reduce out of pocket expenditures currently at 40 per cent of the total health expenditure that has been a hindrance for access to care.

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