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A few statistics for Kampala, the nations capital, and for Makindye
a Division of it: Kampala: Of those aged 10-59, 2/3rds are employed,
of which 88% self-employed, 95% of these as traders. Only 10%
of those with employment were ‘professionals’; Kampala:
58% live in a one-roomed house, 17% in two-roomed (¾ of
the capital’s pop’n).
Kampala: 90% of pregnant women have an antenatal visit, yet only
64% have a trained assistant during childbirth. Maternal mortality
is 504 per 100,000 live births Kampala: infant mortality rate
is 81/1000 live births. (20% of those born are underweight)
Medical
Provision
Prior to the ending of the USAID-funded DISH project, a survey
of Makindye identified that the division has only 3 "Government"
facilities which are used for more serious cases and hence served
less than 500 family planning clients in a six month period. St.
Francis Hospital at Nsambya with 2000 beds and 20 doctors is private
but bears a considerable part of government’s provision
in the Division: the 69 other private sector facilities in Makindye
served 4,167 family planning clients on pills and injectables
alone. It noted that 90% of pregnant women have an antenatal visit,
yet only 64% have a trained assistant during childbirth. Maternal
mortality is 504 per 100,000 live births.
A recent survey showed that of the 69 medical facilities 84% had
a midwife or nurse and 26% claimed a permanent doctor –
yet rarely 24 hours doctor. The Hope Clinic is rare in providing
24 hour maternity care with such staff of a grade normally reserved
for Health Centre III. |