Government priority setting has undermined the health sector in Uganda

The recently concluded 43rd session of the Commission on Population and Development (April 12-16, 2010), had an intensive debate on Health, Morbidity, Mortality and Development. Uganda was represented at the meeting, participated actively in the debates and made a statement at the plenary.

It was recognized that while commendable progress had been made in health over the last ten years, much more remained to be done in many developing countries especially the least developed ones to address the ‘double burden’ of infectious and parasitic diseases, emerging and re-emerging communicable diseases, and increasing non-communicable diseases such as hypertension, stroke and diabetes. Maternal and child health had made the slowest progress in the last decade. It was stressed that poverty, inequality and vulnerability have had far-reaching repercussions on the health of many people within and between nations.

The commission stressed that improving health will need to go beyond constructing hospitals and clinics and providing medicines, and adopt a multi-sector approach that includes health education, nutrition, safe drinking water, hygiene and sanitation, environmental protection, reproductive health, training and retention of staff.

The UK is proud of Uganda’s progress

The article in Uganda’s New Vision dated March 10, 2010 written by Baroness Kinnock, UK’s Minister of State for Africa is a balanced one. It has touched on areas where progress has been made and where more needs to be done. I wish to highlight a few areas – not for criticism – but to inform the public.

The historic economic relationship between the UK and Uganda has been marked by inequality in the sense that UK determined that Uganda would produce raw materials (cotton, coffee, tea and tobacco) in exchange for manufactured products. Winston Churchill and Fredrick Lugard decided that Uganda’s comparative advantage was in agricultural raw materials although at that time Uganda had a vibrant manufacturing sector and was not producing any of the export raw materials just mentioned above.

History of the Great Lakes Region of Africa

Why this essay and why now?

Some readers of my blog www.kashambuzi.com and my two books titled (1) Uganda’s Development Agenda in the 21st Century and Related Regional Issues, and (2) Rethinking Africa’s Development Model, in which I wrote about ethnic rivalries in the Great Lakes region, have asked me to condense the scattered information into one very brief and user-friendly essay for easy reference and wider readership. Many commentators feel that there has been an overemphasis on events of the 1994 Rwanda genocide in which moderate Hutus and Tutsis were murdered but ignored war crimes against Hutus that took place inside Rwanda and in eastern DRC during and after the genocide and subsequent human rights abuses. There is also a strong feeling that ethnic relations should be studied in a comprehensive, historical, impartial and regional context to be able to draw informed conclusions and make appropriate recommendations. For example, the 1972 genocide in Burundi in which Hutus were murdered by Tutsis which may have encouraged the 1994 genocide in Rwanda was totally ignored by the international community including then Organization of African Unity (OAU).