Speeches Shim
Christine (not her real name) and her two children travel from Uganda to Kenya every two weeks to trade in fish and farm products. During this trip, she visits Port Victoria sub-County Hospital to refill her family’s antiretroviral (ARV) drugs. But the arrival of the coronavirus disease (COVID-19) upended her trips.
For too many families in Uganda, every month is a struggle to survive. There may be just enough money today to put food on the table and clothe the children, but if something goes wrong—an unexpected illness, the loss of a job, a natural disaster—then a family can suddenly find itself unable to cope. One of USAID’s main goals in Uganda is to promote resilience. That means improving a household’s ability to withstand, mitigate, and recover from unexpected shocks.
“I am fortunate to be here,” says Noah Kafumbe, who arrived in Uganda in 2018 to join the USAID mission as Senior Supply Chain Systems Advisor. Kafumbe, born and raised in Uganda, returned to his home country with his wife and their three children after twenty years in the United States and the United Kingdom - and three academic degrees, including a PhD, in his pocket.
Identifying opportunities to improve global health requires innovation and creative thinking. In developing countries like Uganda, the COVID-19 pandemic is impacting the already-strained health system. Access to primary health care remains difficult for many people, and quality of care is inconsistent, with limited drugs, supplies and human resources. The referral system is weak and patients often delay seeking necessary secondary or tertiary care due to the high costs involved. Additionally, evidence-based management of logistics is not consistently followed and facility-based quality improvement initiatives, while they exist, have not been institutionalized uniformly.
Dressed in a white coat with a mask on her face, Dr. Susan Adakun Akello moves through Uganda’s Mulago National Referral Hospital without fear of infection. She had just returned from making rounds in the tuberculosis (TB) ward at the hospital. Her smile is warm and welcoming as she invites visitors into her well-aerated office within the ward that is supported through the USAID Defeat TB Activity.
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