C ommo nwe a l t h memb e r c o u n t r i e s 2,662,258 reported cases of malaria in the country – a significant increase from 231,873 in 2011. The number of deaths from malaria has fluctuated over the period 2006–12, increasing overall from 4,252 in 2006 to 6,585 in 2012. In the period 1990–2013 the estimated incidence of tuberculosis (TB) fell by more than 500, to 166 cases per 100,000 people, and mortality (when excluding cases comorbid with HIV) from tuberculosis (TB) more than halved. Non-communicable diseases (NCDs) in Uganda accounted for an estimated 27 per cent of all mortality in 2012. The most prevalent NCDs in Uganda were cardiovascular diseases, which accounted for nine per cent of total deaths across all age groups in 2012. Cancer, non-communicable variants of respiratory diseases and diabetes contributed five per cent, two per cent and one per cent to total mortality, respectively (2012). Injuries accounted for 13 per cent of deaths in 2012. The most commonly diagnosed mental illnesses in Uganda include post-traumatic stress disorder. Health systems: In 2012 government expenditure on health was 1.9 per cent of GDP, equivalent to US$10 per capita. In the most recent survey, conducted between 1997 and 2010, there were 12 doctors, and 131 nurses and midwives per 100,000 people. Additionally, in 2011, 58 per cent of births were attended by qualified health staff and in 2013, 82 per cent of one-year-olds were immunised with one dose of measles. In 2012, 75 per cent of people were using an improved drinking water source and 35 per cent had access to adequate sanitation facilities. The most recent survey, conducted in the period 2000–11, reports that Uganda has three pharmaceutical personnel per 100,000 people. Health services in Uganda are provided by a mix of public and private sector organisations and NGOs. Public sector facilities include two national referral hospitals, both in Kampala; 11 regional referral hospitals; 43 general hospitals; and 112 district health centres. Notable private hospitals include International Hospital Kampala and Kololo Hospital, also in Kampala. Pharmaceuticals are a major constituent of the country’s total imports, although there is a small-scale pharmaceutical industry involved in distribution, packaging and assembling goods, such as injectables, liquid mixtures, aspirin, capsules and disposable syringes. The most recent act of government relating to mental health is the Mental Treatment Act 1964. Under-five mortality 200 150 100 1990 1995 2000 2005 2010 2015 Under-five mortality per 1,000 live births 2015 MDG 4 target 60 50 286 Commonwealth Health Partnerships 2015 50 Life expectancy and HIV/AIDS 15 12 9 1980 1990 2000 2013 Prevalence of HIV/AIDS among those aged 15–49 Life expectancy Prevalence of HIV, total (% of population aged 15-49) Life expectancy in years 40 6 Mortality by cause of death (% of all deaths), 2012 Injuries Communicable diseases, maternal, perinatal and nutritional conditions Non-communicable diseases Tuberculosis: Incidence and mortality 1990 2000 2010 Mortality excluding cases comorbid with HIV (per100,000 people) Incidence of tuberculosis (per 100,000 people) – including cases comorbid with HIV 800 700 600 500 400 300 200 100 0
Commonwealth Health Partnerships 2015
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