News / Africa

Uganda's Poorest Communities Tackling Diseases

Primary school children line up for trachoma medicine in Buniantole, eastern Uganda, September 12, 2012. (Hilary Heuler/VOA)
Primary school children line up for trachoma medicine in Buniantole, eastern Uganda, September 12, 2012. (Hilary Heuler/VOA)
In Uganda, the government has come up with a new plan to tackle a range of tropical diseases that have been neglected for years.  These diseases afflict the poorest and most marginalized communities in the country.

Aggrey Wambi was only nine years old when his legs began to ache and swell.  Now, two decades later, his calves are twice the size they should be.

Wambi, who lives in a village near Iganga, in eastern Uganda, says his stretched skin itches, and the pain is intense.  He has trouble holding down normal jobs, he says, and has to settle for plowing other people's gardens in order to feed his two children.

Wambi is suffering from lymphatic filariasis, also known as elephantiasis.  It is one of the ailments known as neglected tropical diseases (NTDs).

Elizabeth Kurylo, of the International Trachoma Initiative, says that diseases like these can have a profound effect not just on the individual, but on the entire community.

"The whole community is affected because many of these diseases make it difficult for people to do their daily tasks, and this incudes whatever jobs they might have outside the home," said Kurylo.

The Ugandan government is preparing to roll out a new master plan designed to tackle the most common of these NTDs - including elephantiasis, sleeping sickness, bilharzia and plague.  According to Kurylo, Uganda is only the second country in Africa to draft such a plan.

Gabriel Matwale of the Ministry of Health says the focus will be on both prevention and treatment of these diseases.

"We are scaling up by covering endemic communities with mass drug administration, that is, giving them drugs," said Matwale.  "We have a component of improved hygiene and sanitation."

But with most NTDs occurring in hard-to-reach rural communities, Matwale says, it is important to build networks of volunteers who can access even the most isolated villages.

"We need to strengthen what we call village health teams, the lowest level where health care can be got," Matwale added.  "So if we strengthen the village health team level, we would be able to reach the most marginalized communities."

One of the diseases being targeted is trachoma, a crippling eye infection that can eventually lead to blindness.  In some districts in Uganda, over half the population contracts the disease at some point in their lives.

Here in Buniantole, another village in Iganga, a village health team is giving trachoma medication to around 300 children at a local primary school.  The medicine is preventative.  But the disease is highly contagious, and can spread quickly through schools.

Around four percent of Iganga residents suffer from late-stage trachoma, which requires surgery to cure.  The leader of the health team, Mohamad Kibira, explains that in the past, an isolated area like this did not have access to medicine or treatment.

"The problem we have here is that we had no medication around," Kibira explained.  "Like these guys here, they always go far for the medication.  We don't have a clinic nearby.  They don't go for treatment earlier because lack of transport, because they are moving from far areas to the facility."

School headmaster Abdallah Bogere says another problem is poor hygiene. 

"People are not very much enlightened about washing their faces every morning," Bogere explained.  "What we do here, even at school, is learn to wash their faces every now and then.  I have a basin already here, I have soap, so when I see children have come to school with unwashed faces, we try to make them wash."

Kurylo agrees that with many NTDs, hygiene plays a major factor, along with a lack of access to clean water.  This, she says, is one of the reasons why these diseases are such a problem in poorer countries like Uganda, and why marginalized communities suffer the most.

"Trachoma used to be prevalent in the United States, and as sanitation and hygiene improved, it disappeared," said Kurylo.  "When you have a dry, arid, dusty climate where there is limited access to good water, and limited access to safe hygiene, those conditions allow these diseases to thrive."

As diseases of the poor, Kurylo says, NTDs have been neglected by the international community for years.  But, she adds, they are neither difficult nor expensive to treat, and she hopes that the government's new plan will help eradicate them forever.

"We have the tools. We know-how to eliminate these diseases," added Kurylo.  "Most of the medicines for neglected tropical diseases are donated by the pharmaceutical companies.  So really, the costs involve getting the medicine from the central medical stores in each country out to the rural communities that need them.  I think the cost of not treating these diseases is much higher than the cost of taking care of this now."

Uganda's NTD master plan is still in draft form, and the money has yet to be raised.  The total cost of implementation is estimated to be around $60 million.

You May Like

UN: 1 Million Somalis at Risk of Hunger

Group warns region is in dire need of humanitarian aid, with at least 200,000 children under age of five acutely malnourished as drought hits southern, central part of nation More

Human Rights Groups Allege Supression of Freedoms in Thailand

Thailand’s military, police have suppressed release of independent report assessing human rights in kingdom during first 100 days of latest coup More

Jennifer Lawrence Contacts FBI After Nude Photos Hacked

'Silver Linings Playbook' actress' photos were posted on image-sharing forum 4chan; Federal Bureau of Investigations is looking into matter More

Featured Videos

Your JavaScript is turned off or you have an old version of Adobe's Flash Player. Get the latest Flash player.
Larger Than Life Chinese Lanterns Make Southern California Appearancei
X
Elizabeth Lee
September 02, 2014 8:57 PM
Chinese lanterns with a long history are lighting up in 21st century style at the Los Angeles County Fair in southern California. Visitors can see traditional lanterns that hang, but also lanterns in the shape of animals, iconic landmarks and many other objects, all created by artisans from a place in China known for its lanterns. Elizabeth Lee has the details from the fair in the city of Pomona.
Video

Video Larger Than Life Chinese Lanterns Make Southern California Appearance

Chinese lanterns with a long history are lighting up in 21st century style at the Los Angeles County Fair in southern California. Visitors can see traditional lanterns that hang, but also lanterns in the shape of animals, iconic landmarks and many other objects, all created by artisans from a place in China known for its lanterns. Elizabeth Lee has the details from the fair in the city of Pomona.
Video

Video Experts See Rise of ISIS as Significant Development

The Islamic State’s rise seems sudden. It caught the U.S. by surprise this summer when it captured large portions of northern Iraq and spread its wings in neighboring Syria. But many analysts contend that the group - which grew out of al-Qaida in Iraq - has been rebuilding for years. VOA's Jela de Franceschi takes a closer look at the rise of ISIS and its implications for the Middle East and beyond.
Video

Video Israel Concerned Over Syrian Rebels in Golan

Israeli officials are following with concern the recent fighting between Syrian rebels and government forces near the contested Golan Heights. Forty-four U.N. peacekeepers from Fiji have been seized by Syrian Islamist rebels and the clashes occasionally have spilled into Israel. VOA’s Scott Bobb reports from Jerusalem.
Video

Video Ukraine Schools Resume Classes, Donate to Government Forces

A new school year has started in Ukraine but thousands of children in the war-torn east are unable to attend because of ongoing clashes with pro-Russia rebels. In Ukraine's capital, patriotic education has become the norm along with donations to support injured security forces fighting to take back rebel-held areas. VOA's Daniel Schearf reports from Kyiv.
Video

Video US Detainees Want Negotiators for Freedom in North Korea

The three U.S. detainees held in North Korea were permitted to speak with foreign media Monday. The government of Kim Jong Un restricted the topics of the questions, and the interviews in Pyongyang were limited to five minutes. Each of the men asked Washington to send a representative to Pyongyang to secure his release. VOA’s Carolyn Presutti has our story.
Video

Video Turkmen From Amerli Describe Survival of IS Siege

Over the past few weeks, hundreds of Shi'ite Turkmen have fled the town of Amerli seeking refuge in the northern city of Kirkuk. Despite recent military gains after U.S. airstrikes that were coordinated with Iraqi and Kurdish forces, the situation remains dire for Amerli’s residents. Sebastian Meyer went to Kirkuk for VOA to speak to those who managed to escape.
Video

Video West Africa Ebola Vaccine Trials Possible by Early 2015

A U.S. health agency is speeding up clinical trials of a possible vaccine against the deadly Ebola virus that so far has killed more than 1,500 people in West Africa. If successful, the next step would be a larger trial in countries where the outbreak is occurring. VOA's Carol Pearson has more.
Video

Video Survivors Commemorate 70th Anniversary of Nazi Liquidation of Jewish Ghetto

When the German Nazi army occupied the Polish city of Lodz in 1939, it marked the beginning of a long nightmare for the Jewish community that once made up one third of the population. Roughly 200,000 people were forced into the Lodz Ghetto. Less than 7,000 survived. As VOA’s Kane Farabaugh reports, some survivors gathered at the Union League Club in Chicago on the 70th anniversary of the liquidation of the Lodz Ghetto to remember those who suffered at the hands of the Nazi regime.

AppleAndroid