By Sampaul Nakhaima and Pascal Kwesiga

Most of the surgical procedures in hospitals and health centres across the country are performed by health workers who are not surgeons, a new study has revealed.

A study conducted by researchers from the College of Health Sciences of Makerere University has disclosed that there are only 200 surgeons out of the 2,105 registered doctors in the country. This, he said, means there is only one surgeon for every 400,000 Ugandans.

An associate professor of anatomy (structure of the human being), Sam Luboga, who led the study said yesterday that crucial surgical operations continue to be conducted by nonsurgeon physicians and non-physician clinicians in general hospitals and health centre IVs.

Luboga was launching a programme that will see surgeons from the college give necessary surgical skills to general doctors in the country’s hospitals and health centres. He said some of the surgical theatres are redundant at the hospitals.

He blamed the high maternal mortality rate, high fatality rate from injuries and other surgical emergencies, high prevalence of surgical preventable disabilities, unnecessary referrals to regional and national referral hospitals, heavy surgical work load and limited access to lifesaving surgical services to shortage of surgeons.

For one to become a surgeon, they must have pursued a master’s degree in surgery for three to five years after an undergraduate degree in medicine.

Luboga who said surgeons are concentrated in urban areas attributed the shortage to brain drain as a result of low remuneration in Uganda, long training periods and few institutions offering the specialised training.

Luboga noted that the project will improve the access to quality surgical services, reduce mortality rate and disability attributed to surgically treatable conditions.
The college students also announced a plan to start offering free screening services to young women for cervical and breast cancers.

Source: http://www.newvision.co.ug/news/632613-unqualified-doctors-operate-on-patients.html

By Moses Walubiri Legislators on a select committee instituted to carry out an onspot check on areas affected by nodding disease have ordered ministry of health (MoH) to account for sh400 earmarked for research into the causes of the debilitating syndrome.

This comes on the heels of a field visit by MPs to the districts of Gulu, Kitgum, Lamwo and Pader, which showed that the said research has not been carried out.

While interfacing with MPs from the areas affected by the disease through their umbrella body, the Acholi Parliamentary Group on Tuesday, the chairman of the select committee Medard Bitekyerezo said “the ministry had lied to Parliament about the research funds.”

“We have just completed an onspot visit to all the affected districts, but no research has been carried out, yet money was earmarked for this activity.  We have summoned MoH to account for this money,” Bitekyerezo said.

The sh400m research fund was part of a holistic government response to stem increasing cases of nodding disease in the Acholi sub-region, tabled before parliament in May  by Dr. Richard Nduhura, state Minister of Health (General Duties).

Other interventions include establishment of treatment centers and provision of fortified food supplements to children afflicted by the disease.

Need answers

Meanwhile, MPs Tuesday clashed over the causes of nodding disease as they demanded for expeditious research into the causes of the disease.

The MPs, especially from Acholi said uncertainty over the true cause of the disease has spawned anxiety and conjecture, thus giving way to superstitions.

This, they noted, has seen witch doctors take advantage of desperate parents to fleece them.

“The witch doctors are making a kill over the disease because little is known about its cause. In Amuru, a witch doctor was arrested after 15 children afflicted with nodding disease were found at his shrine,” Gilbert Olanya (Kilak County) said.

Some parents, MPs said, have abandoned nodding children thinking that the disease is either contagious or caused by spirits.

Odonga Otto, however, refuted Olanya’s earlier submission that the disease could be linked to the protracted war in Northern Uganda, reproaching the remark as incendiary.

Otto also stridently rejected Alice Alaso’s submission that a report into the cause of the disease by the Center for Disease Control in the USA suggests a possible link to heavy metal poisoning. This normally occurs in war-prone areas.

“As leaders, we should be the last people to alarm people. This kind of remark can make people flee entire villages,” a visibly riled Otto said.

The Aruu County MP contends the disease is caused by malnutrition, especially chronic deficiency of Vitamin B6 that is key to brain development.

However, when contacted, the health ministry spokesperson, Lukia Nakamate, said a number of research protocols on nodding disease have already been commissioned by the national task force on nodding disease.

Nodding disease is characterized by head nodding, mental retardation, stunted growth, blindness, and wasting of the body.

Little is currently known about the cause, mode of transmission and treatment of the disease. However, area politicians have chided both government’s response, which they have deemed sluggish, and its failure to declare the affected region a disaster area.

Source: http://www.newvision.co.ug/news/632622-mps-want-sh400m-for-nodding-disease-research-accounted-for.html