In Uganda, efforts are underway to enhance community participation and accountability in the healthcare system. One such initiative is the Global Fund project led by the International Community of Women Living with HIV Eastern Africa (ICWEA). As part of this project, Health Unit Management Committees (HUMCs) are being empowered to play a pivotal role in improving healthcare delivery across 20 districts in the country.
By orienting HUMCs on the Community Score Card (CSC) and their general responsibilities, ICWEA aims to bridge information gaps, enhance community involvement, and ultimately strengthen the healthcare landscape.
In Nakasongola and Gulu district & city, HUMCs received comprehensive orientation sessions conducted by the District Health Officer (DHO) and their representatives. However, due to resource constraints, the districts were unable to carry out the orientation on the roles of HUMCs themselves. Nevertheless, the committed members of the HUMCs embraced their responsibilities with determination and enthusiasm.
During the orientation sessions, the HUMCs were not only acquainted with the CSC but also educated on their broader roles as outlined in the 2019 guidelines. This knowledge empowers them to monitor and supervise health facilities, ensuring quality care and adherence to commitments made during the dissemination of the CSC. One key area of focus is improving access to Pre-Exposure Prophylaxis (PrEP), an essential component of HIV prevention.
The HUMCs demonstrated their dedication by committing to actively engage in the planning and budgeting processes of their respective health facilities. Interestingly, many members were unaware that it was their responsibility to contribute to these crucial aspects. However, armed with newfound knowledge, they are determined to advocate for resource allocation that prioritizes community awareness creation. By doing so, they aim to bridge information gaps on various health services, empowering individuals with the necessary information to make informed decisions about their well-being.
One notable exclusion from the HUMC engagement is Lacor Hospital in Gulu. Unlike other health facilities overseen by HUMCs, Lacor Hospital operates under the guidance of a Board of Directors (BOD), comprised mostly of high-level individuals. Engaging the BOD requires meticulous adherence to protocols and procedures, which pose unique challenges. Despite this hurdle, ICWEA remains committed to exploring avenues for collaboration and ensuring that all stakeholders contribute to the goal of accessible and quality healthcare.
The ICWEA-led Global Fund project has empowered HUMCs in Uganda to take charge of their communities’ healthcare. By orienting them on the CSC and their general roles, ICWEA has enhanced their understanding and capacity to monitor, supervise, and advocate for improved healthcare services. The commitment demonstrated by HUMCs in Nakasongola and Gulu district & city is commendable, as they eagerly embrace their responsibilities, even in the face of resource constraints
As the project progresses, it is essential to address challenges such as engaging the BOD of Lacor Hospital. By involving all relevant stakeholders and ensuring proper protocols are followed, the project can create a truly inclusive and comprehensive healthcare system. Through strengthened community participation, effective planning, and resource allocation, Uganda is taking significant steps towards bridging healthcare disparities and improving the overall well-being of its citizens.
