21 October 2012

Uganda: Employ Professional Health Counsellors

Photo: Lauren Everitt/AllAfrica
A mother consults a nurse: Uganda considered the most corrupt in healthcare in East Africa region.


JAMES had a sleepless night due to severe toothache and sought urgent treatment from nearby health centre.

It was HIV clinic day and the few health workers were already there because of a large clientele characteristic of a rural public health facility.

James became impatient, lost his cool and grabbed a health worker by the throat accusing her of neglect and attending to 'normally-looking' people.

This reflects a health system with inadequate or over-stretched providers and dissatisfied healthcare seekers.

Most of the time spent in HIV service delivery goes to non-medical services such as counseling people for HIV testing, encouraging patients on ARVs to adhere to treatment and family counseling for terminally ill patients.

Health workers must balance between numerous HIV care needs and care for patients with common but equally life threatening conditions like malaria and pneumonia.

From 2006 when World Health Organization declared Universal Access to HIV Prevention, Care and Treatment by 2010, HIV care needs have outstripped the availability of skilled providers.

To cope with inadequate staff, training sessions have been offered to a few health workers; however, overloading one service provider with many activities won't make them accessible to care seekers.

Policy makers understand the importance of counseling in HIV care but do not appreciate the role of professional counseling.

They perceive that providing a short course to any health service provider can turn them into effective counselors.

A Mildmay Uganda study found out that in central Uganda, clinical officers and nurses provide over 90% of HIV services.

The writer is attached to Mildmay Uganda

Copyright © 2012 New Vision. All rights reserved. Distributed by AllAfrica Global Media (allAfrica.com). To contact the copyright holder directly for corrections — or for permission to republish or make other authorized use of this material, click here.

AllAfrica publishes around 2,000 reports a day from more than 130 news organizations and over 200 other institutions and individuals, representing a diversity of positions on every topic. We publish news and views ranging from vigorous opponents of governments to government publications and spokespersons. Publishers named above each report are responsible for their own content, which AllAfrica does not have the legal right to edit or correct.

Articles and commentaries that identify allAfrica.com as the publisher are produced or commissioned by AllAfrica. To address comments or complaints, please Contact us.