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Periodical article Periodical article Leiden University catalogue Leiden University catalogue WorldCat catalogue WorldCat
Title:Health practices in Uganda
Author:Cowley, Peter
Periodical:Uganda Journal (ISSN 0041-574X)
Geographic terms:Uganda
East Africa
Subjects:health policy
medical history
health financing
Medicine, Nutrition, Public Health
Health services
Abstract:For much of the time that Uganda was under British rule, the greatest threats to life were malaria, syphilis, and sleeping sickness. Today mortality rates from diseases which predominated a hundred years ago are still high. However, the similarity in disease mortality patterns now and in the late 1890s (though to a much lesser degree of severity) is also largely a result of the collapse of the health care and sanitation infrastructure, which was never adequate in the first place. Further progress towards mortality reduction is also impeded by the inability to control drug resistance, as evidenced by the widespread malaria resistance to chloroquine. A comparison of past and present treatments indicates that European practice in the late 1890s tended to concentrate on regulating bowel habits. One of the mainstays of treatment for the most common disease, then and now, was used during the 1890s, namely quinine for malaria. A brief overview of the history of payments for medical services in Uganda indicates that while cost-sharing is becoming more widespread in government hospitals today, one of the main components of the Ministry of Health's policy still is, as in the 1910s, the provision of services free of charge to the destitute.