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Uganda - Cholera Prevention and Response Plan

Below is Uganda national plan response.

Uganda Cholera Plan

Uganda is faced with frequent outbreaks of emerging diseases and high burden of other endemic conditions, including cholera, all of which require dedicated resources for their prevention and control. However, like many developing countries, Uganda is resource constrained, has an inadequate health development budget, and limited access to life saving technologies implying that efficient and
maximized use of the available resources is paramount. Cholera remains a major public health threat, leading to many cases and deaths annually in Uganda. The country reports an average of 1,850 cholera cases and 45 deaths annually. The districts of Nebbi, Hoima, Buliisa, and Mbale contributed to 60% of all reported cholera cases between 2011-2016. Cholera is not only a health problem but also a direct consequence of poor quality and quantity of water, poor sanitation, inadequate hygiene, and various environmental, climatic, and socio-economic situations. Within Uganda, some communities are more affected than others. For instance during the period 2011-2015, 58% of the cholera cases occurred among the fishing communities, who constitute roughly 5-10% of the population (Bwire et al., 2017). Other cholera high risk populations are peri-urban slum dwellers, landslide- and flood-prone communities, migratory plantation farmers, street children, and boarder communities.

Objectives:

  • To raise awareness and promote attitude and practices for
    cholera prevention, with special focus given to cholera-prone
    districts.
  • To increase access to safe water, sanitation, and hygiene in
    cholera-prone districts to the national average identified in the
    baseline survey.
  • To build and sustain a sensitive and efficient surveillance
    system at all levels that is able to predict, detect, and respond
    to cholera outbreaks in a timely manner.
  • To improve the quality of health care so as to prevent
    complications and reduce mortality by 50%.
  • To protect vulnerable groups through the implementation of
    targeted interventions including complementary use of OCV
    for cholera hotspots and endemic communities.
  • To enhance effective multi-sector coordination through local
    and national structures and resources.