By Richard Onapatum
Kotido, Uganda – Lopuyo Health Centre II in Longaroe Subcounty, Kotido District, faces a severe crisis, putting mothers and newborns at risk. With only one maternity bed, multiple births force mothers to deliver on the floor, exposing them to unsanitary conditions and health risks.
“The health centre’s infrastructure is in shambles,” said Dr. Perino Achar, District Health Officer. “Falling ceiling boards, no water, and no latrines are just some of the issues. Patients often wait outside the often closed premises, highlighting the urgent need for attention.”
A UGX 50 million allocation was returned due to conflict of interest, further complicating the situation. This funding was intended to address the health centre’s pressing needs.
Contrary to policy, Health Centre II facilities are not equipped for deliveries. However, public demand has led Lopuyo Health Centre II to continue providing maternity services.
Dr. Achar has requested 22 beds from Moroto Regional Hospital and promised additional delivery and 2 postnatal beds.
“This crisis requires immediate action from local authorities and health stakeholders,” Dr. Achar stressed. “Ensuring access to quality healthcare, particularly maternal and child health services, is crucial.”
The situation reflects a broader crisis in rural maternity care. Safe, high-quality maternity care requires physicians and midwives who can provide perinatal care services, assistance during labor and delivery, and perform cesarean sections.
Nangiro Jane, a mother of two, has resorted to traditional birth methods due to the facility’s frequent closures. “I have no choice but to deliver at home,” she said.
Jacovine Achen, Community Development Officer for Longaroe SubCounty, appealed for swift interventions. “We have tried to clean the compound with the community, but more needs to be done.”
The community deserves better, and swift action is necessary to prevent further complications and potential tragedies.