Monday, October 15, 2012

Quality Education should be a priority in Uganda


Government should prioritize Quality in Education Sector for the next 50years.
By Adellah Agaba

Malcolm X, the eloquent, inspirational and leading figure of American Civil Rights Movement once noted that, ‘education is the great equalizer.’ This cannot be more relevant to Uganda’s economy, which suffers from a stratified society with expansive class differences in socio-economic access, manifested in the huge disparities in human development indices. 

In 1997, the Government launched the Universal Primary Education (education for all); this was part of the many recommendations of the EPRC 1989 commitments within the Government White Paper 1992. Key of the objectives of the UPE Programme included making education equitable in order to eliminate the disparities and inequalities, establishing, providing and maintaining quality education as the basis for promoting the necessary human resource development and ensuring that education is affordable by the majority of Ugandans by providing initially, the minimum necessary facilities and resources, and progressively the optimal facilities, to enable every child to enter and remain in school until they complete the primary school education cycle.

Ten years later, the Universal Secondary Education policy came into effect in 2007, committing government to provide free secondary education up to completion of O-level. The policy was implemented in a phased manner beginning with senior one in 2007. These two programmes (UPE and USE) have fundamentally impacted on the equity and quality in both positive and negative ways.
Enrolment at primary level has been steadily growing since the introduction of Universal Primary Education in 1997 and Universal Secondary Education in 2007. In 1996, just before the introduction of UPE national total enrollment stood at approximately 3million and significantly rose to 5 million in one year and later to about 7.6 million by 2007. Total enrollment in primary education is currently estimated at 8.7 Million pupils. Secondary school enrollment has been following a similar trend hugely due to the introduction of USE in 2007. Registered enrollment in 2000 was 518,931 significantly rising to 842,683 by 2007 and currently stands at 1,570,000.
A number of efforts have been undertaken by government to enhance learning facilities to cope up with the increasing pupil and student intake in both primary and secondary levels. This has included increasing the number of classrooms, recruiting more teachers and bringing on board private secondary schools. However, there are low completion rates, high grade repetition and significant numbers of drop-outs. These facts seem to indicate either that the schools are not teaching students well or that the curriculum is irrelevant to their needs. In many cases, formal school curricula have been criticized for being unrelated to the conditions and demands of life in rural areas.
The current education policy focuses on expanding the functional capacity of education structures and reducing on the inequalities of access to education between sexes, geographical areas and social classes in Uganda. It advocates for redistribution of resources vis-à-vis reforming the education sector.
Government in the next 50years needs to strengthen the existing platforms for citizens’ involvement in the administration of education institutions especially at the lower levels including school management committees, parent-teachers association and boards of governors. Policy formulation should be consultative enough to allow for citizen/parents’ participation at all levels and implementation should be participatory to improve on quality in the education sector.
 If a country has poor education systems, then there will be a skills mismatch between what’s offered and what’s required in the labor market, or there will be no skills at all which hampers entrepreneurship and national development.


The author works with Uganda Debt Network

Monday, October 8, 2012

Idle Ambulances a sign of reluctance in Health Care


“IDLE” AMBULANCES A SIGN OF RELUCTANCE IN HEALTH CARE
By Adellah Agaba

The Daily Monitor has recently launched a commendable initiative to uncover the misuse of ambulances in various government health facilities countrywide. Instead of the usual rebukes that usually accompany such media campaigns, the Government needs to fully support this particular one as it is geared towards improving the quality of service delivery.

It is not surprising that the exposition reveals an appalling state of the health service sector. It has been a long known secret that most of the government ambulances are either idle, broken down or being misused by government officials, as official transport vehicles. Often times, patients in critical need of ambulance service have been extorted of large sums of money because the health facilities lack fuel for the ambulances. In deed many of the health facilities have often run without medical consumables because of inadequate budgetary allocations to the health sector. 

The Government recently yielded to calls for an additional allocation to the health ministry, forking out sh49.54 billion for the sector. This money is to be financed through budget from other ministries. The key concern is that this additional budget is going to recruitment and remuneration of health workers – with sh6.5 billion already identified for the recruitment of 6,172 health workers.
While staff shortage has been one of the key bottlenecks facing the health sector – with many qualified health professionals preferring to opt high paying foreign jobs – an additional budgetary allocation to only staffing needs will not solve the endemic problems in the sector.

The Daily Monitor of March 11, 2012 published an agonizing article titled “Nakapiripirit patients use wheelbarrows as ambulances” that revealed the despair of a husband wheeling his pregnant wife to a health centre on a wheelbarrow. The woman did not make it, the only ambulance that used to serve the district broke down three years ago and government is yet to respond to the district’s request for another vehicle. Many other Ugandan women have died while giving birth often because of either professional negligence or inadequate medical equipment. The case of Mbale teacher Cecilia Nambozo – a Ugandan tax payer who bled to death 2011 during labour because she lacked sh300,000 for a caesarean section - is still fresh in our minds.

Of what importance is it to recruit more health workers when there are insufficient medical consumables like protective wears, or constant drug stock outs in the health centres? Will it be relevant to cut several ministries’ budgets when citizens cannot access health services due to transportation inconveniences – including lack of ambulances or poor road conditions?

The Ministry of Health needs to have sufficient data on the usage of ambulances by its various facilities. There is need for constant monitoring and supervision in the health centres to ensure that the ambulances are put to their proper use. In addition, Ugandan citizens have a collective responsibility in ensuring that public property is put to proper use, instead of looking on blindly and later heaping the blame on government.   
With all these budget cuts we expect to see a vibrant health sector with good services delivered to the stakeholders and ambulances which are working to save life not parked and idle when expectant mothers are dying after more health personnel have been recruited. It’s time to see value for money in the Health Sector.

The author works with Uganda Debt Network