Annette Nakakande

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Thank you so much for the writing. I am Ugandan and I fully understand the situation. From what I have observed over time, the Health facilities may be there at whatever distance, and patients can juggle around the transport to reach them. The biggest challenge is that the Centres do not have medicine and other medical tools or equipment, so, patients will not travel to get there and be frustrated by lack of medicine!

I also wonder, you say you are based in Northern Uganda and want to reach out to other East African countries...why so soon? Even in Central, East, West and Southern Uganda, there are similar rural areas facing the very same if not worse situations. Is it not possible to go to other areas even before you go to other East African countries?

Annette Nakakande.


I would go for Malaria Consortium, which, from the information I have read, has interventions at the earliest possible age of children, to provide anti-malaria drugs and immunization of infants, and are likely to avert so many deaths.  There will be prevention of sickness for millions of children, and probably 50% or more lives saved, of the total population of children. when children are young, their immunity is quite low and it is better to save lives at that tender age. Adults have higher immunity levels, so other interventions can be used with adults.

If immunization against malaria is recommended soon, the impact will be even greater. 


With only 1,000 dollars, I would donate to Hellen Keller International because of the low cost of one dollar per vitamin distributed. This would have a greater impact from the available total funding.  


Other issues I would like to consider include issues of both Legal and Medical interventions, especially where one must be done without ignoring the other.

Quite educative! Thank you for this information. Are there any preventive measures used?

In Uganda (which is in the tropics), there is potential to see many snakes.  in order to prevent such occurrences, there is sensitization about removing bushes and trimming all grassy areas regularly.

Furthermore, there are some plants which are used to prevent snakes from getting into homesteads, farms, etc. These include what are called "snake plants", tobacco plants, etc., which are planted around farms and homes. That is the local way of keeping snakes away. 

I have read the this with interest. However, I think we must factor in the society or communities used to get some statistics.

The example of controlling spread of HIV in the American vs African environment is likely to be different. In Uganda, similar to most African countries, the best intervention would be at childbirth. Sensitising communities will not be the most impactful thing to do, because it may be difficult to mobilise a big number of people, whether physically or on social media. Many of them will listen but will not implement proposals. However, every woman who attends ante-natal clinics or who goes to a health facility for delivery of her child can be impacted on controlling mother to child spread of HIV. I do not have specific statistics ....just my thoughts and general observation.