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1Uganda: Breaking the Culture of Silence Around Health RightsOganda : Fandravàna Ny Fahazarana Mangina Manoloana Ny Zo Ara-pahasalamana?
2Medical care is supposed to be free in Uganda.Tokony ho maimai-poana ny fitsaboana ao Ogandà.
3However, there has been a consistent shortage of medicine and health workers in the national health centres.Kanefa tratran'ny krizim-panafody goavana sy tsy fahampian'ny mpitsabo ny toeram-pitsaboana an'ny fanjakana.
4A video produced by Results for Development, an international non-profit organisation whose mission is to unlock solutions to tough development challenges, was released online recently to encourage Ugandans to break their silence and take control of their health rights.Navoaka taminà tranonkala ny lahatsary iray novokarin'ny fikambanana iraisam-pirenena mpanao asa soa, Results for Development (Vokatra ho an'ny fampandrosoana) mba hanentanana ireo Ogandey handrava ny lalàn'ny fahanginana sy hitaky ny zony ara-pahasalamana, marihina fa ny famahana ny olana goavana mifandraika amin'ny fampandrosoana no tanjon'ny fikambanana.
5Introducing the video, Oscar Abello writes:Oscar Abello nampahafantatra ilay horonantsary :
6Uganda has made great strides in the past few years building up the “hardware” of its public distribution system for medicines - central warehouses and staffed distribution points - but the “software” isn't quite right.Nisy ny ezaka lehibe vitan'i Ogandà tamin'ny fanamafisana ny rafi-panjakana momba ny fizarana fanafody tao anatin'izay taona vitsy lasa izay - nisy ny tahirim-panafody ary ampy ny mpiasa teny amin'ny toera-pitsinjarana -saingy tsy naharaka ny fandrosoana kosa ny teo amin'ny sehatry ny fampitaovana.
7Many health centers run out of medicines in the 2-3 months between deliveries, meanwhile central warehouses are chock-full of supplies.Marobe ireo toera-pitsaboana tsy ahitana fanafody intsony telo volana aorian'ny famatsiana, kanefa mbola feno fanafody marobe ny foiben'ny trano fitehirizana.
8Medicine supply chain problems aren't news to Uganda's poor, many of them in remote rural villages, but few channels exist to bring that information to the public officials who are in position to do something about it.
9In the video, Dennis Kibira, the medicines advisor at HEPS Uganda, a health consumer organization that helps increase access to essential medicine in Uganda says:Tsy zava-baovao ho an'ireo mponina mahantra ao Ogandà ny olana momba ny famatsiana fanafody, maro amin'ireo mponina ireo no mitoka-monina any ambanivohitra lavitra.
10I want to see a country where people do not have to die because they have failed to receive the care that they deserve.Na dia izany aza, ampandrenisana amin'ny alalan'ny fitaova-pandrenesam-baovao samihafa ireo mpiasa-panjakana afaka mamaha izany olana izany.
11In 2006, three ministers lost their posts after it was reported that they were involved in embezzlement of funds from the health sector. Their cases are still pending in court.Amin'io lahatsary io, Dennis Kibira, mpanorohevitra momba ny fanafody ao amin'ny HEPS Uganda, fikambanana mpanjifa eo amin'ny tontolon'ny fahasalamana izay mikendry ny hampiroborobo ny fahazoana fanafody eny ifotony ao Ogandà, nilaza fa :
12Patients on the floor of Mulago Hospital, the National Referral Hospital.Te hahita firenena tsy hanjakan'ny fahafatesan'ny mponina noho ny tsy fahazoana fitsaboana araka izay tadiaviny aho.
13Photo courtesy of williamkituuka.blogspot.comMarary ao amin'ny gorodon'ny hopitaly Mulago, hopitalim-panjakana lehibe.
14Rosette Mutambi, the founder and executive director of HEPS Uganda says in the video that health care is supposed to be free in Uganda, but it is not the case at the moment.Nahazoan-dalana ny famoahana ny sarin'ny williamkituuka.blogspot.com Rosette Mutambi, mpamorona sy mpitantana ny fikambanana HEPS Ogandà nilaza tao amin'ny lahatsary fa tokony ho maimai-poana ny fitsaboana ao Ogandà, saingy tsy izany intsony no zava-misy ankehitriny.
15She adds that the health centres are operating over-capacity and that health workers are over-worked.Nanambara ihany koa izy fa tsy araka ny tokony ho izy intsony ny fampandehanana ny toera-pitsaboana satria be loatra ny mpiasa.
16Uganda also has experiences power outages or load-shedding, which affects health centres that have no standby generators since some medicine needs refrigeration.Mijaly noho ny fahatapahan-jiro ihany koa i Ogandà izay misy fiantraikany ratsy ao amin'ireo toeram-pitsaboana tsy manana fitaovana fiarovana toy ny fitaovana fampagantsiahana satria maro amin'ireo fanafody no mila fampangatsiahana.
17According to Moses Kamabare, the general manager of National Medical Stores, the organisation responsible for the storage and delivery of medicine to health centres, they makes one delivery every two months to all districts.Araka ny nambaran'i Moses Kamabare, talè jeneralin'ny National Medical Stores (Toeram-pivarotam-Panafody Nasionaly), fikambanana miandraikitra ny fitehirizana sy famatsiana fanafody eny amin'ireo toeram-pitsaboana, isaky ny roa volana no misy ny famatsiana manerana ny distrika.
18But a health worker on the ground says that the heath centers actually receive medicine once every three months.Saingy nilaza kosa ny mpiasa iray aminà toeram-pitsaboana fa indray mandeha isaky ny telo volana ihany no mahazo fanafody izy ireo.
19Medical Stores iin Uganda are always full, but there are no drugs in the health centers.Feno fanafody foana ny toeram-pivarotana fanafody ogandey, kanefa tsy ampy fanafody ny eny amin'ny toeram-pitsaboana.
20Some people have to walk more than 10km to these health centers only to find that medicine is not there.Voatery mandeha tongotra maherin'ny 10 kimetatra ny olona sasany mba hitady fanafody fotsiny, rehefa tonga ao amin'ilay fivarotam-panafody anefa izy ireo dia lazaina fa lany ny fanafody.
21This experience is heartbreaking for many people and discourages them from coming back to the centres and seeking medical care.Mampamoy fo ireo mponina marobe ny toe-javatra tahaka izany ka mahatonga azy ireo tsy hitsabo tena intsony eny amin'ny toeram-pitsaboana.
22A lot needs to be done to improve health care in Uganda: faster, more frequent service delivery, an increase in funding, more health centers, higher salaries for health workers, and procurement of equipment for centres.Maro ny ezaka sy fanatsarana tokony atao eo amin'ny sehatry ny fahasalamana ao Ogandà: toy ny famatsiana fanafody haingana sy matetika, fampitomboana ny famatsiam-bola, fanamboarana toeram-pitsaboana, karama mahafa-po ho an'ny mpitsabo, ary famatsiana fitaovana ho an'ny toeram-pitsaboana.
23There is also a challenge of shortage of doctors, some of whom allegedly steal medicine for their private clinics.Fanamby hatrehina ihany koa ny olana amin'ny tsy fahampian'ny mpitsabo. Maro amin'ireo mpitsabo no mangalatra fanafody mba ampiasainy amin'ny toeram-pitsaboana manokana.
24But the big question still stands, will this video encourage Ugandans to finally break the silence?Ny tena fanontaniana lehibe mipetraka ankehitriny dia hoe: handresy lahatra ireo Ogandey hiala amin'ny fahanginany ve ity lahatsary ity?