Key Challenges Hindering Healthcare Access in Uganda's Islands and Highlands

Access to timely medical services remains a critical issue for communities in Uganda’s islands and highlands. A November 2025 report from the Equal Opportunities Commission (EOC) surveyed 14 districts, such as Namayingo, Buvuma, Kalangala, Kaabong, and others, revealing persistent barriers to care.

Poor phone coverage tops the list of problems, forcing people to trek long distances for a signal during emergencies. This delay is especially dangerous for pregnant women and critically ill patients needing quick help.

Travel by boat is often the only option but proves costly and risky, particularly at night or in bad weather. Patients may pay up to Shs400,000 for a trip, with some mothers giving birth en route due to delays. Ambulance shortages further hamper referrals to advanced facilities.

Health worker scarcity exacerbates the crisis. Many centers run with minimal staff; for instance, Timu Health Centre II in Kaabong relies on one nurse, Anna Grace Lochoro, who manages everything from cleaning to deliveries, handling over 20 patients daily.

EOC research lead Suzan Atukunda noted the lack of Health Centre IIIs in some sub-counties, denying locals maternity care, lab tests, and emergencies. Spokesperson Yusuf Muziransa urged government action on communication, transport, staffing, and new facilities.

Buvuma MP Robert Miggadde Ndugwa highlighted stalled plans for sub-county health centers, leaving over 300,000 residents dependent on distant services. Health Ministry’s Dr. John Baptist Waniaye Nambohe acknowledged gaps, pledging upgrades to Health Centre IIIs, community hospitals, and boat-land ambulance pairs.

The report also flags high teenage pregnancy rates in these areas, from 25% in Namayingo to 3.9% in Kaabong.

Source: Daily Monitor