FEDERATION OF UGANDA MEDICAL STUDENTS’ ASSOCIATION (FUMSA) BRINGS YOU THE 7th ANNUAL GENERAL ASSEMBLY AND THE 2nd ANNUAL NATIONAL SCIENTIFIC CONFERENCE IN APRIL 2015 HOSTED BY GULU UNIVERSITY MEDICAL SCHOOL
THEME:ACCELERATING PROGRESS TOWARDS IMPROVING MATERNAL AND CHILD HEALTH: THE ROLE OF FUTURE HEALTH WORKERS
TIME FRAME: 2ND TO 5TH APRIL 2015 VENUE: Gulu, Bomah Hotel Ltd.
AIM:To provide a forum to discuss the challenges, and develop various interventions and policies towards promoting maternal and child health in Uganda.
- To highlight the global health, economic, social and structural challenges to future physicians towards attaining efficient maternal and child health care services in Uganda.
- To identify practical, effective, and easily implementable methods by which Medical Students all over Uganda, communities and other health care providers can contribute to improvement and the promotion of maternal and child health
- To make resolutions and advocate for more concerted political commitment from political leaders towards the health related Millennium Development Goals
- Develop a strategic policy and advocacy agenda for the next three years in improving maternal and child health services
- Create a platform for medical students to discuss issues related to maternal and child health in Uganda
- Promoting maternal health through promoting informed choice, service accessibility and improved quality of care.
Pre General Assembly activities: – Training in management of Obstetric emergences, Training in management of Pediatric emergences.
General Assembly activities: Conferences, training Workshops, plenary sessions, Team of o officials meeting, presidents’ sessions, Standing committee sessions.
HOSTS: It is with great pleasure that we take this opportunity to inform you that Gulu University Medical Student`s Association (GUMSA) has been given the opportunity to organize the Annual General Assembly and National Scientific Conference of FUMSA in Gulu district. The Conference will be organized in association with all Medical students’ associations of Makerere, Mbarara and Kampala international university and Busitema Universities
PARTICIPATION: Undergraduate and postgraduate medical students and intern doctors from the different medical schools in Uganda and other stakeholders in the health sector, NGOs representatives in the health sector
EXPECTED OUTCOMES INCLUDE:
- A common advocacy and policy platform for the future health workers towards maternal and child health
- An outcome document from the meeting, that summarizes all the discussions addressed in the General and Specific objectives, in order to present it to the major externals connected with IFMSA.
BACKGROUND OF FUMSA
FUMSA is a national body that brings together all medical students in Uganda and it main goal I s to serve the society and medical students through capacity building, knowledge empowerment ,providing a forum for discussing health related issues and promoting professional and research exchanges hence linking up different medical student associations as well as other international medical associations
FUMSA is a member of the INTERNATIONAL FEDERATION OF MEDICAL STUDENTS ASSOCIATION (IFMSA) and was privileged to host the 10th African regional meeting of IFMSA under the theme UNIVERSAL HEALTH COVERAGE: A FOUNDATION FOR HUMAN RESOURCE.
THEME: ACCELERATING PROGRESS TOWARDS IMPROVING MATERNAL AND CHILD HEALTH: THE ROLE OF FUTURE HEALTH WORKERS.
- Improving child survival through enhancing EMTCT.
- Public health interventions aimed at improving maternal and child health.
- Policies and their impact on maternal and child health.
– Abortion and its legal implications.
– Girl child education.
– Maternal and child immunization
- Practical management of Pediatric and Obstetric diseases and Surgical conditions that lead to unnecessary mortality and morbidity in Africa
- Domestic violence as a hindrance to maternal and child health.
- Community involvement and participation in Elimination of Maternal and Child Health
According to the Uganda demographic and health survey (DHS), there was a notable general improvement in many maternal health indicators between 1989 and 1995, contrasting with worsening or stagnation of some indicators between 1995 and 2000, as 2000/01 maternal mortality ratio was at 505 per 100, 000 live births, neonatal mortality rate was 33.2, total fertility rate was 6.9, infant mortality rate was 88.4. The proportion of women delivered by skilled attendants was 39%, mothers attending Antenatal clinics atleast 4 times were 41.9%, those immunized against tetanus at least twice were 41.7%, and the causes of maternal deaths in Uganda remained as; severe bleeding 25%, infection !5%, eclampsia 12%, unsafe abortion 13%, obstructed labour 8%, other causes 8%, and indirect causes 19%. [Sexual and reproductive health minimum package in Uganda 2000]. Poor fertility regulation of early pregnancy, short interval between pregnancies, due to low use of contraceptives also escalating the maternal and mortality rates
All pregnant women face some complications, according to WHO, about 40%will experience delivery complications while 15% will need obstetric care to manage complication, this coupled to inadequacy of human resources makes the incidence of maternal mortality rates remain high. Limited capacity of the health centres to manage abortions/miscarriages complications despite it being among major causes of maternal mortality ratios.
Prevalence of HIV/AIDS has been a factor in a poor maternal outcomes. In 2001 this was 6.1% of Uganda pregnant mothers. 26.5% transmit infection to their children. HIV incidence does not seem to decline among the pregnant women and so is the transmission of the disease to the child despite the input of prevention of mother to child HIV transmission. Malaria is one of the leading causes of morbidity in pregnant women but prevention and prophylaxis services are not well established.
Safe motherhood programmes SMPs including Traditional Birth Attendants TBAs :Out of pocket contributes 58 – 75% to the total health care financing in Uganda, privately provided services estimated to constitute about 70% of total curative care in Uganda. Budget allocation to health services ranges from 2.7% to 6.6%, in addition low priority has been given to capital development in the health sector resulting in poor equipment and infrastructure support service delivery. Donor support has been biased towards PHC activities, their contribution has been estimated to be 34% of the current health budget and 82% of the development health budget. Little donor support has gone to the hospital sector despite current understanding of the central role played by hospitals in emergency obstetric care and referral system. Most funds have been directed towards PHC and the average public spending per bed has been $800 per year
The cornerstone in the implementation of WHO safe motherhood is midwifery skills, according to the joint statement by WHO, UNFPA, UNICEF and World Bank, skilled attendance at the time of delivery is most effective way of ensuring that women get proper assistance when facing the unpredictable risk of pregnancy complications. Coupled to access to referral and fertility regulation, skilled attendance at birth leads to substantial reduction in the number of maternal deaths. There is both inadequacy and inequality in the distribution of human resources, over 80% of doctors and 60% of midwives and nurses are located in hospitals which serve urban populations. Poor rural districts are least capacity to provide additional incentives to attract personnel, comparing Jinja (urban) population per Medical assistant of 7,070 with Moyo (rural) 21,950 population per Medical assistant, or Kampala (urban) 2,250 population per nurse/midwife with kibale rural 27,530 shows.Problems with the training hospitals worry that attitude and skill developed in the institution may affect the overall performance of trained personnel for example the inadequacy of clinical tools in training hospitals is likely to produce cadres with competence gap, professional neglect instituted into students as they take up what seniors at those hospitals do.
The difficulty to access quality services, shortage of motivated and trained health care professions and shortage of essential drugs and medicines contribute to high mortality and morbidity rates. The causes of death in children under 5 as per WHO are; neonatal 21%, malaria 15%, diarrhea 14%, pneumonia 11%, HIV 4%. According to inter parliamentary union interparlementaire, parliament of Uganda and the partnership for maternal, newborn and child health report, Uganda was ranked 19th globally in under 5 deaths, yet dying due to mainly preventable and treatable diseases causing 7million deaths globally per year. Probability of dying between the first and fifth birthday for rural infants is 45%. While infant mortality rates have declined from 186 deaths per 1000 in 1990 to 135 in 2008, Uganda is not on track with the MDG 4. Nearly 21% of the deaths occur during neonatal period, 30% of all neonatal deaths are due to preterm births and asphyxia, followed by infections. Just over 75% are postnatal. In 2009 Uganda experienced over 38000 still birth.
PROPOSED GA PROGRAMME
|DAY 1THURSDAY2nd APRIL 2015||DAY 2FRIDAY3RD APRIL 2015||DAY3SATURDAY4TH APRIL 2015||DAY 4SUNDAY5TH APRIL 2015||DAY5MONDAY6TH APRIL 2015|
|ARRIVAL AND REGISTRATION8:00AM- 6:00PMAND
|BREAKFAST 7:00- 8:00AM||DEPARTURE|
|STANDING COMMITTEE SESSIONS (SCOME,SCOPE,SCORP.SCORA,SCOPHE,SCORE,PRESIDENTS’ AND SUPCO SESSIONS) 8:00-10:00AM||CONFERENCE SUBTHEME E8:00AM -10:00AM|
|CONFERENCE SUB THEME A10:00 AM – 12.30PM||CONFERENCE SUB THEME C10:00AM -12.30PM||TEAM OF OFFICALS MEETING 10:00-12.30PM|
|LUNCH 12.30PM – 2:00PM|
|CONFERENCE SUB THEME B2:00PM-4:00PM||PLENARY 12:00PM-4:00PM||PLENARY 22:00PM-4:OOPM|
|TEAM OF OFFICIALS MEETING4:00PM-6:00PM||CONFERENCE SUB THEME D4:00PM-6:00PM||CONFERENCE SUBTHEME F4:00PM-6:OOPM|
|DINNER 7:00PM – 8:00PM|
|OPENING FUNCTION7:00PM-10:00PM||SOCIAL PROGRAMME10:00PM – 12:00PM||SOCIAL PROGRAMME10:00PM-12:00PM||CLOSING CEREMONY8:00PM-10:00PM|