Ultrasound gaps endanger pregnant women in rural Uganda

Despite a Ministry of Health policy mandating ultrasound scans by the 25th week of pregnancy, only 31% of pregnant women are accessing this vital service, risking maternal health.

Shockingly, in regions like Bukedi and Busoga, the rates drop to just 7.8% and 7.6%, respectively, highlighting severe inequities between rural and urban areas.

While Kampala sees the highest uptake, it’s mostly first-time mothers utilizing scans, leaving many others vulnerable to complications during labor.

Dr. Chris Ebong, a Senior Medical Officer, warns that, “lack of early detection of fetal abnormalities and complications is contributing to Uganda’s still-high maternal mortality rate of 189 per 100,000 live births.”

Experts are sounding the alarm that Uganda’s goal of reducing maternal deaths to 70 per 100,000 by 2030 may be out of reach unless urgent action is taken.

Dr. Samuel Opio of the parliamentary Health Committee, points to chronic staff shortages and absenteeism in government, facilities as key reasons why many mothers miss out on ultrasound scans.

In some areas, radiographers are either unavailable or don’t show up for work, further discouraging pregnant women from seeking care.

This neglect is occurring despite an additional 113 billion shillings being allocated this year to the National Medical Stores for critical supplies, including maternal health services.

Fatia Kiyange, Executive Director of the Center for Health, Human Rights, and Development (CEHURD), is calling for urgent expansion of ultrasound services to lower-level health facilities like Health Center IIIs, where most deliveries occur.

As Uganda pushes towards the 2030 target, the question remains: Can the country address the glaring gaps in maternal care before it’s too late?