Uganda: Distribution policy means not enough drugs for clinics

The nurse at Najembe Health Centre in Buikwe district says the centre’s supply of malaria drugs will be finished in two days. A malaria epidemic has hit the area and the demand for the drugs is high. But the centre, which serves the entire sub-county, will have to wait up to six weeks before their supply will be replenished. The Ugandan government changed the policy of distributing drugs to parish and sub-county health centres in 2009 by implementing a policy where the National Medical Stores decides what drugs to supply and in what quantities. (A parish health centre is a clinic that provides medical treatment for up to 12 villages.) Previously heads of these health centres requisitioned the drugs, depending on their needs. The National Medical Stores supply 70 per cent of the drugs in public health centres and district health officials locally procure the remaining 30 per cent.