Community-level health programs and child labor: Evidence from Ethiopia

A cultural syndicate of society and NGOs challenges to deter child labour manipulation in Addis Ababa

This study aimed to investigate the existing trends of child labour abuse in Addis Ababa, as well as to examine the sociocultural barriers that impede nongovernmental organizations. This study involves two domestic NGOs (FHIDO and SCFDS) working on child issues. The study used a qualitative approach with 25 participants in in-depth interviews, one focus-group discussion, and six key informants to collect or acquire a full grasp of the issue and to address the study's stated objectives. The finding of this study revealed some psychometric reasons for the children to be engaged in hazardous work activities, including their family background (dynamics), poverty, and self-actualisation arising from contributions to the well-being of the family. Concerning gender-selective norms as a problem, the chosen two organizations are facing a significant task in putting an end to child labour exploitation in the region owing to social gender preference. The cultural and social expectations of men and women make the issue ubiquitous in their communities. Based on the findings of this study, the Winrock International (2008) approach of CIRCLE experience with an awareness-raising plan is recommended.

COVID-19 and Health Sector Development Plans in Africa: The Impact on Maternal and Child Health Outcomes in Uganda

INTRODUCTION

Health Sector Development Plans (HSDPs) aim to accelerate movement towards achieving sustainable development goals for health, reducing inequalities, and ending poverty. Reproductive, maternal, newborn and child health (RMNCH) services are vulnerable to economic imbalances, including health insecurity, unmet need for healthcare, and low health expenditure. The same vulnerability influences the potential of a country to combat global outbreaks such as the COVID-19. We aimed to provide some important insights into the impacts of COVID-19 on RMNCH indicators and outcomes of the HSDP in Uganda.

METHODS

We conducted a descriptive study of secondary data obtained from the Ugandan government-led portals, supplemented by analyses of relevant articles published up to 06 May 2021 and deposited in PubMed.

RESULTS

Through synthesizing actionable and relevant evidence, we realized that RMNCH in Uganda is highly affected by the COVID-19 pandemic and the lockdown measures. The impact was across immunization, antenatal, sexual and reproductive health, emergency and obstetric, and postnatal care services. There was a decline sharply by 9.6% for under-five vitamin A coverage, 9% for DPT3HibHeb3 coverage, 6.8% for measles vaccination coverage, 6% for isoniazid preventive therapy coverage, and 3% for facility-based deliveries. Maternal and under-five deaths increased by 7.6% and 4%, respectively. Outreaches were rarely conducted in the lockdown period.

CONCLUSION

The COVID-19 pandemic has created a multitude of questions regarding the optimal policies to mitigate the disease while minimizing the unintended detrimental consequences of RMNCH. The lockdown restrictions threatened to reverse the progress made on the national HSDP for RMNCH. In Uganda, where young women are vulnerable to early marriage, unintended pregnancies, and unsafe abortion, access to RMNCH services should continue regardless of the COVID-19 status in the country. We urge that Uganda and other African countries should build resilient and sustainable health systems that can withstand emerging diseases like the COVID-19.