Community health extension workers: A lifeline for rural healthcare in Uganda
By Bridget Nsimenta
Community Health Extension Workers (CHEWs) are proving to be a cornerstone in Uganda’s healthcare system, particularly in underserved and rural areas.
With the primary responsibility of delivering healthcare services directly to communities that lack easy access to hospitals or clinics, CHEWs are essential in bridging the healthcare gap in these regions.
In Uganda, where approximately 76% of the population resides in rural areas, access to healthcare remains a significant challenge.
CHEWs are trained to provide a wide range of services, including basic medical care, health education, and preventive measures.
This includes administering vaccinations, providing maternal and child healthcare, and managing common illnesses such as malaria, diarrhoea, and respiratory infections, which are prevalent in rural settings
Their relevance is further highlighted by their role in health promotion and disease prevention, especially in the fight against HIV/AIDS.
Uganda has made significant progress in reducing HIV prevalence, thanks in part to the efforts of CHEWs who educate communities about HIV prevention, encourage testing, and facilitate access to antiretroviral therapy (ART).
Their close relationship with the communities they serve allows them to build trust and ensure that even the most marginalised individuals receive the necessary care and information
Moreover, CHEWs help alleviate the burden on Uganda’s already strained healthcare system by reducing the number of patients who need to travel to distant health facilities for primary care services.
This not only improves health outcomes but also enhances the overall efficiency of the healthcare system
As Uganda continues to invest in its healthcare infrastructure, expanding and supporting the role of CHEWs is crucial for ensuring that all citizens, regardless of their location, have access to essential healthcare services.
Their contribution is not just relevant but indispensable in achieving health equity in Uganda.
