Ekiragiro kino kyatandika okukolebwa mu 2005. [NRHM] National Rural Health Mission (NRHM)] kyasobozesa gavumenti ya Buyindi okukyusiza ddala engeri y'okukwatamu obulamu bwa bantu. Okumala emyaka mingi, ebyeya bingi mu Buyindi byasatusibwa okufuna obujjanjabi bw'eby'obulamu obwa bulijjo, obwatakolebwako, ate n'obutali bwa nfuna y'obutongole obutono. Ebifo bya Buyindi byewandikiro byayobeewanyiza nnyo ebisusse ebisulo byabwewandiikivu eby'amaanyi mu by'obulwadde. NRHM yakolebwa okusobola okutaasaawo ebiziro, ebiteeyambisibwa mu ngeri ey'enjawulo, era n'okusobozesa ebisawo ebitiibwa by'eby'obulamu mu bitundu ebyakasangi ebisaasaasaasa.

Ekitabo ky’Obulamu mu Nsi Embi

Mu matandika g'emyaka 2000, obwawukanya ku Buyindi. Eby'enfuna byayongerayongera, naye obubonero bw'eby'obulamu mu bitundu eby'omu kyalo tebwakyukanga kutuuka ku buwanguzi. Materinal Mortality Ratiation (MMR)[[FL:1] era ne Ennamba y'eby'obulamu yagonjookererwa ddala mu bifo by'eggwanga.[[FLT][FLTR]] Kino kyakolebwa ku singiko, era nga kiva ku ku ku kuzaala abaana bannaabwe baabeerangako dais, nga tebalina baddukiro, n'okulumwa mu bungi bw'ebiri. Ekibeeyambisibwa mu by'obulwadde mu bitundu eby'obulwadde ebirengo.[FLT] Kino kyava ku 1% mu bitundu bya GP, nga kiva ku 1% mu bizibu bya bya bya byalo ebyabulibwa obwa nnalogi oba ebisooti.

Ekiragiro NRHM kyatwalibwa ng'ekikongoze eky'omulimu ogw'okusindikibwa nga enkola ey'enjawulo ku nkola eza gavumenti. Kyalina okutwalibwa ng'ebiva mu ebyo ebiva mu ebyo ebizingirwamu, so si nga ebiva mu biyingizibwa, nga kiggumiza obut'ebyetaago by'eggwanga okutuukana n'embeera y'ebyetaago by'abantu. Endowooza nti obulamu tebusinziira ku kubawo ndwadde kyokka, naye bubeera mu mbeera ey'ebyetagasa, ey'obw'obulamu, ey'eby'obulamu, n'ey'eby'amazzi.

Ensonga Enkulu Lwaki Obuweereza Bwabwe Bukolebwa

  • [[NT:0] Okukendeeza obunene bw'amataturnal ne Child Mortality: Ekiruubirirwa ekyasingira ddala obukulu kwe kuleeta omukutu gwa MMR ne IMR mu ngeri ey'ekyewuunyo. Kino kyatwaliramu okweyongera obungi bw'ebizimbe ebitwalibwa mu matendekero n'okukakasa abanoonyi abagenda mu nkuŋŋaana buli mwaka.
  • [[NTL:0]] Omulimu ogugendererwa okukola ku by'obujjanjabi mu bantu: gusobozesa omulimu ogw'okuleetawo obujjanjabi obusookerwako okusobozesa obutuufu obw'ensi yonna okuddamu okukolawo ekitongole eky'eby'obulamu ekiriwo nga kikola ku kuzza obuggya obwa Centres (SSCs), Primary Health Centres (PHCs), ne Community Health Centrees (CCCs).
  • [[AGUMENTI]] Kino kyeyolekera ddala enkola ennywevu ey'omusujja n'ey'obusimba ey'obulwadde obuva mu mikono egikola omusujja, akafuba, ebigenge, ne siriimu/AIDS mu disiturikiti ne bbito okusobola okukola ku nkola yonna ekwatagana.
  • [[Act:0] Ekimu ku mateeka: Kiwa abantu ab'omu byalo obuyinza okweyimirizaawo n'okulabirira ebiwayi byabyo eby'obulamu okuyitira mu bukiiko obukola ku by'obusobozi.
  • [[Act:0] Okunyweza K'obwannakyewa obw'eby'obulamu: Okutendeka ekikompe ekipya eky'okukola ku b'obujjanjabi mu kitundu era n'okusomesa abasawo okuweereza mu byalo.

Ebisinga Obukulu mu Kuzimba

Akakiiko akayitibwa NRHM kaatandikawo programu ey'okugatta awamu eyakyusa engeri eby'obujjanjabi gye bikolebwamu mu Buyindi.

Accrement Activitist (ASHIYA)

Okukolebwa kwa [[NTL:0] Actifis (ASH) kye kintu ekisingirayo ddala okuba eky'omuganyulo mu kukola olutindo olukulu olw'enkola za NRHM. Ekitongole ky'eby'obulamu mu kitundu n'eky'ekitongole ky'eby'obulamu, ASH kiba nnakyewa atendekeddwa okuweereza ng'omulembe ogubalibwa abantu nga 1,000.

Mu [[NKULA:0], 11 ASH be bataddewo mu Buyindi. Bavunaanyizibwa mu kuteekawo enkola ezigobererwa ez'okwerinda, okuteekawo enkola ezisobozesa okuzaala embuto ez'ekika, okugoota, okujjanjaba endwadde n'ayambizo eby'amaanyi, n'okujjanjaba endwadde eza bulijjo. Mu kiseera kya kawumpuli w'ekika ekya CHOVAD-19, ASHSH ye balwanyi bannaa mu maaso bannaakyewa abasobola okwekebejja, okulabira, n'okumanyisa abantu mu ngeri ey'enjawulo. Omulimu gwabwe gukosezza obujjanjabi ku by'obulamu obwa bulijjo, ne gukomya omulimu gw'okuleeta ebisabiina eby'obujjanjabi.

Janani Suraksha Yojana (JSY) ne Janani Shishu Suraksha Kararamam

[[NT:0] .Janani Suraksha Yoyana kye kintu ekikulu ennyo mu nsi yonna ekisobozesa okufuna ssente okuva ku malwaliro, naddala ag'omu bitundu ebyesudde okuva wansi mu kifo eky'obufumbo, nga bakubirizibwa okufuna ssente ez'okutwala omwana mu kifo eky'obujjanjabi ekya gavumenti. Kino kiyamba nnyo mu kuggya ebbeeyi mu maka agatali bulungi.

Mu kukola ku buwanguzi buno, Jani Shishu Suraksha Karankram [[[FSK:1] yasabibwa okusaasaanyizibwawo ebbeeyi ez'okukendeeza ku nfumbo ez'abakazi abali olubuto n'abawere ababadde balwadde. Ekiragiro kino jjuso kisobozesa abakyala bonna abambuto okuzaala (nga mu bitundu bya C'ensi endala), eddagala, okukebeebuuka, okuteeka omusaayi mu n'okutambula okuva ewaffeeza okudda mu kifo eky'omulembe. Ekiragiro kino kye kikozeseeyambisibwa eky'eby'ebbeeyambibwa obutuufu mu by'eby'obujjanjabi.

Obukiiko Obukola ku by’Obulamu mu Kibuga, Obuyonjo, n’Eby’Endyawuka (VHSNCs)

NRHM yamanyi nti ebiva mu by'obulamu bisinziira ku bintu ebiri ebweru w'eddwaliro, gamba ng'amazzi amayonjo, obuyonjo, n'emmere. Okusobola okukola kino, omulimu gwalagira nti wateekebwawo Village Health, Sanitation, ne Bukiiko bw'eby'obulamu [VHSNCs][[FLL:1] mu buli kyalo. Obukiiko buno, obulimu abantu ab'omu kitundu, ASHASM, ANM, ne Panchati Raj abakiikirira, bafuna ensazeeyambisibwa ssente okuteekateeka enteekateeka ez'eby'obulamu ku kya ku kyamu. Bakola ng'ekitongole ekitongole ekiwandikiro n'okukakasa nti enkola y'eby'obulamu bw'abantu batwala ssente ezo.

Emiganyulo Egiyinza Okufunibwa ku Bulwadde

Ebyo ebizuuliddwa mu myaka 20 egiyise biraga nti omuvuzi wa NRHM ye muvuzi omukulu ow'obulwadde obuva mu Buyindi.

Oku Ebbali eriwandisibwa ku bakyala: Oboolyawo ekikyasinze okuba eky'amaanyi kwe kukyusa mu nfuna ey'okuzaala. Omuwendo gw'abo abazaalibwa mu by'obujjanjabi gweyongera okuva ku 40% mu 2005 okutuuka ku 88% mu kunoonyereza okw'eby'obulamu mu ggwanga eriggyawo (NFHS- 15).

  • [[AKM:0] Ekiragiro Materal Mortality Rational (MMMR):[ MMR'eyizeseeseteera mu byafaayo. Okuzaalibwa kw'omwana mu mwaka 2001-03] okutuuka ku 97 mu 2018. Kino kiteeka endowooza ya Buyindi ku ku kuzaala omwana nga 70. NRHM'endwadde z'eba nga zenkanankanankanankanankanankanankanankanankana n'ey'obujjanjabi obugenda mu kiddukanyabizibwa mu ngeri eno.
  • [[NT:0] Enfeebeera n'okufa kw'ekito: EMPR yakendeera okuva ku 58 ku buli lukumi oluzaalibwa mu 2005 okutuuka ku nnyiriri nga 28. Mu ngeri y'emu, okufiibwa ku bantu nga 5. Mu kiseera kino, 5 kyeyongerayongera olw'enkyukakyuka ezikolebwa mu kukuza omwana obuzaalwa, engeri ennungi ez'okuyonsaamu mu mabeere, n'okugobererwa.
  • [[NT:0] Mweyitooloozo ogw'okuzaala: Empewo zonna zeyasifuwa wansi ku namba enzijjuvu ey'okuteeka mu kifo eky' 2.1 mu bitundu ebisinga obungi, nga kitegeeza nti okweyongera kw'abantu mu bitundu gyebalimu kunywezebwa. Kino kiva ku kulongoosebwa kw'amagezi agagobererwa mu kuteekateeka ab'omu maka n'okuzaala ebiba biweereddwa ASHA.
  • [[NT:0] Ekiragiro ekikozesebwa ku kukyusa enkola ey'okukwata + Ekiragiro kyayamba nnyo mu kukebera n'okujjanjaba endwadde ezisaasaana. Buyindi yakendeeza ku muwendo gw'abo abakwatibwa omusujja n'abo abafa, era n'engeri ey'okujjanjaba endwadde ya TB yagonjolwa mu mpalo ya NRHM.

Okutwalira awamu, okutwalira awamu, okutwalira awamu, okusingira ddala kikakasa nti ensi ennene ennyo, nga Buyindi, esobola okutta abantu abangi ennyo era n’ebivuddemu, ng’ebivuddemu bisobola okuwonawo.

Obuzibu Obutaggwaawo n’Amaffuuti Agatali ga Nsi

Wadde nga wabaddewo ebintu bingi ebituukiddwako, enkola ya NRHM teyinza kukoma.

Ebizibu by’Abantu mu Bibuga

Buyindi y'erimu ebbula ly'abasawo, abalwadde n'abayivu mu nsi. Ekizibu ekyo kyeyongerako olw'obulwadde obw'amaanyi obuva mu makolero g'abasawo. Abasawo bwe baba nga basuubira nti obusawo bw'obujjanjabi busobola okusaasaanyiza enkumi n'enkumi z'abasawo buli mwaka. Abantu bangi mu bibuga bagoberera enkola ey'ebbeeyi ey'okwejalabya ssente. Omuntu bw'alina obujjanjabi bw'ekitongole ky'eby'obulamu obwa bulijjo (CCCCCC) ekitegeeza nti asobola okujjanjaba abalwadde, era nti talina omukugunjufu w'obwo. Gavumenti ekozeseeyambizza enkusumbi nga "RCCCCCrienter'omulala.

Enkola ey'okulabirira omuntu n'engeri gye kiyinza okufunibwamu nga tekikuyisizza bulungi

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Tufuna Emikutu Egitendeka Ababeseri n’Emiwaatwa

Wadde nga embalirira y'entandikwa ya NRHM y'eba nga y'eyongera okufunibwa ku nnono z'eby'obulamu, mu bitundu bingi ebyesudde obunene bwa bannakyewa, obubenje bw'eby'obulamu obwa India bukyabeera nga buli wamu. Ekiragiro embalirira enzigi z'ennono n'ennono mu nsi yonna. Mu bitundu ebyesudde, PHCs zikyalimu awakolerwa eb'ebifo ebizitookebwawo, oba amasannyalaze. Ensimbi agateebwa ku ku kyo gaddaabibizibwa gayinza okulaga nti ebizimbulukusa oba okuzzibwa kuddaabizibwamu.

Okuzikuulwa kw’Endwadde Entono (NNCD)

NRHM yakolebwa dda nga bannasayansi abalina ekigendererwa eky'okuteeka essira ku maama, ku bulamu bw'abaana, n'endwadde ezisaasaana. Kyokka, Buyindi kati eyolekaganye n'obuzito bwa disease. Obulwadde obwo buba bwa maanyi nnyo, naye obutundutundu obusukka 60 ku buli kikumi obwakolebwa NRHM bwalina okumanyibwa amangu ennyo, okukebererwa, n'okukwata embeera z'obudde ez'enjawulo ez'enjawulo ezizikwata ku nyinjabi z'ennyo. Enteekateeka y'obulamu eyakolebwa ne NRHM, yalina okumanyiira amangu okulaba oba okumanyibwawo obusangwa obuwanvu bw'obusangwa obw'obusangwa obw'obujjanjabi bw'empala obuva mu biviro bya proso.

Ebiragiro mu Biseera eby'Omu Maaso: Okuva ku NRHM okutuuka ku Bulaaya obw'Omunda

Ekiragiro kya NRHM kyakolebwanga nnyo. Mu 2013, omulimu gwakolebwa ne kiba nga gwakuba namba mu nvironstezi za nerwuuni nga gutuuka ku musingi gwa NORM. Enkola ya 'National Health Mission' (NHM), ogwagaziyizza emisingi gyayo ne gutuuka ku bibuga okuyitira mu National Urban Health Mission (NUHM). Leero, enkyukakyuka ezaakolebwa ku musingi gwa NRHM zigenda zituuka ku kiruubirirwa ky'omulimu gw'eby'obulamu obwa buli ggwanga.

Ayushman Bharat, Sawoozi, Wellness Centres (HWCs)

Kiteeberezebwa nti enkola ey'okufuuka omuyinja NRHM y'eyo Ayushman Bharat. Ebitundu ebisooka mu nkola eyo bizingiramu okukyusawo obutundu bwa Centres ne PHCs obuva mu [[FL:2] Kino kitegeeza nti mu kifo eky'ekifo kya NYP] ng'egguka ne Wellness [HWCS]. Ebitundu bino eby'okubiri biyambamu obuyambi obusingako. HWCS biyamba mu kulabirira oba okukebera n'okulabirira obulamu bwa mu ngeri esingako n'okukebera n'okusii ez'omulembezo ezisingako. Ebitundu bino eby'okubiri biyambamu okumanya obusinzidde mu ku kitongole eky'omulembebwa na ku kiwandikiro.

Omuzannyo Ogukwata ku Bulamu n’Omuzannyo Oguyitibwa Ayushman Assintal Mission (ABDM)

Eky'okulabirako eky'enyongeza mu tekinologiya kikwatagana bulungi n'eky'obutuuti. Ayushman Bharat Digital Mission (ABDM) kirina ekigendererwa eky'okukola ekifuula enkulaakulana ey'ennamba ez'enjawulo ezitakkirizibwa abantu gye baba bafunyemu obuwere obuwerako obusobola okubawangwa obw'obulwadde, n'eby'obujjanjabi byabwe gye bisobola okutambula nga banoonya abakugufu. Mu kifo eky'okuteeka ebitabo bino mu kifo ekya waggulu, e-Sanjevani esobola okusobozesa obukadde n'obukadde bw'abantu okufuna obubaka obw'enfunamu.

Okussa Ebirowoozo ku by’Obujjanjabi

ENTERYO ENZIGIRIZAKO kiwa obukakafu nti embeera y'obulamu ekolebwa mu maka, so si mu ddwaliro. Enkola ez'ebiseera eby'omu maaso ziteekwa okunyweza akakwate wakati w'ekitongole ky'obujjanjabi n'ebitongole ebirala eby'omu nnyiriri gamba nga A bakazi n'ekikolwa eky'ekika kya Kito (ICD:1]], [[]]]] Akawayiro okuleetera okuteeka mu nkola enkyukakyuka [[FLT:][FLT]] [FLT]], [[FLT]]], [FLT]], [FLT] ]], [[FLT]], [ognolwonna, [[FLLD]]].[3]

Empeera: Enteekateeka y’okulabirira Abayindi mu by’obujjanjabi

Ekitongole kya National Rural Health Mission kyali tekikoma ku kussaawo kakwate ka gavumenti; kyaleetawo entegeka ey'eby'obulamu mu bantu abakkirizibwa okufuna obusawo obwa demokulase. Yazzaawo enteekateeka y'obulamu eya lukale era n'esobozesa obukadde n'obukadde bw'abantu okukendeeza ku kufa okwabanga kuyinza okulemesebwa. Wadde nga okusoomooza okw'amaanyi kukyaliwo, okukola emirimu, n'eby'ensirimu, NRHM yatandikawo ekitongole ky'obujjanjabi bwa demo'ensimu, ekizi kika ky'ekika ekyayitidde ekizibya obuzibya obuto mu by'obulamu obwa bulijjo. Eky'obuwangwa kya Buyiiyiiyiiyimizibwa ku nkola y'obujja obutuufu n'enkola y'obutebenke. Oluyigiro olwo lw'etendeke mu NM lweyongera ne ku nkola y'obuwanguzi y'eby'obulamu ekya Indimu, ekitongole ekinene kye kiva mu nkola y'obutebe obutuufu ey'okusobozesa okuleeta ebisanyunzi.