THE REPUBLIC OF UGANDA SPEECH BY THE GUEST OF HONOUR WORLD POPULATION DAY NATIONAL CELEBRATIONS DUHAGA SSS, HOIMA DISTRICT 11TH JULY 2012 Honourable Ministers Members of Parliament The Director, Population Secretariat The UNFPA Country Representative Representatives of Development Partners District leaders Cultural and Religious leaders Members of the Media Invited guests, Ladies and Gentlemen It gives me great pleasure to officiate at this very important occasion of commemorating the 2012 World Population Day here in Hoima district. On behalf of the government of Uganda, and on my own behalf, I wish to extend my appreciation to the Population Secretariat and the UNFPA as well as other development partners, for their efforts in advocating for and emphasizing the benefits of a quality population for Uganda. Thank you for supporting and drawing government’s attention to pertinent population-related concerns. As Uganda marks this year’s World Population day under the theme: “Make Access to Reproductive Health apriority: Address key Challenges,” we should explore how to improve access to these services for our people. Ladies and gentlemen, I am informed that in many parts of the country, including Hoima district, our people are grappling with lack of access to RH services. This situation has been compounded by the high teenage pregnancies. Addressing these issues requires collective effort of each one of us present here today and not only government. This is largely because we have a limited resource envelop and very many competing needs. 1 My government is putting emphasis on addressing shortfalls in the staffing levels in government Health centres countrywide. This is one of our priority areas in the new financial year. To start with, we are going to address the remuneration of health workers. This will address the challenge of the negative attitude towards our pregnant others, overloading our medical personnel and generally, the brain drain in the health sector. As the year 2015 draws nearer, we need to take stock of how far we have progressed in achieving the Millennium Development Goals particularly those focusing on maternal and infant health. Many commitments and efforts have been taken although several challenges remain. The high maternal and infant mortality remain a serious threat to the country’s progress in population and development issues. We cannot sit back and watch as our mothers and their newly-born babies die from preventable causes. No woman should die while giving life. Mothers should be supported to space their children by two to three years. This will help the children grow well and also keep mothers healthy and economically productive instead of spending a lot of time in the labour ward. Over the next five years, we are going to focus on ensuring access to Reproductive Health services. Currently, over 90% of the Reproductive Health commodities are provided by donors. We are going to address this shortfall. By increasing funding to ensure that contraceptives get to those who need them. However, we should be cautious as we do this so that the contraceptives are not abused by the young people. I would also like to take this opportunity to pledge that expenditure in the health sector will increase starting in the 2013/2014 financial year. It is the only way the country will be able to address the high infant and maternal mortality coupled with a shortage in supply of reproductive health commodity supplies. Currently 2 government expenditure on health accounts for about 10% which falls short of the 15% agreed upon by African governments in 2002 in Abuja, Nigeria. We want to ensure that we attain that level within the next five years. Ladies and Gentlemen, Uganda’s population today stands at about 34 million people according to projections. Next year’s census will provide a more elaborate picture. Projections from Uganda Bureau of Statistics show that this year alone, close to 1.7 million will be added to Uganda’s population. It is now very clear that we have to provide social services and infrastructure to this rapidly growing population. As our country strives to improve on the quality of its population, we must find ways of addressing young people’s needs. About 56% of Uganda’s population is below 18 years of age. Although the youth are sexually active at an early age, many of them cannot access reproductive health information, services and supplies. The unwanted and unplanned pregnancies resulting from this situation put the lives of the teenage mothers and their newly-born babies at a risk. These mothers are not psychologically and physically prepared for motherhood. Of course I agree with Population Secretariat that we cannot control the growth of the population but at least we can ensure that citizens have manageable families. That is one aspect I am ready and very willing to fully support. Honestly, an average of six children per woman in the reproductive age bracket is high. Our mothers and sisters also need ample time to engage in income-generating activities. And to the men out there, you should actively participate in planning for your families. The culture of women stealthily reproductive health services should become history. Studies show that almost half of couples never discuss family planning issues. Since it takes two parents to produce children, couples should be actively involved in determining the number of children they can ably provide for with basic necessities. 3 At the same time, we must ensure that all Ugandan couples who want to space or limit their births have access to quality reproductive health services, including a full range of contraceptives consistently available at affordable prices. Government is doing all it can to ensure equal and equitable access and availability of a wide range of contraceptives. We are also training the service providers to ensure that they can effectively address the question of side effects which scare away most would-be users. However, these efforts may not be adequate. As such, we need all concerned stakeholders to give us a hand. I urge each of us to guide our people to have children they can ably provide for in terms of good feeding; medical attention and care, quality education; so that Uganda as a country ends up having a quality population that is skilled enough to contribute to the development of the country. We must make a choice between having families we can ably provide for and those that we cannot. We should also not forget that the more children a mother has, the higher the risk of maternal mortality. Our mothers and their newly born babies should not die because of preventable factors and diseases. Ladies and gentlemen, Now, more than ever before, we politicians must work closely with the population experts to find a way of planning for and managing the ever increasing population. We must listen to the advice given by population growth and management experts because it is based on scientific evidence. Let me also take this opportunity to thank the leadership and people of Hoima district for hosting such a successful World Population Day. I would also like to express Uganda’s gratitude to our development partners who have been consistently supporting our developmental efforts. Special appreciation goes to UNFPA and the United Nations as a whole for their support towards addressing population issues of our country. 4 Once again, I thank Population Secretariat and all other stakeholders present here today, for ensuring that population issues become and remain part of the national and international agenda. I thank you all for listening. Mwebale okumpuliriza For God and my Country 5