road to Budima is unpaved but well traveled. The health center offers a wide range of services, including a maternity ward. According to a sign posted on the wall of the center, services offered include the following:

  • general medical services,

  • immunizations,

  • laboratory services,

  • routine volunteer counseling and testing for HIV,

  • antenatal care,

  • maternity care,

  • postnatal care,

  • dental,

  • health education,

  • family planning, and

  • preventing mother-to-child transmission of HIV.

The maternity ward consists of three rooms: a delivery room, a recovery room, and a room for prenatal visits. The clinic handles approximately 35 births per month, with each new mother and infant staying in the recovery room for about 24 hours after delivery before going home.

The clinic’s role in education and outreach was evident on entering the clinic, with its walls covered with educational posters on a wide range of topics, including the importance of prenatal testing for sexually transmitted diseases (such as syphilis), childhood immunization, counseling for HIV-positive pregnant women, and information on how to avoid Schistosomiasis, locally know as bilharzia. The posters use pictograms as well as text in English and Swahili to reach the full range of patients.

During the visit to the health center site, forum participants were warmly welcomed by John Ibugo, chairperson of the Butagaya Parent Support group, a group dedicated to supporting the parents of children suffering from mental health disorders. The support group is made up of 46 members, drawn from the 67 villages in the Butagaya subcounty. Ibugo spoke of the challenges that families of disabled children face in the area. The catchment area for the clinic is large, and transportation is a major issue. Support group members have conducted more than 2,000 home visits that have helped them to locate 250 children with a wide range of disabilities, but many more may be out there. Parents often do not understand mental health disorders and simply do not know how to care for their children with disabilities. The area is poor, and there is a lack of vital resources such as medication, mosquito nets, and money to



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