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she got labour pains half way her journey to nadunget health centre iii moroto district midwives from nadunget hciii sr rosemary napeyok in white drove to pick her after failing to complete the 11km walk when they were notified by a relative who ran ahead she eventually delivered a baby boy an hour later now was not a time to ask silly questions i duly obliged with another yes for an answer and off we set off for a combined 20km drive you know we have an ambulance provided with the support of unfpa but we have no fulltime driver sr rosemary voluntarily tells me why she had to make such an abrupt request we have had so many such emergency cases but without a driver we have had to either improvise or look for volunteers to drive during such specific emergencies she explains further as we negotiated through the flat arid karamoja landscape unfpa has done us an unbelievable favour by providing us with an ambulance we now call upon government to get for us a fulltime driver sr rosemary makes her plea natalina natiyan is admitted at nadunget health centre iii moroto district she got labour pains halfway her journey to nadunget health centre iv moroto district midwives from nadunget hciii drove to pick her after failing to complete the 11km walk when a relative who ran ahead notified them she eventually delivered a baby boy an hour later in the bumpy ride she tells me of the challenges of working in a remote region as karamoja this place is so cut off that service delivery becomes a problem making calls is a problem transportation in this region is a problem the people here are cultural rigid in that accessing them with health services also faces challenges there is also insecurity in really remote areas that we just cannot access there are no roads and many others there are so many problems there she is there she is a second midwife suddenly interrupts our conversation alerting us of natalina natiyan a first time expectancy we pullover and sr rosemary rushes to check on natiyan a relative takes care of natalina natiyan after giving birth to a baby boy she got labour pains halfway her journey to nadunget health centre iii moroto district midwives from nadunget hciii drove to pick her after failing to complete the 11km walk when a relative who ran ahead notified them she eventually delivered a baby boy an hour later she s really close but i think she can make to the hospital sr rosemary tells me after a quick examination the midwives gently usher in the now screaming natiyan into the back passenger seat driver if we are to make it you will have to drive a lot faster sr rosemary tells the driver as she retreats to engaging natiyan with a conversation of how she s feeling what she s feeling what she should do what she should do just to distract her from attempting to push sr rosemary napeyok the in charge midwife at nadunget health centre iii moroto district walks through the postnatal ward of the health centre after helping deliver natalina natiyan in no time we were at nadunget health centre iii and the midwives supported her straight to the already set delivery beds she has no complications and the baby is positioned well she should be able to give birth within the hour sr rosemary tells me as i voluntarily left the delivery ward thirty minutes later natalina natiyan had a cause to celebrate after 9 long months she finally is a mother a strong mother to a baby boy natiyans story is one of many i encountered while shooting a photo documentary investing in people for unfpa uganda below are a selection of images shot in seven other districts of kanungu mubende kaabong kotido oyam katakwi and yumbe relating to reproductive health gender based violence teenage pregnancies maternal health and hiv aids among others an out of school teen attends a reproductive health class at the friendly youth corner yfc of kaabong referral hospital the different activities conducted at the corner have helped keep youth away from crime reduced abortion and has enormously increased issues surrounding reproductive health according to the incharge of the yfc an expectant mother waits to deliver at the kanungu hc iv maternity ward all the maternity and baby beds were supplied by unfpa in partnership with the ugandan government supply of free mama kits have also increased numbers of mothers willing to give birth at the health facility a midwife speaks to an expectant teenager attending antenatal classes at aketa health centre iii supply of free mama kits has increased numbers of mothers willing to give birth at the health facility village health teams vhts have also played a crucial part in educating rural communities on the importance of giving birth in health facilities expectant women in aketa just like most of others in rural uganda have to walk for tens of kilometres to access health services in this case antennal classes supply of free mama kits has increased numbers of mothers willing to give birth at the health facility vhts have also played a crucial part in educating rural communities on the importance of giving birth in health facilities all images are copyrighted to unfpa uganda no image may be downloaded or copied without consent of either unfpa uganda global or edward echwalu thank you tags economic growth in uganda edward echwalu photography freelance photography freelance photography in africa freelance photography in uganda human rights inclusion matters infectious disease institute kaabong referral hospital kakumiro health centre iv kanungu lgbt s maternal health mdg s midwife moroto mubende hospital oxfam report on poverty photography in uganda photography tips photojournalism photojournalism in uganda photojournalists in uganda photos in uganda photos of uganda poverty pregnant mothers professional photographers in uganda social media uganda uganda freelance photographer uganda health photographer uganda in pictures uganda photo blog uganda photographer uganda photojournalist uganda photojournalists uganda photos uganda pictures uganda s gdp un un millennium development goals undp uganda unfpa unfpa uganda women deliver world bank africa world bank uganda april 22 2014 health women 33 comments gang fishing in teso gang fishing is a cultural practice in teso where families neighbours and villages come together to fish in the large swamps the fishing tools are mainly two locally made spears and specially curved baskets throughout generations this practice was meant to unite people through combined efforts of catching fish the exploits were largely for subsistence consumption but has gradually taken a commercial step in the recent years it usually happens when the dry season is taking shape where swamps are shallow and the water levels are below the knee to prevent drowning and also to reduce the surface area for fish with large numbers of people stamping on the water to a near muddy state visibility under water reduces for the fish limiting their movements the muddy water also traps out air from underneath forcing the fish to float to the surface for fresh air making easy for them to be trapped by baskets fish retreats to the shoreline once the water has been intruded with gangs of locals here a woman is attempting to trap fish at the shoreline using her fishing net basket made of locally materials the more numbers the better the chances of catching fish your next fish depends on collaboration confuse the fish and then trap them into the baskets or simply catch them with your hands whichever is easier the two ladies here seem to be enjoying every second of their team effort even throwing in some smiles along the line of duty a shadow of a woman is cast on the muddy waters the composition of the gang is very much a mixer of both men and women some families come along with everyone who cannot be swallowed in the shallow waters how it works a fish s eye is sometimes comparable to humans though fish has a comparably stronger adaptation in low light gang fishing aims at reducing visibility increase the amount of debris in the water to prevent an easy swim for fish and also polluting the water when hundreds of people have facilitated these conditions the different fish species will slowly come to the surface at intervals to catch fresh air in this first illustrative picture the kedi george takes sneaking steps scanning the water of any fish floating on the surface he identifies the target positions the locally made triangular fishing tool at a higher level preferably above the fish in order to limit the fish s vision the fish in this shallow swamps do not have aerial visual advantage look at how calm george approaches his target the water remains calm that is very important in order not to scare away the fish and a splash of water debris goes flying in the air as the fish is trapped yes it looks like a catch however look at his position he remains a step or two away from what i would like to call the fish trap zone he pushes the trapping tool further down the surface of the water to prevent fish from slipping through underneath the fish now trapped is in a state panic and stress it knocks the walls of the fishing tool vigorously in an attempt to escape but no its trapped and that is how george gets to know whether he managed to trap it or not sometimes even without the alert the fisherman gets from the fish attempting to escape he checks anyway and also some fish species are small to exert noticeable force on the fish tool and after hours and hours of trampling on the water some fish remain weak and vulnerable and thus may not make a rush dash as others and it s a catch with beaming face he successfully traps one seemingly small he is happy anyway catching immature fish was initially forbidden and clan heads would punish any one found today though the cohesion is barely existent clan heads no longer wield as much power as they did decades ago allowing more random fishing unabated today has been a good day kedi george tells me in his native local ateso language i wonder where the fish hides because sometimes it can be frustrating i can go home now looking at his greased like polythene bag he indeed got something we are very poor he continues this is the only few times my family gets to change diet life is full of contrasts on one hand a blossoming flower survives hundreds of pounding steps from families who indiscriminately search for fish catching or killing anything on their way except dirty splashes of water on its shoulders the flower survives for another besides the flower is a lifeless fish dead out of consistent invasion of its territory its home by ruthless humans who will stop at nothing to have fish on their table meals a quick snack of raw cassava is what most of these families eat during long hours of fishing kedi george in the background together with a family member re energizes with a bite of cassava after an exhaustive day george kedi can now ride his bicycle home in wera some 15km away from the fishing swamp his other family members composed of mostly women will walk that stretch it s a normal walking distance for most of the people another day gone another water family reunion made the tradition of gang fishing lives on tags africa journalism african clans african foods african journalist african news photography african photographer african photojournalist african photos african tribes african women aquaculture bamboo nests cage culture cage fishing china chinese government clans culture dams edward echwalu edward echwalu photography family fishing fish fish consumption fish exports fish factories fish in africa fish ponds fishing fishing boats fishing culture fishing nets fishing ponds food gang fishing iteso jinja journalism katakwi kenya lake albert lake kyoga lake victoria local fishing methods news photography news pictures photographer photography photojournalism ponds rivers soroti tanzania teso tilapia tirbes uganda uganda government uganda photographer uganda photography ugandan photojournali march 21 2014 culture poverty 46 comments why it pays to be born in kampala the world bank has this week launched a report inclusion matters the foundation for shared prosperity the very first of its kind to be launch in africa the report seeks to embrace humanity with the basic social economic and political policies in a nutshell the report shows barriers that prevent people from participating in their nations political economic and social life such as people with disabilities women and lgbts what does social inclusion mean the report defines it as the process of improving ability opportunity and dignity of people disadvantaged on the basis of their identity to take part in society the report couldn t have come at a better time one week after oxfam reported that a combined wealth of 85 of the worlds richest people are valued at equivalent of 3 5 billion people globally combined this report paints a bold picture of the status of inequality that exists in uganda today where few people continue to limited access to markets favorable tax heavens gender disparities and financial muscle among others this massive concentration of economic resources in the hands of fewer people presents a significant threat to inclusive political and economic systems the oxfam report noted uganda case study despite uganda s sustained economic growth average of 6 annually over the past 15 years social economic inclusion across the country remains greatly imbalanced from region to region what does inclusion mean to an ordinary ugandan i will use the report diagram to illustrate one of the most important social benefits in not just uganda but the world electricity uganda s power sector is suffering from a shortage of generating capacity due to prolonged drought inadequate investment in least cost generation capacity and a relatively high load growth the power deficits resulted in massive electricity rationing according to uganda s ministry of gender and economic development statistics from the uganda demographic and health survey 2011 shows that access to electricity strongly varies by ethnicity in uganda for instance where electricity coverage is low in general almost half the baganda largest tribe in uganda reported to having electricity but less than 5 of the karamojong did what explains this karamoja region is one of the least developed regions in the country with a limping infrastructure the region is still recovering from prolonged decades of ethnic conflict compounded by cattle rustling that have rendered her inaccessible for social services on the other hand buganda region has enjoyed relative peace for decades booming economic activity a growing industrialization and a geographical proximity to the capital kampala the report further illustrates that social exclusion in water insecurity is highest among the langi iteso and alur with the bakiga munyankole and batoro having the least experiences of water insecurity some of these social imba...