The impassable roads at Patiko Sub County in Gulu District have
forced pregnant mothers in the area to resort to the services of traditional
The only road in the area that links the community to a nearby health
facility of Patiko Health Centre III measured about 11 kilometres is impassable
and the transport for using a motorcycle has risen from 6,000 Shillings to over
Susan Aber, one of the traditional birth attendants at Tee-Ladwong
Parish says that she receives 3 to 4 mothers turning up for delivery each month
at her home. Aber explained that although she had successfully saved these
mothers and their babies, she noted that many of the deliveries were with the retained
placenta which nearly caused deaths.
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She has appealed to the Sub County authorities to prioritize roads
development to link the locals to the health facilities and other services from
the Sub County Headquarters.
Francis Okumu, one of the Boda Boda Cyclists at Ajulu Trading
Centre says they have decided to increase the transport fare mostly at night
due to the challenges they face in the area at work.
“We only take the risk to carry people to the area because it’s
either you get an accident or have a mechanical breakdown” Okumu added.
James Okot, the Vice-Chairperson LCI of Tee- Ladwong village says
the distance from the area to a health facility is far which affects the locals
from health care and services. He wants the government to establish a health
centre in the area.
Denis Komakech, the In-charge Patiko Health Centre III says that
the health facility is currently handling 30 to 35 deliveries on monthly
Komakech noted that the health facility had initially planned with
development partners to put a temporary structure for the waiting room for
mothers seeking for delivery but due to financial constraint, the plan was
Margret Arach, the LCIII Chairperson for Patiko Sub County, says
that the District had taken over the three feeder roads in the Sub County which
include Tee-Ladwong to Lugore Prison, Pawel Angany and Patira for upgrading and
However, despite the prioritization of maternal health services,
there has only been a slight increase in antenatal care and services
according to the Ministry of Health.
The 2019/2020 annual health sector performance report indicates that deliveries
at health facilities increased from 55% in the subsequent years to 63% in 2020
but declined by 4% due to the effects of COVID 19 pandemic.
Gulu District recorded 94 maternal deaths in 2019 which declined
from 123 in the subsequent year and the leading causes of maternal deaths among
others are as a result of haemorrhage and delays for antenatal services