Health · Demographic and Health Surveys, Census 2024, Ministry of Health
Far fewer Ugandan children die young than a generation ago
Out of every 1,000 children born, 64 died before their 5th birthday in 2016, down from 177 in 1988-89.
Under-5 deaths per 1,000 births
64
2016, down from 177
Children per woman
5.4
2016
Households with a mosquito net
87%
Census 2024
People with health insurance
1.0%
Census 2024
Women had 5.4 children on average in 2016, down from 7.4 in 1988-89.
Children dying young
Deaths per 1,000 live births, by survey
- Before age 5
- Before age 1
| Month | Before age 5 | Before age 1 |
|---|---|---|
| 2016 | 64 | 43 |
| 2011 | 90 | 54 |
| 2006 | 128 | 71 |
| Jan 2000 | 151 | 88 |
| 1995 | 147 | 81 |
| undefined 1988 | 177 | 98 |
Children per woman
Total fertility rate, by survey
| Month | Children per woman |
|---|---|
| 2016 | 5.4 |
| 2011 | 6.2 |
| 2006 | 6.7 |
| Jan 2000 | 6.9 |
| 1995 | 6.9 |
| undefined 1988 | 7.4 |
Mothers and babies
Care during pregnancy and birth
% of women, by survey
- ANC by a skilled provider
- Birth in a health facility
- Birth by a skilled provider
| Month | ANC by a skilled provider | Birth in a health facility | Birth by a skilled provider |
|---|---|---|---|
| 2016 | 97% | 73% | 74% |
| 2011 | 95% | 57% | 58% |
| 2006 | 93% | 42% | 42% |
| Jan 2000 | 90% | 37% | 37% |
Child growth and vaccination
% of young children, by survey
- Fully vaccinated (basic, 12–23 months)
- Stunted (under 5)
| Month | Fully vaccinated (basic, 12–23 months) | Stunted (under 5) |
|---|---|---|
| 2016 | 55% | 29% |
| 2011 | 52% | 33% |
| 2006 | 46% | 38% |
| Jan 2000 | 37% | 45% |
| 1995 | 47% | – |
| undefined 1988 | 24% | – |
Households with a treated mosquito net
% of households, by survey. The 2024 census, which counts any net, found 87%
| Month | Households with a net |
|---|---|
| 2016 | 78% |
| 2014-15 (MIS) | 90% |
| 2011 | 60% |
| 2009 (MIS) | 47% |
| 2006 | 17% |
HIV testing
% of adults tested for HIV who received their result (survey measure), by survey
- Women
- Men
| Month | Women | Men |
|---|---|---|
| 2016 | 55% | 47% |
| 2011 | 42% | 30% |
| 2006 | 12% | 10% |
Paying for health
Public health spending per person
UGX per person per year
| Month | UGX per person |
|---|---|
| 2022/23 | 80,879 |
| 2021/22 | 76,224 |
| 2020/21 | 64,737 |
| 2019/20 | 62,260 |
| 2018/19 | 60,754 |
| 2017/18 | 51,668 |
| 2016/17 | 49,910 |
Health facilities by owner
Functional facilities, by financial year
- Private for profit
- Private not for profit
- Government
| Month | Private for profit | Private not for profit | Government |
|---|---|---|---|
| 2022/23 | 3,969 | 1,069 | 3,562 |
| 2021/22 | 2,947 | 1,120 | 3,366 |
| 2020/21 | 2,129 | 2,013 | 3,366 |
| 2019/20 | 1,809 | 1,229 | 3,194 |
| 2018/19 | 2,793 | 982 | 3,129 |
The health system
Too few health workers where people need them most
% of approved posts that are filled, public facilities, 2019/20
| Posts filled | |
|---|---|
| Health Centre II | 55% |
| Regional Referral Hospitals | 75% |
| General Hospitals | 78% |
| Mulago National Referral Hospital | 80% |
| Health Centre III | 82% |
| Health Centre IV | 88% |
| All public facilities | 73% |
What kills young children in hospital
% of deaths of children under 5 in hospital, by cause
- Malaria
- Pneumonia
- Anaemia
- Neonatal conditions
| Month | Malaria | Pneumonia | Anaemia | Neonatal conditions |
|---|---|---|---|---|
| 2021/22 | 7% | 5% | 4% | 10% |
| 2020/21 | 26% | 9% | 7% | 18% |
| 2019/20 | 18% | 11% | 8% | 7% |
| 2018/19 | 26% | 19% | 10% | 7% |
| 2017/18 | 35% | 11% | 23% | 7% |
Many births are never registered
Births notified and registered
- Notified
- Registered
| Month | Notified | Registered |
|---|---|---|
| 2019 | 435,245 | 206,214 |
| 2018 | 685,834 | 438,516 |
| 2017 | 509,848 | 231,574 |
| 2016 | 601,694 | 151,983 |
| 2015 | 1,345,152 | 308,633 |
Cancer cases recorded
UBOS “cancer burden” totals, by financial year (see notes)
| Cases | |
|---|---|
| 2014/15 | 18,609 |
| 2015/16 | 31,081 |
| 2016/17 | 41,574 |
| 2017/18 | 25,365 |
About these numbers
- Child mortality, fertility, maternal care, stunting and vaccination come from the Uganda Demographic and Health Surveys; the latest in UBOS’s online tables is 2016.
- Four of these UBOS files open on an internal indicator list; the figures are on the last sheet of each file.
- UBOS lists the health budget table under the title “Countrywide TB detection rate”; the file is the health sector’s share of the government budget, and is shown as that.
- Causes of death for children under 5 are shares of deaths in hospital. In 2021/22 every cause is much lower than in 2020/21, which may reflect a change in how the figures were measured rather than fewer deaths.
- UBOS gives only yearly totals for “cancer burden”, without saying how cases are counted; the fall in 2017/18 may reflect reporting rather than fewer cancers.
- Health-worker figures are posts in public health facilities; “filled” can exceed “approved” where extra staff are posted.
- Birth notification means a health facility or local leader recorded the birth; registration means it was entered in the civil register and a certificate can be issued.
- Private health facility counts swing a lot between years, which likely reflects how facilities were recorded as much as real openings and closures.
- Teenage childbearing: 25% of girls aged 15–19 had begun childbearing in 2016.
Where this comes from
- Trends in under five Mortality rate
- Infant Mortality Rate
- Trends in Fertility Rate
- Trends in Maternal Health Care
- Stuntedness Trends
- Basic Vaccinations
- Teenage Child Bearing
- Ownership of treated Mosquitoes
- Trends in HIV Testing
- Per capita public health expenditure in Uganda shillings, 2016/17 to 2022/23
- Number of Functional Healthcare facilities by Financial Year and Ownership, 2018/19 to 2022/23
- Countrywide TB detection rate 2013/14 to 2021/22
- Top four Leading causes of under 5 In-patient Mortality
- Trends in cancer Burden in Uganda by Year
- Human Resources for Health posts approved, filled by year and public health facility
- Birth Notification and Registration 2015_2019