[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f1haha5ahsyuls":3,"$f3ldrmxfqit1jw":49,"$f9gu6o9jcsxdi":92},{"status_code":4,"message":5,"data":6},200,"Top navigation retrieved successfully",[7,13,19,25,31,37,43],{"id":8,"createdAt":9,"updatedAt":10,"name":11,"slug":12},"b2fd4aec-5546-486a-a3f4-eea60b1434f5","2026-03-26T09:17:24.918Z","2026-04-23T08:59:18.000Z","Hot Topics","hot-topics",{"id":14,"createdAt":15,"updatedAt":16,"name":17,"slug":18},"61adefb2-a0a9-4d1d-a02a-7168a954b173","2026-03-26T09:12:43.334Z","2026-05-21T22:16:04.000Z","Politics","politics",{"id":20,"createdAt":21,"updatedAt":22,"name":23,"slug":24},"412ac379-b7f4-41e6-9284-1b23abd75193","2026-03-26T09:08:28.975Z","2026-04-22T15:05:10.000Z","Global Updates","global-updates",{"id":26,"createdAt":27,"updatedAt":28,"name":29,"slug":30},"01411baa-e805-4390-8629-929c4f90c093","2026-03-25T11:58:27.451Z","2026-05-21T11:24:07.000Z","Entertainment","entertainment",{"id":32,"createdAt":33,"updatedAt":34,"name":35,"slug":36},"f533efbb-008f-4539-9a0b-c6f71297a9f4","2026-03-25T11:41:34.472Z","2026-05-21T16:44:38.000Z","Business","business",{"id":38,"createdAt":39,"updatedAt":40,"name":41,"slug":42},"556591a5-3420-482a-9592-6b4ae49829b3","2026-03-25T11:40:22.480Z","2026-05-21T16:39:17.000Z","Sports","sports",{"id":44,"createdAt":45,"updatedAt":46,"name":47,"slug":48},"07a1a269-9188-41fc-9145-0ab7ca6d29e6","2026-03-25T11:39:56.272Z","2026-05-21T16:37:48.000Z","Africa","africa",{"status_code":4,"message":50,"data":51},"List of Posts retrieve successfully",{"id":52,"createdAt":53,"updatedAt":54,"title":55,"excerpt":56,"content":57,"slug":58,"topic":59,"tags":65,"image":79,"author":80,"feed":81,"views":88,"type":89,"readTime":90,"externalSourceUrl":91},"c5d8d338-831a-449d-9f47-3df697364047","2026-10-21T19:20:01.307Z","2026-10-21T20:00:53.000Z","Uganda’s Health Worker Crisis: Expectant Mothers Endure Long Queues as Nurses and Midwives Struggle with Overwhelming Workloads","BY PAUL TENTENA AND SHABELLA KOSHABA For Melon Amumpaire, an expectant mother from Kakoba in Mbarara City, attending routine antenatal appointments at Mbarara City Health Centre IV often means enduring long queues before receiving medical attention. Amumpaire says the experience leaves her frustrated and worried about whether she will receive timely care when she goes […]\nThe post Uganda’s Health Worker Crisis: Expectant Mothers Endure Long Queues as Nurses and Midwives Struggle with Overwhelming Workloads appeared first on Watchdog Uganda.","\u003Cp>\u003Cstrong>BY PAUL TENTENA AND SHABELLA KOSHABA\u003C\u002Fstrong>\u003C\u002Fp>\n\u003Cp>For Melon Amumpaire, an expectant mother from Kakoba in Mbarara City, attending routine antenatal appointments at Mbarara City Health Centre IV often means enduring long queues before receiving medical attention.\u003C\u002Fp>\n\u003Cp>Amumpaire says the experience leaves her frustrated and worried about whether she will receive timely care when she goes into labour or experiences a pregnancy-related emergency.\u003C\u002Fp>\n\u003Cp>“Sometimes I have to wait for a long time before I am attended to during antenatal visits. There are usually many pregnant women seeking services, while the number of nurses and midwives is limited,” she says.\u003C\u002Fp>\n\u003Cp>“This makes me worried about whether I will receive immediate attention when I go into labour or when I have an emergency. I believe recruiting more midwives and nurses would reduce waiting times and ensure that pregnant women receive timely and adequate care.”\u003C\u002Fp>\n\u003Cp>Her experience reflects the challenges faced by expectant mothers at several public health facilities, where shortages of health workers are placing pressure on both patients and the staff responsible for their care.\u003C\u002Fp>\n\u003Cp>At Kawempe National Referral Hospital, another expectant mother, Mariam Nansubuga, says arriving early does not necessarily guarantee prompt attention.\u003C\u002Fp>\n\u003Cp>“I came early because I wanted to be attended to early, but there were already many mothers waiting. Sometimes you have to sit for a long time before you are attended to, even when you have labour pain,” Nansubuga says.\u003C\u002Fp>\n\u003Cp>For pregnant women, delays can heighten anxiety at a time when timely assessment and medical attention are particularly important.\u003C\u002Fp>\n\u003Cp>The pressure is not limited to antenatal clinics. Mothers who have already delivered also report lengthy waiting times, while nurses and midwives say understaffing is making it increasingly difficult to meet patients’ needs.\u003C\u002Fp>\n\u003Ch2>Health workers stretched beyond their limits\u003C\u002Fh2>\n\u003Cp>Emily Nsiimire, a nurse at Mbarara Regional Referral Hospital, attributes the long waiting times to the shortage of health workers, which she says leaves the available staff handling workloads meant for several people.\u003C\u002Fp>\n\u003Cp>“Here you find one person does the work for two to three people,” she says.\u003C\u002Fp>\n\u003Cp>Nsiimire cites the hospital’s Friday cardiology clinic, where more than 100 patients may be attended to by just two health workers. The workload, she says, often forces staff to work beyond their scheduled hours and remain at the hospital late into the evening.\u003C\u002Fp>\n\u003Cp>“Instead of finishing the work at lunchtime, I stretch to evening hours, or sometimes leave the hospital around 9 p.m.,” she says.\u003C\u002Fp>\n\u003Cp>The responsibilities can be equally demanding. A single health worker may be expected to conduct tests, provide nursing care, counsel patients, dispense medicines and enter patient information into the hospital system.\u003C\u002Fp>\n\u003Cp>According to Nsiimire, the accumulation of these duties causes physical, emotional and mental exhaustion, potentially compromising the quality and safety of care.\u003C\u002Fp>\n\u003Cp>“The person is working too much and is almost breaking down because the work is too much,” she says, explaining that responsibilities meant to be shared among several workers sometimes fall on one person.\u003C\u002Fp>\n\u003Cp>She recalls an incident involving a nurse who had worked both day and night shifts and subsequently made a medication-related error, which she linked to exhaustion.\u003C\u002Fp>\n\u003Cp>The incident, she says, illustrates the risks that can arise when health workers are expected to work prolonged hours without adequate staffing. The circumstances surrounding the case could not be independently established.\u003C\u002Fp>\n\u003Cp>At Kawempe National Referral Hospital, nurse Sarah Namukasa says inadequate staffing makes it difficult to manage the volume of patients seeking care.\u003C\u002Fp>\n\u003Cp>“The biggest challenge is the workload. Some days there are many patients who need attention, but the number of nurses available during a shift is sometimes not enough, and this is very hectic for us,” she says.\u003C\u002Fp>\n\u003Cp>Her colleague, Joseph Okello, says understaffing also forces medical teams to prioritise patients according to the urgency of their conditions.\u003C\u002Fp>\n\u003Cp>“When the ward is very busy, we have to prioritise emergencies. Other patients may have to wait, even when they have been waiting for some time,” he says.\u003C\u002Fp>\n\u003Cp>Although prioritising emergencies is necessary in clinical settings, prolonged waiting can leave patients frustrated and anxious, particularly when they do not know how long it will take before they receive attention.\u003C\u002Fp>\n\u003Ch2>Mothers anxious during childbirth\u003C\u002Fh2>\n\u003Cp>For Jovinta Atuhaire, a resident of Irembezi in Bushenyi District, the shortage of health workers became particularly concerning when she delivered her first baby at Bushenyi Health Centre IV.\u003C\u002Fp>\n\u003Cp>Although she says she eventually received the care she needed, she recalls waiting for long periods as nurses and midwives attended to several mothers simultaneously.\u003C\u002Fp>\n\u003Cp>“I delivered my baby at Bushenyi Health Centre IV and although I received the care I needed, I experienced long waiting times because there were many mothers and few health workers available,” Atuhaire says.\u003C\u002Fp>\n\u003Cp>“The nurses and midwives were attending to several patients at the same time, which made me anxious, especially during labour. I believe having more nurses and midwives would reduce the waiting time and allow mothers to receive more attention and better care.”\u003C\u002Fp>\n\u003Cp>Her account highlights the anxiety that can accompany childbirth when expectant mothers feel they are not receiving sufficient attention.\u003C\u002Fp>\n\u003Cp>At Mulago National Referral Hospital, nurse Sarah Ikoru says inadequate staffing in maternity wards places considerable pressure on those responsible for assisting women during delivery.\u003C\u002Fp>\n\u003Cp>“Almost 50 children are born in a day, but because the midwives are not enough, the workload becomes too much on an individual,” Ikoru says.\u003C\u002Fp>\n\u003Cp>“You have to compensate for the work of three persons at the same time, and it is only one person performing it. Sometimes, the long working hours really affect someone to continue working at night, so it slows down how you function as a human being.”\u003C\u002Fp>\n\u003Cp>Priscilla Nambi, a midwife at Mulago National Referral Hospital, says nurses and midwives remain committed to providing quality care to expectant mothers, but the number of available staff is often insufficient for the patient population.\u003C\u002Fp>\n\u003Cp>She explains that one health worker may have to attend to several mothers simultaneously, making it more difficult to provide timely care before, during and after childbirth.\u003C\u002Fp>\n\u003Cp>While staff strive to ensure safe deliveries, she says the shortage makes their work considerably more demanding and can delay the attention patients receive.\u003C\u002Fp>\n\u003Ch2>Quality of care under pressure\u003C\u002Fh2>\n\u003Cp>Beyond waiting times, health workers warn that understaffing can undermine patient satisfaction and the quality of medical services.\u003C\u002Fp>\n\u003Cp>Nsiimire says the large number of patients often leaves health workers with insufficient time to listen carefully to individual concerns, explain diagnoses or provide adequate counselling.\u003C\u002Fp>\n\u003Cp>“Patients will come when they need more time with the doctors, and in this case the doctor will have no time to listen to the patients’ concerns because the line of patients is too long and the patients are many,” she says.\u003C\u002Fp>\n\u003Cp>The result, she adds, can be rushed consultations and care that falls short of the attention patients deserve.\u003C\u002Fp>\n\u003Cp>“Patients will be required to wait for so long. There is rushed care, like we don’t give good quality care because we are running after this person to this person,” she says.\u003C\u002Fp>\n\u003Cp>Nsiimire also raises concerns about infection prevention, arguing that excessive workloads and fatigue can contribute to unsafe practices, including the improper reuse of gloves between patients.\u003C\u002Fp>\n\u003Cp>Such practices, if they occur, can expose patients to preventable infections and underline the importance of adequate staffing, infection-control training and compliance with established clinical protocols.\u003C\u002Fp>\n\u003Cp>The concerns point to a broader challenge: ensuring that health facilities have enough qualified personnel to provide safe, timely and patient-centred care without placing excessive demands on the workers themselves.\u003C\u002Fp>\n\u003Ch2>Ministry cites funding, recruitment and brain drain\u003C\u002Fh2>\n\u003Cp>The Ministry of Health acknowledges that Uganda faces challenges in staffing its health facilities, attributing the shortage to several factors.\u003C\u002Fp>\n\u003Cp>Emmanuel Ainebyona, the outgoing ministry spokesperson, says inadequate funding for the health workers’ wage bill, delays by districts in recruiting approved personnel, and the return of unspent wage funds to the Consolidated Fund contribute to the problem.\u003C\u002Fp>\n\u003Cp>He also cites the movement of health professionals to non-governmental organisations, private facilities and overseas employers offering better remuneration, alongside Uganda’s population growth rate of 3.02 per cent annually.\u003C\u002Fp>\n\u003Cp>These factors, he says, make it difficult for the health workforce to keep pace with the growing demand for services.\u003C\u002Fp>\n\u003Cp>The challenge is compounded by concerns about the deployment and attendance of some senior medical personnel.\u003C\u002Fp>\n\u003Cp>In remarks on staff accountability, the Ministry of Health Director General of Health Services, Dr Charles Olaro, who replaced Dr Henry Mwebesa in May 2025, questioned how a consultant whose salary had been enhanced to Shs12 million could report for duty for only eight days in a month.\u003C\u002Fp>\n\u003Cp>“One of the consultants was showing up for duty only eight days a month. This is the consultant whose salary has been enhanced to Shs12m. Can you do that in a private facility? Why would you do that in a government hospital and get away with it?” Olaro said.\u003C\u002Fp>\n\u003Cp>His remarks highlight the ministry’s concerns about accountability and the effective utilisation of available health personnel, alongside the broader problem of inadequate staffing.\u003C\u002Fp>\n\u003Ch2>The numbers behind Uganda’s health workforce gap\u003C\u002Fh2>\n\u003Cp>Uganda’s health workforce figures reveal the scale of the challenge.\u003C\u002Fp>\n\u003Cp>The country’s approved employment structure for health workers provides for 154,190 positions. As of December 2024, only 48,113 positions had been filled, representing approximately 31 per cent of the approved establishment and leaving about 69 per cent vacant.\u003C\u002Fp>\n\u003Cp>A Ministry of Health assessment conducted in 2024 estimated that Uganda required approximately 342,832 health workers, compared with an available workforce of about 155,000, resulting in a projected gap of roughly 187,000 personnel.\u003C\u002Fp>\n\u003Cp>The figures illustrate the pressure facing a health system expected to serve a growing population while providing increasingly specialised services.\u003C\u002Fp>\n\u003Cp>The shortages affect several professional categories, including midwives, specialist doctors and anaesthesiologists, among others.\u003C\u002Fp>\n\u003Cp>Uganda’s National Development Plan IV Human Resource Development Plan, covering the 2025\u002F26–2029\u002F30 financial years, provides a five-year framework for developing the country’s human resources and identifies continuing shortages in key health professions.\u003C\u002Fp>\n\u003Ch2>Recruitment funding offers hope\u003C\u002Fh2>\n\u003Cp>There are, however, efforts to address the staffing gap.\u003C\u002Fp>\n\u003Cp>For the 2026\u002F27 financial year, Parliament approved Shs132.6 billion to support the recruitment of 16,963 health workers.\u003C\u002Fp>\n\u003Cp>The funding is expected to support efforts to fill staffing gaps in the health sector, although the impact will depend on recruitment, deployment and the availability of resources to sustain the new employees.\u003C\u002Fp>\n\u003Cp>The ministry has also pointed to local government recruitment delays and unspent wage allocations as obstacles that need to be addressed if approved positions are to translate into actual health workers at facilities.\u003C\u002Fp>\n\u003Cp>For expectant mothers such as Amumpaire, Nansubuga and Atuhaire, the issue is immediate and personal. They want to attend antenatal appointments without spending hours in queues and to be confident that skilled personnel will be available when labour begins.\u003C\u002Fp>\n\u003Cp>For nurses and midwives, the demand is equally urgent: adequate staffing to reduce excessive workloads, protect their well-being and ensure that patients receive the attention they need.\u003C\u002Fp>\n\u003Cp>Ultimately, closing Uganda’s health workforce gap will require more than approving recruitment budgets. Timely hiring, effective deployment, staff retention, accountability and sustained investment in the health system will be essential to ensuring that mothers and other patients receive safe and timely care.\u003C\u002Fp>\n\u003Cp>The post \u003Ca href=\"https:\u002F\u002Fwww.watchdoguganda.com\u002Fnews\u002F20261021\u002F199884\u002Fugandas-health-worker-crisis-expectant-mothers-endure-long-queues-as-nurses-and-midwives-struggle-with-overwhelming-workloads.html\">Uganda’s Health Worker Crisis: Expectant Mothers Endure Long Queues as Nurses and Midwives Struggle with Overwhelming Workloads\u003C\u002Fa> appeared first on \u003Ca href=\"https:\u002F\u002Fwww.watchdoguganda.com\">Watchdog Uganda\u003C\u002Fa>.\u003C\u002Fp>\n","ugandas-health-worker-crisis-expectant-mothers-endure-long-queues-as-nurses-and-midwives-struggle-with-overwhelming-workloads",{"id":60,"createdAt":61,"updatedAt":62,"name":63,"slug":64},"84dce77a-2198-4735-a407-9e825d12d96b","2026-03-26T09:00:34.695Z","2026-05-22T15:37:14.000Z","Health","health",[66,64,67,68,69,70,71,72,73,74,75,76,77,78],"ugandas","worker","crisis","expectant","mothers","endure","long","queues","nurses","midwives","struggle","overwhelming","workloads","https:\u002F\u002Fwww.watchdoguganda.com\u002Fwp-content\u002Fuploads\u002F2026\u002F10\u002F4829.jpg",null,{"id":82,"createdAt":83,"updatedAt":84,"name":85,"image":86,"slug":87},"9886f865-689d-4303-9600-f1b599af6761","2026-05-03T08:09:07.258Z","2026-08-13T13:05:31.823Z","Watchdog 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Service","civil-service",[],{"id":1728,"createdAt":1729,"updatedAt":1729,"name":1730,"slug":1731,"children":1732},"ea4c412a-13c0-4258-8736-c7c42d0147ba","2026-07-14T10:59:08.769Z","Entrepreneur","entrepreneur",[],{"id":1734,"createdAt":1735,"updatedAt":1735,"name":1736,"slug":1737,"children":1738},"eea91b5f-142b-46f1-a99d-07557d24c824","2026-05-14T08:56:55.630Z","Economy","economy",[],{"id":1740,"createdAt":1741,"updatedAt":1742,"name":1743,"slug":1744,"children":1745},"fc53fd41-782d-4c59-8d9c-95416b4395a1","2026-03-26T09:15:14.420Z","2026-05-22T21:57:49.000Z","Crime","crime",[1746,1752,1759,1766,1772,1785,1792,1798],{"id":1747,"createdAt":1748,"updatedAt":1748,"name":1749,"slug":1750,"children":1751},"284988d3-5df0-4450-885b-c72339b3e569","2026-05-27T05:54:43.719Z","EFCC","efcc",[],{"id":1753,"createdAt":1754,"updatedAt":1755,"name":1756,"slug":1757,"children":1758},"4279312f-d771-43fe-87d9-94fb27c423cc","2026-03-30T20:26:16.361Z","2026-06-29T12:49:14.000Z","Kidnapping & Banditry","kidnapping-and-banditry",[],{"id":1760,"createdAt":1761,"updatedAt":1762,"name":1763,"slug":1764,"children":1765},"7d71a44e-8ad3-459b-87ca-44340608ba66","2026-05-12T09:17:22.828Z","2026-05-21T22:09:16.000Z","Police","police",[],{"id":1767,"createdAt":1768,"updatedAt":1768,"name":1769,"slug":1770,"children":1771},"a5e212ca-edf5-4131-b78e-332c32d9e0e1","2026-08-08T00:55:56.482Z","Money Laundering ","money-laundering",[],{"id":1773,"createdAt":1774,"updatedAt":1775,"name":1776,"slug":1777,"children":1778},"b3fbb57a-beaa-409f-b5db-290b46ea8a58","2026-03-26T09:15:35.953Z","2026-05-22T21:59:26.000Z","Insecurity","insecurity",[1779],{"id":1780,"createdAt":1781,"updatedAt":1781,"name":1782,"slug":1783,"children":1784},"8b58bdfc-7eda-4580-9df6-1c0e84676662","2026-08-07T08:26:58.233Z","Security Agencies","security-agencies",[],{"id":1786,"createdAt":1787,"updatedAt":1788,"name":1789,"slug":1790,"children":1791},"bb43406d-7167-428a-98a5-c9b0ae3d225b","2026-04-19T11:23:40.666Z","2026-05-22T22:00:49.000Z","Drug Trafficking","drug-trafficking",[],{"id":1793,"createdAt":1794,"updatedAt":1794,"name":1795,"slug":1796,"children":1797},"edc7ab5a-86a5-4a37-af73-bac317202614","2026-07-22T14:42:24.643Z","Human Trafficking ","human-trafficking",[],{"id":1799,"createdAt":1800,"updatedAt":1801,"name":1802,"slug":1803,"children":1804},"f4a769f7-1ac5-44b9-a955-0883b8ade1dc","2026-03-30T20:25:43.706Z","2026-05-22T22:01:21.000Z","Cyber Crime","cyber-crime",[]]