Busoga Grapples with Water-Borne Diseases Amidst Poor Sanitation

Health authorities in the Busoga sub-region have expressed grave concerns regarding the persistent outbreaks of water-borne diseases, a situation exacerbated by deficient sanitation practices and insufficient access to clean water sources. These preventable illnesses and fatalities, particularly impacting children under the age of five, were highlighted during a recent stakeholder meeting convened by Jinja Regional Referral Hospital.

Senior executive consultant Dr. Alfred Yayi emphasized the crucial role of political, religious, cultural, and community leaders in driving public awareness campaigns for improved hygiene and sanitation. He stated, “We need community leaders to educate the public on the importance of safe water, proper sanitation and good hygiene practices. Their voices are respected and can help change behaviours that contribute to disease outbreaks.”

Data presented revealed that diarrhoeal diseases are a significant health burden. In Busoga, over 40 percent of outpatient visits in 2023 were attributed to WASH-related illnesses such as diarrhea, cholera, and typhoid. Documented disease outbreaks in Jinja and Luuka districts in 2024, including cholera and viral conjunctivitis, were linked to the consumption of contaminated water from shared sources.

Open defecation remains a critical issue in several communities, especially on islands in Namayingo District and parts of Jinja City, directly increasing the risk of disease transmission. Furthermore, health officials are closely monitoring cases of schistosomiasis, or bilharzia, in lakeside communities, where contact with infested water can lead to severe health complications if left untreated.

Efforts to combat these diseases are hampered by inadequate investment in water infrastructure, sanitation facilities, and public awareness programs. Safe water coverage in Busoga stands below the national target, and a significant portion of households lack access to improved sanitation and handwashing stations. Even health facilities in the region face challenges, with many lacking basic water supply and functional handwashing facilities.

Source: Daily Monitor (Uganda)