Health 9 November 2026 Daily Monitor (Uganda)

Government Announces Plans to Upgrade Health Centre IVs to Community Hospitals

The Ugandan government is moving forward with plans to elevate Health Centre IVs into community hospitals to expand access to maternity and surgical care, easing the burden on major referral facilities. Source: https://www.monitor.co.ug/uganda/news/national/govt-plans-to-upgrade-health-centre-ivs-to-community-hospitals-5663758

The Ugandan government has announced a strategic initiative to upgrade existing Health Centre IVs into fully functioning community hospitals. According to Dr. Charles Ayume, the State Minister for Primary Health Care, the ambitious plan aims to strengthen primary healthcare delivery and reduce severe congestion at national and regional referral hospitals.

Speaking at the Annual General Meeting of the National Midwives Association of Uganda (NMAU) in Mukono Town, Dr. Ayume explained that the upgrades will involve expanding maternity units, improving surgical theatres, and equipping facilities with essential diagnostic tools such as X-ray and ultrasound machines. Furthermore, the Ministry of Health is actively reviewing human resource structures to recruit and deploy additional doctors, nurses, midwives, and allied health professionals.

To finance and execute this transformation, the government is finalizing an agreement with the World Bank to construct and elevate between 80 and 100 Health Centre IVs. Officials expect that contracts for these projects will be awarded by mid-next year. Minister Ayume emphasized that while salary enhancement for health workers remains important, the state must balance these demands with critical investments in infrastructure, stable electricity, clean water, and reliable medical supplies.

Despite the positive outlook, stakeholders have voiced concerns regarding existing disparities in healthcare delivery. Annet Evelyn Kanyunyuzi, President of the NMAU, highlighted that rural facilities continue to grapple with severe staffing shortages and poor working conditions, leaving many mothers and newborns vulnerable. In response, ministry officials assured healthcare workers that ongoing structural reviews and expanded facility capacities are designed to create new promotion opportunities and properly accommodate qualified personnel.

Read more details of this development in the Daily Monitor.