By Johannah Nantongo
Kawempe National Referral Hospital has recorded a sharp decline in maternal deaths over the past three years, reducing the number from about 200 annually to 60, Members of Parliament have heard.
The hospital’s Executive Director, Dr. Emmanuel Byaruhanga, shared the update while appearing before Parliament’s Public Accounts Committee (Central Government) last week. He was responding to questions from legislators regarding the cost of services provided at the facility.
Dr. Byaruhanga explained that most services at the hospital are offered free of charge. However, patients are required to pay for radiology services such as X-rays, ultrasounds, CT scans, and MRI, which contribute to the hospital’s non-tax revenue.
He further clarified that caesarean section procedures are free in the general wards, with charges only applying to patients who opt for services in the hospital’s six-bed private wing, where the procedure costs Shs2.5 million.
Committee Chairperson, Hon. Goreth Namugga, emphasized the need for clear public awareness on free services, particularly for expectant mothers. She noted that many women may unknowingly pay for services that should be provided at no cost and called for increased sensitization.
Mubende District Woman Representative, Hon. Hope Nakazibwe, sought clarification on whether essential delivery items such as mama kits are consistently available without charge, or if shortages sometimes force patients to purchase supplies.
Kalungu West MP, Hon. Joseph Ssewungu, raised concerns about the numerous pharmacies operating around the hospital, suggesting that patients are often directed to buy medicines externally. He questioned whether patients can truly access all services without spending money.
In response, Dr. Byaruhanga maintained that official hospital services are entirely free, except for radiology. He acknowledged reports of patients being charged but said such cases are not sanctioned by the hospital and are difficult to investigate when patients fail to provide details.
He also noted that nearby pharmacies and private health facilities operate independently and fall outside the hospital’s control, adding that they are likely licensed by Kampala Capital City Authority (KCCA).
The hospital management appeared before the committee to respond to issues raised in the Auditor General’s report for the financial year ending June 30, 2025.
