Costs of unintentional injuries among children in an urban slum community in Kampala city, Uganda.

Unintentional injuries cause deaths, disabilities, productivity and financial losses and disproportionately affect children in low-income settings yet their cost remains under studied. This study determined the household out-of-pocket expenditure and missed school attendance due to unintentional childhood injuries in a Ugandan slum. We used a cross-sectional household survey design. Data were collected on occurrence and associated costs of unintentional injuries during a one-year period from July 2014 to June 2015. A total of 706 (44.7%) children who had suffered from injuries were reported in the one year period. More male children (N = 415, 58.7%) suffered injuries than females (N = 291, 41.2%). The average out-of-pocket expenditure on treating an injury was US $24.1 [standard deviation (SD) = ±$62.8] and mean school days lost were 25 days (SD = ±51.8). Road traffic injuries (RTIs) resulted in higher costs [mean difference was US $51.1 (95% CI: $11.4-$90.8)] compared to injuries that, for example, occurred at school. In a Ugandan slum community, unintentional childhood injuries resulted in high out-of-pocket expenditures and missed school attendance. The costs varied widely depending on external causes of the injury. These findings highlight the need to invest in population level injury prevention interventions to reduce injury costs by households.

Occupational safety and health regulations and implementation challenges in Uganda.

The burden of occupational diseases and injuries is high in developing countries due to several challenges including poor regulatory frameworks. To explore the status of occupational safety and health (OSH) policies and related implementation challenges in Uganda, we reviewed OSH regulations and conducted key informant interviews with stakeholders. We found that the existing OSH laws were largely outdated compared to the current needs of workplaces. Challenges affecting implementation are related to: gaps in the legal framework, low public awareness about OSH, poor planning, and limited human capacity, transparency, and accountability. Measures to address these gaps including training, upgrading OSH laws and policies, and prioritization are warranted to improve the status of OSH in Uganda.