The health system in Uganda has undergone a number of changes since independence in 1962 and the Primairy Health Care (PHC) concept was a timely innovation, and very welcome in Uganda.
And also as a response to the global economic decline of the 1970s and 1980s, the World Bank and IMF introduced Structural Adjustment Programmes (SAPs) in some developing countries and accordingly a package of reforms was proposed to address problems in the health sector, and these were called health sector reforms (HSR).
Both PHC and HSR have faced similar and dissimilar challenges. Clinical services offered include treatment of common ailments within outpatient and inpatient settings with maternity services (ANC, conducting normal deliveries, identification and referral of complicated cases to the Hospital). Among the preventive services offered are immunization, routine health education in the Health Centers and the nearby communities including schools, Voluntary Counselling and Testing (VCT) for HIV/AIDS is provided during outreach programs.
The hospital being Health Sub-District for Igara West, on routine and emergency basis, provide support and supervision. Routine support supervision occurs once in a month for each Health Centre, while emergency supervision is carried out whenever needed. The Health Centers are fully incorporated into the district health system.