Ministry of Health

Out to Lunch

#OutToLunch: Scarcity of adult diapers exposes the need for research before imposition of taxes

By Denis Jjuuko If you take care of an elderly person in Uganda today, there are many challenges that you face. You may have to quit your job to look after an elderly person and there is no pay for that or you may have to get the services of a live-in nurse. Both options are expensive and almost out of reach for the majority of people. So the elderly who usually don’t have sufficient sources of income live lives devoid of dignity, many sometimes scavenging for meals and other things that they need in their lives. The politicians who claim to represent the citizens are largely out of touch. The example of the diapers the elderly require to live decent lives is a case in point. Last year, Parliament approved taxes on diapers. The Members of Parliament voted with unprecedented euphoria with many arguing that they were doing so to stop homosexuals from using them. There was no data presented to prove that the majority of adult diapers were being used by homosexuals. But nothing unites politicians in Uganda than homosexuality! Anyone who argued otherwise was labelled a supporter of homosexuality or to having been paid by the “imperialists” in western capitals to corrupt the mind of Ugandans. If you are in care today of an elderly person today, you would have noticed that you are spending a lot of time moving from one shop in Kikuubo to another in search of adult diapers. With increment in taxes, the traders who were stocking them have moved on to more profitable products or closed their businesses all together. Those who bring them increased the costs to cater for the increased taxes but they are also bringing in smaller sizes and somewhat inferior qualities than before the taxes were slapped on them. Those who haven’t moved on, are doing what they are doing to keep their businesses open. Who would blame them? A diaper a size too small is not only uncomfortable, it is also said to lead to bed sores. If you have ever looked after a sick person, bed sores are some of the most painful and stubborn things to treat. Caregivers want to do anything in the world to avoid them but small size diapers the elderly are using today are going to creating a massive healthcare problem. And to make it worse, the traders aren’t bringing in enough quantities. Today, diapers for the elderly are for booking by paying in advance and you can’t be certain when they will bring them in. For some traders, they don’t even allow you to book a lot so that everyone gets some. Of course, the war in the Middle East may also be responsible for delayed shipping of containers but the major reasons Kikuubo traders attribute to the scarcity of adult diapers is the increment in taxes. Who ever knew that because of our lack of research before we increase taxes, the elderly who are lucky enough to afford pampers will have to use ones that are rationed? But that is where we are. Today, those who take care of the elderly are spending more money on shoes as they develop holes in the soles as they look for pampers instead of looking for money to buy them and pay for fees for medical consultancy and prescribed drugs. I think parliament has the power to correct the mistake they made when they argued that adult pampers were promoting homosexuality because some of them realized their mistakes. I remember seeing a clip where a Member of Parliament after failing to secure diapers for her mother admitted to having voted to pass the adult diaper law in error. Since to err is human, we shouldn’t blame the MPs when they admit their mistake and go ahead and correct them. Because that is the right thing to do. But also, such glaring mistakes are avoidable by parliament and all arms of government by being informed by data instead of emotions before making key decisions. It should not be so difficult for the research arm of parliament to find out who buys more adult diapers and for what purpose. The ministries of finance, gender, and health should have this information too. But the right thing to ensure the elderly live with dignity is to remove the increased taxes on diapers while also supporting local manufacturers to make them here. The writer is a communication and visibility consultant. djjuuko@gmail.com

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Out to Lunch

#OutToLunch 2023 resolutions had I been the government

My 2023 resolutions had I been the government By Denis Jjuuko We are already deep into 2023 and many people are working on their annual resolutions. Imagine if the government was an individual, what resolutions would they make? Here are mine, had I been the government. Lake Victoria – Following the maiden voyage of MT Kabaka Mutebi II to Kisumu in Kenya and returning with 4.5 million litres of fuel, I commit to utilize Lake Victoria more. One vessel alone was able to bring in fuel that is usually carried by 150 trucks. I have decided to create public transport from Jinja to Kampala to Entebbe to Masaka using Lake Victoria. This will enable me reduce road accidents and injuries, create new more sustainable jobs and reduce my costs in maintaining roads. To achieve this, I commit to protect the lake so that it continues to serve this purpose. Kampala metropolitan roads – I get the biggest percentage of my taxes from the Kampala metropolitan area as it is the most developed part of the country. It is no longer sustainable that I neglect the road infrastructure in Kampala metropolitan area. People can’t spend two hours everyday to get to work and another two to go back home. I will fix the roads so that my people spend less time in traffic jams. I hate traffic jams myself that is why I have a lead car but since everyone can’t have such a car, fixing roads should help me achieve this. Public transport – Related to the above, somebody told me that young people and even businesses spend a lot of money on transport. I hear some young people only work for transport. I have decided that, starting with Kampala, I will ensure enough buses are on the roads and charge standard fees regardless of the distance. These buses won’t increase transport fare as they wish and they will move on time regardless of whether they are full of passengers or not. To protect the environment, I will ensure that these buses are fully electric. In the years ahead, I will work on a train to form a ring around the expanding Kampala and then trams in some areas. Protect high voltage electricity infrastructure – Towards the end of last year, I realized that many people were vandalizing our high voltage electricity infrastructure. I have already resolved to work tooth and nail to introduce electric buses to ease transport, so electricity infrastructure is key. I will also reduce the electricity tariffs as well because this year, my people at Ministry of Energy have told me that Karuma Dam will come online thereby increasing our installed capacity by a whopping 600MW. Enable more young people to build houses – Ugandans love building, which is a good thing but the costs are high. First, my resolution to increase road infrastructure and make public transport more efficient will lower the cost of land as people will be able to live in Mpigi or Lugazi and work in Kampala. But also when people have a house, they have a stake in their country so they will ensure that the country is safe to live in for them and their children and even grandchildren. So I will provide incentives to companies involved in building materials, make acquiring land safe and easier, and provide solutions to banks so that they can lower the rate of mortgages. Education – I will work on public schools so that they can compete with the private ones and you as a parent you will decide whether to take your child to a public school or to a private one. Unlike today, you will have a choice. I will make high quality education affordable for all at all levels. Education will also be more relevant so that we can use it to solve the challenges of our time. Health – Nairobi and New Delhi will stop being Uganda’s referral hospitals. I will equip our public hospitals with everything they need to treat our people here. I am stopping the archaic scheme where civil servants go to India or Nairobi for even mundane things such as annual medical checkups on public funds. I will put that money in our health system so that we stop donating money to these foreigners. Ease procurement – The people in the private sector have told me that government spends a lot of time procuring goods and services and then a lot of time to pay the companies for their goods and services. I have resolved to change the laws regarding procurement so that we are more efficient. The technology is available to ease procurement and make it transparent. Widen the tax base – We have very few people paying taxes leading to them paying a lot more. If more people pay taxes, everyone will pay little. From this month, your national identity number will be your tax identity number for anyone 18 years old and above. For companies, the registration number will be the TIN. I have instructed the Ministry of Finance to reduce taxes such as Pay as You Earn (PAYE), VAT and others. Watch out for the national budget in June. Agriculture – Many of my people work in this sector but bring in little for themselves and to the national treasury. I am going to have a qualified extension officer in each parish to enable people grow more food but also sell it or add value. If they practice agriculture as it should be, they will start getting rewards. I will create markets for their produce. The writer is a communication and visibility consultant. djjuuko@gmail.com

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