| There is a question of leadership behind every | | | | The health sector is not independent in its |
| problem -be it personal, family or community. But, | | | | requirement for proper leadership and effective |
| also, behind every success, there will be a | | | | services management. However, much of the |
| leadership to laud. People will always consider any | | | | input from the leadership has tended to be moral |
| matter as requiring spiritual intervention or | | | | and less of tangible ones. Much efforts have been |
| explanation only if humanity has failed. Also, | | | | exerted on research rather than management of |
| because of that, the quest for spirituality and | | | | findings and integrating recommendation into the |
| spiritual businesses will too prevail. | | | | health management system -to tangible |
| No wonder countries with grave human rights | | | | outcomes. |
| violations and autocratic rule will so much | | | | Accountability, on the other hand, must be |
| characterize search for spiritual intervention and | | | | ensured and demanded as per the health |
| comfort. Where hope for change is deem, people | | | | legislation -where mismanagement is punishable by |
| there will consider living in the spiritual world as the | | | | taking back funds where it belongs, cancellation of |
| only answer, as the leadership too opts for the | | | | operation license, suspension of culprits out of the |
| same strategy to survive. | | | | health business and imprisonment (minimum of six |
| As long as the approach, either way, remains, life | | | | years). In some areas, execution serves best, but |
| will too remain the same -in terms of autocracy | | | | in a fair case as considerable, the earlier weight of |
| and continued fixing of heads into the sand in the | | | | punishment can be effective. |
| name of taking refugee -by living in spiritual world. | | | | According to the Uganda HIV and AIDS |
| It can be, as well, noted that where there is | | | | Sero-Behavioral Survey, the number of people |
| citizenship dignity, democratic governance, | | | | living with HIV is higher in urban areas (10.1% |
| predictable yet transition of power and other | | | | prevalence) than rural areas (5.7%); it is also |
| events -of social, economic, cultural and | | | | higher among women (7.5%) than men (5.0%). It |
| environmental nature; there will be distinctive | | | | is feared that HIV prevalence in Uganda may be |
| sense of self and community-centered programs | | | | rising again; at best it has reached a plateau |
| for healthy transition into the future and | | | | where the number of new HIV infections |
| intergenerational benefit. | | | | matches the number of AIDS-related deaths. |
| Leadership will be needed amidst crises and | | | | Who should explain that? |
| development needs through comprehensive active | | | | Organizations operating in the sector are failing to |
| planning, nation health analysis and policy or | | | | provide adequate care to the increasing number |
| decision making. It does not end there, but go as | | | | of clients knocking their office doors for help, |
| far as popularizing its policies, making enabling laws | | | | while government, on the other hand, is failing to |
| and persuading its citizens to support them. | | | | offer sustainable support to the HIV/AIDS |
| The same would apply at individual level -where | | | | programs. Access to drugs continues to be a |
| someone must empower himself or herself with | | | | limitations over years -without a solutions and |
| knowledge and skills for self-transformation and | | | | worsened by the slow or no supply chain. Who |
| certainty of the future. This generates confidence, | | | | then should the HIV/AIDS infected and affected |
| and can go to the level of advocacy and creating | | | | people turn to? |
| mass awareness for national development. | | | | If the leadership can get it roles right, then the |
| To achieve success from the efforts of both | | | | behavior change communication will be |
| government and its citizens, there must be an | | | | strengthened; organizations would ensure |
| interdependent outlook -where government is | | | | heightened advocacy for positive change, the |
| indeed for the people and people for governance. | | | | "people's" parliament would be actively involved, |
| The same can apply in organizational or | | | | massive activism for positive change would prevail |
| institutional management. | | | | and the media would be actively involved. |