Ruhiira, Uganda
Population |
40000 |
Villages |
8 |
The Millennium Villages in the Ruhiira cluster are spread over several hundred square kilometers with extremely poor or non-existent roads, making travel between the villages and commercial centers, such as Mbarara, very difficult. As a result, connecting villagers to schools, clinics, markets, electricity, communications and local government is a significant challenge.
The Ruhiira cluster is situated in the Isingiro District of southwestern Uganda. The region is characterized as a highland region with elevations ranging between 1350m and 1850m above sea level. The hillsides drain into the valley bottoms creating a stream system. Ruhiira has a sub-humid climate with two rainy seasons. The first rainy season begins in March and ends in May, while the second begins in August and ends in December but sometimes stretches into the following year. June, July and August are generally the driest months.
A significant proportion of the community, estimated between 40-50%, still live in extreme poverty with an estimated annual per capita income of $250. Ruhiira and the neighboring area is a recent settlement, created after clearing a sub-tropical forest reserve in the early 1950s. Since then, extensive transformation of the landscape has occurred. Clearing of forest to open land for cropping is estimated to have left only about 5% of the land under tree cover. As a result there is a serious shortage of wood products (firewood, poles and timber). Women and children spend many hours searching for firewood, and often end up using sorghum and maize stalk. They also use banana rhizomes as cooking fuel. In addition, high population density and continued growth rates have contributed to land shortages and degradation; alongside the hilly topography, this has posed major challenges to development.
Village Characteristics by Sector

Food production in Ruhiira has been declining over the years. This is largely a result of mounting population pressure causing land shortage and a decline in soil productivity. Villagers cultivate their small plots without external soil nutrients. This coupled with soil erosion from unprotected hill slopes has led to decline in soil fertility.
Malnutrition especially among women and children is highly prevalent, further constraining agriculture productivity through reduced labor. About 30-40% of children below five years are underweight. The high levels of malnutrition are a result of decline in per capita food consumption and overdependence on banana as the main food source with little nutritional diversification.

Health-related problems are enormous in Ruhiira. The area is well known for having the highest tuberculosis prevalence in southwestern Uganda. HIV/AIDs prevalence is estimated at between eight to 10%. Malaria is endemic with preliminary results from blood sampling showing 30% malaria prevalence. Most pregnant mothers deliver at home sometimes with the help of traditional birth attendants; only 5% deliver in health units. The referral hospital is located in Mbarara town 40 km from Ruhiira. Accessibility is limited due to hilly terrain and poor roads. Lack of medical personnel, adequate supply of basic drugs and medical supplies have made villagers shun health facilities and instead turn to unskilled health service providers for their health needs.

Despite the flagship government policy on universal primary education, a large number of children don’t go to school while a significant proportion of those that do attend never complete their primary education. Inadequate and poor school facilities, long travel distances, user fees in some cases, early marriages and household work are some of the factors responsible for poor attendance in primary schools.

Despite the two rainy seasons, access to clean water remains a challenge. Most of the hills have been stripped bare of trees causing increased runoff and soil erosion. Most underground water sources are contaminated with minerals like iron and salts to such high levels that these sources are not suitable for human consumption. Only one protected spring located about 3 km outside Ruhiira village has safe water. At this spring, people start lining up as early as 5 am to get a chance at drawing water. The long morning queues have contributed to absenteeism and tardiness in schools. The only good quality water comes from harvesting roof rainwater using movable containers, tarpaulin tanks and concrete tanks depending on the income levels of the household.
Intervention Highlights
Strong community participation and local development remain the backbone of the Uganda cluster’s success. From the beginning, the project supported the communities to develop implementation work plans for agriculture, education, health, home improvement and village banking. These local plans, which have been widely received and acclaimed by the local government, were integrated into the broader local government strategy and will feed into district-level development plans—a real success for translating the lessons learned in Millennium Villages into broader district and national development policies in Uganda. |
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Agriculture: Increase crop yields and decrease hunger |
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Bumper crops have enabled the cluster to make major strides in food security and farmers have been able to contribute maize to the school feeding program. To increase incomes, nearly all of Ruhiira’s 6,000 farmers have diversified their farms to include high-value crops such as leafy vegetables, spices and goats. Additionally, the MVP has helped to attract local and regional buyers to the cluster so farmers can obtain higher prices for their maize. The introduction of maize grinding machines is also expected to help farmers continue to increase their profits.
One of the key interventions in Ruhiira in 2008 was to decrease soil erosion through the construction of anti-erosion gullies and terraces and farmers contributed to the labor. Additionally, more than 400,000 seedlings have been planted in Ruhiira. |
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Health |
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| Ruhiira has six health facilities, all of which have received significant upgrades and new additions by the MVP. The MVP has also completed the largest health facility at Kabuyanda with an operating theater where cesareans can be performed. Health facilities in Ruhiira are staffed with more than 50 trained health staff. In an effort to improve maternal and child health, the Ruhiira team introduced a midwife program that increases the number of women delivering under supervised care at the clinics as well as increasing the number of women delivering under midwife care at home. Deeply impressed by the results, the Minister of Health in Uganda indicated his desire to scale up the midwife program throughout Uganda. |
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Education |
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| Ruhiira has 20 government schools serving more than 11,000 children. After extensive construction in 2007, the MVP Ruhiira team has focused on completing upgrades at schools and continuing the school meals program, which serves twice-daily meals to all 11,000 children. In 2008, in partnership with the Whitby School in Connecticut, Ruhiira became the first site to launch the Millennium Villages School 2 School program, using Internet technology to connect children in Ruhiira to children in Connecticut. |
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Infrastructure |
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As a result of the hilly terrain, water and electrification are interlinked in Ruhiira. To move water uphill will require both the installation of a major piped water system, as well as electrification to power the system. The MVP has completed assessments on the designs for this project and plans are underway to being construction.
In partnership with the local government, the MVP is working to rehabilitate the roads in Ruhiira. Current road improvements have connected more than 5,600 people to an all-weather road. Moreover, the MVP has constructed new water sources—including boreholes, water springs, and rainwater harvesting tanks—to increase access to improved water for some of Ruhiira’s most vulnerable groups. |
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Community Development |
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| Strong community participation and local development remain the backbone of the Uganda cluster's success. In 2006, the project supported the communities to develop implementation work plans for agriculture, education, health, home improvement, and village banking. In May 2007, these local plans, which have been widely received and acclaimed by the local government, were integrated into the broader local government strategy and feed into district-level development plans—a real success for translating the lessons learned in Millennium Villages into broader district and national development policies in Uganda. |
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Business Development |
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To increase income generation and connect cluster farmers to markets, the project has initiated activities in local agri-business development. The project supported the creation of 15 banana cooperative groups; these groups are then linked to banana buyers and sales are recorded to track progress and growth. Additionally, 78 entrepreneurs have been trained in business management skills and at least 20 trainees have begun implementing plans to develop their micro-enterprises. A village bank in the Ruhiira research village is in the initial stages of development. 109 households have already contributed $700 to the bank's establishment, a remarkable achievement for an extremely impoverished community.
As a result of the project's effort to attract local and regional buyers to the cluster, farmers have been highly successful obtaining higher prices for their maize. At least 250 tons of maize were sold at $0.15/kg to regional and non-local buyers, a 66% increase over local prices for maize. About 80% of the maize sold by the cluster's farmers was bought by neighboring Rwandans. With the introduction of maize grinding machines in the cluster, farmers are expected to become more competitive and continue to increase their profits. |
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