
They often arrive at mainland locations with quantities of fish to sell, only to disappear again. It often involves movement across borders, and, for fishermen, considerable periods staying at remote camps or even out on the water. 1 Mobility is a feature of life among those who fish. This is strikingly the case in Uganda, where the huge expanses of Lake Albert and Lake Victoria are located on borders with the Democratic Republic of Congo (DRC), Tanzania and Kenya, and where the White Nile spreads wide along the border with southern Sudan. Many live for much (or all) of their time in isolated and largely overlooked places, located in borderlands for the obvious reason that lakes and rivers frequently divide neighbouring countries. Hundreds of thousands of poor people in sub-Saharan Africa eke out a living by undertaking small-scale fishing and fishing-related activities. At all sites, the current reliance upon resident “community” drug distributors or staff based at static clinics and schools was found to be flawed. In other places, fisherfolk are, in practice, largely ignored, or are actively harassed in ways that make treatment almost impossible. In some places, concerted efforts have been made to treat fisherfolk but there is no effective monitoring, and it is difficult to gauge what proportion have actually swallowed the tablets. Endeavours to roll out treatment end up being haphazard, erratic and location-specific. It highlights consequences of not engaging with the day to day realities of fisherfolk livelihoods attributable, in part, to the fact that so many fisherfolk live and work in places located at the country's international borders, and to a related tendency to treat them as “feckless” and “ungovernable”. This paper draws upon long-term research undertaken at three locations in northwestern and southeastern Uganda. The strategy has been reported to be successful, but closer investigation reveals serious problems.
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Since 2004, a policy has been adopted of providing drugs, free of charge, to all those at risk. Large numbers suffer from this water-borne parasitic disease notably along the shores of lakes Albert and Victoria and along the River Nile. It is recognized that the control of schistosomisais in Uganda requires a focus on fisherfolk.
