By Nanteza Ruth Walusimbi
NATIONAL
The Ministry of Health on Tuesday 4th November 2025 issued a formal statement regarding a serious medication mix-up in Ntungamo District, where a group of school children were mistakenly administered Phenobarbitone (an anti-seizure medication) instead of the deworming drug Albendazole during an outreach program.
The unfortunate incident took place on Thursday, October 30, 2025, at Kajumbajumba Primary School in Kyafoora Parish, Rugarama North Subcounty, during the ongoing Integrated Child Health Days (ICHD).
A district health team comprising an enrolled nurse, an enrolled midwife, and a nursing assistant from Kyafoora Health Center III delivered the ICHD services, reaching a total of 340 children.
The team mistakenly administered a medicine called Phenobarbitone instead of Albendazole and the error resulted from a mix-up of medicine tins, leading to the accidental selection of the wrong medicine.
The Phenobarbitone, typically used as an anticonvulsant to control epileptic seizures, resulted in side effects that included drowsiness. As a direct consequence, 100 children developed symptoms and were immediately evacuated for medical attention at Itojo General Hospital, Rwashamaire Health Center IV, and Rubaare Health Center IV.
All affected children received prompt medical care, were stabilized, and have since been discharged. The Ministry expressed its profound regret over the incident and extended heartfelt apologies to all affected children, parents, and families.
In his official statement, Dr. Daniel J. Kyabayinze, on behalf of the Director General Health Services, reassured the public that the Ministry of Health will continue with immunization activities safely under strengthened oversight and quality assurance measures.
The Ministry stated that the health workers and support staff involved in the error will be held accountable, and appropriate disciplinary action will be taken immediately.
