Uganda vs. Democratic Republic of the Congo

Uganda has one of the youngest and most rapidly growing populations in the world; its total fertility rate is among the world's highest at 5.8 children per woman. Except in urban areas, actual fertility exceeds women's desired fertility by one or two children, which is indicative of the widespread unmet need for contraception, lack of government support for family planning, and a cultural preference for large families. High numbers of births, short birth intervals, and the early age of childbearing contribute to Uganda's high maternal mortality rate. Gender inequities also make fertility reduction difficult; women on average are less-educated, participate less in paid employment, and often have little say in decisions over childbearing and their own reproductive health. However, even if the birth rate were significantly reduced, Uganda's large pool of women entering reproductive age ensures rapid population growth for decades to come.

Unchecked, population increase will further strain the availability of arable land and natural resources and overwhelm the country's limited means for providing food, employment, education, health care, housing, and basic services. The country's north and northeast lag even further behind developmentally than the rest of the country as a result of long-term conflict (the Ugandan Bush War 1981-1986 and more than 20 years of fighting between the Lord's Resistance Army (LRA) and Ugandan Government forces), ongoing inter-communal violence, and periodic natural disasters.

Uganda has been both a source of refugees and migrants and a host country for refugees. In 1972, then President Idi AMIN, in his drive to return Uganda to Ugandans, expelled the South Asian population that composed a large share of the country's business people and bankers. Since the 1970s, thousands of Ugandans have emigrated, mainly to southern Africa or the West, for security reasons, to escape poverty, to search for jobs, and for access to natural resources. The emigration of Ugandan doctors and nurses due to low wages is a particular concern given the country's shortage of skilled health care workers. Africans escaping conflicts in neighboring states have found refuge in Uganda since the 1950s; the country currently struggles to host tens of thousands from the Democratic Republic of the Congo, South Sudan, and other nearby countries.

Despite a wealth of fertile soil, hydroelectric power potential, and mineral resources, the Democratic Republic of the Congo (DRC) struggles with many socioeconomic problems, including high infant and maternal mortality rates, malnutrition, poor vaccination coverage, lack of access to improved water sources and sanitation, and frequent and early fertility. Ongoing conflict, mismanagement of resources, and a lack of investment have resulted in food insecurity; almost 30 percent of children under the age of 5 are malnourished. The overall coverage of basic public services - education, health, sanitation, and potable water - is very limited and piecemeal, with substantial regional and rural/urban disparities. Fertility remains high at almost 5 children per woman and is likely to remain high because of the low use of contraception and the cultural preference for larger families.

The DRC is a source and host country for refugees. Between 2012 and 2014, more than 119,000 Congolese refugees returned from the Republic of Congo to the relative stability of northwest DRC, but more than 540,000 Congolese refugees remained abroad as of year-end 2015. In addition, an estimated 3.9 million Congolese were internally displaced as of October 2017, the vast majority fleeing violence between rebel group and Congolese armed forces. Thousands of refugees have come to the DRC from neighboring countries, including Rwanda, the Central African Republic, and Burundi.