Health

HEALTH SERVICES

Introduction

The Department of Health is headed by the District Health Officer whose mandate is guided by the District 5 Year Strategic Plan that focuses on the achievement of equity through increased access to Minimum Health Care Package (MHCP), Quality care, efficiency, accountability and transparency.

 

The overall goal of the sector is to provide good quality services to the people of this district so as to make them attain good standards of health in order to live a healthy and reproductive life. The sector objective is to reduce morbidity and mortality from the major causes of ill health and premature health and disparities therein. The district has 24 health units of different categoreis, 7 of which are public health units. There is One HC IV, Eleven HC IIIs, Nine HC IIs and no hospital.

 

The distribution is fair, but some of them lack the basic equipment to offer reasonable services. Many rural units require rehabilitation and equipping. Besides diseases, poor nutrition has contributed to worrying situation. Because of cross cutting nature of health issues, there is need for an integrated approach to health.

 

There are various NGOs both Local and International that are involved in AIDS prevention and control in the district. Such activities include blood screening and counselling, medical treatment, home care, pastoral education, health education, AIDS research and orphan support.

 

Health Infrastructure

 

This section classifies the distribution of health facilities with in the district.

 

Number of functional Health units

 

Number of functional Health units by ownership and level

 

Category Ownership   Total
Government PNFP
Hospital 0 0 0
HC IV 1 0 1
HC III 3 5 8
HC II 3 2 5
Total 7 7 14
Number of staff houses 5 0 5

Source: District Health Office 2019

Accessibility to health services

Distance to access health facilities within a community by the household

Households

Number

Percent

5kms or more to the nearest health facility

6,792

19.8

5kms or more to the nearest public healthy facility

13,458

39.2

Source: (NPHC 2014, UBOS)

Health Services Accessibility indicators

Health indicators of different categories

Indicator

Coverage/ Output

Average Population served by each Health unit        

N/A

Percentage of population within 5km radius of health unit

19.8%

Number of licensed private clinics

17

Practicing Doctor: Population ratio

1: 75,657

Nurse: Population ratio

1:2327

Clinical Officer: Population ratio

1:21,616

OPD Utilization

78%

Deliveries in health facility

619

Midwives:  pregnant women ratio                 

N/A

Number of mothers receiving complete antenatal services

N/A

Source: District Health Office 2018

Health Man power

This section categorises the staffing in the district within a health sector with intentions of determining the manpower gaps within the health sector.

Staffing in District Health Office

Cadre

Approved

Filled

Not Filled

District Health Officer

1

1

0

Assistant District Health Officer (Environment)

1

1

0

Assistant District Health Officer (Maternal Child Health/Nursing)

1

1

0

Principal Health Inspector

1

0

1

Senior environment Health officer

1

0

1

Bio-statistician/Health Information Scientist

1

1

0

Cold Chain Technician

1

1

0

Stenographer Secretary

1

1

0

Stores Assistant

1

1

0

Office Attendant

1

1

0

Source: District Health Office 2018

Staffing in Government Health Units HC IV

Service Provider Category

Approved

Filled

Not Filled

Medical Officers

0

1

1

Clinical Officers

2

4

0

Nursing Officers

2

2

0

Health Inspectors

2

1

1

Enrolled Nurses

3

7

0

Enrolled Midwives

3

6

0

Laboratory Personnel    

2

3

0

Dental Staff

1

1

0

Health Assistants

1

2

0

Nursing Assistants

5

4

1

Total

21

29

3

Staffing in Government Health Centre III

Service Provider category

Approved

Filled

Not Filled

Clinical Officers

6

3

0

Nursing Officers

3

3

0

Enrolled Nurses

9

9

0

Enrolled Midwives

6

6

0

Laboratory Personnel     

3

6

0

Nursing Assistants

9

3

5

Total

36

35

5

Source: District Health Office 2014

Staffing in Government Health Centre II

Service Provider category

Approved

Filled

Not Filled

Nursing Officers

0

2

0

Enrolled Nurses

3

8

0

Nursing Assistants

6

5

0

Total

9

15

0

Source: District Health Office 2014

Immunization coverage

 Full immunization coverage by 1 year

Vaccine

Percentage coverage

DPT 1

79

DPT 2

69

Measles          

52

Source: District Health Office 2018

 Morbidity and cause of ill health

This section details the frequency of disease, illness, injuries, and disabilities in a population with in the district.

Disease burden of top ten diseases

Disease

Cases

Incidence rate

Malaria

22,471

22.10%

Cough or Cold

18,986

18.70%

Gastro-Intestinal Disorders (non-Infective)

5,154

5.10%

Pneumonia

4,992

4.90%

Urinary Tract Infections (UTI)

2,951

2.90%

Skin Diseases

2,721

2.70%

Dental Caries

2,320

2.30%

Hypertension

2,342

2.30%

Diarrhoea-Acute

2,279

2.20%

Intestinal Worms

2,021

2.00%

Source: District Health Office 2018

Health Sector performance indicators

Outpatient Department (OPD) Utilisation

Currently OPD Utilization is at 78% in the entire district according to the District Health Officer’s office.

Pregnant women that attend ANC 4 and deliveries in health facilities

There are only 16 health units conducting deliveries in the whole districtandlow institutional deliveries is still a big challenge.

Pregnant women that attend ANC 4

Category

Number

Number of women who attend ANC 1

1450

Number of women who attend ANC 4

488

Number of deliveries

622

Source: District Health Office 2017

AIDS control

According to the Health Sector Strategic Plan (HSSP III), HIV/AIDS is one of the communicable disease that account for over half of the total burden of diseases which are leading cause of ill health and mortality in Uganda. The overall objective for the communicable diseases cluster is to reduce the prevalence and incidence of communicable diseases by atleast 50 percent as per the MDGs and NDP target.

HIV/AIDS Prevalence Rates

HIV care and Tuberculosis treatment and control services

Category

Estimated number/Percentage

Accredited sites or health facilities to offer HIV care services.

8

Estimated HIV prevalence. (DHIS 2)

5.4%

Estimated HIV prevalence in ANC mothers

5.0%.

HIV prevalence: regional

10.6%

exposed babies turning HIV positive

8.6%

TB case detection rate (CDR)

24.8 %

Source: District Health Office 2017

Prevention of Mother to Child Transmission of HIV/AIDS

According to UDHS 2016, Uganda recorded 45.7% of women aged 15-24 with comprehensive knowledge about HIV prevention and a 44.8% of men aged 15-24 with comprehensive knowledge about HIV prevention.

Maternal and Child health (MCH)

Mortality leading diseases

Disease

Cases admitted

Deaths

Pneumonia

203

1

HIV-Oral lesions

1

1

Attempted Suicide

1

1

Injuries: Road Traffic Accidents

17

1

Source: District Health Office 2018

Sanitation Facilities

Availability of a toilet facility

Number of households with different toilet facilities by Sub-County

Subcounty

No. Of HHs

Improved Toilet

Unimproved toilet

No toilet

Bigasa

9,331

1,443

7,688

200

Bukomansimbi Town Council

2,454

621