KAYUNGA DISTRICT

LOCAL GOVERNMENT
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Services

Services

HEALTH DEPARTMENT

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”. This district has 24 Health Units of different categories. Some of them are Government hospitals while others are owned by Non -Government Organizations. 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.

 

1    Health Infrastructure

This section classifies the distribution of health facilities within the district.

 

Table 4. 1:  Health infrastructure (categories)

Category

2016/2017 Ownership

2017/2018 Ownership

Government

          PNFP

Total

Government

   PNFP

Total

Hospital

1

0

1

1

0

1

H/C IV

2

0

2

2

0

2

H/C III

8

0

8

8

0

8

HC II

9

4

13

9

4

13

Total

20

4

24

20

4

24

Number of staffs houses

 

 

 

 

 

 

Source: DHO’s Office 2018

 

Table 4. 2:  Number of Health Units

Type

Number

 

2016/2017

2017/2018

Private pharmacies

4

6

Drug shops

150         

150

Clinics

8

8

Allied clinics                 

22

22

Domiciaries

6       

9

Traditional healers

xxx

 

Unlicensed clinics and drug shops

76

76

Source: DHO’s Office 2018

 

4.2   Accessibility to health Services

This section looks at the distance to access health facilities within a community by the household

 

4.2.1   Health Services Accessibility indicators

Table 4. 3: Health Services Accessibility indicators

Indicator

2016/2017

2017/2018

Average Population served by each health unit:

16,227

16,227

Average Population served by each health unit:

20

20

Number of licensed private clinics

1:34743

1:34743

Nurse: Population ratio

1:3412

1:3245

Clinical Officer: Population ratio

1:13649

1:13429

OPD Utilization:

1:0

0.79

Deliveries in health facility:

10,282

10,733

Midwives: pregnant women (15-49) ratio: 

1:794

1:361

Number of mothers receiving complete antenatal services

5374

5,691

Source: DHO’s Office 2018

 

 

4.3   Mobidity and cause of ill health

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

Table 4. 4: Disease burden (2016/17) top ten diseases

SN

Year

2016/2017

2017/2018

 

Disease

Percentage (%)

Percentage (%)

 1

Malaria

33

30

 2

No Pneumonia

17

19

 3

Pneumonia

3

3

 4

Diarrhoea-Acute

3

3

 5

Intestinal-Worms

3

3

 6

Skin Diseases

2

3

 7

Urinary Tract Infections (UTI)

2

3

 8

Gastro-Intestinal Disorders (non-Infective)

2

3

 9

Pelvic Inflammatory Disease (PID)

2

2

10

Other Eye Conditions

1

1

Source: DHO’s Office 2018

 

From table 4.4 above, the percentage contribution of malaria in the Out-Patient Department reduced from 33% in FY 2016/17 to 30% in FY 2017/18, where as No Pneumonia increased from 17% to 19%.

 

4.4   Health Manpower

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

 


Table 4. 5: Staffing in District Health Office

Cadre

Approved

Filled

Sex

 

 

 

Male

Female

District Health Officer            

1

1

1

0

Assistant District Health Officer (Environment)

1

0

0

0

Assistant District Health Officer (Maternal Child Health/Nursing)

1

1

0

1

Senior Health Inspector

1

1

1

0

Senior Health Educator

1

1

1

0

Bio-statistician/Health Information Scientist

1

1

1

0

Cold Chain Technician

1

1

1

0

Stenographer Secretary

1

1

0

1

Stores Assistant

1

1

1

0

Office Attendant

1

1

1

0

Total

10

9

8

2

Source: DHO’s Office 2017

 

Table 4.5 indicated that more top post are occupied by male despite the fact that table 4.6 shows more female occupying most of the posts at hospital level but they are of low cadres.  Strategies should be done like provision of accommodation and friendly facilities for ladies.

 

Table 4. 6: Staffing in Hospital

Cadre     

Approved
Filled   Posts 2016/2017      
Filled   Posts 2017/2018    

 

 
Total
Male
Female
Male
Female
Total

Medical Officers

          6

7                                    

5

2

6

1

7

Hospital Administrator

          2

1                                    

1

0

1

0

1

Clinical Officers

          6

5                                    

4

1

6

2

8

Nursing officers

          27

24                                  

1

23

1

18

19

Health Inspectors

          1

1                                    

1

0

1

1

1

Enrolled Nurses

       46

28                                  

2

26

2

26

28

Enrolled midwives

        25

20                                  

0

20

0

18

18

Laboratory Personnel

          4

6                                    

4

2

3

3

6

Dental Assistants/Officers

        3

2                                    

1

1

1

1

2

Health Assistants

       0

0                                    

0

0

0

0

0

Nursing Assistants

        15

11                                  

2

9

1

8

9

Psychiatric Clinical Officers

          1

1                                    

1

0

1

0

1

Total

136

106

22

84

23

78

101

Source: DHO’s Office 2018

 

From table 4.5 above, the total number of cadres shown above reduced by 5 staff moving from FY 2016/17(106 Staff) to FY 2017/18(101 Staff)

 


Table 4. 7: Staffing in Government Health Units HC IV

Cadre     

Approved

Filled   Posts 2016/2017

Filled   Posts 2017/2018
   
Total

Male

Female

Male
Female
Total

Medical Officers

4

4

3

1

4

1

5

Clinical Officers

6

5

5

0

4

0

4

Nursing Officers

8

10

2

8

1

8

9

Health Inspectors

4

3

2

1

2

1

3

Enrolled Nurses

6

11

3

8

3

15

18

Enrolled Midwives

6

7

0

7

0

1

8

Laboratory Personnel      

4

4

1

3

0

4

4

Dental Staff

2

2

0

2

0

2

2

Health Assistants

2

2

1

1

1

1

2

Nursing Assistants

10

5

0

5

1

3

4

Total

52

53

17

36

16

36

52

Source: DHO’s Office 2018

 

From table 4.7, the total number of cadres as shown in the above table reduced by 1 staff moving from FY2016/17(53 Staff) to FY 2017/18(52 staff)

 

Table 4. 8:  Health Centre III

Cadre

Approved
Filled   Posts 2016/2017      
Filled   Posts 2017/2018    

 

 
Total

Male

Female

Male
Female
Total

Clinical Officers

16

17

10

7

9

8

17

Nursing Officers

8

6

1

5

1

6

7

Enrolled Nurses

24

18

4

14

5

19

24

Enrolled Midwives

16

16

0

16

0

19

19

Laboratory Personnel     

16

12

10

2

12

4

16

Nursing Assistants

24

13

2

11

2

13

15

Total

104

82

27

55

29

69

98

 Source: DHO’s Office 2018

           

Table 4. 9:  Health Centre II

Cadre

Approved
Filled   Posts 2016/2017      
Filled   Posts 2017/2018    

 

 
Total

Male

Female

Male
Female
Total

Nursing Officers

0

0

0

0

0

0

0

Enrolled Nurses

8

17

5

12

7

11

18

Nursing Assistants

                                 16

11

1

10

1

10

11

Total

24

28

6

22

8

21

29

Source: DHO’s Office 2018