P. O. Box 110 Bukomansimbi Uganda | Email: cao@bukomansimbi.go.ug
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 |
|
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 |
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 |
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 |
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)
|
Disease |
Cases admitted |
Deaths |
|
Pneumonia |
203 |
1 |
|
HIV-Oral lesions |
1 |
1 |
|
Attempted Suicide |
1 |
1 |
|
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 |
1,793 |
40 |
|
Butenga |
8,889 |
2,463 |
6,305 |
121 |
|
Kibinge |
7,444 |
2,299 |
5,034 |
111 |
|
Kitanda |
6,272 |
1,632 |
4,424 |
216 |
|
District total |
34,390 |
8,458 |
25,244 |
688 |
Source: (NPHC 2014, UBOS)