HEALTH

HEALTH SECTOR

The Mandate of the Health sector is, “to offer high quality and comprehensive health services in line with the National Health Policy to Kiboga District Population.”

CAO Nakalungi Sarah (Third Right) meets Muwanga Health CentreII staff.

Delivery of health services takes place in communities and in 23health units comprising of 20 Public and 3 Private not for Profit(NGO)/ faith based health units, serving a total population of about 221,557in Kiboga District.The facilities are indicated below by, Sub county, level and Ownership.

Sub county

Health facility

Level

Ownership

Kiboga Town Council

Kiboga Hospital

V

Govt

 

Bamusuuta

II

PNFP

Kapeke Subcounty

Nyamiringa

III

Govt

 

EPI centre Kyahimba

II

Govt

 

Kachwangozi

II

Govt

Kibiga  Sub County

Kikwatambogo

II

Govt

Nkandwa sub county

Kambugu

III

Govt

 

Seeta

II

Govt

Lwamata   Subcounty

Nsala

II

Govt

 

Bulaga

III

Govt

Lwamata Town Council

Lwamata

III

Govt

Dwaniro sub county

Dwaniro-Katwe 

III

Govt

 

Katalama

II

Govt

 

Muyenje

II

Govt

Kyekumbya  sub county

Kyekumbya

II

Govt

Kyomya Subcounty

Kyoomya

II

Govt

 

Kyanamuyonjo

III

Govt

Nakasozi sub county

Nakasozi

II

Govt

Muwanga sub county

Muwanga

III

Govt

 

Nabwendo

III

PNFP

Bukomero  Subcounty

Mwezi

II

Govt

 

Masiriba

II

PNFP

Bukomero Town T/C

Bukomero

IV

Govt

 

 

 

In order to increase access to health care services and achieve universal health coverage to the whole district population, the following health facilities in the District have been proposed and Submitted to Ministry of Health for expansion and upgrading.

 

 

 

No.

Sub county

Health Facility

  Upgrading

 

 

 

 

From

To

Current status

01

Kyekumbya

Buninga H/C

HC II

H/C III

Almost complete (80%)

02

Lwamata  Sub County

Bulaga  Health Centre II

HC II

HC III

Works stalled since 2018/19 FY

03

Bukomero Sub county

Mwezi Health Centre II

HC  II

HC III

To be expanded in FY 2023/2024

04

Nakasozi  Sub County

Nakasozi Health Centre II

HC II

HC III

To be expanded in FY 2022/2023

05

Kibiga Sub County

Kikwatambogo Health Centre II

HC II

HC III

Pending

06

Kayera Sub county

No Health facility

NONE

 

To be worked on FY 2022/2023

Health workforce/ Staffing:

Of the approved 497 health workers, 364 posts are filled (73%), existing gaps are mainly with specialized medical officers, support staff such as Porters and Askaris.Other facilities have not yet got staff due to failure of completion but also Ministry hasn’t given clearance (Buninga in particular).PNFP facilities remain highly understaffed at the average of 35-45% coupled with huge attrition rates and as such the district proposes to second staff so as to boost functionality especially at H/C III.

Village Health Team services:

According to the Planning Unit, Kiboga District has 14 sub-counties, 56 parishes and 256 villages. Basing on the VHT concept, each village should have an average of 5 VHTs each supervising an average of 25-30 households. Ideally Kiboga district should have an average of 1280 VHTs, however a recently concluded mapping of the VHTs during the Chase Malaria Campaign mosquito net distribution, only 504 VHTs were found to be active, leaving the district with a deficit of 776 VHTs.

Mothers take their Children for immunisation, below is the Lab constructed

By Mildmay Health Partners at Kyanamuyonjo HCII.

Table showing functionality of VHTs in Kiboga District

SUB COUNTY

Total Popn

Total HHs

#

Villages

Expected VHTs

Actual

Gap

BUKOMERO SUBCOUNTY

12,949

3,253

19

95

38

57

BUKOMERO TOWN COUN

22,755

4,730

17

85

34

51

DWANIRO SUBCOUNTY

20,486

4,746

20

100

40

60

KAPEKE SUBCOUNTY

21,335

3,365

20

100

40

60

KAYERA SUBCOUNTY

6178

998

10

50

20

30

KIBIGA SUBCOUNTY

22,353

4,441

25

125

50

75

KIBOGA TOWN COUNCIL

33,314

6,914

16

80

32

48

KYEKUMBYA SUBCOUNTY

11,529

2,691

22

110

44

66

KYOMYA SUBCOUNTY

9,070

1,127

24

120

48

72

LWAMATA SUBCOUNTY

13,266

13,266

23

115

46

69

LWAMATA TOWN COUNCIL

13,463

2,795

16

80

32

48

MUWANGA SUBCOUNTY

9,462

1,866

12

60

24

36

NAKASOZI SUBCOUNTY

11,575

1,863

14

70

28

42

NKANDWA SUBCOUNTY

13,822

4,500

18

90

36

54

Total

221,557

56,555

256

1,280

504

776

 

 


Semi finished Buninga HCII.

DepartmentalFinancing

The financial sources and envelopes have continuously kept growing largely from the MoFPED over the years. Finances were received from the centre, locally raised revenue, Results Based Financing (RBF),Implementing Partners like MildMay and donor agencies like GAVI and WHO.

Covid 19 Response and control

Like any other, Kiboga District has been threatened by the covid19 pandemic, and many livelihoods, have been negatively impacted including loss of lives like the then DHO, Dr. Musiitwa Michael.

In the fight against the pandemic, the district received about 165,000,000 million for the purpose of setting up a responsive plan to combat the pandemic.

The MOH Distributed 135,500(271 boxes) to cater for a population of 221,557 registered citizens in Kiboga.However,a number of people were not covered due to shortage of this critical item, although MOH was notified for supplementation to cater for the deficit.

There were also donations from IPs like World Vision and, the Right Honorable Chief Whip, Ruth Nankabirwa gave a supporting hand towards the supplies of some PPEs like Hand washing facilities, temperature guns, soap, sanitizers, gloves among others.

CAO Nakalungi Sarah (Third Right) shares medical innovations with experts in Kiboga Hospital.

Malaria control

Under the national malaria reduction strategic plan (2020/2025) integrated approaches aimed at malaria control have been undertaken. Among them include: Vector control, case management, environmental management and improved logistical and supplies management.

In the same vein, Kiboga District received a total of 2382 bales (95,280 nets) of LLINs which were distributed in the fourteen (14) sub counties.

To prevent the occurrence of more Malaria Cases through continuous distribution of LLINS during Antenatal care at health units and Childhood immunization (EPI) outreaches. Important to note is that due to various strategic interventions the malaria incidence has reduced to less than 20% of all clients in the OPD setting.

Monitoring Team inspects drugs and medical stocks in Bulaga Health CentreII.

Key Performance outputs

Outpatient Utilization: By the end of December 2020, the Utilization of health services in both Public and PNFP was 67%( 148,348), this was against the target of 90%( 221814), the target was not realized partly because of the seasonal nature of some disease conditions and some patients seeking treatment from private service providers and VHTs. Malaria, Upper respiratory tract infections and diarrhea are the most disease conditions that burden the District.

Childhood Immunization: TheProportion of Children under one year immunized with 3rd dose of Pentavalent vaccine was 59%( 6283), this was against the target of 95%( 10597), this coverage is attributed to numerous community immunisation outreach Posts (96),Covid-19 Pandemic, health worker’s vigilance and community mobilisation by VHTs.

Latrine Coverage: Latrine coverage in most communities has improved, generalenvironmental hygiene is still a challenge, out of the 67,383 households in the district, the number of households with basic latrine were 42,918(64%), and households with handwashing facilities with soap were generally low at10543(16%) despite handwashing having been at 24%.

 

A newly constructed 5 stance pitlatrine at Muyenje Health CentreII

HIV & AIDS

According to the district statistics of 2020,2021 quarter II, the HIV Prevalence is at 207/1317(15.0%) far above the national (6.2%) prevalence levels. It has been noted that the prevalence levels and burden within sub populations vary forexample among Female sex workers, bodaboda men, men who sleep with men (MSM), discordantcouples and plantational workers.Since most individuals know their HIV-Sero status, this figure is obtained from targeted HIV Counselling and testing, the identified positive cases are linked to care and treatment from the 8 treatment centres in the district with other communities reached through differentiated service delivery models targeting hard to reach areas. Minimal response by mento seek available services are frustrating efforts to Prevent and Control acquisition of new HIV infections by young women and adolescents.

Monitoring Team inspects status of construction works at Bulaga HCII, and below a medical refrigrator donated by GAVI and other partners to improve safe storage of medicines.

 

Monitoring and staff of Bulaga HCII inspect interior of the facility.

 

Completed Capital Development Undertakings:

No

Nature of Capital Development

Funding source

 Status of works

 

Renovation of Kiboga Hospital premises

Centre,MoFPED

commissioned

 

Renovation of Kiboga Hospital quarters(Doctors quarters )

Centre,MoFPED

commissioned

 

Construction of emergence unit at Kiboga hospital

Centre,MoFPED

Awaiting commissioning

 

Renovation of laboratories and workspaces at Muwanga and Kyanamuyonjo H/C III

Mild may

commissioned

 

Construction of Data shelters for data mgt at Lwamata H/C III and Hospital

Mild may

commissioned

 

Construction of ANC waiting sheds at Lwamata H/C III

Mildmay

commissioned

 

Construction of  Latrine facilities at Mwezi, Muyenje, Nyamiringa,Katwe  and Bukomero HCs

PHC

commissioned

 

Secured a departmental car(Toyota Double cabin)

MOH

Received

 

Secured solar driven Fridges(10)

MOH,UNEPI

Received

 

Secured 3 motorcycles for surveillance and EPI

MOH,UNEPI

Received

 

Upgrading of Bulaga H/C III

Centre, MoFPED

About 65% completion

 

Construction of Buninga  health center III

Centre, MoFPED

At about 80% completion rate

 

Construction of ECD centre at Bukomero H/C IV

Mild may

 Commissioned

 

Renovation  of maternity waiting sheds at Kyanamuyonjo and Bukomero  Health centers

RBF

 Commissioned

Challenges awaiting the sector/Department:

§  Inadequate accommodation and transport for community health workers would need further intervention by the incoming administrations.

§  PHC-Non wage allocations are still inadequate to all our health units, an issue that requires government attention.

§  Though completion works were delayed, Buninga and Bulaga H/C s would provide health services to our population.

§  Newly created sub counties lack health facilities, though arrangements have been made to address the challenge.

§  Some sub counties lack H/C IIIs in order to offer Emergence obstetric care.

§  Lack of adequate funds to process land tittles and fencing, should be addressed by the incoming administrations to secure ownership and accelerate infrastructure development.