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.