Health Sector

Mayuge district has a projected population of 416,089 people. Of these 95,700 are women in child bearing ages, 17,892 are children under one year and 84,049 are children under five years.

The district has three sub counties of bunya south, west and east. There are 42 health facilities in the whole district however only 39 of them were functional during the financial year 2009/2010.

Human resource

Staffing in the health department stands at 51%. The district has a low retention and attraction capacity for health workers. The department still lacks key personnel such as doctors and nurses.

Drugs

There were delays in delivery of drugs from NMS. Two health units did not get their assortment of drugs i.e. bufulubi HC II, which is to receive from prisons, busira HC II was a new unit and communication had not been made to NMS, but that was rectified. The drugs delivered at district from NMS were immediately delivered to the facilities. NMS has developed basic kits that will be used to deliver medicines and supplies for health   center II’s and III’s. So these will not be ordering medicines. It is only hospitals and health centre IV’s that are supposed to place in orders every month.

HMIS

83% HMIS reports have been submitted to the ministry of health on time on monthly basis. Completeness increased slightly from 79% last financial year to 84% however, this is still below our target of 100%. A number of strategies have been made to strengthen the health management information system and the M& E section of the department.

Disease burden

In the financial year 2009/2010, malaria accounted for 24.4% of the inpatient diagnosis’s among children less than five years of age. While in adults, malaria remained the highest among the causes of morbidity accounting for122.4% of inpatient diagnosis.

Tetanus remained the one killer in the financial year accounting for 21% of deaths in children and adults respectively. Other leading causes of death were pneumonia, abortions, diarrhea acute, septicemia, severe malnutrition and tuberculosis.

Immunization

62% of all children under the age of one have been given DPT3. This leaves 38% of the children not immunized. This has majorly been due to lack of supplies such as vaccines and gas from NMS and breakdown of refrigerators. Most of the un immunized children are in sub counties of bunya south and bunya west. Mapping has been done with the help of partners to identify where these un immunized children are in order to come up with interventions targeting those specific areas.

Deliveries in unit

Deliveries in health facilities have slightly increased from 20.2% last year to 7%. However this is still below the planned target of 35%. The improvement in the deliveries in health facilities has been due to improvement in data collection and management and team work from all stake holders.

Referral system

At some point in the year, the department had only one functional vehicle (ambulance) for kigandalo sub county HC IV, which is in the garage. The ambulance for malongo HC III had broken down and was taken for repair. This made work difficult.

 The pick up for the DHO’s office was down making delivery of supplies to health units difficult in case they are available, however it is now functional.

NTDs programme

Health sector mobilized and sensitized stakeholders on neglected tropical diseases. Teachers and community medicine distributors were trained and they carried out mass drug administration on the following NTDs; schistosomiasis, lymphatic filariasis, trachoma, soil transmitted helminthes.