Health

Health Department

 

The District health department aims at providing quality health care services to the population of Zombo District operates within the overall Goal: “To accelerate movement towards Universal Health Coverage with essential health and related services needed for promotion of a healthy and productive life”

The Universal Health Coverage makes it possible to ensure that all people receive essential and good quality health services they need without suffering financial hardship.

Mission To facilitate the attainment of a good standard of health by all people of Uganda in order to promote a healthy and productive life.

The health department hopes to contribute to the improvement in the quality of life of the people of Zombo district, thus contributing to the development of the district as a whole, as stated in the overall vision of the district “A literate, healthy, productive and empowered people of Zombo District by 2040”

Health Sector Key Performance Indicators and Targets

Objective

Key Result Area

Indicator

Baseline

Annual Targets

2015/16

2016/17

2017/18

2018/19

2019/20

To accelerate movement towards UHC with essential health and related services needed for promotion of a healthy and productive life.

 

HEALTH IMPACT

 

 

 

 

 

 

Health impact trends

Maternal Mortality Ratio (per 100,000)

438

(UDHS 2011)

425

 

 

 

320

Neonatal Mortality Rate (per 1,000)

26

(UDHS 2011)

26

 

 

 

16

Infant Mortality rate (per 1,000)

54

(UDHS 2011)

50

 

 

 

44

Under five mortality rate (per 1,000)

90

(UDHS 2011)

64

 

 

 

51

Total Fertility Rate

6.2

(UDHS 2011)

5.9

 

 

 

5.1

Adolescent Pregnancy Rate

24%

(UDHS 2011)

23%

 

 

 

14%

To contribute to the production of a healthy human capital for wealth creation through provision of equitable, safe and sustainable health services.

 

HEALTH & RELATED SERVICES OUTCOME TARGETS

 

 

 

 

 

 

Communicable disease prevention & control

ART Coverage

42%

( HMIS 2013/14)

57%

65%

72%

80%

80%

HIV+ pregnant women not on HAART receiving ARVsforeMTCT during pregnancy, labour, delivery and postpartum

72%

(HMIS 2013/14)

85%

87%

90%

95%

95%

TB Case Detection Rate (all forms)

80%

(HMIS 2014/15)

83%

85%

87%

90%

95%

IPT3 or more doses coverage for pregnant women

50%

(HMIS 2013/14)

64%

71%

79%

86%

93%

In patient malaria deaths per 100,000 persons per year

30

(HMIS 2013/14)

13

5

5

5

5

Malaria cases per 1,000 persons per year

460

(HMIS 2013/14)

373

329

285

242

198

Under-five Vitamin A second dose coverage

26.6%

(HMIS 2013/14)

58%

60%

62%

64%

66%

DPT3HibHeb3 coverage

93%

(HMIS 2013/14)

95%

95%

95%

97%

97%

Measles coverage under 1 year

87%

(HMIS 2013/14)

90%

92%

95%

95%

95%

Essential clinical and rehabilitative care

Bed occupancy rate (Hospitals & HC IVs)

59%

(HMIS 2013/14)

62%

70%

80%

85%

90%

50%

(2013/14)

55%

60%

65%

70%

75%

Average length of stay (Hospitals & HC IVs)

Hospital4

(HMIS 2013/14)

4

3

3

3

3

HC IV3

(HMIS 2013/14)

3

3

3

3

3

Contraceptive Prevalence Rate

30%

(UHDS 2011)

39%

 

 

 

50%

Couple years of protection

4,074,673 (HMIS 2013/14)

4.3 M

4.4 M

4.5 M

4.6 M

4.7 M

ANC 4+ coverage

32.4%

(HMIS 2013/14)

37.5%

40%

42.5%

45%

47.5%

Health Facility deliveries

44.4%

(HMIS 2013/14)

54%

56%

58%

60%

64%

HC IVs offering CEmOC Services

37%

(HMIS 2013/14)

55%

55%

57%

59%

60%

HEALTH INVESTMENT OUTPUT TARGETS

 

 

 

 

 

 

Health Infrastructure

New OPD utilization rate

1.0

(HMIS 2013/14)

1.1

1.2

1.3

1.4

1.5

Hospital (inpatient) admissions per 100 population

6

(HMIS 2013/14)

7

8

9

10

10

Population living within 5km of a health facility

75%

77%

80%

82%

84%

85%

Medicines and health supplies

Availability of a basket of commodities in the previous quarter (% of facilities that had over 95%)

To be determined

86%

100%

100%

100%

100%

Improving quality of care

Facility based fresh still births (per 1,000 deliveries)

16

(HMIS 2013/14)

15

14

13

12

11

Maternal deaths among 100,000 health facility deliveries

132

(HMIS 2013/14)

114

110

106

102

98

Maternal death reviews

33.3%

(HMIS 2012/13)

38%

45%

52%

59%

65%

Under five deaths among 1,000 under 5 admissions

17

(HMIS 2013/14)

17.6

17.3

16.9

16.5

16.1

ART Retention rate

79.7%

(HMIS 2013/14)

83%

84%

84%

84%

84%

TB Treatment Success Rate

80%

(2013 Cohort)

82%

84%

86%

88%

90%

Responsiveness

Client satisfaction index

69%

(USSP Survey 2014)

71%

73%

75%

77%

79%

Health Information

Timeliness of reporting (HMIS 105)

85%

(HMIS 2013/14)

88%

90%

93%

95%

97%

To increase financial risk protection of households against impoverishment due to health expenditures.

Health Financing

Out of pocket health expenditure as a % of Total Health Expenditure

37%

(NHA 2011/12)

37%

35%

33%

31%

30%

General Government allocation for health as % of total government budget

8.7%

(AHSPR 2013/14)

10%

12%

14%

15%

15%

To address the key determinants of health through strengthening intersectoral collaboration and partnerships.

Social and economic determinants of health

Children below 5 years who are stunted

33%

(UDHS 2011)

31%

 

 

 

29%

Children below 5 years who are under weight

14%

(UDHS 2011)

14%

 

 

 

10%

Health promotion & environmental health

Latrine coverage

73% (AHSPR 2013/14)

74.6%

76%

78%

80%

82%

Villages/ wards with a functional VHT

72% (AHSPR 2013/14)

75%

80%

85%

85%

85%

Human Resources

Approved posts in public facilities filled with qualified personnel

69%

(AHSPR 2013/14)

69%

70%

72%

76%

80%

Number of health workers (doctors, midwives, nurses) per 1,000 population

Doctors

1:24,725

(HSSIP MTR 2013)

1:24,725

1:24,500

1:24,300

1:24:000

1:23,500

Midwives

1:11,000

(HSSIP MTR 2013)

1:11,500

1:11,000

1:10,500

1:10,000

1:9,500

Nurses

1:18,000

(HSSIP MTR 2013)

1:18,500

1:18,300

1:18,000

1:17,500

1:17,000

 

Key Challenges faced by the Department

The key challenges faced by the district health department include but are not limited to the following;

-         

Low staffing in the Department

-         

Inadequate staff accommodation, as such many staff stay away from their work places which results to late reporting for duty or even absence.

-         

Inability to attract some cadres of health workers especially midwives, anaesthetic officers, laboratory technologists even when opportunities to fill the positions arise.

-         

Lack of transport facilities (motorcycles) especially for environmental health staff and HC IIIs

-         

Lack of facilities for specialized health services in a hospital or HC IV setting due to the lack of a public owned HC IV or District hospital.

-         

Low service coverage due to unevenly distributed health facilities. Services such as MCH are inaccessible to majority of the targeted population.

-         

Poor health seeking behaviours and attitudes of the people is a key challenge. The people only seek professional health services after all have been exhausted. This is causing high infant and maternal mortality rates.