Health

DISTRICT HEALTH OFFICE

Kyenjojo District map showing the location of health Facilities

Kyenjojo district is served by 48 health facilities (Public 17, private-not-for profit-9 and private for profit-22).

The MoH policy is to have a population that is close to the nearest functional health facility. From the above district map, the radius to the nearest health facility as recommended is 5kms. From the 2015 LQAS Survey, it was found that, 41% of the population is out of this radius which makes access to health services at stake. The Northern half of the district is greatly affected with less than half of the facilities in that area and yet over 50% of the population is located there.

The facilities provide the minimum health care package to the clients that visit the facilities and on routine, different indicators are evaluated to see if the intended targets were achieved over a period of time. These are generated from the M&E Plan for MoH 2014/2015 – 2019/2020.

Below is the performance for the last 2 Financial Years i.e. 2016/2017 and 2017/2018:

  1. Human Resources for Health

The table below shows the performance for HRH by level of service delivery in the designated public health facilities

Level No of HFs Staffing Norms Filled Gap % filled
Hospital 1 190 115 75 60.5%
HC IV 1 46 39 7 84.8%
HC III 8 152 151 1 99.3%
HC II 7 63 73 -10 115.9%
District HQs 1 11 11 0 100%
Town Councils 5 20 7 13 35%
 Total 22 482 396 82 82.2%

 

The district managed to recruit 10 critical staff like the Pharmacist, Nutritionist, Special Grade Medical Officer and Medical Officers during the FY which improved staffing levels from 80.7% to 82.2% in FY 2017/2018. There is still much dare need for attracting an Anesthetic Officers and streamlining the provision of services according to the required ethics of professional HR

  1. Health Information Systems

The HIS is pivotal for the assessment of the inputs, outputs, outcomes and impact of the services that are provided to the population. This is possible through the timely and complete reporting to the required next levels.

The performance of the reporting was as in the table below

Indicator National performance 2016/17 District 2016/17 District 2017/18 National Target 2017/18
Timeliness of HMIS (105) reporting (%) 88.1% 95.4% 95.3% 93%
Completeness of HMIS report 105 (%) 94.3% 99.1% 99.8% 96%

 

Key Challenges:

  • There was rampant challenges of network for DHIS2 especially during the peak days of 6th – 14th of every month
  • Delay/ incomplete delivery of reports to District by some of the delegates
  • Weak management of the facilities especially private facilities in reporting so much attributed to the high staff attrition levels
  1. Service Quality Delivery Indicators

Quality of services is one of the objectives for any outcome of service delivery. 4 major indicators were assessed during the period as observed in the table below:

Indicator National performance 2016/17 District 2016/17 District 2017/18 National Target 2017/18
Facility based fresh still births (per 1,000 deliveries) 10.1 9.8 3.8 13
Maternal deaths reported which are audited / reviewed 23.9% 58% 75% 52%
TB Treatment Success Rate 80% 79% 87.1% 86%
Patients diagnosed with malaria that are laboratory confirmed 64% 78.0% 85.4% 100%

 

  1. Coverage Indicators
Indicator National performance 2016/17 District 2016/17 District 2017/18 National Target 2017/18
PCV3 Coverage 99.2% 89.9% 103% 95%
ANC 4 37% 53.7% 53.1% 42.5%
IPT2 for pregnant women 54.4% 57.8% 70.2% 93%
HIV+ women  receiving ARVs for eMTCT during pregnancy, labour, delivery & postpartum 90% 97% 100% 90%
Deliveries in facilities 58.1% 58.8% 62.3% 80%
  1. Other Output Indicators
Indicator National performance 2016/17 District 2016/17 District 2017/18 HSDP Target 2017/18
ART Coverage 73% 68% 100% 72%
ART Retention rate 89% 94% 94% 90%
Under-five Vitamin A second dose coverage 25.3% 27% 41.0% 62%
Measles coverage under 1 year 86.7% 91% 90.8% 95%

 

  1. Implementing Partners in the District during the FY
Partner Name Location(s) of Operation Type(s) of Support Provided
BAYLOR-UGANDA All Sub Counties MCH and HIV/AIDs, Leadership
ENABEL All Health Facilities, 6 PNFP and 7 Public Facilities Health System Strengthening, Results Based Financing
INTRA HEALTH HCII’s and above HRIS/ Performance Management
PACE Butunduzi, Katooke, Kyenjojo TC, Kyarusozi Basic HIV Kits
UPHS Bugaaki and Kyarusozi HIV/AIDS services in tea plantations
METS All Sub Counties Systems Strengthening, HMIS Tools
UNICEF All Sub Counties MCH, HIV/AIDS services
MAPD All Sub Counties Malaria interventions
UHMG MacFarland Memorial Medical Centre, Emmanuel Health care Clinic, Peters Medical Centre

 

  1. Action Areas for the different Stakeholders
  • Upgrading of 07 HC II to HC IIIs; increase service delivery
  • Recognition of Bufunjo HSD to serve Mwenge North Constituency; Upgrading Bufunjo HC III to HC IV.
  • Creation of HC IIIs in 10  Administrative Units without to improve coverage and access issues
  • Improve PHC Credit line by 40% and PHC NWR allocation by 40% (experience from RBF implementing HFs)
  • Revising/restructuring staffing levels at HFs and Hospital to improve staffing and reduce workload
  • Functionalize Kyenjojo Hospital; along busy highway with high carnage, at centre of 03 Districts, needs Land for expansion, vital infrastructure missing
  • Staff accommodation; only 7% of 386 Housed, poor response time to emergencies
  • Vehicle for Kyenjojo Hospital and Kyarusozi HC IV for supervisory and coordination HSD duties

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