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Dr J.C Miyingo Giving out items

Meat Processing factory

HE Launched a meat processing factory at Nkondo in Nyimbwa Sub county - Luwero District

Vegetation

Three quarters of Luwero District is covered with Savannah associated with Arrhenius. The District has forests…

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Health

Administration

HEALTH SERVICES

The data in this section was derived from various sources including HMIS, LOGICS, Planning Unit and the Health Department in general. This chapter looks at the health sector infrastructure, morbidity and causes of ill health, immunization coverage, HIV/AIDS situation, vector control, TB and Leprosy and pit latrine coverage.

Health Infrastructure    

Luwero district is divided into three health sub districts namely; Katikamu North, Katikamu South and Bamunanika. All together the district has a total of seventy four (74) health units as reflected in Table 4.1. There is a general military hospital located in Bombo Military Barracks, but is of little help to the population of Luwero since it is located within the barracks where entry is restricted. It also has one (1) private hospital below;

Table 4.1: Health Units by Sub – district

HSD Hospital HC IV HC III      HC II Total Grand Total Laboratory (Hubs)
Location/Ownership GOV NGO GOV NGO GOV NGO GOV NGO GOV NGO N/A
Ownership 1 1 3 0 16 8 21 24 41 33 74 (1)
Katikamu North HSD 0 1 1 0 1 1 9 5 11 7 18 1
Katikamu South HSD 1 0 1 0 9 5 5 12 16 17 33 0
Bamunanika HSD 0 0 1 0 6 2 7 7 14 9 23 0
Total 1 1 3 0 16 8 21 24 41 33 74 1

Source: Health Department 2015

Table 4.1 shows the health facility distribution in the district in where there are only three public HCIVs, a total of only twenty four HCIIIs and forty five HCIIs.

Services offered by Level

Services offered by Level

HC I (Community) = Health Preventive services.

HC II     =          Outpatient services.

HC III    =          Out Patient services, Maternity, General Ward, and Laboratory.

HC IV    =          Out patent services, Maternity, Wards, Theatre, Laboratory and Blood transfusion.

Hospital =         Same as HC IV plus X-ray.

Source: DHO’s office 2015

Table 4.3 Private for profit Health Facilities

HSD HCIII HCII TOTAL
Katikamu North 0 3 3
Katikamu South 1 1 2
Bamunanika 0 1 1
TOTAL 1 5 6

Source: Health Department 2015

Table 4.3 details private for profit health facilities as distributed among the health sub districts. Katikamu North has three HCIIs whereas Katikamu South has one HCIII and HCII. On the other hand, Bamunanika has only one HCII.

Causes of Morbidity

Top ten Causes of morbidity

The following is a summary of the top causes of morbidity in the district. They include Malaria, Pneumonia (Cough or cold), Pneumonia, Diarrhea Acute and they are ranked as per the following below:

Table 4.4 Top Ten Causes of Morbidity

No Morbidity rates   2013/2014 Percentage (%)
1 Malaria 40.7
2 Acute respiratory tract infection 30.0
3 Gastro-intestinal Disorders 3.0
4 Pneumonia 3.8
5 Skin infections 3.1
6 Urinary Tract Infections 2.7
7 Intestinal worms 2.7
8 Diarrhea diseases 2.3
9 Eye conditions 2.3
10 Dental conditions 2.3

The most apparent cause of morbidity in the district out of the ten selected top most causes of morbidity was malaria constituting over40 percent followed by acute respiratory tract infection (30percent), and pneumonia (3.8percent). Fewer district persons fell morbid with tooth extractions, diarrhea diseases and eye condition at 2.3percent. This requires more efforts in timely requisition of drugs/medicines and thus timely and efficient management of patients as well as redesigning appropriate treatment and care interventions in order to maintain and sustain a healthy and economically productive population in Luwero district.

  Maternal, Infant and Child Mortality Rates

According to the 2006 UDHS, Luwero district was put in central 2 regions, and results indicated that on average 67 children out of every 1000 live births die before celebrating their first birthday. Compared to the 2001 UDHS, there was a slight improvement in infant health care, as infant mortality rate dropped from 72 to 67 children per 1000 live births. This could be probably due to the massive immunization and preventive campaigns in the district. The infant mortality rate for Luwero was much lower compared to the national average of 77 according to 2006 UDHS.

Child mortality rate is the average number of children that die out of every 1000 children that survive to their first birthday (exact age one) and their fifth birth day. The 2006 UDHS results indicated that 66 per 1000 children that survive to their first birthday die between age one and their fifth birthday. The less than five mortality rate is the average number per every 1000 live birth that die between birth and their fifth birthday. The results of the 2006 UDHS show that the region within which Luwero lies had 129 children per 1000 live birth die before reaching age

 Maternal Mortality Ratio / Rate Status

LUWEERO DISTRICT MATERNAL MORTALITY RATIO/RATE STATUS STATISTICS - 2015
Financial Year Maternal Deaths Live births Total District Population Women of Reproductive Age Multiplier Maternal Mortality Ratio Maternal Mortality Rate Interpretation - Ratio Interpretation - Rate Data Source
2014/2015                                   (Jul 2014-April 2015) 3 9111    458,158* 92548 100,000 33 3 e.g. For every 100,000 Live Births, 33 mothers died during the period of Jul 2014 to April 2015) e.g. For every 100,000 Mothers of reproductive Age , 3 mothers died during the period of Jul 2014 to April 2015) (3/100,000) DHIS2 as at 11.06.2015
2013/2014 7 11410    462,800 93486 100,000 61 8  For every 100,000 Live Births, 61 mothers died during the period of Jul 2014 to April 2015)

g. For every 100,000 Mothers of reproductive Age , 8 mothers died during the period of Jul 2013 to Jun 2014) (8/100,000)

DHIS2 as at 11.06.2015
2012/2013 6 11391     440,200 88920 100,000 53 6  For every 100,000 Live Births, 53 mothers died during the period of Jul 2014 to April 2015) e.g For every 100,000 Mothers of reproductive Age , 8 mothers died during the period of Jul 2012 to Jun 2013) (8/100,000) DHIS2 as at 11.06.2015

    Source: DHO’s Office Note: 1.Data Downloaded from DHIS2 as at 11.06.2015 2.*458158 is provisional total District Population derived from 2014 population and Housing census results.

There was quite a reduction in the number of mothers who died due to maternal mortality related issues, only 151 mothers died of pregnancy related complication compared to the previous 314 mothers who died during the year 2013 to 2014. This is evidenced by 86.2 percent mothers who attended antenatal care in the year 2014 and were delivered with the help of qualified health personnel

Immunization Coverage and their Coverage indicators

Table 4.3 shows specific immunization coverage in the district by Sub County. DPT3 has the highest coverage at 117 percent followed by BCG at 113.0 percent. This is a good indicator were mothers immunize their children against immunisable diseases when they are not yet one year. After their first birth day, the times they take their children for deworming and vitamin A supplementation reduces.

 Table 4.3: Selected Immunization coverage by Sub County for the FY: 2014-2015

Source: Health Department March, 2014

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KEY Immunization Indicators – Other DISTRICT SPECIFIC INDICATORS  
Other District Specific Indicators Target (2013-2014) Achievement (%)
DPT3 Immunization to 100% 117.0%
BCG Immunization to 100% 113.0%
Polio3 immunization Coverage 100% 111.5%
Measles immunization Covearge 100% 111.9%
TT 2- TT5 Coverage 75%