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.
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;
|HSD||Hospital||HC IV||HC III||HC II||Total||Grand Total||Laboratory (Hubs)|
|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|
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
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
Table 4.4 Top Ten Causes of Morbidity
|No||Morbidity rates 2013/2014||Percentage (%)|
|2||Acute respiratory tract infection||30.0|
|6||Urinary Tract Infections||2.7|
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.
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
|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%|
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