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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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Administration

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)

Read more...

 

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)

Read more...

 

Administration

Administration

Administrative Units:

Luwero district is divided into ten sub counties and three town councils namely Luwero, Wobulenzi and Bombo. The district is composed of 90 parishes and 594 villages. The role of the district is to implement and monitor Government programmes at the respective level decentralization aimed at easing administration and improving the delivery of services

Table 2.1 Number of Administrative Units by county

County Sub county Parishes Villages
Bamunanika Bamunanika 6 59
Kalagala 8 53
Kamira 7 31
Kikyusa 6 37
Zirobwe 8 54
Sub Total 35 234
Katikamu Bombo T/C 6 24
Butuntumula 7 52
Katikamu 7 77
Luwero S/C 9 54
Luwero T/C 6 19
Makulubita 9 52
Nyimbwa 6 57
Wobulenzi T/C 5 25
Sub Total 55 360
Grand Total 90 594

Source: Planning Unit 2016

Katikamu County is comprised of 55 parishes while Bamunanika has got 35 parishes. Migration to urban centers has contributed to increased settlement which has paved way to demarcation of many parishes.

2.3        Personnel in the District

The 2005 Public Service restructuring exercise put Luwero district Local Government under model I. The district has got a total of 2,719 employees; out of which 1,194 are males (44 percent) and 1,525 are females (56 percent). Table 2.2 shows the distribution of human resource by department.

Table 2.2          Personnel in the district by department

No. Department No. in establishment No. filled Proportion Filled (%) Proportion Vacant (%)
1 Administration 115 82 71% 29%
2 Statutory bodies 27 24 89% 11%
3 Finance 39 34 87% 13%
4 Planning Unit 7 5 71% 29%
5 Internal Audit 17 13 76% 24%
6 Production 59 53 89% 11%
7 Education 3570 2,978 83% 17%
8 Community Based Services 26 22 85% 15%
9 Natural resources 24 15 63% 37%
10 Works & Technical Services 36 12 33% 67%
11 Health 644 515 80% 20%
Total 4564 3753 82% 18%

Source:             Luwero District Human Resource Department 2016

There are more staffs employed in education and health department and this could be because of service utilization by many people in different parts of the district. Works and technical services has a high proportion of vacant staff of 67 percent compared to the Production and statutory bodies at 11 Percent.

2.4 Information and Communication

This sector is responsible for communications and public relations in the district. It is manned by one person, the District Information Officer. Majority of the population of Luwero (64 percent) derive their information from radios as reflected in Table 2.3. However, there is neither a single radio nor Television station in the district.

Table 2.3 Distribution of households by main source of information (%)

Main Source of Information Rural Urban Total
Radio 61.9 73.2 64.0
Television 0.3 1.3 0.5
Print Media 0.2 1.4 0.4
Post mail 0.0 0.3 0.1
Hand mail 0.2 0.3 0.2
Word of mouth 36.5 22.5 33.9
Other 1.0 1.0 1.0

Source:Census 2002

Most people in the district get information through radios and word of mouth. There were more people who listened to radio in urban areas at 73.2% compared to 61.9 percent in rural areas. There was no person who used post mail in rural areas (0.0 percent) compared to (0.3percent) in urban areas and this could be lack accessibility of the services in rural areas.

2.5        Council, Committees, Boards and Commissions

The district council has 27 councilors of whom 16 (59 percent) are males, while11 (41 percent) are females with 6 sectoral committees including DEC. There were four statutory bodies namely land board; PAC; DSC; and contracts committee as reflected in Table 2.4. However one position on the DSC is still vacant.

Table 2.4 Number of members on District Council, Committees, Boards and Commissions.

Committee/Council Male Female Total
Council 15 10 25
District Executive Committee 3 2 5
Works and Technical services 2 2 4
Health and education 2 2 4
Community Development 3 1 4
Production, Marketing & Environment 2 2 4
Finance, Planning, Management and Investments 3 1 4
LG Land Board 3 0 3
LG PAC 4 1 5
LG DSC 2 1 3
Contracts Committee 3 0 3

Source: Council department 2015

Table: Number of Administrative Units

S/No. Administrative Units 1969 1980 1991 2002 2014
1 Districts 21 33 38 56 112
2 Counties 111 142 163 163 181
3 Sub-Counties 594 668 809 958 1382

Source: Census 2014, *2014=Population Figures as per the 2014 national population and housing census provisional results

S/No. Counties/Period 1969 1980 1991 2002 2014
1 Bamunanika 1 1
2 Katikamu 1 1
3 Number of Sub-Counties 13 13

Source: Census 2014, *2014=Population Figures as per the 2014 national population and housing census provisional results