HEALTH DEPARTMENT
The overall goal of the sector is to provide good quality services to the people of this district so as to make them attain good standards of health in order to live a healthy and reproductive life.
The sector objective is to reduce morbidity and mortality from the major causes of ill health and premature health and disparities therein”. This district has 24 Health Units of different categories. Some of them are Government hospitals while others are owned by Non -Government Organizations. The distribution is fair, but some of them lack the basic equipment to offer reasonable services. Many rural units require rehabilitation and equipping. Besides diseases, poor nutrition has contributed to worrying situation. Because of cross cutting nature of health issues, there is need for an integrated approach to health.
There are various NGOs both Local and International that are involved in AIDS prevention and control in the district. Such activities include blood screening and counselling, medical treatment, home care, pastoral education, health education, AIDS research and orphan support.
1 Health Infrastructure
This section classifies the distribution of health facilities within the district.
Table 4. 1: Health infrastructure (categories)
|
Category |
2022/2023 Ownership |
2023/2024 Ownership |
||||
|
Government |
PNFP |
Total |
Government |
PNFP |
Total |
|
|
REGIONAL REFERAL HOSPITAL |
1 |
0 |
1 |
1 |
0 |
1 |
|
H/C IV |
2 |
0 |
2 |
2 |
0 |
2 |
|
H/C III |
13 |
0 |
13 |
13 |
0 |
13 |
|
HC II |
2 |
4 |
13 |
5 |
4 |
5 |
|
Total |
20 |
4 |
24 |
21 |
4 |
21 |
|
Number of staffs houses |
|
|
|
|
|
|
Table 4. 2: Number of Health Units
Type |
Number |
|
|
|
2016/2017 |
2017/2018 |
Private pharmacies |
4 |
6 |
Drug shops |
150 |
150 |
Clinics |
8 |
8 |
Allied clinics |
22 |
22 |
Domiciaries |
6 |
9 |
Traditional healers |
xxx |
|
Unlicensed clinics and drug shops |
76 |
76 |
Source: DHO’s Office 2018
4.2 Accessibility to health Services
This section looks at the distance to access health facilities within a community by the household
4.2.1 Health Services Accessibility indicators
Table 4. 3: Health Services Accessibility indicators
|
Indicator |
2016/2017 |
2017/2018 |
|
Average Population served by each health unit: |
16,227 |
16,227 |
|
Average Population served by each health unit: |
20 |
20 |
|
Number of licensed private clinics |
1:34743 |
1:34743 |
|
Nurse: Population ratio |
1:3412 |
1:3245 |
|
Clinical Officer: Population ratio |
1:13649 |
1:13429 |
|
OPD Utilization: |
1:0 |
0.79 |
|
Deliveries in health facility: |
10,282 |
10,733 |
|
Midwives: pregnant women (15-49) ratio: |
1:794 |
1:361 |
|
Number of mothers receiving complete antenatal services |
5374 |
5,691 |
Source: DHO’s Office 2018
4.3 Mobidity and cause of ill health
This section details the frequency of disease, illness, injuries, and disabilities in a population within the district.
Table 4. 4: Disease burden (2016/17) top ten diseases
|
Year |
2016/2017 |
2017/2018 |
|
|
|
Disease |
Percentage (%) |
Percentage (%) |
|
1 |
Malaria |
33 |
30 |
|
2 |
No Pneumonia |
17 |
19 |
|
3 |
Pneumonia |
3 |
3 |
|
4 |
Diarrhoea-Acute |
3 |
3 |
|
5 |
Intestinal-Worms |
3 |
3 |
|
6 |
Skin Diseases |
2 |
3 |
|
7 |
Urinary Tract Infections (UTI) |
2 |
3 |
|
8 |
Gastro-Intestinal Disorders (non-Infective) |
2 |
3 |
|
9 |
Pelvic Inflammatory Disease (PID) |
2 |
2 |
|
10 |
Other Eye Conditions |
1 |
1 |
Source: DHO’s Office 2018
From table 4.4 above, the percentage contribution of malaria in the Out-Patient Department reduced from 33% in FY 2016/17 to 30% in FY 2017/18, where as No Pneumonia increased from 17% to 19%.
4.4 Health Manpower
This section categorises the staffing in the district within a health sector with intentions of determining the manpower gaps within the health sector.
Table 4. 5: Staffing in District Health Office
|
Cadre |
Approved |
Filled |
Sex |
|
|
|
|
|
Male |
Female |
|
District Health Officer |
1 |
1 |
1 |
0 |
|
Assistant District Health Officer (Environment) |
1 |
0 |
0 |
0 |
|
Assistant District Health Officer (Maternal Child Health/Nursing) |
1 |
1 |
0 |
1 |
|
Senior Health Inspector |
1 |
1 |
1 |
0 |
|
Senior Health Educator |
1 |
1 |
1 |
0 |
|
Bio-statistician/Health Information Scientist |
1 |
1 |
1 |
0 |
|
Cold Chain Technician |
1 |
1 |
1 |
0 |
|
Stenographer Secretary |
1 |
1 |
0 |
1 |
|
Stores Assistant |
1 |
1 |
1 |
0 |
|
Office Attendant |
1 |
1 |
1 |
0 |
|
Total |
10 |
9 |
8 |
2 |
Source: DHO’s Office 2017
Table 4.5 indicated that more top post are occupied by male despite the fact that table 4.6 shows more female occupying most of the posts at hospital level but they are of low cadres. Strategies should be done like provision of accommodation and friendly facilities for ladies.
Table 4. 6: Staffing in Hospital
|
Cadre |
Approved |
Filled Posts 2016/2017 |
Filled Posts 2017/2018 |
||||
|
|
|
Total |
Male |
Female |
Male |
Female |
Total |
|
Medical Officers |
6 |
7 |
5 |
2 |
6 |
1 |
7 |
|
Hospital Administrator |
2 |
1 |
1 |
0 |
1 |
0 |
1 |
|
Clinical Officers |
6 |
5 |
4 |
1 |
6 |
2 |
8 |
|
Nursing officers |
27 |
24 |
1 |
23 |
1 |
18 |
19 |
|
Health Inspectors |
1 |
1 |
1 |
0 |
1 |
1 |
1 |
|
Enrolled Nurses |
46 |
28 |
2 |
26 |
2 |
26 |
28 |
|
Enrolled midwives |
25 |
20 |
0 |
20 |
0 |
18 |
18 |
|
Laboratory Personnel |
4 |
6 |
4 |
2 |
3 |
3 |
6 |
|
Dental Assistants/Officers |
3 |
2 |
1 |
1 |
1 |
1 |
2 |
|
Health Assistants |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
Nursing Assistants |
15 |
11 |
2 |
9 |
1 |
8 |
9 |
|
Psychiatric Clinical Officers |
1 |
1 |
1 |
0 |
1 |
0 |
1 |
|
Total |
136 |
106 |
22 |
84 |
23 |
78 |
101 |
Source: DHO’s Office 2018
From table 4.5 above, the total number of cadres shown above reduced by 5 staff moving from FY 2016/17(106 Staff) to FY 2017/18(101 Staff)
Table 4. 7: Staffing in Government Health Units HC IV
|
Cadre |
Approved |
Filled Posts 2016/2017 |
Filled Posts 2017/2018 |
||||
Total |
Male |
Female |
Male |
Female |
Total |
||
|
Medical Officers |
4 |
4 |
3 |
1 |
4 |
1 |
5 |
|
Clinical Officers |
6 |
5 |
5 |
0 |
4 |
0 |
4 |
|
Nursing Officers |
8 |
10 |
2 |
8 |
1 |
8 |
9 |
|
Health Inspectors |
4 |
3 |
2 |
1 |
2 |
1 |
3 |
|
Enrolled Nurses |
6 |
11 |
3 |
8 |
3 |
15 |
18 |
|
Enrolled Midwives |
6 |
7 |
0 |
7 |
0 |
1 |
8 |
|
Laboratory Personnel |
4 |
4 |
1 |
3 |
0 |
4 |
4 |
|
Dental Staff |
2 |
2 |
0 |
2 |
0 |
2 |
2 |
|
Health Assistants |
2 |
2 |
1 |
1 |
1 |
1 |
2 |
|
Nursing Assistants |
10 |
5 |
0 |
5 |
1 |
3 |
4 |
|
Total |
52 |
53 |
17 |
36 |
16 |
36 |
52 |
Source: DHO’s Office 2018
From table 4.7, the total number of cadres as shown in the above table reduced by 1 staff moving from FY2016/17(53 Staff) to FY 2017/18(52 staff)
|
Cadre |
Approved |
Filled Posts 2016/2017 |
Filled Posts 2017/2018 |
||||
|
|
|
Total |
Male |
Female |
Male |
Female |
Total |
|
Clinical Officers |
16 |
17 |
10 |
7 |
9 |
8 |
17 |
|
Nursing Officers |
8 |
6 |
1 |
5 |
1 |
6 |
7 |
|
Enrolled Nurses |
24 |
18 |
4 |
14 |
5 |
19 |
24 |
|
Enrolled Midwives |
16 |
16 |
0 |
16 |
0 |
19 |
19 |
|
Laboratory Personnel |
16 |
12 |
10 |
2 |
12 |
4 |
16 |
|
Nursing Assistants |
24 |
13 |
2 |
11 |
2 |
13 |
15 |
|
Total |
104 |
82 |
27 |
55 |
29 |
69 |
98 |
Source: DHO’s Office 2018
|
Cadre |
Approved |
Filled Posts 2016/2017 |
Filled Posts 2017/2018 |
||||
|
|
|
Total |
Male |
Female |
Male |
Female |
Total |
|
Nursing Officers |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
|
Enrolled Nurses |
8 |
17 |
5 |
12 |
7 |
11 |
18 |
|
Nursing Assistants |
16 |
11 |
1 |
10 |
1 |
10 |
11 |
|
Total |
24 |
28 |
6 |
22 |
8 |
21 |
29 |
Source: DHO’s Office 2018