Health

 

The Department of Health, headed by the District Health Officer is responsible for the planning, management, monitoring and coordination of all health related concerns. The sector focuses on reducing morbidity and mortality from the major causes of ill health and premature health and disparities within the district. It also aims to achieve equitable and increased access to Minimum Health Care Packages (MHCP), and quality care.

 

     Health Infrastructure

 

This section classifies the distribution of health facilities within a district and their ownership.

 

Health infrastructure (categories) in Pakwach District

 

Health Facility

Public

PNFP

PFP

Total

Functionality

Level

 

 

 

 

 

HC VI

1

0

0

1

Functional

HC III

6

1

0

7

Functional

HC II

9

2

0

11

Functional

Clinic

0

0

1

1

Functional

Total

16

3

1

20

 

 

Source District Health Office, Pakwach

 

Morbidity and cause of ill health

 

Table 4.2: Pakwach District disease burden (top ten diseases) in both children and adults

 

Position

Disease

cases

Percentage

1

Malaria

19,940

42.2%

2

No Pneumonia cough or cold

12,643

28.0%

3

Gastro-Intestinal Disorder

2,631  

5.8%

4

Acute Diarrhoea

2,027

4.4%

5

Urinary Tract Infection

1,626  

3.6%

6

Injuries(Trauma due to other)

1,442

3.2%

7

Intestinal Worms

1,421

3.1%

8

Skin Diseases             

1,393  

3.0%

9

Other Eyes Conditions

1,116

2.4%

10

PID    

925

2.0%

 

 

 

Top Ten Causes of Morbidity in Children Less Than 5 Years

 

Position

Disease

cases

Percentage

1

Malaria

4,753              

10.55%

2

No Pneumonia cough or cold

3,788              

8.40%

3

Acute Diarrhoea         

1,276  

2.83%

4

Skin Diseases

506

1.12% 

5

Other Eyes Conditions

354

0.78%

6

Intestinal Worms

215

0.47%

7

Pneumonia

125

0.27%

8

UTI                

120

0.26%

9

Other Oral Conditions

145

0.32%

10

Injury Due To Other Causes  

131

0.29%

 

 

 

 Top Ten Causes of Morbidity in Children 5 Years and Above

 

Position

Disease

cases

Percentage

 

 

 

 

1

Malaria

14,287

31.71%

2

No Pneumonia cough or cold

8,855              

19.65%

3

Gastro-intestinal disorders

(Non effective)           

2,572

5.70%

4

Urinary Tract Infection

1,506

3.34% 

5

Injury Due To Other Causes

1,302

2.89%

6

Intestinal Worms

1,206

2.67%

7

PID

925     

2.05%

8

Hypertension              

892

1.98%

9

Skin Diseases 

887

1.96%

10

Injury Due To Other Causes  

762

1.69%

 

 

 

     Health Manpower

 

This section categorizes the staffing in the district within a health sector with intentions of determining the manpower gaps within the health sector.

 

 Staffing at the district health office and different health centres

 

Levels

Norms

Filled

Gaps

%age filled

 

 

 

 

 

DHO

11

2

9

18%

HC IV

48

53

+5

110.4%

HCIII

114

66

48

57.8%

HCII

81

35

46

43%

 

 


 

 

     Sanitation coverage in Pakwach district

 

 Sanitation coverage in Pakwach district

 

Sub-County

Alwi

Wadelai

Panyango

Panyimur

Pakwach

Pakwach TC

District total

District coverage

No. of Households

3414

4653

5621

6906

5538

5011

31143

  

Population

26949

24327

36021

47364

 -

29354

- 

 

Households with latrines

3054

2860

3542

5464

3743

4363

23026

73.90%

Number  of new latrines

140

773

113

655

600

54

2335

10%

Households with hand washing facilities

1420

1104

2702

1769

1444

1295

9734

42.30%

Number of new hand washing facilities

75

98

655

815

817

59

2519

25.90%

Number of households with drying racks

2964

2855

3237

4971

3375

3801

21203

68.10%

Number of H/H with bathing shelters

2924

2523

2356

5179

3306

3637

19925

64.00%

Number of H/H with separate kitchen

2510

3834

4215

4724

2791

1604

19678

63.20%

Number of H/H with drying lines

2914

2778

5520

4580

3807

4279

23878

76.70%

Number of H/H with rubbish pits

3014

2344

5468

4967

3636

3956

23385

75.10%

Current latrine coverage

89.50%

61.50%

63.00%

79.10%

67.60%

87.10%

73.90%

74.50%

 

Source: District Health Office, Pakwach


 

     Key Health Indicators

 

 

S/N

ORGANISATION UNIT

NATIONAL TARGET

COVERAGE

01

Postnatal Attendance

2138 (65%)

623 (29%)

02

Teenage Pregnancy(10-19yrs)

110 (<5%)

339 (16%)

03

ANC 1 Timeliness (NO in 1st Trimester)

2204 (45%)

255 (12%)

04

ANC 1 Visits for Women

(2203) 90%

2180 (99%)

05

ANC4th Visits for Women

(2203) 45%

1310 (59%)

06

Measles Coverage

1,896 (90%)

1621   (85%)

07

DPT3 Coverage

1,896 (90%)

1742                       (92%)

08

Rota1 Coverage

1,896 (90%)

1998   (105%)

09

OPD Attendance

44,059 (1.0)

49,529 (1.1)

10

No of HIV Counselling Centre

 

09

11

Maternal Death

  1. 4 Maternal Death cases
  2. Causes: PPH(Blooding), Sepsis, Pre-eclampsia, Obstructed labour &  Arbortions

12

Annual Number tested for HIV

39,495

13

Number tested positive for HIV

810      Positivity Rate = 2.05%

14

Number active on ART

3,946

15

Number tested positive linked to care

765       Linkage = 94.4%

 

Source: District Health Office, Pakwach