Health

Introduction

Administratively Iganga District Health sector is divided into 4 Health sub-district (Bugweri, Kigulu North, Kigulu South and Iganga Municipality. It has 58 health centres both public and Private not for Profit. These are almost evenly distributed with a health centre in a parish although about 20 parishes still lack health centres. There is 1 general Hospital, 2 HC IVs, 15 HC IIIs and 40 HC IIs. These HCs form the base from which the population access health services. There is some degree of poverty. Iganga District has made some improvements in delivery of health services in the year. However, there are still many barriers to uptake of health services mainly on demand side (decision making inability of women/low male involvement, Poverty, ignorance, Lack of transport) but also the supply side like the poor attitude of health workers, inadequate staff, inadequate supplies, accommodation, and poor infrastructure amongst others. Health is a right and everybody should have unhindered access to health care. That is why Iganga District has been providing services to community at no cost as much as possible.

The health of people is the greatest ingredient to catalyze economic progression and development. Whenever people are healthy, then they are able to work and stimulate development. The main focus in health sector in Iganga District has been on prevention of diseases and then treating patients. Borrowing from the National Health policy, the Primary Health Care approach has been deployed in order to stimulate community-based efforts for health promotion and disease prevention. Planning hinges on provisions of the National Development Plan, the National Health Policy and the Health Sector Strategic Plan. Attempts have been made towards provision of a Minimum Health Care Package free of charge in public health facilities.

Progress With Addressing The Disease Burden

           (A) Morbidity

Outpatient top 5 causes of morbidity among the under five:

 

Disease/condition

(New cases) Contact

%'ge

1

No pneumonia – cough or cold

165,858

46.6

2

Malaria

103,285

29

3

Diarrhoea – acute

13,447

3.8

4

Intestinal worms

9823

2.8

5

Skin conditions

6605

1.9

Outpatient top 10 causes of morbidity among the above five:

 

Disease/condition

(New cases) Contact

%'ge

1

Malaria

188,829

38

2

No pneumonia – cough or cold

106,015

21

3

Pelvic Inflammatory Diseases

17,221

3.5

4

Gastro-intestinal disorders (non-infective)

14,227

3.1

5

Tooth Extraction

12,250

2.5

           (B) Mortality

Infant mortality rate (IMR) = 75/1000 live births (source: DSS)
Under 5 year's mortality rate – 91/1000 live births (source: DSS)
Maternal mortality rate 421/100,000 live births (HMIS)

Top 5 causes of mortality for children under 5 years

 

Disease/condition

No. new cases

No. of Deaths

Case fatality rate

1

Neonatal Tetanus

3

1

33

2

UTI

7

2

28.6

3

Tetanus over 28 days

4

1

25

4

Perinatal conditions 

70

14

20

5

Neonatal septicemia

272

32

11.6

Top 5 causes of mortality for persons 5 years and older

 

Disease/condition

No. new cases

No. of Deaths

Case fatality rate

1

Malaria

8

3

37.5

2

HIV / AIDS

32

6

18.8

3

T.B

146

19

13

4

Anaemia