The Health System in Nebbi district is made of two (2) Health Sub district of Padyere and Nebbi Municipality:
Padyere HSD has 26 Health Units comprising of two (2) hospitals i.e Nebbi General Hospital and St. Luke – Angal Hospital, one (1) HCIV in Goli, 12 HCIII and 11 HCII. The private sector is poorly developed with only Shower Foundation HC III in Nebbi Municipal.
Human Resource
In the Public Sector we have 319 Health Workers.
Environmental Health (Inspectorate)
The Section is staffed with one ADHO (Environmental Health), one (1) Health Inspector, and 19 Health Assistants, giving at least one (1) staff per Sub County.
Health Education
The health education is characterized by Staffing deficiency; with no Health Educator. This means enough can’t be done in the area of Health Education and Promotion which is needed to reduce disease burden.
Focus is on Health Education in the areas of: Sanitation, Family Planning, Antenatal Care and Safe Delivery, Nutrition, School Health and Immunization.
Performance
| S/N | Indicator | Financial Year performance | National target | |||
| 18/19 | 19/20 | 20/21 | 21/22 | |||
| 1 | Proportion of mothers attending antenatal care four (ANC4th visits) | 67% | 72.7% | 65.1% | 52.7% (Q2) | 55% |
| 2 | Proportion of under one year children immunized with measles | 81.5% | 76.6% | 74.5% | 60.3% (Q2) | 90% |
| 3 | Proportion of under 1 year children immunized with third dose of PCV | 69.5% | 94.6% | 80.9% | 85.6% | 90% |
| 4 | Proportion of pregnant mothers who received the second dose of fansidar for malaria prophylaxis | 87.6% | 96.9% | 89.4% | 63.5% | 60% |
| 5 | Proportion of mothers who delivered at health facilities | 92.2% | 85.4% | 87.7% | 81.5% | 75% |
| 6 | Number of maternal deaths at health facilities | 22 | 20 | 14 | 10 (Q2) | 131/100,00 |
| 7 | Latrine coverage | 83.7% | 80% | 78% | 81% | 90% |
| 8 | Proportion of malaria cases confirmed | 88.5% | 80% | |||
| 9 | TB treatment success rate | 84.8% | 85.8% | 92.9% | 90.9% | 85% |
| 10 | HMIS reporting | 100% | 100% | 100% | 100% | 80% |
Reproductive Health
All HC III offer Reproductive Health services including antenatal and delivery.
HIV/AIDS services
Comprehensive Services are available at (12) Health Units of Nebbi Hospital, Angal Hospital, Goli HC IV and all the HC111.
Supervision
Support Supervision is done at various levels:
District Health Team does Integrated Quarterly Support Supervision and Technical Supervision for various programme areas to Health Sub districts and Health Units,
Health Sub districts are expected to do Monthly support Supervision to the Health Units,
Health Centres III are expected to supervise HC IIs in their Sub counties.
However this has not been achieved at the HSD and HC III level due to inadequate resources both Human and financial
Essential Medicines and Health Supplies (EMHS)
Regularity of deliveries of EMHS by National Medical Store (NMS) has greatly improved overall, but the quantities remain inadequate leading to stock out especially in the busy health units as the quantities delivered do not consider the demand.